Bill
HB 4467
Michigan bans puberty suppression, cross-sex hormones, sterilizing/genital-altering surgeries for minors; enables civil suits, damages, and AG enforcement.
HB 4467 — Summary and Analysis
Overview
- Name: Protecting Minors from Chemical and Surgical Mutilation Act
- Purpose: Prohibit chemical and surgical gender-transition procedures or treatments for minors; establish remedies and enforcement mechanisms.
- Status: Introduced May 7, 2025; referred to the Health Policy committee. Related companion bills exist (SB 465, SB 1333, HB 414, HB 3003).
What the bill would do
- Prohibit certain gender-transition practices for minors (under 18, not emancipated) by health care professionals.
- Create civil remedies, including damages and injunctive relief, and authorize enforcement actions by the Attorney General.
Key provisions and scope
- Prohibited practices (Sec. 5(1)):
- Puberty suppression or maturation-altering therapies: prescribing or administering gonadotropin-releasing hormone (GnRH) analogues or other drugs that stop LH/FSH secretion, synthetic antiandrogens, or any drug to suppress or delay puberty.
- Hormone therapy beyond typical endogenous production: prescribing testosterone, estrogen, or progesterone in amounts greater than what a healthy minor of the same age/sex would normally produce.
- Sterilizing surgeries: including castration, vasectomy, hysterectomy, oophorectomy, orchiectomy, penectomy.
- Genitalia-altering surgeries: metoidioplasty, phalloplasty, vaginoplasty.
- Removal of healthy or nondiseased tissue or body part.
- Exceptions (Sec. 5(2)):
- Minor with medically verifiable disorder of sex development (DSD), including cases with atypical virilization/undervirilization or mixed gonadal tissue.
- Minor diagnosed with DSD where genetic/biochemical testing shows non-normal sex chromosomes, sex steroid production, or sex steroid action.
- Treatment of infection, injury, disease, or disorder caused or worsened by a gender-transition procedure, regardless of compliance with other laws.
- Emergency procedures for imminent death or major bodily function impairment when necessary to treat a physical disorder or injury, as certified by a physician.
- Definitions (Sec. 3):
- Carefully defines terms such as “Female,” “Male,” “Minor,” “Sex,” “Health care professional,” and “Person.”
- Treats “Sex” as the immutable biological classification, and confines “Health care professional” to licensed/authorized individuals under Michigan’s Public Health Code.
Enforcement, remedies, and timeline
- Remedies (Sec. 7):
- Civil actions for injunctive relief, damages, and other proper remedies.
- Generally two-year statute of limitations from accrual; individuals harmed as minors may sue after turning 18 but no later than age 38.
- Prevailing plaintiffs are entitled to reasonable costs and attorney fees.
- Exhaustion of administrative remedies is not a defense.
- Enforcement (Sec. 8):
- The Michigan Attorney General may bring enforcement actions to uphold the act.
Impact and considerations
- Who is affected: Minors under 18, families seeking gender-affirming care, health care professionals and clinics, health systems, and insurers operating in Michigan.
- Practical effects: Creates a statutory prohibition on specific chemical and surgical procedures for minors and provides a clear pathway for lawsuits and AG enforcement.
- Context: Part of ongoing legislative activity with companion bills in the Senate and House.
Notes
- The bill would apply subject to the stated exceptions for DSD cases and emergency medical circumstances. Next steps include committee review and potential amendments before floor consideration.
Compiled from official sources — confirm details with the bill’s official record.
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