SB 1257 – Reverse Gender Transition Coverage

PRO-TAXPAYER POSITION
Support
Senate Journal Page: 1489

SB 1257 ensures that if a health plan covered a person’s gender transition treatment, it must also cover the aftermath—whether it’s medical complications, regret-driven reversal procedures, or ongoing health screenings. This bill helps prevent taxpayers and private individuals from footing large medical bills out-of-pocket due to insurers shirking responsibility. It closes a loophole that left some Texans without coverage for post-transition care, which can be medically necessary and costly. By requiring insurance plans—not the state or taxpayers—to cover these expenses, the bill protects both individual health and public finances. It also helps improve long-term cost forecasting by requiring diagnostic codes for these treatments. SB 1257 represents a step toward personal responsibility in healthcare and avoids the expansion of government programs or subsidies to fill these gaps in care.

PRO-TAXPAYER POSITION
Support
Vote Breakdown:
20
11
  • Pro-Taxpayer
  • Anti-Taxpayer
  • Absent
  • Speaker
  • Absent, Excused
  • Present, not voting
  • Not Applicable
LegislatorDistrictPartyVote
Carol Alvarado
6 Democrat
X
Paul Bettencourt
7 Republican
Check
Brian Birdwell
22 Republican
Check
César Blanco
29 Democrat
X
Donna Campbell
25 Republican
Check
Molly Cook
15 Democrat
X
Brandon Creighton
4 Republican
Check
Sarah Eckhardt
14 Democrat
X
Pete Flores
24 Republican
Check
Roland Gutierrez
19 Democrat
X
Brent Hagenbuch
30 Republican
Check
Bob Hall
2 Republican
Check
Kelly Hancock
9 Republican
Check
Juan Hinojosa
20 Democrat
X
Adam Hinojosa
27 Republican
Check
Joan Huffman
17 Republican
Check
Bryan Hughes
1 Republican
Check
Nathan Johnson
16 Democrat
X
Phil King
10 Republican
Check
Lois Kolkhorst
18 Republican
Check
José Menéndez
26 Democrat
X
Mayes Middleton
11 Republican
Check
Borris Miles
13 Democrat
X
Robert Nichols
3 Republican
Check
Tan Parker
12 Republican
Check
Angela Paxton
8 Republican
Check
Charles Perry
28 Republican
Check
Charles Schwertner
5 Republican
Check
Kevin Sparks
31 Republican
Check
Royce West
23 Democrat
X
Judith Zaffirini
21 Democrat
X