Texas enacted SB 1257 requiring plans that cover gender-transition care to also cover detransition and lifelong monitoring
On May 24, 2025, Texas Governor Greg Abbott signed Senate Bill 1257, which requires any health benefit plan covering gender-transition procedures or treatments to also cover all adverse effects of that care, "detransition" and reversal procedures, and testing and annual health screenings for the life of anyone who received transition-related treatment. Authored by state Sen. Bryan Hughes and sponsored in the House by Rep. Jeff Leach, the law took effect September 1, 2025 and applies to plans issued or renewed on or after January 1, 2026. LGBTQ+ advocates warned the added mandates are designed to make such coverage prohibitively expensive and push insurers to drop gender-affirming care entirely.