This policy explainer was developed by Campaign for Southern Equality and OutMemphis.
This is a first-of-its-kind bill that requires gender-affirming care providers to report data about patients to the Tennessee Department of Health, which would then be made public. The bill also requires all gender-affirming care providers and insurance companies that cover gender-affirming care also cover “detransition” care, and disallows counties and municipalities from protecting youth from conversion therapy. The bill has passed the House and Senate and is headed to Governor Bill Lee for his signature.
Ammendments to the Bill
Advocates were able to amend the bill so patients’ county of residence, and medical providers’ personal information, are no longer required to be publicly published; but the bill remains an incredibly harmful violation of privacy.
How would HB 0754/SB 0676 increase state surveillance of gender-affirming care in Tennessee and put transgender patients’, and providers’, privacy at risk?
The bill requires that gender-affirming care patients’ age, sex assigned at birth, diagnosis (i.e. gender dysphoria), and information about the treatment they received be reported to the state Department of Health and published publicly on the department’s website.
While patients’ names will not be published, the information that will be published is not only completely unnecessary for the public to know, it could potentially be used to identify individuals. Noncompliance with the reporting requirements will require providers’ licenses to be suspended for at least 6 months, and their employer will concurrently receive a fine of up to $150,000.
This is not the first time the state of Tennessee has attempted to surveil adult gender-affirming care. In 2023, it was revealed that the Attorney General had requested medical records of transgender patients from Vanderbilt University Medical Center under the guise of an investigation into “medical billing fraud.” Vanderbilt did turn over the medical records to the state, but the information was not made public.
Does HB 0754/SB 0676 require the names of gender-affirming care patients in Tennessee to be publicly published?
No. The names of individual patients will not be collected or published by the state. Information about gender-affirming care patients that would be collected and publicly published on the Tennessee Department of Health’s website, includes:
- age
- sex assigned at birth
- diagnosis (i.e. gender dysphoria)
- date on which the patient received gender-affirming care
- information about the care the patient received, including medication names and dosages, types of surgery received or referred
How could HB 0754/SB 0676 potentially limit gender-affirming care access in Tennessee?
While the requirement that gender-affirming care providers’ name, contact information, and medical speciality be publicly published was removed from the bill with an ammendment; providers are still required to report patient information to the state. This government surveillance could dissuade providers from continuing to offer gender-affirming care.
Additionally, the stipulation that noncompliance with the reporting requirements will result in providers having their license suspended for at least 6 months, and their employer will concurrently receive a fine of up to $150,000, could further dissuade providers from continuing to offer gender-affirming care due to the increased liability associated with providing the care.
Finally, the bill’s requirement that some patient data be reported to the state and made public may dissuade transgender people from accessing gender-affirming care in Tennessee in order to protect their privacy.
What is “detransition” care?
“Detranstion” care includes medical and psychological support for individuals who have undergone gender-affirming care, but are choosing to discontinue or reverse their treatments. Detransitioning is incredibly rare. According to the 2022 U.S. Trans Survey, less than 1% of transgender people return to living as their sex assigned at birth because “gender transition was not for them”. The majority of people who return to living as their sex-assigned at birth after transitioning do so because of the challenge of being socially accepted as a transgender person.
Has HB 0754/SB 0676 passed into law?
As of April 17, 2026 HB 0754/ SB 0676 has passed the House and Senate and heads to Governor Bill Lee for this signature.
Here’s What You Can Do
- Call Governor Lee at 615-741-2001
- Listen to the quick recording and choose the option to leave a message
Sample Phone Message:
Governor Lee, my name is________ and I live in _______. I urge you to veto HB 0754/SB 0676. The data collection required by this bill puts patients’ and providers’ privacy at risk. Thank you.
