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HB4088Introduced in the House

Relating to health; and declaring an emergency.

Passed

Introduced by Lisa Fragala, District 8

What does this bill do?

Plain-English breakdown

Writing a plain-English summary of this bill… this can take a few seconds the first time.

Official description

The Act says that it is the policy of this state to make sure people are allowed to get certain kinds of health care, including care for their bodies and gender identity. The Act also makes changes to laws about helping the federal government and other states in cases arising involving this kind of care, makes some records and information private and says that midwives who give this kind of care will not get in trouble if they follow the rules. The new law starts right away. (Flesch Readability Score: 60.7). Declares this state's policy to protect engagement in certain activities relating to reproductive health care and gender-affirming treatment. Prohibits cooperation with law enforcement agencies of the federal government or other states in actions involving legally-protected reproductive or gender-affirming health care activities. Modifies provisions regarding interstate actions involving legally-protected reproductive or gender-affirming health care activities. Makes specified records and information confidential. Provides protection from disciplinary action for direct entry midwives who provide reproductive health care and gender-affirming treatment under specified circumstances. Declares an emergency, effective on passage.

Where it stands

Chapter 52, (2026 Laws): Effective date March 31, 2026.

April 6, 2026

How did lawmakers vote?

House votes

2 recorded votes · each counted separately

Senate votes

3 recorded votes · each counted separately

SenateStage: Senate Third Reading · March 5, 2026

18

Yes

12

No

0

Absent or Not Voting

30 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.

See how each senator voted

SenatorDistrictVote
David Smith1No
Noah Robinson2No
Jeffrey Golden3Yes
Floyd Prozanski4Yes
Richard Anderson5No
Cedric Hayden6No
James Manning7Yes
Sara Gelser Blouin8Yes
Fred Girod9No
Deb Patterson10Yes

Bill history

  1. First reading. Referred to Speaker's desk.

  2. Referred to Judiciary.

  3. Public Hearing held.

  4. Work Session held.

  5. Recommendation: Do pass with amendments and be printed A-Engrossed.

  6. Second reading.

  7. Third reading. Carried by Fragala. Passed. Ayes, 34; Nays, 22--Boice, Boshart Davis, Breese-Iverson, Bunch, Cate, Diehl, Elmer, Harbick, Helfrich, Levy B, Lewis, Mannix, McIntire, Osborne, Owens, Reschke, Scharf, Skarlatos, Smith G, Wallan, Wright, Yunker; Excused, 3--Levy E, Sosa, Valderrama; Excused for Business of the House, 1--Edwards.

  8. First reading. Referred to President's desk.

  9. Referred to Judiciary.

  10. Public Hearing Cancelled.

  11. Public Hearing held.

  12. Work Session held.

  13. Recommendation: Do pass the A-Eng bill.

  14. Minority Recommendation: Do pass with amendments to the A-Eng. bill. (Printed B-Eng Minority)

  15. Second reading.

  16. Motion to substitute Minority Report for Committee Report failed. Ayes, 12; Nays, 18--Broadman, Campos, Frederick, Gelser Blouin, Golden, Gorsek, Jama, Lieber, Manning Jr, Meek, Neron Misslin, Patterson, Pham, Prozanski, Reynolds, Sollman, Taylor, President Wagner.

  17. Third reading. Carried by Gelser Blouin. Passed. Ayes, 18; Nays, 12--Anderson, Drazan, Girod, Hayden, Linthicum, McLane, Nash, Robinson, Smith DB, Starr, Thatcher, Weber.

  18. Speaker signed.

  19. President signed.

  20. Governor signed.

  21. Chapter 52, (2026 Laws): Effective date March 31, 2026.

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