HB 1639 — Gender and Biological Sex

F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB1639CS/HB1639 2024 A bill to be entitled An act relating to gender and biological sex;

providing applicability;

prohibiting group health insurance policies, health Page 1of 10 CODING:

hb1639-02-c2hb1639-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB1639CS/HB1639 2024 health benefit plans, and health maintenance contracts from prohibiting coverage of certain mental health and therapeutic services;

providing applicability;

Page1. 2of 10 CODING:

Full name (first, middle or maiden, and last), sex Page 2of 10 CODING:

hb1639-02-c2hb1639-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB1639CS/HB1639 2024 1.gender, proof of social security card number satisfactory to the department, which may include a military identification card, county of residence, mailing address, proof of residential address satisfactory to the department, country of birth, and a brief description.

Full name (first, middle or maiden, and last), sex gender, proof of social security card number satisfactory to the department, which may include a military identification card, county of residence, mailing address, proof of residential address satisfactory to the department, country of birth, and a brief description.

An unexpired employment authorization card issued by Pagethe 3ofUnited 10States CODING:Department of Homeland Security;

or Page 3of 10 CODING:

hb1639-02-c2hb1639-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB1639CS/HB1639 2024 theh. United States Department of Homeland Security;

or h.

(VI) An order of an immigration judge or immigration officer granting relief that authorizes the alien to live and work in the United States, including, but not limited to, Page 4of 10 CODING:

hb1639-02-c2hb1639-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB1639CS/HB1639 2024 work in the United States, including, but not limited to, asylum.

(a) Full name (first, middle or maiden, and last), sex gender, proof of social security card number satisfactory to the department, which may include a military identification card, Page 5of 10 CODING:

hb1639-02-c2hb1639-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB1639CS/HB1639 2024 department, which may include a military identification card, county of residence, mailing address, proof of residential address satisfactory to the department, country of birth, and a brief description.

Section 627.6411, Florida Statutes, is created Pageto 6ofread: 10 CODING:

Page 6of 10 CODING:

hb1639-02-c2hb1639-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB1639CS/HB1639 2024 627.6411 Coverage for sex-reassignment prescriptions or procedures.— (1) A health insurance policy that is delivered or issued to read:a person in the state may offer, for an appropriate additional premium, coverage for sex-reassignment prescriptions or procedures, as defined in s.

627.6411 Coverage for sex-reassignment prescriptions or procedures.— (1) A health insurance policy that is delivered or issued to a person in the state may offer, for an appropriate additional premium, coverage for sex-reassignment prescriptions or procedures, as defined in s.

(4) This section applies to health insurance policies delivered, issued, or renewed on or after January 1, 2025.

SubsectionSubsections (4) isand (5) are added to section 627.657, Florida Statutes, to read:

627.657 Provisions of group health insurance policies.— (4)(a) A group health insurance policy that is delivered Pageor 7ofissued 10to CODING:any group in the state may offer, for an appropriate additional premium, coverage for sex-reassignment prescriptions or procedures, as defined in s.

456.001, only if Page 7of 10 CODING:

hb1639-02-c2hb1639-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB1639CS/HB1639 2024 orthe issuedsame to any group inhealth theinsurance statepolicy mayalso offer,provides coverage for antreatment appropriateto additionaldetransition premium,from coveragethe for sex-reassignment prescriptions or procedures,procedures. as defined in s.

456.001, only if the same group health insurance policy also provides coverage for treatment to detransition from the sex-reassignment prescriptions or procedures.

(c)(5) A group health insurance policy that is delivered or issued to any group in the state may not prohibit the coverage of mental health or therapeutic services to treat a person's perception that his or her sex, as defined in s.

(d) This subsection applies to group health insurance policies delivered, issued, or renewed on or after January 1, 2025.

ParagraphParagraphs (h) isand (i) are added to subsection (5) of section 627.6699, Florida Statutes, to read:

A health benefit plan that is delivered or issued to an individual or a group in the state may offer, for an Pageappropriate 8ofadditional 10premium, CODING:coverage for sex-reassignment prescriptions or procedures, as defined in s.

Words strickenare deletions;

words underlined are additions.

hb1639-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB1639 2024 appropriate additional premium, coverage for sex-reassignment prescriptions or procedures, as defined in s.

A carrier that delivers or issues a health benefit plan thatPage provides8of coverage10 describedCODING: under subparagraph 1.

Words strickenare deletions;

words underlined are additions.

hb1639-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB1639 2024 that provides coverage described under subparagraph 1.

3.(i) A health benefit plan that is delivered or issued to an individual or a group in the state may not prohibit the coverage of mental health or therapeutic services to treat a person's perception that his or her sex, as defined in s.

A health benefit plan that is delivered or issued to an individual or a group in the state may not prohibit the coverage of mental health or therapeutic services to treat a person's perception that his or her sex, as defined in s.