Utah 2026 General Session Status: Enacted 2 R cosponsors

HB 258 — Insurance Coverage Amendments

Last action — Governor Signed

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

This bill has been enacted into law. Introduced January 14, 2026. Enacted.

Signed by Governor Spencer Cox (Republican) on March 17, 2026.

Prognosis

Advancing 54% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 2 sponsors

    1 primary, 1 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (2 R).

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

28 added · 39 removed

Plain-language change summary

The revised version of Bill HB 258 now specifies that health benefit plans must cover procedures to reverse a sex transition if they already cover the procedures to facilitate a sex transition. This amendment adds clear definitions for the types of procedures covered and establishes a timeline for when this requirement will take effect, starting January 1, 2027. This change is significant because it ensures that individuals who have undergone a sex transition have access to comprehensive health coverage if they choose to reverse that transition.

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HB0258S01 compared with HB0258 {Omitted text} shows text that was in HB0258 but was omitted in HB0258S01 inserted text shows text that was not in HB0258 but was inserted into HB0258S01 DISCLAIMER:
Enrolled Copy H.B.
This document is provided to assist you in your comparison of the two bills.
258 Insurance Coverage Amendments GENERAL SESSION STATE OF UTAH Chief Sponsor:
Sometimes this automated comparison will NOT be completely accurate.
Therefore, you need to read the actual bills.
This automatically generated document could contain inaccuracies caused by:
limitations of the compare program;
bad input data;
or other causes.
Insurance Coverage Amendments GENERAL SESSION STATE OF UTAH Chief Sponsor:
3 LONG TITLE General Description:
Daniel McCay 3 LONG TITLE General Description:
▸ requires a health benefit plan to cover certain procedures{, treatment, } and {therapy } treatment to reverse a sex transition {procedures } if the health benefit plan covers certain treatments or procedures to effectuate a sex transition {procedure} .
▸ requires a health benefit plan to cover certain procedures and treatment to reverse a sex transition if the health benefit plan covers certain treatments or procedures to effectuate a sex transition.
H ENACTS:
ENACTS:
B 31A-22-663 , Utah Code Annotated 1953 2 5 HB0258 compared with HB0258S01 Be it enacted by the Legislature of the state of Utah:
31A-22-663, Utah Code Annotated 1953 Be it enacted by the Legislature of the state of Utah:
Section 1 is enacted to read:
Section 31A-22-663 is enacted to read:
31A-22-663.
31A-22-663 .
(1) As used in this section{, "sex transition procedure" means} :
(1) As used in this section:
(a) {hormonal } "Hormonal transgender treatment " means the same as that term is defined in Section 58-1-603{;} .
(a) "Hormonal transgender treatment" means the same as that term is defined in Section 58-1-603.
(b) {a primary } "Primary sex characteristic surgical procedure " means the same as that term is defined in Section 58-67-102{;
(b) "Primary sex characteristic surgical procedure" means the same as that term is defined in Section 58-67-102.
or} .
(d) "Sex transition procedure" means:
H.B.
258 Enrolled Copy (d) "Sex transition procedure" means:
or (c){(ii)} a secondary sex characteristic surgical procedure {as defined in Section 58-67-102} .
or (ii) a secondary sex characteristic surgical procedure.
(2) A health benefit plan that covers hormonal transgender treatments that the health benefit plan considers necessary for an individual's sex transition shall also cover any hormonal treatments necessary to reverse an individual's sex transition.
(2) A health benefit plan that covers hormonal transgender treatments for an individual's sex transition shall also cover any hormonal treatments necessary to reverse an individual's sex transition.
(2){(3)} A health benefit plan that covers {any } a sex transition procedure that the health benefit plan considers medically necessary shall also cover any {procedure, treatment, or therapy } surgical procedures necessary to reverse an individual's sex transition procedure.
(3) A health benefit plan that covers a sex transition procedure shall also cover any surgical procedures necessary to reverse an individual's sex transition procedure.
27a (4){ Ĥ→ {} {(3)} } This section applies to a health benefit plan renewed or entered into on or after January 1, 2027.
(4) This section applies to a health benefit plan renewed or entered into on or after January 1, 2027.
Effective date.
2-3-26 2:20 PM - 2 -
- 2 -
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Amendments

1 amendment

Click Show changes on an amendment above to see how it modifies the bill.

Action History

  1. Governor Signed

  2. House/ to Governor

  3. House/ received enrolled bill from Printing

  4. House/ enrolled bill to Printing

  5. Enrolled Bill Returned to House or Senate

  6. Draft of Enrolled Bill Prepared

  7. Bill Received from House for Enrolling

  8. House/ signed by Speaker/ sent for enrolling

  9. House/ received from Senate

  10. Senate/ to House

  11. Senate/ signed by President/ returned to House

  12. Senate/ passed 3rd reading

  13. Senate/ uncircled

  14. Senate/ circled

  15. Senate/ 3rd reading

  16. Senate/ passed 2nd reading

  17. Senate/ uncircled

  18. Senate/ circled

  19. Senate/ 2nd reading

  20. Senate/ placed on 2nd Reading Calendar

  21. Senate/ committee report favorable [Senate Business and Labor Committee]

  22. Senate Comm - Favorable Recommendation [Senate Business and Labor Committee]

  23. Senate/ to standing committee [Senate Business and Labor Committee]

  24. Senate/ 1st reading (Introduced)

  25. Senate/ received from House

  26. House/ to Senate

  27. House/ passed 3rd reading

  28. House/ floor amendment

  29. House/ substituted

  30. House/ 3rd reading

  31. LFA/ fiscal note publicly available for HB0258S01

  32. LFA/ fiscal note sent to sponsor for HB0258S01

  33. LFA/ bill sent to agencies for fiscal input for HB0258S01

  34. LFA/ bill assigned to staff for fiscal analysis for HB0258S01

  35. House/ 2nd reading

  36. House/ comm rpt/ amended [House Health and Human Services Committee]

  37. House Comm - Favorable Recommendation [House Health and Human Services Committee]

  38. House Comm - Amendment Recommendation [House Health and Human Services Committee]

  39. House/ to standing committee [House Health and Human Services Committee]

  40. House/ received fiscal note from Fiscal Analyst

  41. LFA/ fiscal note publicly available for HB0258

  42. House/ 1st reading (Introduced)

  43. House/ received bill from Legislative Research

  44. LFA/ fiscal note sent to sponsor for HB0258

  45. LFA/ bill sent to agencies for fiscal input for HB0258

  46. LFA/ bill assigned to staff for fiscal analysis for HB0258

  47. Numbered Bill Publicly Distributed

  48. Bill Numbered but not Distributed

Sponsors

Sponsorship breakdown

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1 sponsors · 1 co-sponsors · 102 not signed on

Sponsors (1)

Co-sponsors (1)

Not signed on (102)

102 members have not signed on to this bill.

Show all 102 →

"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

healthcare health-insurance
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 258?
HB 258 is sponsored by Daniel McCay (Republican) and Nicholeen P. Peck (Republican).
What is the current status of HB 258?
This bill has been enacted into law. Introduced January 14, 2026. Enacted.
Where can I track HB 258?
Track HB 258 free on One Click Politics — get push/email alerts when it moves.

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