Bill > HB2513

This bill prohibits medical procedures, including the prescription or administration of puberty blockers (drugs that suppress pubertal development) or hormones (androgens or estrogens), for minors (individuals under 18) if the purpose is to help them identify with or live as a gender different from their sex assigned at birth, or to treat distress related to this discordance. The bill defines "sex" as immutable characteristics of the reproductive system determined by anatomy and genetics at birth, and excludes gender dysphoria or related conditions from being considered a "disease" for exceptions. Exceptions to this prohibition exist for treating congenital defects, precocious puberty, or certain diseases or physical injuries, as well as for medical procedures that began before the bill's effective date and conclude by January 1, 2027, provided a physician certifies ending the procedure would be harmful. The bill establishes a private right of action allowing minors or their parents to sue healthcare providers for damages if injured by a violation, and a state right of action allowing the attorney general to seek injunctions, disgorge profits, and impose civil penalties of $25,000 per violation. Violations can also lead to sanctions from the relevant licensing authority for healthcare providers. The bill emphasizes that a minor's or parent's consent is not a defense against liability for these prohibited procedures.

Health and Social Services

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=2513&year=2026