NKY Politics

House Bill 495 - no gender-affirming care

Kentucky House Bill 495 was amended to prohibit Medicaid from paying for gender-affirming care.

House Bill 495, originally aimed to cancel Gov. Andy Beshear’s executive order restricting conversion therapy but was amended to prohibit Medicaid from paying for gender-affirming care at taxpayer expense, including hormonal therapy and surgeries for transgender individuals.

The bill’s sponsor argued the additions ensure the government isn’t funding elective care for transgender people, while critics, including LGBTQ advocates and professional associations, denounced it as an attack on transgender health care.

On March 13, 2025, the Kentucky Senate passed HB 495 with a large enough majority to override the Governor's veto, amid ongoing debates about its impact on transgender Kentuckians’ access to medical care.

Kentucky law already bans gender-affirming care for minors, which the bill builds upon by extending restrictions to Medicaid coverage for adults.