Michigan 2025-2026 Regular Session Status: Passed House 1 R cosponsors

HB 4468 — Insurance: health insurers; coverage for adverse consequences related to gender transition and reversal of gender transition; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406ww.

Last action — REFERRED TO COMMITTEE ON GOVERNMENT OPERATIONS

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

This bill has passed the House. Introduced June 10, 2026. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the Senate.

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate 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 48% · moderate confidence

  • Passed House

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 R).

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

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

In plain language

The bill requires health insurers to cover adverse consequences of gender transition and its reversal.

This bill mandates that health insurance providers cover treatment for adverse effects resulting from gender transition or its reversal. It aims to address healthcare needs related to these situations.

What this means for you
  • Healthcare: This means healthcare providers may be required to include treatment for gender transition-related complications in their offerings.

Summary

Insurance: health insurers; coverage for adverse consequences related to gender transition and reversal of gender transition; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406ww.

Bill Text

What changed in the latest version

6 added · 5 removed

Plain-language change summary

The changes to Bill HB 4468 clarify that health insurance coverage for gender transition procedures or treatments will only apply if the individual was enrolled in the policy at the time of the procedure or treatment. Previously, the bill would have provided coverage regardless of enrollment status at that time. This matters because it limits the circumstances under which insurance can be accessed for these important health services, potentially impacting individuals seeking care for gender transition.

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Latest
HOUSE BILL NO.
HB-4468, As Passed House, June 3, 2026 HOUSE BILL NO.
(a) All possible adverse consequences related to an enrollee's gender transition procedure or treatment, including any short- or DAW H01272'25_HB4468_INTR_1 p4qyte 1 long-term side effects of the procedure or treatment.
(a) All possible adverse consequences related to an enrollee's gender transition procedure or treatment, including any short- or DAW H01272'25_HB4468_APH_1 t8miy7 1 long-term side effects of the procedure or treatment.
(2) An insurer described in subsection (1) shall provide the coverage described in subsection (1) to an enrollee who has undergone a gender transition procedure or treatment regardless of whether the enrollee was an enrollee under the health insurance policy at the time of the procedure or treatment.
(2) An insurer described in subsection (1) shall provide the coverage described in subsection (1) to an enrollee who has undergone a gender transition procedure or treatment if the enrollee was an enrollee under the health insurance policy at the time of the gender transition procedure or treatment.
Final Page DAW H01272'25_HB4468_INTR_1 p4qyte
Final Page DAW H01272'25_HB4468_APH_1 t8miy7
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View plain text versions (2)

Action History

  1. REFERRED TO COMMITTEE ON GOVERNMENT OPERATIONS

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 146 not signed on · 47 voted No

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (146)

146 members have not signed on to this bill.

Show all 146 →

"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

Votes

passed; given immediate effect

Passed 58 Yea · 48 Nay · 4 Other
Party YeaNayPresentNot Voting
Democrat 14700
Republican 57000
Unaffiliated 0100
Total 584800
% of votes cast 55%45%0%0%
How each member voted (106)
Member Party Vote
Myers-Phillips — Nay
Angela Witwer Democrat Nay
Betsy Coffia Democrat Nay
Carol Glanville Democrat Nay
Carrie Rheingans Democrat Nay
Chedrick Greene Democrat Yea
Cynthia Neeley Democrat Nay
Denise Mentzer Democrat Nay
Donavan McKinney Democrat Nay
Dylan Wegela Democrat Nay
Emily Dievendorf Democrat Nay
Erin Byrnes Democrat Nay
Helena Scott Democrat Nay
Jason M Hoskins Democrat Nay
Jason Morgan Democrat Nay
Jasper Martus Democrat Nay
Jennifer Conlin Democrat Nay
Jimmie Wilson Jr Democrat Nay
Joey Andrews Democrat Nay
John Fitzgerald Democrat Nay
Joseph Tate Democrat Nay
Julie Brixie Democrat Nay
Julie M. Rogers Democrat Nay
Kara Hope Democrat Nay
Kelly A Breen Democrat Nay
Kimberly Edwards Democrat Nay
Kristian Grant Democrat Nay
Laurie Pohutsky Democrat Nay
Mai Xiong Democrat Nay
Matt Koleszar Democrat Nay
Matt Longjohn Democrat Nay
Mike McFall Democrat Nay
Morgan Foreman Democrat Nay
Natalie Price Democrat Nay
Noah Arbit Democrat Nay
Penelope Tsernoglou Democrat Nay
Peter Herzberg Democrat Nay
Phil Skaggs Democrat Nay
Ranjeev Puri Democrat Nay
Reggie Miller Democrat Nay
Regina Weiss Democrat Nay
Samantha Steckloff Democrat Nay
Sharon MacDonell Democrat Nay
Stephanie A Young Democrat Nay
Stephen Wooden Democrat Nay
Tullio Liberati Jr. Democrat Nay
Tyrone Carter Democrat Nay
Veronica Paiz Democrat Nay
Will Snyder Democrat Nay
Alicia St. Germaine Republican Yea
Angela Rigas Republican Yea
Ann M. Bollin Republican Yea
Bill Schuette Republican Yea
Brad Paquette Republican Yea
Bradley Slagh Republican Yea
Brian BeGole Republican Yea
Bryan Posthumus Republican Yea
Cameron Cavitt Republican Yea
Curtis S VanderWall Republican Yea
David Prestin Republican Yea
David W. Martin Republican Yea
Donni Steele Republican Yea
Douglas C Wozniak Republican Yea
Gina Johnsen Republican Yea
Greg VanWoerkom Republican Yea
Gregory Alexander Republican Yea
Gregory Markkanen Republican Yea
James DeSana Republican Yea
Jamie Thompson Republican Yea
Jason Woolford Republican Yea
Jay DeBoyer Republican Yea
Jennifer Wortz Republican Yea
Jerry Neyer Republican Yea
John R. Roth Republican Yea
Joseph A. Aragona Republican Yea
Joseph Fox Republican Yea
Joseph Pavlov Republican Yea
Josh Schriver Republican Yea
Karl Bohnak Republican Yea
Kathy Schmaltz Republican Yea
Ken Borton Republican Yea
Luke Meerman Republican Yea
Mark A Tisdel Republican Yea
Matt Hall Republican Yea
Matt Maddock Republican Yea
Matthew Bierlein Republican Yea
Mike Harris Republican Yea
Mike Hoadley Republican Yea
Mike Mueller Republican Yea
Nancy DeBoer Republican Yea
Nancy Jenkins-Arno Republican Yea
Parker Fairbairn Republican Yea
Pauline Wendzel Republican Yea
Phil Green Republican Yea
Rachelle Smit Republican Yea
Rick Outman Republican Yea
Ron Robinson Republican Yea
Rylee Linting Republican Yea
Sarah Lightner Republican Yea
Steve Carra Republican Yea
Steve Frisbie Republican Yea
Thomas Kuhn Republican Yea
Tim Kelly Republican Yea
Timothy Beson Republican Yea
Tom Kunse Republican Yea
William Bruck Republican Yea

Official roll call →

passed; given immediate effect Roll Call #178 Yeas 58 Nays 48 Excused 0 Not Voting 4

Passed 58 Yea · 48 Nay
Party YeaNayPresentNot Voting
Democrat 04700
Republican 58000
Unaffiliated 0100
Total 584800
% of votes cast 55%45%0%0%
How each member voted (106)
Member Party Vote
Myers-Phillips — Nay
Angela Witwer Democrat Nay
Betsy Coffia Democrat Nay
Carol Glanville Democrat Nay
Carrie Rheingans Democrat Nay
Cynthia Neeley Democrat Nay
Denise Mentzer Democrat Nay
Donavan McKinney Democrat Nay
Dylan Wegela Democrat Nay
Emily Dievendorf Democrat Nay
Erin Byrnes Democrat Nay
Helena Scott Democrat Nay
Jason M Hoskins Democrat Nay
Jason Morgan Democrat Nay
Jasper Martus Democrat Nay
Jennifer Conlin Democrat Nay
Jimmie Wilson Jr Democrat Nay
Joey Andrews Democrat Nay
John Fitzgerald Democrat Nay
Joseph Tate Democrat Nay
Julie Brixie Democrat Nay
Julie M. Rogers Democrat Nay
Kara Hope Democrat Nay
Kelly A Breen Democrat Nay
Kimberly Edwards Democrat Nay
Kristian Grant Democrat Nay
Laurie Pohutsky Democrat Nay
Mai Xiong Democrat Nay
Matt Koleszar Democrat Nay
Matt Longjohn Democrat Nay
Mike McFall Democrat Nay
Morgan Foreman Democrat Nay
Natalie Price Democrat Nay
Noah Arbit Democrat Nay
Penelope Tsernoglou Democrat Nay
Peter Herzberg Democrat Nay
Phil Skaggs Democrat Nay
Ranjeev Puri Democrat Nay
Reggie Miller Democrat Nay
Regina Weiss Democrat Nay
Samantha Steckloff Democrat Nay
Sharon MacDonell Democrat Nay
Stephanie A Young Democrat Nay
Stephen Wooden Democrat Nay
Tullio Liberati Jr. Democrat Nay
Tyrone Carter Democrat Nay
Veronica Paiz Democrat Nay
Will Snyder Democrat Nay
Alicia St. Germaine Republican Yea
Angela Rigas Republican Yea
Ann M. Bollin Republican Yea
Bill Schuette Republican Yea
Brad Paquette Republican Yea
Bradley Slagh Republican Yea
Brian BeGole Republican Yea
Bryan Posthumus Republican Yea
Cameron Cavitt Republican Yea
Curtis S VanderWall Republican Yea
David Prestin Republican Yea
David W. Martin Republican Yea
Donni Steele Republican Yea
Douglas C Wozniak Republican Yea
Gina Johnsen Republican Yea
Greg VanWoerkom Republican Yea
Gregory Alexander Republican Yea
Gregory Markkanen Republican Yea
Jaime Greene Republican Yea
James DeSana Republican Yea
Jamie Thompson Republican Yea
Jason Woolford Republican Yea
Jay DeBoyer Republican Yea
Jennifer Wortz Republican Yea
Jerry Neyer Republican Yea
John R. Roth Republican Yea
Joseph A. Aragona Republican Yea
Joseph Fox Republican Yea
Joseph Pavlov Republican Yea
Josh Schriver Republican Yea
Karl Bohnak Republican Yea
Kathy Schmaltz Republican Yea
Ken Borton Republican Yea
Luke Meerman Republican Yea
Mark A Tisdel Republican Yea
Matt Hall Republican Yea
Matt Maddock Republican Yea
Matthew Bierlein Republican Yea
Mike Harris Republican Yea
Mike Hoadley Republican Yea
Mike Mueller Republican Yea
Nancy DeBoer Republican Yea
Nancy Jenkins-Arno Republican Yea
Parker Fairbairn Republican Yea
Pauline Wendzel Republican Yea
Phil Green Republican Yea
Rachelle Smit Republican Yea
Rick Outman Republican Yea
Ron Robinson Republican Yea
Rylee Linting Republican Yea
Sarah Lightner Republican Yea
Steve Carra Republican Yea
Steve Frisbie Republican Yea
Thomas Kuhn Republican Yea
Tim Kelly Republican Yea
Timothy Beson Republican Yea
Tom Kunse Republican Yea
William Bruck Republican Yea

Official roll call →

Subjects

civil-rights 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

What does HB 4468 do?
Insurance: health insurers; coverage for adverse consequences related to gender transition and reversal of gender transition; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406ww.
Who sponsors HB 4468?
HB 4468 is sponsored by Tom Kunse (Republican).
What is the current status of HB 4468?
This bill has passed the House. Introduced June 10, 2026. It now moves to the second chamber.
Where can I track HB 4468?
Track HB 4468 free on One Click Politics — get push/email alerts when it moves.

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Last checked for changes 3 months ago · updated continuously

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