Text of MN SF 4243 (2026)
Gender-affirming medical care and certain counseling prohibition for minors in the state of Minnesota
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As introduced
4,857 characters
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A bill for an act
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relating to health; prohibiting gender-affirming medical care and certain counseling
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for minors in the state of Minnesota; establishing penalties for violations; proposing
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coding for new law in Minnesota Statutes, chapter 144.
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
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Section 1. [144.041] PROHIBITING GENDER-AFFIRMING MEDICAL CARE
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AND CERTAIN COUNSELING.
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Subdivision 1. Short title. This section may be cited as the "Zywiec Act."
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Subd. 2. Definitions. (a) For purposes of this section, the following terms have the
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meanings given.
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(b) "Minor" means an individual under 18 years of age.
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(c) "Gender-affirming care" means any medical or surgical intervention, including but
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not limited to hormone therapy, puberty blockers, or gender reassignment surgery, intended
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to affirm an individual's perceived gender identity when it differs from their biological sex
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as determined at birth.
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(d) "Health care provider" means any licensed physician, surgeon, nurse practitioner,
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or other individual authorized to provide medical care under the laws of Minnesota.
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(e) "Biological sex" means the sex assigned at birth based on chromosomes, gonads,
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and genitalia.
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(f) "Intersex condition" means a congenital condition in which an individual is born with
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the reproductive or sexual anatomy that does not fit typical definitions of male or female,
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Section 1.
25-04741
as introduced
03/27/25
REVISOR
SGS/EN
SENATE
STATE OF MINNESOTA
S.F. No. 4243
NINETY-FOURTH SESSION
(SENATE AUTHORS: MATHEWS, Coleman, Housley, Lucero and Holmstrom)
OFFICIAL STATUS
D-PG
DATE
Introduction and first reading
03/09/2026
Referred to Health and Human Services
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including but not limited to ambiguous genitalia, as diagnosed by a licensed health care
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provider.
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Subd. 3. Prohibition of gender-affirming care and certain counseling for minors. (a)
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No health care provider shall knowingly provide gender-affirming care to a minor within
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the state of Minnesota.
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(b) No public funds, including medical assistance or other Minnesota health care
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programs, shall be used to provide gender-affirming care to a minor.
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(c) This prohibition does not apply to:
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(1) treatment of a minor for a diagnosed medical condition unrelated to gender identity,
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such as precocious puberty, when such treatment is deemed medically necessary by a licensed
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health care provider and approved by the minor's legal guardian;
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(2) mental health counseling or therapy that does not involve medical or surgical
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intervention, provided that such counseling does not suggest, encourage, or affirm that the
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minor is any gender other than their biological sex as determined at birth; or
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(3) surgical or medical interventions for a minor with an intersex condition, when such
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interventions are deemed medically necessary by a licensed health care provider to correct
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ambiguous genitalia or other physical anomalies directly related to the intersex condition,
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and are approved by the minor's legal guardian, provided that the intervention is not intended
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to affirm a gender identity differing from the minor's biological sex as determined by genetic
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or anatomical evidence.
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Subd. 4. Penalties. (a) Any health care provider found in violation of subdivision 3,
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paragraph (a) or (c), clause (2), shall:
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(1) be subject to a civil fine of not less than $500,000 per violation;
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(2) have their professional license revoked by the Board of Medical Practice or relevant
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licensing authority; and
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(3) be subject to imprisonment for a term of up to ten years.
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(b) In addition to the penalties in paragraph (a), a health care provider shall be liable for
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civil action brought by the minor's legal guardian for damages, including emotional distress.
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Subd. 5. Enforcement. (a) The Department of Health shall investigate alleged violations
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of this section.
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(b) Citizens may report suspected violations to the Department of Health, which shall
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maintain a confidential reporting mechanism.
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Section 1.
25-04741
as introduced
03/27/25
REVISOR
SGS/EN
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Subd. 6. Severability. If any provision of this section or its application to any person
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or circumstance is held invalid, the remainder of this section and the application of its
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provisions to other persons or circumstances shall not be affected.
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EFFECTIVE DATE. This section is effective July 1, 2025.
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Section 1.
25-04741
as introduced
03/27/25
REVISOR
SGS/EN