Tennessee Bill Would Add Oversight, Reporting to Transgender Health Care for Minors

Today the legislature passed a bill House Bill 0754 by Rep. Jeremy Faison and Sen. Brent Taylor.

The legislation would significantly reshape how gender‑related medical care is handled across Tennessee.

Lawmakers approved the measure after a heated debate over a controversial proposal that introduces new reporting rules for gender clinics, expands state oversight, and limits the ability of local governments to regulate certain aspects of transgender healthcare.
Under the bill, clinics that provide gender‑related care must track and report detailed information to the state health department. That includes the number of procedures performed, patient age and sex, medications prescribed, patients’ home counties, and details about the medical professionals providing care. The data must be reported in a way that does not make personally identifiable patient information public.
Supporters say the goal is to increase transparency and address concerns about people who regret transitioning and struggle to access insurance coverage for reversal treatments. One lawmaker in favor of the bill said he has met individuals who believe they had limited options after making such decisions.

“What we’ve also seen is that a lot of people have buyer’s remorse … and wish they would not have gone down that road.”

“House Bill 754 recognizes the growing number of individuals who have come to realize that gender transition procedures were not the solution to their gender confusion or underlying mental health challenges.”
~ Rep. Jeremy Faison

Critics argue the measure could restrict personal freedom and make healthcare less accessible for transgender individuals. Opponents warn that the added requirements and potential insurance implications may drive up costs, putting care further out of reach for some patients.
The bill also addresses mental health care for minors. It would prevent cities and counties from banning certain types of therapy related to gender identity and would affirm that parents or guardians have the final authority in deciding whether a child receives such treatment.
Healthcare providers who fail to comply with the reporting rules could face serious consequences, including suspensions of at least six months and fines of up to $150,000.
If the bill is fully approved, the state health department would be required to compile the data into an annual report for lawmakers and post it on a public website.
To read the full legislation visit House Bill 0754.