Michigan House Bill HB4190

Michigan 2025-2026 Regular Session

• Introduced: 3/6/25
• Refer: 3/6/25

Caption

Health: other; gender reassignment procedures or treatment for minors; prohibit. Amends 1978 PA 368 (MCL 333.1101 - 333.25211) by adding secs. 17019 & 17519.

Impact

The impact of HB 4190 is significant as it would amend existing health codes to explicitly include prohibitions against certain medical practices for minors. It would legally define gender reassignment surgery and cross-sex hormones, thereby creating a framework in which these practices are heavily regulated. For minors currently undergoing these treatments, there exists a conditional allowance to continue only if they were initiated before the enactment of this bill, and deemed necessary by a physician to avoid harm, which could lead to disputes about definitions of harm and medical necessity.

Summary

House Bill 4190 proposes amendments to the Michigan Public Health Code, specifically aimed at regulating gender reassignment procedures for minors. Under the provisions of this bill, physicians are prohibited from performing gender reassignment surgery and prescribing cross-sex hormones or puberty-blocking drugs for minors, with certain exceptions. This legislation seeks to limit medical interventions related to gender identity for individuals under the age of consent, reflecting growing concerns about the implications of such treatments on the developing bodies and minds of children and adolescents.

Conclusion

Ultimately, HB 4190 reflects ongoing societal and political debates surrounding gender identity, mental health, and the appropriate role of government in personal medical decisions. As discussions continue at legislative sessions, it remains to be seen how this bill will affect the landscape of healthcare for transgender minors in Michigan and the broader implications for similar legislation in other states.

Contention

The introduction of HB 4190 has been met with a complex array of opinions from the public and advocacy groups. Proponents argue that the bill serves to protect minors from making potentially life-altering decisions regarding their gender identity at a young age, aligning with a growing trend in several states to restrict such procedures. Critics, however, argue that this legislation infringes upon the rights of individuals to access necessary medical care and undermines the autonomy of minors and their families to make informed health decisions.