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LB 731

Adopt the Gender Transition Malpractice Accountability Act, provide an exemption to the time limitation to commence certain actions relating to professional negligence, require insurance coverage for certain treatments and procedures arising as a result of a gender-altering procedure, and change provisions relating to civil actions under the Let Them Grow Act

109th Legislature (2025-2026) Introduced by Brian Hardin and 2 co-sponsors

Nebraska bill extends malpractice liability timeframes for gender-affirming procedures and mandates insurance coverage for related complications.

Notice of hearing for January 29, 2026
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Bill Summary · LB 731

Legislative bill overview

LB 731 creates a new "Gender Transition Malpractice Accountability Act" that extends the statute of limitations for medical malpractice claims related to gender-affirming procedures, requires insurance coverage for treatments resulting from alleged gender-altering procedure complications, and modifies provisions in Nebraska's "Let Them Grow Act" (which restricts gender-affirming care for minors).

Why is this important

This bill directly affects access to legal remedies for patients who believe they experienced medical negligence during gender-affirming care, establishes new insurance obligations for related treatments, and creates a framework that could significantly influence how healthcare providers approach this medical specialty. The extended statute of limitations is particularly consequential because it allows claims to be filed long after standard malpractice time limits would normally expire.

Potential points of contention

  • Statute of limitations extension: Opponents may argue this creates indefinite liability exposure for providers, potentially discouraging practitioners from offering these services; supporters argue patients need adequate time to discover and prove harm
  • Insurance mandate scope: Questions about what constitutes a "treatment arising as a result" of a procedure, which could expand coverage requirements unpredictably and increase insurance costs
  • Interaction with Let Them Grow Act: Unclear how this accountability framework applies to restrictions on minors' access, raising concerns about whether it undermines existing age-based protections or creates new legal pathways around them

Compiled from official sources — confirm details with the bill’s official record.

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