New Mexico 2025 Regular Session

New Mexico Senate Bill SB500 Compare Versions

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

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28	28	SENATE BILL 500
29	29	57TH LEGISLATURE - STATE OF NEW MEXICO - FIRST SESSION, 2025
30	30	INTRODUCED BY
31	31	David M. Gallegos and Jay C. Block
32	32	AN ACT
33	33	RELATING TO HEALTH CARE; ENACTING THE DETRANSITIONER PROTECTION
34	34	ACT; PROVIDING DEFINITIONS; PROVIDING PENALTIES AND
35	35	ENFORCEMENT; PROVIDING A PRIVATE RIGHT OF ACTION.
36	36	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
37	37	SECTION 1. A new Section 24-36-1 NMSA 1978 is enacted to
38	38	read:
39	39	"24-36-1. [NEW MATERIAL ] SHORT TITLE.--Chapter 24,
40	40	Article 36 NMSA 1978 may be cited as the "Detransitioner
41	41	Protection Act"."
42	42	SECTION 2. A new Section 24-36-2 NMSA 1978 is enacted to
43	43	read:
44	44	"24-36-2. [NEW MATERIAL ] DEFINITIONS.--As used in the
45	45	Detransitioner Protection Act:
46	46	A. "department" means the department of health;
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74	74	B. "detransition" means a temporary or permanent
75	75	cessation or reversal of a transgender identification or a
76	76	gender transition, through social, legal or medical means;
77	77	C. "detransition procedure" means a treatment,
78	78	including mental health treatment, medical interventions or
79	79	surgery, that is intended to:
80	80	(1) stop or reverse the effects of a prior
81	81	gender transition procedure; or
82	82	(2) help an individual cope with the effects
83	83	of a prior gender transition procedure;
84	84	D. "detransitioner" means:
85	85	(1) an individual who began or completed a
86	86	gender transition procedure but later sought treatment to
87	87	reverse the effects of the gender transition treatment or
88	88	procedure; or
89	89	(2) an individual who began a gender
90	90	transition procedure but has ceased that procedure;
91	91	E. "female" means an individual human who has, had,
92	92	will have or would have, but for a developmental or genetic
93	93	anomaly or historical accident, the reproductive system that at
94	94	some point produces, transports and uses eggs for
95	95	fertilization;
96	96	F. "gender" means the psychological, behavioral,
97	97	social and cultural aspects of being male or female;
98	98	G. "gender clinic" means a health care entity,
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127	127	including a public body, that provides or prescribes gender
128	128	transition procedures or refers individuals for gender
129	129	transition procedures;
130	130	H. "gender dysphoria" means a diagnosis as provided
131	131	under the Diagnostic and Statistical Manual of Mental
132	132	Disorders, fifth edition, that occurs when a person is
133	133	distressed or impaired due to a difference between that
134	134	person's gender identity and the person's assigned gender at
135	135	birth;
136	136	I. "gender incongruence" means a diagnosis as
137	137	provided under the world health organization's International
138	138	Classification of Diseases , eleventh revision, when a person's
139	139	gender identify differs from the person's assigned sex at
140	140	birth;
141	141	J. "gender transition procedure" means a
142	142	pharmaceutical or surgical intervention to alter an
143	143	individual's body as a treatment to address an inconsistency
144	144	between a minor's sex and that minor's perceived gender or
145	145	perceived sex;
146	146	K. "health care provider" means an individual or
147	147	entity licensed to administer or provide health care services
148	148	in this state;
149	149	L. "informed notice" means a verbal and written
150	150	notice provided to a minor or the minor's parent by a health
151	151	care provider or public body whom the minor or parent contacts
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180	180	for information about or access to a gender transition
181	181	procedure for the minor. The informed notice shall be stated
182	182	or written verbatim as provided in Subsection B of Section 3 of
183	183	the Detransitioner Protection Act;
184	184	M. "male" means an individual human who has, had,
185	185	will have, or would have but for a developmental or genetic
186	186	anomaly or historical accident, the reproductive system that at
187	187	some point produces, transports and uses sperm for
188	188	fertilization;
189	189	N. "mental health professional" means a health care
190	190	provider whose scope of practice includes diagnosing and
191	191	treating mental health conditions;
192	192	O. "minor" means a child who is younger than
193	193	eighteen years of age and who is not an emancipated minor;
194	194	P. "parent" means a biological, legal or adoptive
195	195	father, mother or legal guardian of another individual;
196	196	Q. "perceived gender" means an individual's
197	197	internal sense of that individual's gender;
198	198	R. "perceived sex" means an individual's internal
199	199	sense of that individual's sex;
200	200	S. "public body" means a state or local government,
201	201	an advisory board, a commission, an agency or an entity created
202	202	by the constitution of New Mexico or a branch of government,
203	203	including a health care provider or entity acting on behalf of
204	204	or within the scope of the authority of a public body, that
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233	233	receives public funding and includes political subdivisions,
234	234	special tax districts, school districts and institutions of
235	235	higher education; and
236	236	T. "sex" means the biological indication of an
237	237	individual at the time of birth as male or female in the
238	238	context of reproductive potential or capacity, such as sex
239	239	chromosomes, naturally occurring sex hormones, gonads and
240	240	nonambiguous internal and external genitalia present at birth,
241	241	including secondary sex characteristics, without regard to the
242	242	individual's psychological, chosen or subjective experience or
243	243	perception of the individual's gender."
244	244	SECTION 3. A new Section 24-36-3 NMSA 1978 is enacted to
245	245	read:
246	246	"24-36-3. [NEW MATERIAL ] GENDER TRANSITION PROCEDURE FOR
247	247	MINOR PROHIBITED--INFORMED NOTICE REQUIRED--VIOLATIONS--
248	248	PENALTIES--ENFORCEMENT.--
249	249	A. A health care provider or public body shall not
250	250	provide a gender transition procedure on or provide gender
251	251	transition information to a minor.
252	252	B. A health care provider or public body shall
253	253	provide informed notice to a minor or that minor's parent who
254	254	requests information about or access to a gender transition
255	255	procedure for the minor. The written notice shall be in at
256	256	least fourteen point font in a proportionally spaced typeface
257	257	and provided during every discussion, medical visit or
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286	286	interaction with the minor or that minor's parent.
287	287	The informed notice shall be both written and stated
288	288	exactly as follows:
289	289	"1. No reliable studies have shown that these
290	290	treatments reduce the risk of suicide in children or
291	291	adolescents with gender dysphoria.
292	292	2. The United States food and drug
293	293	administration has not approved the use of puberty blockers or
294	294	cross-sex hormones for the purpose of treating gender dysphoria
295	295	or gender incongruence. In other words, using these
296	296	medications to treat gender dysphoria or gender incongruence is
297	297	considered "off-label" use because the medications are not
298	298	being used for their approved purposes.
299	299	3. European governments, including the United
300	300	Kingdom, Sweden and Finland, have studied these treatments and
301	301	have concluded there is no reliable evidence showing that the
302	302	potential benefits of puberty blockers and cross-sex hormones
303	303	for this purpose outweigh the risks. Those governments instead
304	304	recommend psychotherapy as the first line of treatment for
305	305	children and adolescents with gender dysphoria.
306	306	4. The use of puberty blockers and cross-sex
307	307	hormones for this purpose increases the risk of a child or an
308	308	adolescent being sterilized, meaning that the child will never
309	309	be able to have children.
310	310	5. The use of puberty blockers and cross-sex
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339	339	hormones for this purpose carries numerous other risks of
340	340	physical harm, including severely decreased bone density, heart
341	341	disease, stroke and cancer.
342	342	6. The effect of these treatments on the brain
343	343	development of a child or an adolescent is entirely unknown.".
344	344	C. It is a violation of the Detransitioner
345	345	Protection Act to fail to comply with the requirements of
346	346	Subsection A of this section. A health care provider found to
347	347	have knowingly violated Subsection A of this section:
348	348	(1) has engaged in unprofessional conduct and
349	349	is subject to discipline by the licensing authority responsible
350	350	for the regulation of the health care provider's license.
351	351	Licensing discipline pursuant to this section shall include
352	352	revocation and suspension of the health care provider's license
353	353	for at least one year; and
354	354	(2) is subject to a private right of action by
355	355	the parent of the minor subject to that violation for damages
356	356	and such equitable relief as the court may determine
357	357	appropriate. The court may award reasonable attorney fees and
358	358	court costs to a prevailing party.
359	359	D. Notwithstanding any contrary provision of law, a
360	360	health care provider shall not deny a parent access to the
361	361	medical records or medical information of that parent's minor.
362	362	This subsection does not require a health care provider or
363	363	other person delegated with access to the health care
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392	392	provider's patients' records to provide access to a minor's
393	393	medical records when:
394	394	(1) the medical records or medical information
395	395	relate to harm resulting from abuse, neglect or domestic
396	396	violence;
397	397	(2) the person denying access reasonably
398	398	believes the minor's parent is responsible for the abuse,
399	399	neglect or other injury resulting from domestic violence; and
400	400	(3) the person denying access reasonably
401	401	believes that informing the parent would not be in the best
402	402	interests of the minor.
403	403	E. For the purposes of this section, "abuse,
404	404	neglect or domestic violence" does not include:
405	405	(1) a parent's refusal to permit the parent's
406	406	minor to seek gender-transition information or treatment to
407	407	address an inconsistency between the minor's sex and the
408	408	minor's perceived gender or perceived sex;
409	409	(2) a parent's refusal to address the parent's
410	410	minor using pronouns that are inconsistent with the minor's
411	411	sex; or
412	412	(3) a parent's refusal to address the parent's
413	413	minor with a name other than the minor's legal name.
414	414	F. A parent who is denied access to medical records
415	415	or medical information in violation of this section has a
416	416	private right of action for damages and such equitable relief
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445	445	as the court may determine is appropriate. The court may
446	446	award reasonable attorney fees and court costs to a prevailing
447	447	party.
448	448	G. The attorney general or a district attorney may
449	449	investigate a potential violation of the Detransitioner
450	450	Protection Act and may seek production of documents or
451	451	testimony through a civil investigative demand and may bring an
452	452	action to enforce the provisions of that act."
453	453	SECTION 4. A new Section 24-36-4 NMSA 1978 is enacted to
454	454	read:
455	455	"24-36-4. [NEW MATERIAL ] DETRANSITIONER--RIGHT TO
456	456	EFFECTIVE CARE.--A health care provider or public body shall
457	457	not:
458	458	A. prohibit the provision of mental health therapy
459	459	to help a minor address an inconsistency between the minor's
460	460	sex and the minor's perceived gender or perceived sex; or
461	461	B. prohibit a parent from consenting to or
462	462	withholding consent from the provision of mental health therapy
463	463	to help that parent's minor address an inconsistency between
464	464	the minor's sex and the minor's perceived gender or perceived
465	465	sex."
466	466	SECTION 5. A new Section 24-36-5 NMSA 1978 is enacted to
467	467	read:
468	468	"24-36-5. [NEW MATERIAL ] PUBLIC TRANSPARENCY--GENDER
469	469	CLINIC REQUIRED REPORTS.--
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498	498	A. Every gender clinic operating in this state
499	499	shall provide a report of statistics regarding each gender
500	500	transition procedure prescribed or provided by the clinic or,
501	501	in the case of a minor, any interaction with a minor or that
502	502	minor's parent seeking information or access to a gender
503	503	transition procedure to the department on a form prescribed by
504	504	the department. The statistics reported shall include:
505	505	(1) the date on which the gender transition
506	506	procedure was prescribed or the referral was made for the
507	507	gender transition procedure;
508	508	(2) the age and sex of the person to whom the
509	509	gender transition procedure was prescribed or for whom the
510	510	gender transition procedure referral was made;
511	511	(3) whether a drug was prescribed as part of a
512	512	gender transition procedure and, if so, the:
513	513	(a) name of the drug;
514	514	(b) dosage, dosage frequency and
515	515	duration; and
516	516	(c) method by which the drug will be
517	517	administered;
518	518	(4) for a surgical procedure provided or for a
519	519	referral made for a surgical procedure as part of a gender
520	520	transition procedure, the type of surgical procedure,
521	521	identified by the system code listed in the American medical
522	522	association's current procedural technology code set;
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551	551	(5) the state and county of residence of the
552	552	person receiving the gender transition procedure;
553	553	(6) the name, contact information and medical
554	554	specialty of the health care provider who prescribed the gender
555	555	transition procedure or made the referral for the gender
556	556	transition procedure; and
557	557	(7) a description of any other neurological,
558	558	behavioral or mental health conditions that the person has been
559	559	diagnosed with or exhibits symptoms of, including autism
560	560	spectrum disorder, depression, anxiety or bipolar disorder.
561	561	B. The form required pursuant to this section shall
562	562	be:
563	563	(1) completed by each gender clinic at which a
564	564	gender transition procedure is prescribed or a referral is made
565	565	for a gender transition procedure;
566	566	(2) signed by the health care provider who
567	567	prescribes the gender transition procedure or makes a referral
568	568	for a gender transition procedure; and
569	569	(3) transmitted by the gender clinic to the
570	570	department within fifteen days after the end of the calendar
571	571	month during which the gender transition procedure was
572	572	prescribed or the referral was made for a gender transition
573	573	procedure.
574	574	C. Reporting forms required under this section
575	575	shall not contain the following personal information of the
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604	604	person receiving a gender transition procedure or a referral
605	605	for a gender transition procedure:
606	606	(1) the name of the person;
607	607	(2) common identifiers of the person,
608	608	including a social security number, a driver's license number
609	609	or other identifying information from a state-issued
610	610	identification card; or
611	611	(3) other information that would make it
612	612	reasonably possible to identify the person.
613	613	D. The department shall prepare a comprehensive
614	614	annual statistical report for the legislative finance committee
615	615	and the legislative health and human services committee based
616	616	upon the data gathered from forms submitted under this section.
617	617	The report shall include a detailed summary of the information
618	618	obtained. The report shall not disclose the identity of any
619	619	person or entity that is the subject of a report. The report
620	620	shall be published on the department's website and made
621	621	independently available to the public by the department in a
622	622	downloadable format.
623	623	E. A health care provider or public body in
624	624	violation of this section:
625	625	(1) has engaged in unprofessional conduct and
626	626	is subject to discipline by the appropriate licensing entity or
627	627	disciplinary review board with competent jurisdiction in this
628	628	state. That discipline shall include suspension of the ability
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657	657	to administer health care or practice medicine for at least one
658	658	year; and
659	659	(2) the gender clinic where the health care
660	660	provider is employed shall pay a civil fine not to exceed two
661	661	hundred fifty thousand dollars ($250,000).
662	662	F. The attorney general or a district attorney may
663	663	investigate a potential violation of this section, may seek
664	664	production of documents or testimony through a civil
665	665	investigative demand and may bring an action to enforce
666	666	compliance with this section."
667	667	SECTION 6. A new Section 24-36-6 NMSA 1978 is enacted to
668	668	read:
669	669	"24-36-6. [NEW MATERIAL ] PUBLIC BODY--GENDER CLINIC--
670	670	REQUIREMENT TO PROVIDE CERTAIN DETRANSITION PROCEDURES--RIGHT
671	671	TO INSURANCE COVERAGE.--
672	672	A. A public body or gender clinic that uses state
673	673	funds to directly or indirectly provide or pay for the
674	674	performance of gender transition procedures shall, as a
675	675	condition of receiving the state funds, agree to provide or pay
676	676	for the performance of detransition procedures for any person
677	677	for whom the public body or gender clinic provides or has
678	678	provided a gender transition procedure.
679	679	B. If an insurance policy includes coverage in this
680	680	state for gender transition procedures, the policy shall also
681	681	include coverage in this state for detransition procedures.
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710	710	C. Any entity providing insurance coverage for
711	711	detransition procedures shall provide statistics in a form
712	712	prescribed by the department regarding insurance claims for
713	713	detransition procedures in this state. The department shall
714	714	develop the form and shall include the required reporting of
715	715	the following:
716	716	(1) the number of insurance claims made for a
717	717	detransition procedure in this state;
718	718	(2) the age and sex of the individual
719	719	receiving the detransition procedure;
720	720	(3) if known, the date that the individual
721	721	initially began a prior gender transition procedure; and
722	722	(4) the state and county of residence of the
723	723	person receiving the gender transition procedure.
724	724	D. The form completed pursuant to this section
725	725	shall be transmitted by the gender clinic to the department
726	726	within fifteen days after the end of the calendar month during
727	727	which the claim for the detransition procedure was filed.
728	728	E. Reporting forms required under this section
729	729	shall not contain any of the following regarding the person
730	730	receiving a detransition procedure:
731	731	(1) the name of the person;
732	732	(2) common identifiers of the person,
733	733	including a social security number or a driver's license
734	734	number; or
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763	763	(3) other information that would make it
764	764	possible to identify the person.
765	765	F. The department shall prepare a comprehensive
766	766	annual statistical report for the legislative finance committee
767	767	and the legislative health and human services committee based
768	768	upon the data gathered from forms submitted under this section.
769	769	The report shall include a detailed summary of the information
770	770	obtained and shall not disclose the identity of a person or
771	771	entity that is the subject of a report. The report shall be
772	772	made independently available to the public by the department in
773	773	a downloadable format.
774	774	G. The attorney general or a district attorney may
775	775	investigate a potential violation of this section, may seek
776	776	production of documents or testimony through a civil
777	777	investigative demand and may bring an action to enforce
778	778	compliance with this section."
779	779	SECTION 7. A new Section 24-36-7 NMSA 1978 is enacted to
780	780	read:
781	781	"24-36-7. [NEW MATERIAL ] RIGHT TO LEGAL RESTORATION.--
782	782	A. Within thirty days of the effective date of the
783	783	Detransitioner Protection Act, the department shall develop an
784	784	expedited process for changing the sex, name, pronouns and any
785	785	other information recorded on a birth certificate, driver's
786	786	license or other legal document when the information had been
787	787	previously changed to align with an individual's perception of
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816	816	that individual's gender or sex at a time when that perception
817	817	was inconsistent with the individual's sex.
818	818	B. Any requirement of a court order for changing a
819	819	person's name in legal documents in this state as provided in
820	820	Section 40-8-1 NMSA 1978 is waived for changes made pursuant to
821	821	the Detransitioner Protection Act. To facilitate the expedited
822	822	process and the waiver of a court order, the vital records and
823	823	health statistics bureau of the department under the direction
824	824	of the state registrar shall maintain copies of original legal
825	825	documents, including certificates and reports of birth, when
826	826	those documents are changed to align with an individual's
827	827	perception of that individual's gender or sex when that
828	828	perception is inconsistent with the individual's sex."
829	829	SECTION 8. A new Section 24-36-8 NMSA 1978 is enacted to
830	830	read:
831	831	"24-36-8. [NEW MATERIAL ] HEALTH CARE PROVIDER OR PUBLIC
832	832	BODY--LIABILITY TO DETRANSITIONER--CAUSE OF ACTION--PENALTIES--
833	833	ENFORCEMENT.--
834	834	A. A health care provider or public body that
835	835	provides a minor with a gender transition procedure is strictly
836	836	and personally liable for all costs associated with subsequent
837	837	detransition procedures sought by the minor within twenty-five
838	838	years after the commencement of a gender transition procedure.
839	839	B. An individual who undergoes a detransition
840	840	procedure may bring a civil action either within twenty-five
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869	869	years from the day the individual becomes eighteen years of age
870	870	or within four years from the time the cost of a detransition
871	871	procedure is incurred, whichever date is later, against a
872	872	health care provider or a public body as provided in this
873	873	section in a court of competent jurisdiction for:
874	874	(1) the real value of the costs of any
875	875	detransition procedures;
876	876	(2) any other appropriate relief; and
877	877	(3) attorney fees and costs.
878	878	C. A health care provider or public body that
879	879	provides a minor with a gender transition procedure is strictly
880	880	liable to that minor if the procedure or the after-effects of
881	881	the procedure, including a subsequent detransition procedure,
882	882	result in any injury, including physical, psychological,
883	883	emotional or physiological harm, within twenty-five years of
884	884	the latest procedure provided by that health care provider.
885	885	D. An individual who suffers an injury as provided
886	886	in this section, or that individual's legal representative, may
887	887	bring a civil action either within twenty-five years from the
888	888	day the individual becomes eighteen years of age or within four
889	889	years from the time of discovery by the injured party of both
890	890	the injury and the causal relationship between the treatment
891	891	and the injury, whichever date is later, against the offending
892	892	health care provider or public body in a court of competent
893	893	jurisdiction for:
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922	922	(1) declaratory or injunctive relief;
923	923	(2) compensatory damages, including pain and
924	924	suffering, loss of reputation, loss of income or loss of
925	925	consortium, which includes the loss of expectation of sharing
926	926	parenthood;
927	927	(3) punitive damages;
928	928	(4) any other appropriate relief; and
929	929	(5) attorney fees and costs.
930	930	E. Exceptions to the limitations period in
931	931	Subsections B and C of this section include:
932	932	(1) if, at the time the individual subjected
933	933	to treatment attains the age of eighteen years of age, the
934	934	individual is under legal disability, the limitation period in
935	935	Subsections B and C of this section does not begin to run until
936	936	the removal of the disability; and
937	937	(2) the limitation period in Subsections B and
938	938	C of this section does not run during a time period when the
939	939	individual is subject to threats, intimidation, manipulation,
940	940	fraudulent concealment or fraud perpetrated by the health care
941	941	provider or public body that provided the treatment described
942	942	in Subsection A or C of this section or by any person acting in
943	943	the interest of the health care provider or the public body.
944	944	F. A health care provider or public body shall not
945	945	seek a contractual waiver of liability for a violation of
946	946	Subsection A or C of this section. Any attempted waiver is
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975	975	contrary to the public policy and is null and void.
976	976	G. Section 41-4-19 NMSA 1978 does not apply to
977	977	actions for damages under this section.
978	978	H. The attorney general or a district attorney may
979	979	investigate a potential violation of this section, may seek
980	980	production of documents or testimony through a civil
981	981	investigative demand and may bring an action to enforce
982	982	compliance with this section.
983	983	I. This section does not deny, impair or affect any
984	984	right or authority of the attorney general, this state or any
985	985	agency, officer or employee of this state, acting under any law
986	986	other than this section, to institute or intervene in any
987	987	proceeding."
988	988	SECTION 9. A new Section 24-36-9 NMSA 1978 is enacted to
989	989	read:
990	990	"24-36-9. [NEW MATERIAL ] SEVERABILITY.--If any part or
991	991	application of the Detransitioner Protection Act is held
992	992	invalid, the remainder or its application to other situations
993	993	or persons shall not be affected."
994	994	SECTION 10. EFFECTIVE DATE.--The effective date of the
995	995	provisions of this act is July 1, 2025.
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