Text of MN HF 4694 (2020)
Gender transition medical services and gender reassignment surgery prohibited for persons under the age of 18.
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As introduced
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A bill for an act
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relating to health; prohibiting the provision of gender transition medical services
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to and performance of gender reassignment surgery for persons under the age of
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18; amending Minnesota Statutes 2018, section 60A.0784; proposing coding for
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new law in Minnesota Statutes, chapter 214.
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
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Section 1. Minnesota Statutes 2018, section 60A.0784, is amended to read:
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60A.0784 PROHIBITED PRACTICES.
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It is unlawful for any person to:
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(1) procure or cause to be procured or effected a policy in violation of section 60A.0783;
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(2) engage in STOLI practices or otherwise wager on life;
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(3) solicit, market, or otherwise promote the purchase of a policy for the purpose of or
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with an emphasis on the subsequent sale of the policy in the secondary market;
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(4) enter into a premium finance agreement with any person or agency, or any person
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affiliated with such person or agency, pursuant to which the lender or any person affiliated
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with the lender shall receive any proceeds, fees, or other consideration, directly or indirectly,
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from the policy or policyowner or any other person with respect to the premium finance
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agreement or any settlement contract or other transaction related to such policy that are in
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addition to the amounts required to pay the principal, interest, and service charges related
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to policy premiums pursuant to the premium finance agreement or subsequent sale of such
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agreement; provided, further, that any payments, charges, fees, or other amounts in addition
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to the amounts required to pay the principal, interest, and service charges related to policy
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Section 1.
REVISOR
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State of Minnesota
This Document can be made available
in alternative formats upon request
HOUSE OF REPRESENTATIVES
H. F. No. 4694
NINETY-FIRST SESSION
Authored by Runbeck and Gruenhagen
05/17/2020
The bill was read for the first time and referred to the Committee on Health and Human Services Policy
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premiums paid under the premium finance agreement shall be remitted to the insured or to
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the insured's estate if the insured is not living at the time of the determination of the
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overpayment; or
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(5) enter into or to offer to enter into a settlement contract prior to the issuance of a
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policy that is the subject of the settlement contract or proposed settlement contract.;
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(6) solicit, market, or otherwise promote the purchase of a policy that would provide
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professional liability insurance for the actions prohibited by section 214.079; or
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(7) enter into or offer to enter into a settlement contract for the actions of an insured in
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violation of section 214.079.
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EFFECTIVE DATE. This section is effective the day following final enactment and
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applies to policies offered, issued, or renewed on or after that date.
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Sec. 2. [214.079] PROHIBITING GENDER TRANSITION MEDICAL SERVICES
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FOR MINORS.
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Subdivision 1. Definitions. (a) For purposes of this section, the following terms have
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the meanings given them.
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(b) "Gender reassignment surgery" means any surgical procedure that seeks to alter an
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individual's anatomy for the purpose of assisting the individual in creating physical features
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similar to a person of the opposite sex, including but not limited to genital or non-genital
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sex reassignment surgery.
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(c) "Gender transition medical services" means a medical or surgical service that assists
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an individual in transitioning physically to a sex different from the individual's birth sex,
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including but not limited to medical services that provide: gonadotropin releasing hormone
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analogues, or analogous drugs, or other interventions to delay or suppress pubertal
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development in children; cross-sex hormones, or other mechanisms, to promote the
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development of feminizing or masculinizing features in the opposite sex; or genital or
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non-genital sex reassignment surgery performed for the purpose of assisting an individual
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with a sex transition.
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(d) "Genital sex reassignment surgery" means surgical procedures such as penectomy,
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orchiectomy, vaginoplasty, clitoroplasty, or vulvoplasty on male patients; or hysterectomy,
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ovariectomy, reconstruction of the fixed part of the urethra with or without a metoidioplasty
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or a phalloplasty, vaginectomy, scrotoplasty, or implantation of erection or testicular
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prostheses on female patients.
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REVISOR
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(e) "Health care provider" has the meaning given in section 62A.63, subdivision 2.
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(f) "Non-genital sex reassignment surgery" means surgical procedures, including but
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not limited to augmentation mammoplasty, facial feminization surgery, liposuction,
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lipofilling, voice surgery, thyroid cartilage reduction, gluteal augmentation, hair
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reconstruction, or various aesthetic procedures on male patients; or subcutaneous mastectomy,
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voice surgery, liposuction, lipofilling, pectoral implants, or various aesthetic procedures on
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female patients.
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Subd. 2. Prohibition. (a) No health care provider licensed by a health-related licensing
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board or otherwise licensed under the laws of this state or registered with the commissioner
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of health may provide gender transition medical services to a patient younger than 18 years
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of age. No physician licensed under chapter 147 may perform gender reassignment surgery
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on any person under the age of 18. Gender reassignment surgery or gender transition medical
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services provided to a patient younger than 18 years of age shall be considered unprofessional
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conduct and the health care provider shall be subject to disciplinary action by the applicable
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health-related licensing board.
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(b) A health care provider who violates paragraph (a) is liable for a civil penalty of up
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to $5,000 per violation.
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(c) The statute of limitations for a cause of action brought related to gender reassignment
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surgery or gender transition medical services is 20 years from the age of majority.
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Subd. 3. Exceptions. This section does not apply to the good faith medical decision of
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a parent or guardian of a minor under 18 years of age born with a medically verifiable
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genetic disorder of sex development, including:
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(1) external biological sex characteristics that are irresolvably ambiguous, such as a
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minor born having 46 XX chromosomes with virilization, 46 XY chromosomes with
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undervirilization, or having both ovarian and testicular tissue; or
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(2) a disorder of sexual development diagnosed by a physician through genetic testing
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showing that the minor does not have the normal sex chromosome structure for a male or
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female.
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EFFECTIVE DATE. This section is effective the day following final enactment, except
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that this section shall not prohibit: (1) the continuation and completion of a course of gender
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reassignment surgery that began before the effective date of the section; and (2) the
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continuation and completion of gender transition medical services that were first provided
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before the effective date of this section.
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Sec. 2.
REVISOR
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