Gender Reassignment Procedures for Minors — Licensing Sanctions

Current understanding

Proposed Michigan legislation would amend the Public Health Code (secs. 16221 & 16226 of 1978 PA 368) to make performing gender reassignment procedures or treatment on minors a basis for professional licensing sanctions against healthcare providers. HB 4466 (tie-barred to HB 4467’25) is the vehicle; as of this finding it has passed a chamber. If enacted, licensed clinicians who provide such care to minors would face disciplinary action; minors and their families would lose access to those services from Michigan-licensed providers.

Evidence log

• 2026-06-03 — Insurance: health insurers; coverage for adverse consequences related to gender transition and reversal of gender transition; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406ww.: cross-connection with gender-transition-adverse-consequences-coverage-mandate: Complementary policy vectors: licensing sanctions target providers of transition procedures for minors, while this mandate obligates insurers to cover adverse consequences from transition and reversal procedures. (novelty: 3)
• 2026-06-03 — Health: other; gender reassignment procedures or treatment for minors; prohibit. Creates new act.: HB 4467 (103rd Legislature) — the tie-barred substantive prohibition act creating a new statute banning gender reassignment procedures or treatment for minors — has passed a chamber, pairing with HB 4466’s licensing-sanction provisions. (novelty: 3)

Open questions

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