Georgia 2025-2026 Regular Session

Georgia House Bill HB660 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	25 LC 52 0778
2	2	House Bill 660
3	3	By: Representatives Cox of the 28
4	4	th
5	5	, Jasperse of the 11
6	6	th
7	7	, Rice of the 139
8	8	th
9	9	, Scoggins of the
10	10	14
11	11	th
12	12	, and McDonald III of the 26
13	13	th
14	14
15	15	A BILL TO BE ENTITLED
16	16	AN ACT
17	17	To amend Chapter 18 of Title 45, Chapter 4 of Title 49, and Chapter 1 of Title 50 of the
18	18	1
19	19	Official Code of Georgia Annotated, relating to the employees' insurance and benefits plans,2
20	20	public assistance, and general provisions relative to state government, respectively, so as to3
21	21	prohibit coverage of expenses for any transition related intervention under the state health4
22	22	benefit plan or with any state funds; to provide for definitions; to prohibit state healthcare5
23	23	facilities and healthcare providers employed by the state from providing any transition6
24	24	related intervention; to prohibit correctional facilities owned or operated by the state and7
25	25	healthcare providers employed at such facilities from providing any transition related8
26	26	intervention; to provide for related matters; to provide for legislative findings; to provide for9
27	27	an effective date; to repeal conflicting laws; and for other purposes.10
28	28	BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:11
29	29	SECTION 1.12
30	30	The General Assembly finds that:13
31	31	(1) The State of Georgia has taken measures to protect individuals from a radical gender14
32	32	ideology that has, among other things, resulted in a massive unexplained rise in diagnoses15
33	33	of gender dysphoria;16
34	34	H. B. 660
35	35	- 1 - 25 LC 52 0778
36	36	(2) Senate Bill 140 enacted by the General Assembly in the 2023 regular session broadly
37	37	17
38	38	banned procedures or treatments performed for the purpose of enabling a minor to18
39	39	identify with or live as a purported identity inconsistent with such minor's sex or treating19
40	40	purported discomfort or distress from a discordance between a minor's sex and asserted20
41	41	identity, and similar bills from other states have been upheld by a federal appeals court;21
42	42	and22
43	43	(3) It is the policy of the State of Georgia that these procedures or treatments shall23
44	44	neither be covered by the state health benefit plan nor otherwise paid for through the use24
45	45	of any state funds.25
46	46	SECTION 2.26
47	47	Chapter 18 of Title 45 of the Official Code of Georgia Annotated, relating to employees'27
48	48	insurance and benefits plans, is amended by adding a new Code section to read as follows:28
49	49	"45-18-4.2.
50	50	29
51	51	(a) As used in this Code section, the term:30
52	52	(1) 'Congenital defect' means a physical or chemical abnormality present in a minor that31
53	53	is inconsistent with the normal development of a human being of such minor's sex,32
54	54	including abnormalities caused by a medically verifiable disorder of sex development. 33
55	55	Such term does not include gender dysphoria, gender identity disorder, gender34
56	56	incongruence, or any mental condition, disorder, disability, or abnormality.35
57	57	(2) 'Medical procedure' means a surgical procedure or nonsurgical treatment consisting36
58	58	of:37
59	59	(A) Surgically removing, modifying, altering, artificially constructing, or entering into38
60	60	tissues, cavities, or organs of a human being; or39
61	61	(B) Prescribing, administering, or dispensing any puberty blocker or supraphysiological40
62	62	hormone dosage to a human being.41
63	63	H. B. 660
64	64	- 2 - 25 LC 52 0778
65	65	(3) 'Puberty blocker' means a drug or device that suppresses the production of hormones42
66	66	in a minor's body to stop, delay, or suppress pubertal development.43
67	67	(4) 'Sex' means an individual's immutable characteristics of the reproductive system that44
68	68	define such individual as male or female, as determined by anatomy and genetics existing45
69	69	at the time of birth.46
70	70	(5) 'State health plan' means any healthcare benefits provided pursuant to Subpart 2 of47
71	71	Part 6 of Article 17 of Chapter 2 of Title 20, Subpart 3 of Part 6 of Article 17 of48
72	72	Chapter 2 of Title 20, Code Section 31-2-4, and Article 1 of Chapter 18 of this title.49
73	73	(6) 'Transition related intervention' means any medical procedure performed for the50
74	74	purpose of:51
75	75	(A) Enabling an individual to identify with or live as a purported identity inconsistent52
76	76	with such individual's sex; or53
77	77	(B) Treating an individual's purported discomfort or distress from a discordance54
78	78	between such individual's sex and asserted identity.55
79	79	(b) On or after January 1, 2026, the state health plan shall not include expenses for any56
80	80	transition related intervention except as provided in subsection (c) of this Code section.57
81	81	(c) The board shall adopt rules and regulations regarding the exclusion of expenses for any58
82	82	transition related intervention as provided for in subsection (b) of this Code section;59
83	83	provided, however, that it is not a violation of this Code section if a healthcare provider60
84	84	performs or administers a medical procedure for the purpose of treating:61
85	85	(1) A minor's congenital defect, precocious puberty, disease, or physical injury;62
86	86	provided, however, that the term 'disease' does not include gender dysphoria, gender63
87	87	identity disorder, gender incongruence, or any mental condition, disorder, disability, or64
88	88	abnormality; and65
89	89	(2) Any infection, injury, disease, or disorder that has been caused or exacerbated by the66
90	90	performance of a medical procedure, including a transition related intervention, whether67
91	91	or not such procedure was performed in accordance with federal or state law; provided,68
92	92	H. B. 660
93	93	- 3 - 25 LC 52 0778
94	94	however, that the purpose of such medical procedure shall not be to continue any69
95	95	transition related intervention for gender dysphoria, gender identity disorder, gender70
96	96	incongruence, or any mental condition, disorder, disability, or abnormality."71
97	97	SECTION 3.72
98	98	Chapter 4 of Title 49 of the Official Code of Georgia Annotated, relating to public assistance,73
99	99	is amended by adding a new Code section to read as follows:74
100	100	"49-4-159.5.75
101	101	The department shall prohibit the coverage of any transition related intervention as76
102	102	provided for in Code Section 45-18-4.2 for recipients of medical assistance."77
103	103	SECTION 4.78
104	104	Chapter 1 of Title 50 of the Official Code of Georgia Annotated, relating to general79
105	105	provisions relative to state government, is amended by adding a new Code section to read as80
106	106	follows:81
107	107	"50-1-14.82
108	108	(a) No state funds shall be expended for health benefits coverage that includes coverage83
109	109	for any transition related intervention as provided for in Code Section 45-18-4.2.84
110	110	(b) No healthcare facility owned or operated by the state and no physician or other85
111	111	healthcare provider employed by an agency or entity of this state shall provide any86
112	112	transition related intervention as provided for in Code Section 45-18-4.2.87
113	113	(c) No correctional facility owned or operated by the state and no physician or other88
114	114	healthcare provider employed by such facility shall provide any transition related89
115	115	intervention as provided for in Code Section 45-18-4.2 to any individual incarcerated at90
116	116	such facility.91
117	117	(d) Nothing in this Code section shall be construed as:92
118	118	H. B. 660
119	119	- 4 - 25 LC 52 0778
120	120	(1) Prohibiting any individual, entity, or local government from purchasing separate93
121	121	coverage for any transition related intervention or health benefits coverage that includes94
122	122	any transition related intervention, provided that such coverage is paid for entirely using95
123	123	only funds not authorized or appropriated by the state; or96
124	124	(2) Restricting the ability of any nonstate health benefits coverage provider from offering97
125	125	coverage for any transition related intervention or the ability of a local government to98
126	126	contract separately with such a provider for such coverage, provided that such coverage99
127	127	is paid for entirely using only funds not authorized or appropriated by the state."100
128	128	SECTION 5.101
129	129	This Act shall become effective upon its approval by the Governor or upon its becoming law102
130	130	without such approval.103
131	131	SECTION 6.104
132	132	All laws and parts of laws in conflict with this Act are repealed.105
133	133	H. B. 660
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