Utah 2026 General Session Status: Enacted 2 R cosponsors

HB 174 — Sex Characteristic Change Treatment Amendments

Last action — Governor Signed

  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 07, 2026. Enacted.

Signed by Governor Spencer Cox (Republican) on March 18, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high 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

Advancing 54% · moderate confidence

  • 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).

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

53 added · 83 removed

Plain-language change summary

The updated version of Bill HB 174 now includes a prohibition on providing cross-sex hormones and puberty blockers to minors, effective after a specific date. It simplifies the previous language by removing conditional circumstances under which these treatments could be provided. This change is significant as it establishes a clear ban on these medical treatments for minors, impacting the healthcare options available for transgender youth in the state.

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HB0174S02 compared with HB0174 {Omitted text} shows text that was in HB0174 but was omitted in HB0174S02 inserted text shows text that was not in HB0174 but was inserted into HB0174S02 DISCLAIMER:
Enrolled Copy H.B.
This document is provided to assist you in your comparison of the two bills.
174 Sex Characteristic Change Treatment 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.
Sex Characteristic Change Treatment Amendments GENERAL SESSION STATE OF UTAH Chief Sponsor:
Shipp Senate Sponsor:Daniel McCay 3 LONG TITLE General Description:
Shipp Senate Sponsor:
Daniel McCay 3 LONG TITLE General Description:
▸ prohibits providing cross-sex hormones and puberty blockers to minors {unless } after a certain {circumstances are met;
▸ prohibits providing cross-sex hormones and puberty blockers to minors after a certain date.
and} date.
Money Appropriated in this Bill:
▸ {requires health care professionals providing cross-sex hormones or puberty blockers to minors that will no longer continue to receive the cross-sex hormones and puberty blockers to begin treatment plans for the discontinuation of the cross-sex hormones and puberty blockers.} Money Appropriated in this Bill:
None Other Special Clauses:
None H Other Special Clauses:
This bill provides a special effective date.
B This bill provides a special effective date.
This bill provides revisor instructions.
1 This bill provides revisor instructions.
Utah Code Sections Affected:
7 HB0174 compared with HB0174S02 Utah Code Sections Affected:
58-1-603.1 , as enacted by Laws of Utah 2023, Chapter 2 and further amended by Revisor Instructions, Laws of Utah 2023, Chapter 2 REPEALS:
58-1-603.1, as enacted by Laws of Utah 2023, Chapter 2 and further amended by Revisor Instructions, Laws of Utah 2023, Chapter 2 REPEALS:
26B-1-239 , as last amended by Laws of Utah 2024, Chapter 507 Be it enacted by the Legislature of the state of Utah:
26B-1-239, as last amended by Laws of Utah 2024, Chapter 507 Be it enacted by the Legislature of the state of Utah:
The following section is affected by a revisor instruction at the end of this bill.
58-1-603.1.
58-1-603.1 .
(a) "Cross-sex hormone treatment" means administering, prescribing, or supplying for effectuating or facilitating an individual's attempted sex change:
(a) "Cross-sex hormone treatment" means administering, prescribing, or supplying for H.B.
174 Enrolled Copy effectuating or facilitating an individual's attempted sex change:
(2) [A] {Except as provided in } Subject to Subsection (3), a health care provider may not provide a hormonal transgender treatment to a patient who{[:]} {[(a)]} is a minor[ as defined in Section 58-1-603]{;
(2) [A] Subject to Subsection (3), a health care provider may not provide a hormonal transgender treatment to a patient who:
and{]} .} {[(b) is not diagnosed with gender dysphoria before January 28, 2023.]} {(3) } (3) Notwithstanding Subsection 58-1-603(3)(a), beginning on January 28, 2027, a health care provider may not provide a hormonal transgender treatment to a patient who is a minor if the patient:
(a) is a minor[ as defined in Section 58-1-603];
(a) {If a minor has received cross-sex hormone treatment before } would be younger than 16 years old as of the effective date of this bill{, a health care provider may provide a cross-sex hormone treatment to a minor only in accordance with Subsections (3)(b) and (c).} ;
and (b) is not diagnosed with gender dysphoria before January 28, 2023.
or - 2 - HB0174 compared with HB0174S02 (b) {A health care provider providing cross-sex hormone treatment to a minor who is described in Subsection (3)(a) shall immediately begin a treatment plan to progressively reduce cross-sex hormone dosages in order to discontinue any } has not received cross-sex {hormone treatment on or before six months after } hormones as of the effective date of this bill.
(3) Notwithstanding Subsection 58-1-603(3)(a), beginning on January 28, 2027, a health care provider may not provide a hormonal transgender treatment to a patient who is a minor if the patient:
(c){(4)} {Notwithstanding Subsections (3)(a) and (b), a } A health care provider {may continue to provide cross-sex hormone } who provides hormonal transgender treatment to a minor for the purpose of discontinuing treatment before January 28, 2027, may provide the treatment without {a } obtaining a transgender treatment {plan } certification described in {Subsection (3)(b) if:} Section 58-1-603.
(a) would be younger than 16 years old as of the effective date of this bill;
[(3)] (5) {the minor's parent or guardian consents to continue treatment without a treatment plan described in Subsection (3)(b);
or (b) has not received cross-sex hormones as of the effective date of this bill.
and} {(ii)} {(A)} {the minor is at least 17 years old as of the effective date of this bill and will have received cross- sex hormone treatment for at least two years as of the effective date of this bill;
(4) A health care provider who provides hormonal transgender treatment to a minor for the purpose of discontinuing treatment before January 28, 2027, may provide the treatment without obtaining a transgender treatment certification described in Section 58-1-603.
or} {(B)} {will be 18 years old on or before six months after the effective date of this bill.} {[(3)] (4)} A violation of Subsection (2) or (3) is unprofessional conduct.
[(3)] (5) A violation of Subsection (2) or (3) is unprofessional conduct.
This Bill Repeals:
Effective date.
(b) without the governor's signature, the day following the constitutional time limit of Utah Constitution, Article VII, Section 8;
(b) without the governor's signature, the day following the constitutional time limit of - 2 - Enrolled Copy H.B.
174 Utah Constitution, Article VII, Section 8;
- 3 - HB0174 compared with HB0174S02 The Legislature intends that the Office of Legislative Research and General Counsel, in preparing the Utah Code database for publication, to revise Section 58-1-603.1 by replacing {each instance of the phrase:} (1) each instance of the phrase "the effective date of this bill" with the bill's actual effective date{;
The Legislature intends that the Office of Legislative Research and General Counsel, in preparing the Utah Code database for publication, to revise Section 58-1-603.1 by replacing each instance of the phrase "the effective date of this bill" with the bill's actual effective date.
and} .
- 3 -
{(2) {"six months after the effective date of this bill" with the date that is six months after the effective date of this bill.} } 2-26-26 7:45 PM - 4 -
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Amendments

2 amendments

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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/ received from House

  13. House/ to Senate

  14. House/ concurs with Senate amendment

  15. House/ placed on Concurrence Calendar

  16. House/ motion to reconsider

  17. House/ to Senate

  18. House/ concurs with Senate amendment

  19. House/ placed on Concurrence Calendar

  20. House/ received from Senate

  21. Senate/ to House with amendments

  22. Senate/ passed 3rd reading

  23. Senate/ uncircled

  24. LFA/ fiscal note publicly available for HB0174S02

  25. LFA/ fiscal note sent to sponsor for HB0174S02

  26. Senate/ circled

  27. Senate/ substituted

  28. Senate/ uncircled

  29. LFA/ bill sent to agencies for fiscal input for HB0174S02

  30. LFA/ bill assigned to staff for fiscal analysis for HB0174S02

  31. Senate/ circled

  32. Senate/ 3rd reading

  33. Senate/ passed 2nd reading

  34. Senate/ 2nd reading

  35. LFA/ fiscal note publicly available for HB0174S01

  36. LFA/ fiscal note sent to sponsor for HB0174S01

  37. Senate/ placed on 2nd Reading Calendar

  38. Senate/ comm rpt/ amended [Senate Judiciary, Law Enforcement, and Criminal Justice Committee]

  39. Senate Comm - Favorable Recommendation [Senate Judiciary, Law Enforcement, and Criminal Justice Committee]

  40. Senate Comm - Amendment Recommendation [Senate Judiciary, Law Enforcement, and Criminal Justice Committee]

  41. Senate/ to standing committee [Senate Judiciary, Law Enforcement, and Criminal Justice Committee]

  42. Senate/ 1st reading (Introduced)

  43. Senate/ received from House

  44. House/ to Senate

  45. House/ passed 3rd reading

  46. House/ 3rd reading

  47. LFA/ fiscal note publicly available for HB0174S01

  48. House/ 2nd reading

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

  50. LFA/ fiscal note sent to sponsor for HB0174S01

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

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

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

  54. House/ substituted by Rules

  55. Bill Substituted by Sponsor in House Rules Comm [House Rules Committee]

  56. LFA/ bill sent to agencies for fiscal input for HB0174S01

  57. LFA/ bill assigned to staff for fiscal analysis for HB0174S01

  58. House/ 1st reading (Introduced)

  59. House/ received fiscal note from Fiscal Analyst

  60. LFA/ fiscal note publicly available for HB0174

  61. LFA/ fiscal note sent to sponsor for HB0174

  62. House/ received bill from Legislative Research

  63. LFA/ bill sent to agencies for fiscal input for HB0174

  64. LFA/ bill assigned to staff for fiscal analysis for HB0174

  65. Numbered Bill Publicly Distributed

  66. 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.

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"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 174?
HB 174 is sponsored by Daniel McCay (Republican) and Rex P. Shipp (Republican).
What is the current status of HB 174?
This bill has been enacted into law. Introduced January 07, 2026. Enacted.
Where can I track HB 174?
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