Prohibiting puberty blocking medications, cross-sex hormones, and gender transition surgeries for minors.

HB 1038 prohibits licensed health care providers in Washington from prescribing puberty blockers, cross-sex hormones, or gender transition surgeries to minors (under 18) for the purpose of altering gender appearance or perception. Exceptions include treatment for medically verified disorders of sex development, tapering off existing medications, addressing complications from prior procedures, and emergency care for life-threatening conditions. The bill defines "minor" as under 18 and "sex" as biological characteristics present at birth (chromosomes, hormones, anatomy), excluding gender identity. It directly affects transgender and gender-diverse minors seeking these medical treatments, while allowing care for specific medical conditions. The bill is currently pending in the Health Care & Wellness committee after being prefaced in December 2024.