# Utah H.B. 193: Transgender Medical Procedures Amendments

Utah H.B. 193, Transgender Medical Procedures Amendments, is a 2026 General Session House bill sponsored by Nicholeen P. Peck (Republican); status failed, last action 2026-03-06 (House/ filed); PRIA reads it as touching household money (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/UT-HB193-2026GS
- As of: 2026-10-19
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Utah H.B. 193
- State: Utah
- Session: 2026 General Session
- Title: Transgender Medical Procedures Amendments
- Status: failed
- Chamber: House
- Introduced: 2026-01-08
- Last action: 2026-03-06, House/ filed
- Sponsor: Nicholeen P. Peck (Republican)
- Cosponsors: 1
- Subjects: Health Insurance, Health and Human Services, Health Care, Public Employees' Health Program, Public Employees Insurance and Benefits
- Touches household money: yes
- Roll calls: 6 (104 yes, 71 no in all)
- Economic provisions PRIA read: 0

## Summary

No summary available.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Nicholeen P. Peck (Republican), House
- Cosponsor: Daniel McCay (Republican), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-02-19 | Senate | Senate Comm - Substitute Recommendation | pass | 4 | 2 |   |
| 2026-02-19 | Senate | Senate Comm - Motion to Recommend Failed | fail | 1 | 5 |   |
| 2026-02-05 | House | House/ substitute adoption failed | fail | 28 | 39 |   |
| 2026-02-05 | House | House/ passed 3rd reading | pass | 48 | 21 |   |
| 2026-01-27 | House | House Comm - Substitute Recommendation | pass | 14 | 0 |   |
| 2026-01-27 | House | House Comm - Favorable Recommendation | pass | 9 | 4 |   |

## Actions (24)

- 2026-03-06: House/ filed (House)
- 2026-03-06: House/ received from Senate (House)
- 2026-03-06: Senate/ to House (Senate)
- 2026-03-06: Senate/ strike enacting clause (Senate)
- 2026-03-03: Senate/ comm rpt/ sent to Rules/ substituted (Senate)
- 2026-03-02: Senate Comm - Recommends Returned to Rules
- 2026-02-19: Senate Comm - Motion to Recommend Failed
- 2026-02-19: Senate Comm - Substitute Recommendation
- 2026-02-09: Senate/ to standing committee (Senate)
- 2026-02-06: Senate/ 1st reading (Introduced) (Senate)
- 2026-02-05: Senate/ received from House (Senate)
- 2026-02-05: House/ to Senate (House)
- 2026-02-05: House/ passed 3rd reading (House)
- 2026-02-05: House/ substitute adoption failed (House)
- 2026-02-05: House/ 3rd reading (House)
- 2026-01-28: House/ 2nd reading (House)
- 2026-01-28: House/ comm rpt/ substituted (House)
- 2026-01-27: House Comm - Favorable Recommendation
- 2026-01-27: House Comm - Substitute Recommendation
- 2026-01-26: House/ to standing committee (House)
- 2026-01-22: House/ received fiscal note from Fiscal Analyst (House)
- 2026-01-20: House/ 1st reading (Introduced) (House)
- 2026-01-14: House/ received bill from Legislative Research (House)
- 2026-01-08: Numbered Bill Publicly Distributed

## Bill text

- Substitute #4, 2026-02-19: [PDF](https://le.utah.gov/Session/2026/bills/introduced/HB0193S04.pdf)
- Substitute #3, 2026-02-18: [PDF](https://le.utah.gov/Session/2026/bills/introduced/HB0193S03.pdf)
- Substitute #2, 2026-02-04: [PDF](https://le.utah.gov/Session/2026/bills/introduced/HB0193S02.pdf)
- Substitute #1, 2026-01-27: [PDF](https://le.utah.gov/Session/2026/bills/introduced/HB0193S01.pdf)
- Introduced, 2026-01-08: [PDF](https://le.utah.gov/Session/2026/bills/introduced/HB0193.pdf)

## Related bills

- H.B. 94: Criminal Accounts Receivable Amendments (signed)
- H.B. 101: Firearm Background Check Amendments (signed)
- H.B. 178: School Zone Speeding Amendments (signed)
- H.B. 134: Offender Transfer Amendments (signed)
- H.B. 136: Unlicensed Driver Amendments (signed)
- H.B. 220: Public Safety Data Amendments (signed)

## Sources
- [Substitute #4 (PDF)](https://le.utah.gov/Session/2026/bills/introduced/HB0193S04.pdf)
- [Substitute #3 (PDF)](https://le.utah.gov/Session/2026/bills/introduced/HB0193S03.pdf)
- [Substitute #2 (PDF)](https://le.utah.gov/Session/2026/bills/introduced/HB0193S02.pdf)
- [Substitute #1 (PDF)](https://le.utah.gov/Session/2026/bills/introduced/HB0193S01.pdf)
- [Introduced (PDF)](https://le.utah.gov/Session/2026/bills/introduced/HB0193.pdf)

## Related
- [H.B. 94: Criminal Accounts Receivable Amendments](https://policyrisk.com/state-bill/UT-HB94-2026GS)
- [H.B. 101: Firearm Background Check Amendments](https://policyrisk.com/state-bill/UT-HB101-2026GS)
- [H.B. 178: School Zone Speeding Amendments](https://policyrisk.com/state-bill/UT-HB178-2026GS)
- [H.B. 134: Offender Transfer Amendments](https://policyrisk.com/state-bill/UT-HB134-2026GS)
- [H.B. 136: Unlicensed Driver Amendments](https://policyrisk.com/state-bill/UT-HB136-2026GS)
- [H.B. 220: Public Safety Data Amendments](https://policyrisk.com/state-bill/UT-HB220-2026GS)
- [Utah bills](https://policyrisk.com/states/utah/bills)
- [Utah state hub](https://policyrisk.com/states/utah)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/UT-HB193-2026GS (as of 2026-10-19).