H-0185.1
HOUSE BILL 1038
State of Washington 69th Legislature 2025 Regular Session
By Representative Jacobsen
Prefiled 12/11/24.
1 AN ACT Relating to prohibiting puberty blocking medications,
2 cross-sex hormones, and gender transition surgeries for minors; and
3 adding a new section to chapter 18.130 RCW.
4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
5 NEW SECTION. Sec. 1. A new section is added to chapter 18.130
6 RCW to read as follows:
7 (1) Except as provided in subsection (2) of this section, a
8 health care provider licensed under this title may not knowingly
9 engage in or cause any of the following practices to be performed on
10 a minor if the practice is performed for the purpose of attempting to
11 alter the appearance of, or affirm the minor's perception of, the
12 minor's gender or sex, if that appearance or perception is
13 inconsistent with the minor's sex:
14 (a) Prescribing or administering gonadotropin-releasing hormone
15 analogues or other synthetic drugs used to stop luteinizing hormone
16 and follicle-stimulating hormone secretion, synthetic antiandrogen
17 drugs used to block the androgen receptor, or any drug to suppress or
18 delay normal puberty;
19 (b) Prescribing or administering testosterone, estrogen, or
20 progesterone to a minor in an amount greater than would normally be
p. 1 HB 1038
 1 produced endogenously in a healthy individual of that individual's
2 age and sex;
3 (c) Performing surgeries that sterilize, including castration,
4 vasectomy, hysterectomy, oophorectomy, orchiectomy, and penectomy;
5 (d) Performing surgeries that artificially construct tissue with
6 the appearance of genitalia that differs from the individual's sex,
7 including metoidioplasty, phalloplasty, and vaginoplasty; and
8 (e) Removing any healthy or nondiseased body part or tissue.
9 (2) The following services and treatments are not prohibited by
10 this section:
11 (a) Services provided to a minor born with a medically verifiable
12 disorder of sex development, including a minor with external
13 biological sex characteristics that are irresolvably ambiguous, such
14 as a minor born with 46 XX chromosomes with virilization, 46 XY
15 chromosomes with undervirilization, or having both ovarian and
16 testicular tissue;
17 (b) Services provided to a minor who has otherwise been diagnosed
18 with a disorder of sexual development by a physician, when the
19 physician has determined through genetic or biochemical testing that
20 the minor does not have a normal sex chromosome structure, sex
21 steroid hormone production, or sex steroid hormone action for a
22 biological male or biological female;
23 (c) Services provided to taper a minor off of any puberty
24 blocking medications or other hormones;
25 (d) The treatment of any infection, injury, disease, or disorder
26 that has been caused or exacerbated by the performance of gender
27 transition procedures, whether or not the procedures were performed
28 in accordance with state and federal law; and
29 (e) Any procedure undertaken because a minor suffers from a
30 physical disorder, physical injury, or physical illness that is
31 certified by a physician and that would place the minor in imminent
32 danger of death or impairment of a major bodily function unless
33 surgery is performed.
34 (3) For purposes of this section:
35 (a) "Gender" means the psychological, behavioral, social, and
36 cultural aspects of being male or female.
37 (b) "Minor" means an unemancipated person under 18 years of age.
38 (c) "Sex" means the biological indication of male and female,
39 including sex chromosomes, naturally occurring sex hormones, gonads,
40 and nonambiguous internal and external genitalia present at birth
p. 2 HB 1038
1 without regard to an individual's psychological, chosen, or
2 subjective experience of gender.
--- END ---
p. 3 HB 1038