UtahH.B. 1742026 General SessionHouse

Sex Characteristic Change Treatment Amendments

Sponsored By: Rex P. Shipp (Republican)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 1 benefits, 2 costs, 0 mixed.

Tighter hormone treatment limits for minors

Utah providers cannot give hormonal transgender treatment to minors without a gender dysphoria diagnosis before January 28, 2023. Beginning January 28, 2027, providers also cannot treat minors who were under 16 on the law's actual effective date. That ban also covers minors who had not received cross-sex hormones by the actual effective date. Cross-sex hormones are testosterone or other androgens above levels normally found in people born female, or estrogen compounds above levels normally found in people born male. Violating either ban counts as unprofessional conduct. The default effective date is May 6, 2026. With approval from two-thirds of elected members in each house, the law takes effect earlier upon the governor's approval. Without a signature, that date is the day after the constitutional deadline; after a veto, it is the override date.

Certification exception for minors stopping treatment

The law creates a limited exception to the state's transgender treatment certification requirement. Providers who previously gave a minor hormonal transgender treatment can continue care to help that minor stop treatment before January 28, 2027. Those providers do not need the otherwise-required certification for this care.

Utah ends hormone treatment evidence review

The law repeals Utah's required systematic medical evidence review of hormonal transgender treatments. It does not establish a replacement review process or provide new funding. The repeal itself does not directly change who can receive treatment.

Sponsors & Cosponsors

Sponsor

  • Rex P. Shipp

    Republican • House

Cosponsors

  • Daniel McCay

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 229 • No: 65

House vote • 3/2/2026

House/ concurs with Senate amendment

Yes: 53 • No: 15

House vote • 3/2/2026

House/ concurs with Senate amendment

Yes: 48 • No: 16

House vote • 3/2/2026

House/ motion to reconsider

Yes: 0 • No: 0

Senate vote • 2/27/2026

Senate/ uncircled

Yes: 0 • No: 0

Senate vote • 2/27/2026

Senate/ passed 3rd reading

Yes: 20 • No: 6

Senate vote • 2/26/2026

Senate/ uncircled

Yes: 0 • No: 0

Senate vote • 2/26/2026

Senate/ circled

Yes: 0 • No: 0

Senate vote • 2/26/2026

Senate/ substituted

Yes: 0 • No: 0

Senate vote • 2/26/2026

Senate/ circled

Yes: 0 • No: 0

Senate vote • 2/25/2026

Senate/ passed 2nd reading

Yes: 17 • No: 7

Senate vote • 2/18/2026

Senate Comm - Favorable Recommendation

Yes: 5 • No: 2

Senate vote • 2/18/2026

Senate Comm - Amendment Recommendation

Yes: 7 • No: 1

House vote • 2/5/2026

House/ passed 3rd reading

Yes: 54 • No: 15

House vote • 1/27/2026

House Comm - Favorable Recommendation

Yes: 11 • No: 3

House vote • 1/27/2026

House Comm - Amendment Recommendation

Yes: 14 • No: 0

Actions Timeline

  1. Governor Signed

    3/18/2026
  2. House/ to Governor

    3/6/2026House
  3. House/ received enrolled bill from Printing

    3/6/2026House
  4. House/ enrolled bill to Printing

    3/3/2026House
  5. Enrolled Bill Returned to House or Senate

    3/3/2026
  6. Draft of Enrolled Bill Prepared

    3/3/2026
  7. Bill Received from House for Enrolling

    3/3/2026
  8. House/ signed by Speaker/ sent for enrolling

    3/3/2026House
  9. House/ received from Senate

    3/3/2026House
  10. Senate/ to House

    3/3/2026Senate
  11. Senate/ signed by President/ returned to House

    3/3/2026Senate
  12. Senate/ received from House

    3/3/2026Senate
  13. House/ to Senate

    3/2/2026House
  14. House/ concurs with Senate amendment

    3/2/2026House
  15. House/ placed on Concurrence Calendar

    3/2/2026House
  16. House/ motion to reconsider

    3/2/2026House
  17. House/ to Senate

    3/2/2026House
  18. House/ concurs with Senate amendment

    3/2/2026House
  19. House/ placed on Concurrence Calendar

    2/27/2026House
  20. House/ received from Senate

    2/27/2026House
  21. Senate/ to House with amendments

    2/27/2026Senate
  22. Senate/ passed 3rd reading

    2/27/2026Senate
  23. Senate/ uncircled

    2/27/2026Senate
  24. Senate/ circled

    2/26/2026Senate
  25. Senate/ substituted

    2/26/2026Senate

Bill Text

  • Enrolled

    3/3/2026

  • Substitute #2

    2/26/2026

  • Amended 2/19/2026 10:02:899

    2/19/2026

  • Amended 1/28/2026 10:01:762

    1/28/2026

  • Substitute #1

    1/23/2026

  • Introduced

    1/7/2026

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