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Did Not Advance

Kentucky Bill Prohibits Public Funds and Government Health Plans from Covering Gender Transition Services

Original title: AN ACT relating to gender transition services.

Last action · February 20, 2026: reassigned to State Government (H)Sponsors: Josh Calloway and 6 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

Kentucky House Bill 553 prohibits state and local government entities, public employee health plans, Medicaid, , and public university health plans from providing coverage, reimbursement, or public funds for . The measure also revokes professional licenses for health care providers who perform these services while employed by a government entity and classifies intentional violations by public servants as official misconduct.

Background
  • The Kentucky General Assembly is the state legislature responsible for enacting statutory laws and amendments. context

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

Health care providers

Health care providers are prohibited from rendering gender transition services while employed by a state or local government and face mandatory license revocation for violations.

Directly affected

State and local government employees

Directly affected

Medicaid and KCHIP beneficiaries

Public assistance programs are statutorily prohibited from expending funds or providing benefits for gender transition services and cross-sex hormones prescribed for gender dysphoria.

Directly affected

School districts and family resource centers

School districts are prohibited from offering gender transition services or referrals within family resource and youth services centers.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Does this bill affect private health insurance plans not connected to the state?
The bill restricts state and local government health plans, Medicaid, , Medicare-subsidized public plans, and public postsecondary education plans, but does not regulate purely private health plans outside of those government-sponsored categories.
What happens to a health care provider who violates these restrictions?
If a regulatory or licensing authority finds that a provider violated the provisions, it must revoke their license, certification, or authorization to provide services in the state. Furthermore, an intentional violation by a public servant is classified as a violation of KRS 522.030 (official misconduct).
Are there any exceptions included in the definition of gender transition services?
Yes. Services do not include treatments for individuals born with a medically verifiable , individuals diagnosed with a disorder of sexual development confirmed by genetic or biochemical testing, or treatments for an infection, injury, disease, or disorder caused by prior .
Can school-based family resource and youth services centers make referrals for gender transition services?
No. School districts are explicitly prohibited from operating a family resource or youth services center that provides or makes referrals to health care facilities for those services.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Died at adjournment · in House committee.

Procedural history

3 actions
  1. Feb 20, 2026HouseCommittee
    reassigned to State Government (H)
  2. Feb 10, 2026HouseCommittee
    to Banking & Insurance (H)
  3. Feb 3, 2026HouseIntroduced
    introduced in House to Committee on Committees (H)

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift99% confidence

Comprehensive Prohibition Across Multiple State Sectors

The bill amends numerous independent chapters of the Kentucky Revised Statutes simultaneously—encompassing criminal law, emergency management, Medicaid, public employee insurance, higher education, and juvenile services—to enforce a uniform ban on public funding and coverage for gender transition services.

Connected Entities

Felicia Rabourn, Bill Wesley, Candy Massaroni and 9 more
PersonFelicia Rabourn“Cosponsor of House Bill 553”Map →
PersonBill Wesley“Cosponsor of House Bill 553”Map →
PersonCandy Massaroni“Cosponsor of House Bill 553”Map →
OrganizationDepartment for Medicaid Services“Prohibited from expending Medicaid funds on gender transition services”Map →
PersonAttorney General“Authorized to seek injunctive relief and civil/criminal penalties for violations”Map →
PersonRyan Dotson“Cosponsor of House Bill 553”Map →
OrganizationCabinet for Health and Family Services“State agency administering health and family services programs”Map →
PersonJosh Calloway“Primary sponsor of House Bill 553”Map →
PersonSteven Doan“Cosponsor of House Bill 553”Map →
PersonT.J. Roberts“Cosponsor of House Bill 553”Map →
OrganizationDepartment of Juvenile Justice“State agency responsible for committed youth”Map →
OrganizationPersonnel Cabinet“Administers state employee health insurance programs”Map →

Sources

Open source document

apps.legislature.ky.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 85)
  • Controversy95
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz75
    Current news / social attention level

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