All Roll Calls
Yes: 846 • No: 1,338
KansasSB 632025–2026 Regular SessionSenate
Enacting the help not harm act, restricting use of state funds to promote gender transitioning, prohibiting healthcare providers from providing gender transition care to children whose gender identity is inconsistent with the child's sex, authorizing a civil cause of action against healthcare providers for providing such treatments, requiring professional discipline against a healthcare provider who performs such treatment, prohibiting professional liability insurance from covering damages for healthcare providers that provide gender transition treatment to children and adding violation of the act to the definition of unprofessional conduct for physicians.
Sponsored By: Committee on Public Health and Welfare
Became Law
senate committee on public health and welfare
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 1 benefits, 4 costs, 0 mixed.
Families lose publicly funded transition care
Kansas Medicaid, including its managed care plans, cannot cover or reimburse the listed gender-transition medications or surgeries for minors. Recipients of Kansas state funds cannot use that money to provide or subsidize this care. Providers receiving state funds for children's psychological care also cannot give or refer children for these treatments. These limits apply when the child's perceived gender or sex differs from the child's sex.
Kansas bans transition treatments for minors
The law takes effect upon publication in the Kansas Register. Providers cannot knowingly give patients under 18 the listed surgeries, hormone doses, or puberty blockers for gender-related distress. Exceptions cover specified, medically verified disorders of sex development and care for conditions caused or worsened by listed procedures. Drug treatment started before the effective date can continue only with a documented plan to steadily reduce use. Providers must also document that stopping immediately would harm the child, and treatment cannot continue beyond December 31, 2025.
State facilities limit minors' transition support
Kansas state property and facilities cannot be used to provide the listed gender-transition medications or surgeries to minors. They also cannot be used to promote those treatments or social transitioning, such as nonmedical changes in presentation. The promotion ban has an exception where the First Amendment requires it. State employees caring for children cannot promote social transitioning or provide or promote the listed treatments during their official duties. These rules concern children whose perceived gender or sex differs from their sex; the employee rule applies during official duties.
Families can sue over banned treatments
Parents can sue providers who give their children treatment in violation of the ban. People treated as minors can also sue, filing within 10 years after turning 18—by age 28. Providers face strict liability for physical, psychological, emotional, or physiological harm occurring during that 10-year period from prohibited treatment. Strict liability means patients do not have to prove provider negligence. Available remedies include actual and punitive damages, court orders, lawsuit costs, and reasonable attorney fees; no fixed payment is set.
Providers face license loss, uninsured damages
Kansas licensing authorities must revoke a healthcare provider's license for violating the treatment ban. The law also lists Help Not Harm Act violations as unprofessional conduct for physicians. Professional liability insurance cannot cover damages assessed against providers for giving children treatment that violates the ban. This insurance restriction concerns provider liability, not families' health coverage.
Sponsors & Cosponsors
Sponsor
Committee on Public Health and Welfare
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 4/23/2026
Yea: 31 Nay: 85
Yes: 31 • No: 85
Senate vote • 4/23/2026
Yea: 31 Nay: 85
Yes: 31 • No: 85
Senate vote • 4/23/2026
Yea: 29 Nay: 84
Yes: 29 • No: 84
Senate vote • 4/23/2026
Yea: 29 Nay: 83
Yes: 29 • No: 83
Senate vote • 4/23/2026
Yea: 31 Nay: 84
Yes: 31 • No: 84
Senate vote • 4/23/2026
Yea: 83 Nay: 35
Yes: 83 • No: 35
Senate vote • 4/23/2026
Yea: 30 Nay: 86
Yes: 30 • No: 86
Senate vote • 4/23/2026
Yea: 27 Nay: 80
Yes: 27 • No: 80
Senate vote • 4/23/2026
Yea: 85 Nay: 34
Yes: 85 • No: 34
Senate vote • 4/23/2026
Yea: 31 Nay: 9
Yes: 31 • No: 9
Senate vote • 2/18/2025
Motion to override veto prevailed
Yes: 31 • No: 9
House vote • 2/18/2025
Motion to override veto prevailed
Yes: 85 • No: 34
House vote • 1/31/2025
Final Action - Passed
Yes: 83 • No: 35
House vote • 1/30/2025
Committee of the Whole - Amendment by Rep. Heather Meyer was rejected
Yes: 31 • No: 84
House vote • 1/30/2025
Committee of the Whole - Amendment by Rep. Heather Meyer was rejected
Yes: 31 • No: 85
House vote • 1/30/2025
Committee of the Whole - Amendment by Rep. Ford Carr was rejected
Yes: 31 • No: 85
House vote • 1/30/2025
Committee of the Whole - Amendment by Rep. Melissa Oropeza was rejected
Yes: 27 • No: 80
House vote • 1/30/2025
Committee of the Whole - Amendment by Rep. Nikki McDonald was rejected
Yes: 29 • No: 84
House vote • 1/30/2025
Committee of the Whole - Amendment by Rep. Susan Ruiz was rejected
Yes: 30 • No: 86
House vote • 1/30/2025
Committee of the Whole - Amendment by Rep. Jo Ella Hoye was rejected
Yes: 29 • No: 83
Senate vote • 1/29/2025
Emergency Final Action - Passed as amended
Yes: 32 • No: 8
Actions Timeline
Motion to override veto prevailed; Yea 31, Nay 9
2/18/2025SenateMotion to override veto prevailed; Yea 85, Nay 34, Absent 6
2/18/2025HouseVetoed by Governor; Returned to Senate on Tuesday, February 11, 2025
2/13/2025SenateEnrolled and presented to Governor on Wednesday, February 5, 2025
2/5/2025SenateFinal Action - Passed; Yea 83, Nay 35, Absent 7
1/31/2025HouseCommittee of the Whole - Motion to Amend - Offered by Rep. Ford Carr
1/30/2025HouseCommittee of the Whole - Amendment by Rep. Ford Carr was rejected; Yea 31, Nay 85, Absent 9
1/30/2025HouseCommittee of the Whole - Motion to Amend - Offered by Rep. Heather Meyer
1/30/2025HouseCommittee of the Whole - Amendment by Rep. Heather Meyer was rejected; Yea 31, Nay 84, Absent 10
1/30/2025HouseCommittee of the Whole - Motion to Amend - Offered by Rep. Heather Meyer
1/30/2025HouseCommittee of the Whole - Amendment by Rep. Heather Meyer was rejected; Yea 31, Nay 85, Absent 9
1/30/2025HouseCommittee of the Whole - Motion to Amend - Offered by Rep. Jo Ella Hoye
1/30/2025HouseCommittee of the Whole - Amendment by Rep. Jo Ella Hoye was rejected; Yea 29, Nay 83, Absent 13
1/30/2025HouseCommittee of the Whole - Motion to Amend - Offered by Rep. Nikki McDonald
1/30/2025HouseCommittee of the Whole - Amendment by Rep. Nikki McDonald was rejected; Yea 29, Nay 84, Absent 12
1/30/2025HouseCommittee of the Whole - Motion to Amend - Offered by Rep. Melissa Oropeza
1/30/2025HouseCommittee of the Whole - Amendment by Rep. Melissa Oropeza was rejected; Yea 27, Nay 80, Absent 18
1/30/2025HouseCommittee of the Whole - Motion to Amend - Offered by Rep. Susan Ruiz
1/30/2025HouseCommittee of the Whole - Amendment by Rep. Susan Ruiz was rejected; Yea 30, Nay 86, Absent 9
1/30/2025HouseCommittee of the Whole - Motion to Amend - Offered by Rep. Susan Ruiz
1/30/2025HouseCommittee of the Whole - Amendment by Rep. Susan Ruiz was rejected
1/30/2025HouseCommittee of the Whole - Be passed
1/30/2025HouseCommittee Report recommending bill be passed as amended by Senate Committee on Public Health and Welfare
1/29/2025SenateMotion to advance to EFA, subject to amendment, debate and roll call.
1/29/2025SenateCommittee of the Whole - Committee Report be adopted
1/29/2025Senate
Bill Text
As Amended by Senate Committee on Public Health and Welfare
As Introduced
Enrolled
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