Minnesota 2025-2026 Regular Session

Minnesota Senate Bill SF4243

Introduced
3/9/26  

Caption

Gender-affirming medical care and certain counseling prohibition for minors in the state of Minnesota

Impact

The imposition of this bill would significantly reshape the landscape of healthcare for minors in Minnesota, particularly those experiencing gender dysphoria. Under SF4243, public funds and healthcare programs would be prohibited from supporting gender-affirming treatments for these minors, which could limit access to critical healthcare services. Furthermore, the legislation introduces stringent penalties for healthcare providers found in violation of the stipulated prohibitions, including hefty fines, license revocation, and potential imprisonment. These penalties underscore the serious ramifications for providers and may lead to a chilling effect on their willingness to offer related services to minors, even in appropriate circumstances dictated by medical necessity.

Summary

Senate File 4243, also referred to as the 'Zywiec Act,' seeks to prohibit gender-affirming medical care and certain types of counseling for minors in Minnesota. The bill clearly stipulates that no healthcare provider may knowingly offer gender-affirming care to individuals under 18 years of age. This includes various forms of intervention such as hormone therapy, puberty blockers, or gender reassignment surgery that affirm a person’s gender identity differing from their biological sex. The bill identifies specific exemptions, allowing for treatment unrelated to gender identity and mental health counseling that does not suggest a gender identity contrary to an individual's biological sex.

Contention

The bill has generated considerable debate, reflecting deep divides within society regarding gender identity and healthcare rights. Proponents argue that the legislation enables the protection of minors from undergoing irreversible medical procedures that they may later regret. Opponents, however, claim that it undermines the autonomy of families and infringes on the rights of minors to receive appropriate care as per their needs. The tension encapsulated within the discussions around SF4243 illustrates the broader national discourse on gender-affirming care, where views differ significantly on how best to approach healthcare for transgender and gender non-conforming youth.

Companion Bills

MN HF3151

Similar To Gender-affirming medical care and certain counseling for minors prohibited in the state of Minnesota, and penalties for violations established.

Previously Filed As

MN SF4912

Prohibit gender-affirming medical care and certain counseling for minors in the state of Minnesota

MN HF3151

Gender-affirming medical care and certain counseling for minors prohibited in the state of Minnesota, and penalties for violations established.

MN HB3431

Relating to prohibitions on the provision to certain children of gender transitioning or reassignment procedures and treatments and gender-affirming therapy and counseling; creating criminal offenses.

MN HB2085

Gender transition; minors; prohibitions.

MN SB1095

Gender transition; minors; prohibitions

MN HB1068

Malpractice Insurers Gender-Affirming Care Minors

MN SF5043

Statute of limitations elimination for causes of action on gender-affirming care for minor children

MN HF4755

Statute of limitations eliminated for causes of action on gender-affirming care for minor children.

MN HB1033

Prohibiting gender transition procedures for minors and coverage for gender transition procedures for minors.

MN HB1916

To Amend The Protecting Minors From Medical Malpractice Act Of 2023; And To Include Gender-affirming Interventions As A Right Of Action For Medical Malpractice.

Similar Bills

No similar bills found.