---
type: "Bill"
title: "Sex Characteristic Change Treatment Amendments"
description: "Sex Characteristic Change Treatment Amendments"
jurisdiction: "us/states/ut"
legislature: "Utah Legislature"
session: "2026"
identifier: "HB 174"
citation: "Utah HB 174 (2026)"
classification: ["bill"]
subjects: ["Business", "Health Care", "Health Care Professionals", "Health and Human Services", "Occupational and Professional Licensing", "Pharmaceuticals"]
status: "enacted"
primary_sponsors: ["Shipp, Rex P."]
version_count: 12
action_count: 66
vote_count: 5
first_action: "2026-01-07T20:12:05+00:00"
last_action: "2026-03-18T15:54:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/f36dab6f-6da8-4666-9e3a-51c8a456df2a"
source_url: "https://le.utah.gov/~2026/bills/static/HB0174.html"
source_hash: "08f1a6af693d8781dc3f21a54e57da93a41630f59488f61f1ef977ea3a1d24e8"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ut"]
---

# Utah HB 174 (2026) — Sex Characteristic Change Treatment Amendments

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://le.utah.gov/Session/2026/bills/introduced/HB0174.xml)
2. **Amended 1/28/2026 10:01:762** (committee substitute) — [source](https://le.utah.gov/Session/2026/bills/amended/AV_HB0174S01_2026-01-28_10-47-41.pdf)
3. **Amended 2/19/2026 10:02:899** (committee substitute) — [source](https://le.utah.gov/Session/2026/bills/amended/AV_HB0174S01_2026-02-19_10-15-50.pdf)
4. **Amended Excerpts 1/28/2026 10:01:762** (committee substitute) — [source](https://le.utah.gov/Session/2026/bills/amended/AP_HB0174S01_2026-01-28_10-47-41.pdf)
5. **Amended Excerpts 2/19/2026 10:02:899** (committee substitute) — [source](https://le.utah.gov/Session/2026/bills/amended/AP_HB0174S01_2026-02-19_10-15-50.pdf)
6. **Comparison to Original Bill** (committee substitute) — [source](https://le.utah.gov/Session/2026/bills/introduced/CP HB0174 To HB0174S01.pdf)
7. **Comparison to Sub #1** (committee substitute) — [source](https://le.utah.gov/Session/2026/bills/introduced/CP HB0174S01 To HB0174S02.pdf)
8. **House Amendment 1** (committee substitute) — [source](https://le.utah.gov/Session/2026/bills/amended/HB0174.Hamd.1.pdf)
9. **Senate Amendment 2** (committee substitute) — [source](https://le.utah.gov/Session/2026/bills/amended/HB0174S01.Samd.2.pdf)
10. **Substitute #1** (committee substitute) — [source](https://le.utah.gov/Session/2026/bills/introduced/HB0174S01.xml)
11. **Substitute #2** (committee substitute) — [source](https://le.utah.gov/Session/2026/bills/introduced/HB0174S02.xml)
12. **Enrolled** (enrolled) — [source](https://le.utah.gov/Session/2026/bills/enrolled/HB0174.xml)

## Votes

- Senate/ passed 3rd reading — **20–6** (pass) · upper
- House/ concurs with Senate amendment — **53–15** (pass) · lower
- Senate/ passed 2nd reading — **17–7** (pass) · upper
- House/ passed 3rd reading — **54–15** (pass) · lower
- House/ concurs with Senate amendment — **48–16** (pass) · lower

## Sponsors

- Shipp, Rex P. — primary (person)
- McCay, Daniel — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2026-01-07T20:12:05+00:00** Bill Numbered but not Distributed
- **2026-01-07T20:12:05+00:00** Numbered Bill Publicly Distributed
- **2026-01-07T20:12:07+00:00** LFA/ bill assigned to staff for fiscal analysis for HB0174
- **2026-01-07T20:12:07+00:00** LFA/ bill sent to agencies for fiscal input for HB0174
- **2026-01-14T21:00:25+00:00** House/ received bill from Legislative Research `receipt`
- **2026-01-16T17:53:20+00:00** LFA/ fiscal note sent to sponsor for HB0174
- **2026-01-16T23:59:01+00:00** LFA/ fiscal note publicly available for HB0174
- **2026-01-20T16:23:39+00:00** House/ received fiscal note from Fiscal Analyst `receipt`
- **2026-01-20T22:38:26+00:00** House/ 1st reading (Introduced)
- **2026-01-23T19:33:28+00:00** LFA/ bill assigned to staff for fiscal analysis for HB0174S01
- **2026-01-23T19:33:28+00:00** LFA/ bill sent to agencies for fiscal input for HB0174S01
- **2026-01-26T18:32:00+00:00** Bill Substituted by Sponsor in House Rules Comm [House Rules Committee]
- **2026-01-26T19:15:00+00:00** House/ substituted by Rules `substitution`
- **2026-01-26T19:15:33+00:00** House/ to standing committee [House Health and Human Services Committee] `referral-committee`
- **2026-01-27T22:57:02+00:00** House Comm - Amendment Recommendation [House Health and Human Services Committee] `amendment-introduction`
- **2026-01-27T22:58:07+00:00** House Comm - Favorable Recommendation [House Health and Human Services Committee] `committee-passage-favorable`
- **2026-01-28T16:15:41+00:00** LFA/ fiscal note sent to sponsor for HB0174S01
- **2026-01-28T18:48:54+00:00** House/ comm rpt/ amended [House Health and Human Services Committee] `amendment-passage`
- **2026-01-28T18:48:55+00:00** House/ 2nd reading
- **2026-01-30T02:28:57+00:00** LFA/ fiscal note publicly available for HB0174S01
- **2026-02-05T22:02:52+00:00** House/ 3rd reading
- **2026-02-05T22:22:26+00:00** House/ passed 3rd reading `passage`
- **2026-02-05T22:22:28+00:00** House/ to Senate
- **2026-02-06T00:35:44+00:00** Senate/ received from House `receipt`
- **2026-02-06T18:21:44+00:00** Senate/ 1st reading (Introduced)
- **2026-02-09T22:32:04+00:00** Senate/ to standing committee [Senate Judiciary, Law Enforcement, and Criminal Justice Committee] `referral-committee`
- **2026-02-19T00:39:30+00:00** Senate Comm - Amendment Recommendation [Senate Judiciary, Law Enforcement, and Criminal Justice Committee] `amendment-introduction`
- **2026-02-19T00:42:51+00:00** Senate Comm - Favorable Recommendation [Senate Judiciary, Law Enforcement, and Criminal Justice Committee] `committee-passage-favorable`
- **2026-02-19T17:24:12+00:00** Senate/ comm rpt/ amended [Senate Judiciary, Law Enforcement, and Criminal Justice Committee] `amendment-passage`
- **2026-02-19T17:24:13+00:00** Senate/ placed on 2nd Reading Calendar
- **2026-02-20T00:47:06+00:00** LFA/ fiscal note sent to sponsor for HB0174S01
- **2026-02-20T04:45:33+00:00** LFA/ fiscal note publicly available for HB0174S01
- **2026-02-25T21:36:45+00:00** Senate/ 2nd reading
- **2026-02-25T21:45:29+00:00** Senate/ passed 2nd reading `reading-2`
- **2026-02-26T17:37:16+00:00** Senate/ 3rd reading
- **2026-02-26T17:37:31+00:00** Senate/ circled
- **2026-02-27T02:45:22+00:00** LFA/ bill assigned to staff for fiscal analysis for HB0174S02
- **2026-02-27T02:45:22+00:00** LFA/ bill sent to agencies for fiscal input for HB0174S02
- **2026-02-27T02:55:08+00:00** Senate/ uncircled
- **2026-02-27T02:56:28+00:00** Senate/ substituted
- **2026-02-27T02:57:18+00:00** Senate/ circled
- **2026-02-27T13:42:13+00:00** LFA/ fiscal note sent to sponsor for HB0174S02
- **2026-02-27T15:51:11+00:00** LFA/ fiscal note publicly available for HB0174S02
- **2026-02-27T18:47:31+00:00** Senate/ uncircled
- **2026-02-27T18:57:49+00:00** Senate/ passed 3rd reading `passage`
- **2026-02-27T18:57:50+00:00** Senate/ to House with amendments
- **2026-02-27T21:20:19+00:00** House/ received from Senate `receipt`
- **2026-02-27T21:20:20+00:00** House/ placed on Concurrence Calendar
- **2026-03-02T17:46:24+00:00** House/ concurs with Senate amendment `amendment-passage`
- **2026-03-02T17:46:25+00:00** House/ to Senate
- **2026-03-02T21:22:34+00:00** House/ motion to reconsider
- **2026-03-02T21:22:49+00:00** House/ placed on Concurrence Calendar
- **2026-03-02T21:24:39+00:00** House/ concurs with Senate amendment `amendment-passage`
- **2026-03-02T21:24:40+00:00** House/ to Senate
- **2026-03-03T16:27:44+00:00** Senate/ received from House `receipt`
- **2026-03-03T16:27:45+00:00** Senate/ signed by President/ returned to House `passage`
- **2026-03-03T16:27:46+00:00** Senate/ to House
- **2026-03-03T18:18:38+00:00** House/ received from Senate `receipt`
- **2026-03-03T18:18:39+00:00** House/ signed by Speaker/ sent for enrolling `passage`
- **2026-03-04T03:27:14+00:00** Bill Received from House for Enrolling
- **2026-03-04T03:27:20+00:00** Draft of Enrolled Bill Prepared
- **2026-03-04T04:24:59+00:00** Enrolled Bill Returned to House or Senate `enrolled`
- **2026-03-04T04:25:03+00:00** House/ enrolled bill to Printing
- **2026-03-06T15:34:47+00:00** House/ received enrolled bill from Printing `receipt`
- **2026-03-06T15:34:49+00:00** House/ to Governor `executive-receipt`
- **2026-03-18T15:54:00+00:00** Governor Signed `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f36dab6f-6da8-4666-9e3a-51c8a456df2a`. Confidence: reported (aggregated from official Utah legislature records).