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Republican Sponsorship
Healthcare

SB199

Concerning Medical Malpractice And Gender Transition In Minors; And To Create The Protecting Minors From Medical Malpractice Act Of 2023.

Passed

Last Action (March 16, 2023): Notification that SB199 is now Act 274

Sponsors

AI-Generated Summary

Senate Bill 199 creates the 'Protecting Minors from Medical Malpractice Act of 2023' in Arkansas. The bill establishes civil liability for healthcare professionals who perform gender transition procedures on minors if those procedures result in physical, psychological, or emotional injury. It allows minors or their legal representatives to bring civil actions, including claims for compensatory and punitive damages, up to 15 years after the minor turns eighteen. The legislation outlines a 'safe harbor' defense for providers, requiring two years of documented gender inconsistency, multiple professional certifications regarding the necessity of the procedure and the absence of other mental health comorbidities, and strict informed consent protocols. These protocols mandate that providers give patients and guardians a specific, lengthy written warning regarding potential long-term health risks and the status of international medical guidelines. Additionally, the bill clarifies that state law cannot compel healthcare professionals to perform gender transition procedures. The bill explicitly excludes services for individuals with medically verifiable disorders of sex development from these regulations.

Potential Impact Analysis

Who Might Benefit?

The primary beneficiaries include individuals or families who support restrictions on gender-affirming care for minors and those who believe that current medical standards for these procedures are insufficient or carry undisclosed risks. Additionally, legal entities and plaintiffs who may wish to pursue medical malpractice litigation against providers of gender-affirming care for minors would benefit from the new statutory cause of action. Healthcare professionals who hold personal, religious, or ethical objections to performing gender transition procedures also benefit from the statutory protection of their freedom of conscience.

Who Might Suffer?

Transgender and gender-nonconforming minors seeking gender-affirming medical care would be negatively impacted by the increased difficulty, potential costs, and limited availability of such services due to the new legal liabilities and rigorous requirements imposed on providers. Healthcare professionals specializing in gender-affirming care face significant legal exposure, increased administrative burdens, and potential professional liability that could lead them to discontinue providing these services. Furthermore, parents and guardians of transgender youth who support medical transition as a treatment option may face restricted access to care and legal barriers to securing interventions for their children.

Vote Records

Third Reading

March 8, 2023
Yea: 76 Nay: 17 NV: 7 Absent: 0 Passed
View individual votes (100)
Legislator Party Chamber Vote
Fred Allen Democrat House Nay
Lane Jean Republican House Yea
Stephen Meeks Republican House Yea
Mark Perry Democrat House NV
Jon Eubanks Republican House Yea
Matthew Shepherd Republican House NV
Jeff Wardlaw Republican House Nay
Bruce Cozart Republican House Yea
David Whitaker Democrat House Nay
Deborah Ferguson Democrat House NV
Charlene Fite Republican House Yea
Mike Holcomb Republican House Yea
Stephen Magie Democrat House Nay
Mark McElroy Republican House Yea
Josh Miller Republican House Yea
Richard Womack Republican House Yea
Jack Ladyman Republican House Yea
Robin Lundstrum Republican House Yea
Dwight Tosh Republican House Yea
Lanny Fite Republican House Yea
Grant Hodges Republican House Yea
Rick Beck Republican House Yea
Mary Bentley Republican House Yea
Les Eaves Republican House Yea
Justin Gonzales Republican House Yea
Julie Mayberry Republican House Yea
Ken Ferguson Democrat House Nay
Ron Mcnair Republican House Yea
Milton Nicks Democrat House Nay
Marcus Richmond Republican House Yea
Vivian Flowers Democrat House Nay
Deann Vaught Republican House Yea
Karilyn Brown Republican House Yea
Sonia Eubanks Barker Republican House Yea
Frances Cavenaugh Republican House Yea
Jack Fortner Republican House NV
Jimmie Gazaway Republican House Yea
Roger Lynch Republican House Yea
John Maddox Republican House Yea
Aaron Pilkington Republican House Yea
Johnny Rye Republican House Yea
Les Warren Republican House NV
Danny Watson Republican House Yea
Carlton Wing Republican House Yea
Austin Mccollum Republican House Yea
Carol Dalby Republican House NV
Steve Hollowell Republican House Yea
Brian Evans Republican House Yea
Lee Johnson Republican House Yea
Andrew Collins Democrat House Nay
Stan Berry Republican House Yea
Harlan Breaux Republican House Yea
Cameron Cooper Republican House Yea
Nicole Clowney Democrat House Nay
Cindy Crawford Republican House Yea
Denise Garner Democrat House Nay
Tippi McCullough Democrat House Nay
Jay Richardson Democrat House Nay
Jamie Scott Democrat House Nay
Jim Wooten Republican House Yea
Denise Ennett Democrat House Nay
Richard McGrew Republican House Yea
Joy Springer Democrat House Nay
Howard Beaty Republican House Yea
Tony Furman Republican House Yea
Kendon Underwood Republican House Yea
David Ray Republican House Yea
Mark Berry Republican House Yea
John Carr Republican House Yea
Rick McClure Republican House Yea
Keith Brooks Republican House Yea
Delia Haak Republican House Yea
Ashley Hudson Democrat House Nay
Jon Milligan Republican House Yea
RJ Hawk Republican House Yea
Wade Andrews Republican House Yea
Rebecca Burkes Republican House Yea
DeAnna Hodges Republican House Yea
Hope Duke Republican House Yea
Zack Gramlich Republican House Yea
Mindy McAlindon Republican House Yea
Matt Duffield Republican House Yea
Stetson Painter Republican House Yea
Steve Unger Republican House Yea
Wayne Long Republican House Yea
Scott Richardson Republican House Yea
Brandon Achor Republican House NV
Jeremiah Moore Republican House Yea
Joey Carr Republican House Yea
Matt Brown Republican House Yea
Shad Pearce Republican House Yea
Chad Puryear Republican House Yea
Ryan Rose Republican House Yea
Bart Schulz Republican House Yea
Trey Steimel Republican House Yea
Tara Shephard Democrat House Nay
Jeremy Wooldridge Republican House Yea
Kendra Moore Republican House Yea
Brit McKenzie Republican House Yea
Steven Walker Republican House Yea

Third Reading

Feb. 21, 2023
Yea: 29 Nay: 6 NV: 0 Absent: 0 Passed
View individual votes (35)
Legislator Party Chamber Vote
Jane English Republican Senate Yea
Linda Chesterfield Democrat Senate Nay
Jonathan Dismang Republican Senate Yea
Greg Leding Democrat Senate Nay
Missy Irvin Republican Senate Yea
Bryan King Republican Senate Yea
Kim Hammer Republican Senate Yea
Stephanie Flowers Democrat Senate Nay
Frederick Love Democrat Senate Nay
Terry Rice Republican Senate Yea
Reginald Murdock Democrat Senate Nay
Gary Stubblefield Republican Senate Yea
Jim Dotson Republican Senate Yea
John Payton Republican Senate Yea
Alan Clark Republican Senate Yea
Ronald Caldwell Republican Senate Yea
Bart Hester Republican Senate Yea
Jimmy Hickey Republican Senate Yea
Dan Sullivan Republican Senate Yea
David Wallace Republican Senate Yea
Blake Johnson Republican Senate Yea
Justin Boyd Republican Senate Yea
Clarke Tucker Democrat Senate Nay
Scott Flippo Republican Senate Yea
Clint Penzo Republican Senate Yea
Mark Johnson Republican Senate Yea
Ricky Hill Republican Senate Yea
Breanne Davis Republican Senate Yea
Ben Gilmore Republican Senate Yea
Joshua Bryant Republican Senate Yea
Matt McKee Republican Senate Yea
Jim Petty Republican Senate Yea
Steve Crowell Republican Senate Yea
Tyler Dees Republican Senate Yea
Matt Stone Republican Senate Yea
Read Full Bill on arkleg.state.ar.us