North Carolina 2025 Session Status: In Committee 6 R cosponsors

HB 1000 — Detransitioners Bill of Rights.

Last action — Passed 1st Reading

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced April 10, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Stalled 26% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 6 sponsors

    2 primary, 4 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (6 R).

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

73 added · 72 removed

Plain-language change summary

The updated version of HB 1000 includes a new definition of "detransitioner" and clarifies what constitutes a "gender clinic." This matters because it addresses the specific health care settings and types of procedures involved in gender transition, ensuring that regulations around these practices are clear. Additionally, the bill establishes strict limitations on the medical procedures related to gender transition for minors, which raises concerns about access to necessary care for young individuals exploring their gender identity.

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GENERAL ASSEMBLY OF NORTH CAROLINA H.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 1000 Short Title:
1000 Apr 10, 2025 SESSION 2025 HOUSE PRINCIPAL CLERK H D HOUSE BILL DRH40506-NB-123 Short Title:
Representative Johnson.
Representatives Johnson, N.
Jackson, and Almond (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
A BILL TO BE ENTITLED AN ACT TO ESTABLISH THE DETRANSITIONER BILL OF RIGHTS.
Rules, Calendar, and Operations of the House April 14, 2025 A BILL TO BE ENTITLED AN ACT TO ESTABLISH THE DETRANSITIONER BILL OF RIGHTS.
–Anindividualwho (i)beganorcompletedagendertransition procedure but later sought treatment to reverse the effects of the surgical gender transition procedure or regimen of cross-sex hormones or puberty-blocking drugs due to the resolution of any inconsistency between the individual's sex and individual's perceived sex or perceived gender or (ii) has ceased the surgical gender transition procedure or regimen of cross-sex hormones or puberty-blocking drugs due to the resolution of any inconsistency between the individual's sex and the individual's perceived sex or perceived gender.
–Anindividualwho (i)beganorcompleted agendertransition procedure but later sought treatment to reverse the effects of the surgical gender transition procedure or regimen of cross-sex hormones or puberty-blockingdrugs due to the resolution of anyinconsistencybetween the individual's sex and individual's perceived sex or perceived gender or (ii) has ceased the surgical gender transition procedure or regimen of cross-sex hormones or puberty-blocking drugs due to the resolution of any inconsistency between the individual's sex and the individual's perceived sex or perceived gender.
(3a) Gender clinic.
*H1000-v-1* General Assembly Of North Carolina Session 2025 (3a) Gender clinic.
– A health care entity that provides or prescribes gender transition procedures or refers individuals for surgical gender transition *DRH40506-NB-123* General Assembly Of North Carolina Session 2025 procedures or the dispensing of puberty-blocking drugs or cross-sex hormones.
– A health care entity that provides or prescribes gender transition procedures or refers individuals for surgical gender transition procedures or the dispensing of puberty-blocking drugs or cross-sex hormones.
(a1) Anyindividual whoundergoes adetransition proceduremaybringacivil actioneither within 10 years from the day the person reaches 18 years of age or within four years from the time the cost of a detransition procedure is incurred, whichever date is later, against a medical professional in a court of competent jurisdiction.
(a1) Anyindividual whoundergoes adetransition proceduremaybringacivil action either within 10 years from the day the person reaches 18 years of age or within four years from the time the cost of a detransition procedure is incurred, whichever date is later, against a medical professional in a court of competent jurisdiction.
If the minor who suffered any injury described in subsection (a) subsections (a) and (a1) of this section is under a legal disability upon attaining 18 years of age, the time limitation in this subsection does not begin to run until that legal disability is removed.
If the minor who suffered any injury described in subsection (a) subsections (a) and (a1) of this section is under a legal disabilityupon attaining 18 years of age, the time limitation in this subsection does not begin to run until that legal disability is removed.
Page 2 DRH40506-NB-123 General Assembly Of North Carolina Session 2025 (2) Compensatory damages, including pain and suffering, loss of reputation, loss of income, and loss of consortium, which includes the loss of expectation of sharing parenthood.
Page 2 House Bill 1000-First Edition General Assembly Of North Carolina Session 2025 (2) Compensatory damages, including pain and suffering, loss of reputation, loss of income, and loss of consortium, which includes the loss of expectation of sharing parenthood.
(6) The name, contact information, and medical specialty of the medical professional who prescribed the (i) surgical gender transition procedure or (ii) regimen of cross-sexhormonesorpuberty-blockingdrugsormadethe referral for either.
(6) The name, contact information, and medical specialty of the medical professional who prescribed the (i) surgical gender transition procedure or (ii) regimen of cross-sex hormones orpuberty-blockingdrugs ormadethe referral for either.
(c) Aform shall be completedbyeachgenderclinicthat prescribes orperforms asurgical gender transition procedure or regimen of cross-sex hormones or puberty-blocking drugs that is signed by the medical professional who prescribes the surgical gender transition procedure or regimen of cross-sex hormones or puberty-blocking drugs or makes a referral for either.
(c) Aform shall be completedbyeach genderclinicthat prescribes orperforms asurgical gender transition procedure or regimen of cross-sex hormones or puberty-blocking drugs that is signed by the medical professional who prescribes the surgical gender transition procedure or regimen of cross-sex hormones or puberty-blocking drugs or makes a referral for either.
(d) Each form shall be transmitted by the gender clinic to the Department within 15 days after the end of the calendar month during which the surgical gender transition procedure or DRH40506-NB-123 Page 3 General Assembly Of North Carolina Session 2025 regimen of cross-sex hormones or puberty-blocking drugs was prescribed or the referral was made for either.
(d) Each form shall be transmitted by the gender clinic to the Department within 15 days after the end of the calendar month during which the surgical gender transition procedure or House Bill 1000-First Edition Page 3 General Assembly Of North Carolina Session 2025 regimen of cross-sex hormones or puberty-blocking drugs was prescribed or the referral was made for either.
– Any pharmaceutical or surgical intervention to alter an individual's body as a treatment to address an inconsistency between the individual's sex and the individual's perceived gender or perceived sex.
– Anypharmaceutical or surgical intervention to alter an individual's body as a treatment to address an inconsistency between the individual's sex and the individual's perceived gender or perceived sex.
Page 4 DRH40506-NB-123 General Assembly Of North Carolina Session 2025 (b) All health benefit plans that provide coverage for one or more gender transition procedures forinsureds who areminors,includingcoverageforanyapplicablerelateddiagnostic, billing, or CPT code, shall also provide coverage for all of the following:
Page 4 House Bill 1000-First Edition General Assembly Of North Carolina Session 2025 (b) All health benefit plans that provide coverage for one or more gender transition procedures forinsureds who areminors,includingcoverageforanyapplicablerelated diagnostic, billing, or CPT code, shall also provide coverage for all of the following:
(2) Testing and screening necessary to monitor the mental health and physical health of any insured on no less than an annual basis and without regard to the sex designation on the insured's medical record.
(2) Testing and screening necessary to monitor the mental health and physical health of anyinsured on no less than an annual basis and without regard to the sex designation on the insured's medical record.
(e) Nothinginthissectionshallbeconstruedtorequireaninsurertoprovideany coverage for gender transition procedures." SECTION 2.(b) This section becomes effective October 1, 2025, and applies to insurance contracts issued, renewed, or amended on or after that date.
(e) Nothinginthissectionshallbeconstruedtorequireaninsurertoprovideanycoverage for gender transition procedures." SECTION 2.(b) This section becomes effective October 1, 2025, and applies to insurance contracts issued, renewed, or amended on or after that date.
DRH40506-NB-123 Page 5 General Assembly Of North Carolina Session 2025 SECTION 4.(a) Part 1 of Article 1A of Chapter 90 of the General Statutes is amended by adding a new section to read:
House Bill 1000-First Edition Page 5 General Assembly Of North Carolina Session 2025 SECTION 4.(a) Part 1 of Article 1A of Chapter 90 of the General Statutes is amended by adding a new section to read:
(2) The person denying access reasonably believes (i) the parent or legal guardian is responsible for the abuse, neglect, or other injury resulting from domestic violence or (ii) that informing the parent or legal guardian would not be in the best interest of the minor.
(2) The person denying access reasonablybelieves (i) the parent or legal guardian is responsible for the abuse, neglect, or other injury resulting from domestic violence or (ii) that informing the parent or legal guardian would not be in the best interest of the minor.
Page 6 DRH40506-NB-123
Page 6 House Bill 1000-First Edition
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Action History

  1. Passed 1st Reading

  2. Ref To Com On Rules, Calendar, and Operations of the House

  3. Filed

Sponsors

Sponsorship breakdown

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2 sponsors · 4 co-sponsors · 173 not signed on

Sponsors (2)

Co-sponsors (4)

Not signed on (173)

173 members have not signed on to this bill.

Show all 173 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

civil-rights healthcare
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HB 1000?
HB 1000 is sponsored by Bill Ward (Republican), Celeste C. Cairns (Republican), Jennifer Balkcom (Republican), Jonathan L. Almond (Republican), Neal Jackson (Republican), and Jake Johnson (Republican).
What is the current status of HB 1000?
This bill is in committee in the House. Introduced April 10, 2025. It must pass committee before a floor vote.
Where can I track HB 1000?
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