2025 House Bill 4468

Insurance: health insurers; coverage for adverse consequences related to gender transition and reversal of gender transition; require.

A bill to amend 1956 PA 218, entitled “The insurance code of 1956,” (MCL 500.100 to 500.8302) by adding section 3406ww.

Official record

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Requires Michigan insurers to cover all aspects of gender transition procedures, including adverse effects, necessary health monitoring, and reversal treatments, regardless of prior insurance coverage.

Introduced in the House

May 7, 2025

Introduced by Rep. Tom Kunse (R-100) and 14 co-sponsors

Co-sponsored by Reps. Pat Outman (R-91), Angela Rigas (R-79), Gina Johnsen (R-78), Greg Markkanen (R-110), Joseph Pavlov (R-64), Matt Maddock (R-51), Joseph Fox (R-101), Jaime Greene (R-65), Brad Paquette (R-37), David Martin (R-68), Josh Schriver (R-66), Jason Woolford (R-50), Jennifer Wortz (R-35) and Luke Meerman (R-89)

Referred to the Committee on Health Policy

May 13, 2026

Reported without amendment

Referred to the Committee on Government Operations

June 3, 2026

Discharged from committee

Amendment offered by Rep. Steve Carra (R-36)

1. Amend page 2, line 8, after “treatment” by striking out “regardless of whether” and inserting “if”.

2. Amend page 2, line 10, after the second “the” by inserting “gender transition”.

The amendment passed by voice vote

Passed in the House 58 to 48 (details)

Motion to give immediate effect by Rep. Bryan Posthumus (R-90)

The motion prevailed by voice vote

Received in the Senate

June 10, 2026

Referred to the Committee on Government Operations