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AB977,2,73 (a) “Biological sex” means the biological indication of male or female in the
4context of reproductive potential or capacity, such as by sex chromosomes, naturally
5occurring sex hormones, gonads, and unambiguous internal and external genitalia
6present at birth, without regard to psychological, chosen, or subjective experience of
7gender.
AB977,2,88 (b) “Cross-sex hormones” means any of the following:
AB977,2,119 1. Testosterone or other androgens given to biological females in amounts that
10are larger or more potent than would normally occur naturally in healthy biological
11females.
AB977,3,2
12. Estrogen given to biological males in amounts that are larger or more potent
2than would normally occur naturally in healthy biological males.
AB977,3,93 (c) “Gender reassignment surgery” means any medical or surgical service that
4seeks to surgically alter or remove healthy physical or anatomical characteristics or
5features that are typical for an individual's biological sex in order to instill or create
6physiological or anatomical characteristics that resemble a sex different from the
7individual's biological sex, including genital gender reassignment surgery or
8nongenital gender reassignment surgery performed for the purpose of assisting an
9individual with a gender transition.
AB977,3,1310 (d) “Gender transition” means a process, which may involve social, legal, or
11physical changes, in which an individual goes from identifying with and living as a
12gender that corresponds with the individual's biological sex to identifying with and
13living as a gender different from the individual's biological sex.
AB977,3,1614 (e) 1. “Gender transition procedure” means any medical or surgical service
15provided or performed for the purpose of assisting an individual with a physical
16gender transition.
AB977,3,1917 2. “Gender transition procedure” includes any physician's service, inpatient
18and outpatient hospital service, puberty-blocking drug, cross-sex hormone, genital
19gender reassignment surgery, or nongenital gender reassignment surgery.
AB977,3,2020 3. “Gender transition procedure” does not include any of the following:
AB977,3,2521 a. A service provided to individuals who are born with a medically verifiable
22disorder of sex development, including individuals with external biological sex
23characteristics that are irresolvably ambiguous, such as those born with 46,XX
24karyotype with virilization, born with 46,XY karyotype with under virilization, or
25having both ovarian and testicular tissue.
AB977,4,4
1b. A service provided when a physician has diagnosed a disorder of sexual
2development by determining, through genetic or biochemical testing, that the
3individual does not have normal sex chromosome structure, sex steroid hormone
4production, or sex steroid hormone action.
AB977,4,95 c. The acute or chronic treatment of any infection, injury, disease, or disorder
6that has been caused by or exacerbated by the performance of a gender transition
7procedure, whether or not the gender transition procedure was performed in
8accordance with state and federal law and whether or not funding for the gender
9transition procedure is permissible under this section.
AB977,4,1310 d. Any procedure undertaken because the individual suffers from a physical
11disorder, physical injury, or physical illness that would, as certified by a physician,
12place the individual in imminent danger of death or impairment of a major bodily
13function unless surgery is performed.
AB977,4,1614 (f) “Genital gender reassignment surgery” means a medical procedure,
15including any of the following surgical procedures, that is performed for the purpose
16of assisting an individual with a physical gender transition:
AB977,4,1817 1. For individuals of male biological sex, a penectomy, an orchiectomy, a
18vaginoplasty, a clitoroplasty, or a vulvoplasty.
AB977,4,2119 2. For individuals of female biological sex, a hysterectomy, an oophorectomy,
20a reconstruction of the urethra, a metoidioplasty or phalloplasty, a vaginectomy, a
21scrotoplasty, or an implantation of erectile or testicular prostheses.
AB977,4,2222 (g) “Health care provider” has the meaning given in s. 146.81 (1) (a) to (hp).
AB977,4,2523 (h) “Nongenital gender reassignment surgery” means a medical procedure,
24including any of the following surgical procedures, that is performed for the purpose
25of assisting an individual with a physical gender transition:
AB977,5,4
11. For individuals of male biological sex, augmentation mammoplasty, facial
2feminization surgery, liposuction, lipofilling, voice feminization surgery, thyroid
3cartilage reduction, gluteal augmentation, hair reconstruction, or any of various
4aesthetic procedures.
AB977,5,75 2. For individuals of female biological sex, subcutaneous mastectomy, voice
6masculinization surgery, liposuction, lipofilling, pectoral implants, or various
7aesthetic procedures.
AB977,5,108 (i) “Puberty-blocking drug” means any of the following when used to delay or
9suppress pubertal development in children for the purpose of assisting an individual
10with a gender transition:
AB977,5,1311 1. A gonadotropin-releasing hormone analogue or other synthetic drug used
12in biological males to stop luteinizing hormone secretion and, therefore, testosterone
13secretion.
AB977,5,1514 2. A synthetic drug used in biological females to stop the production of estrogen
15and progesterone.
AB977,5,1816 (j) “Public funds” means any moneys of the state, a county or local government,
17or any department, agency, or instrumentality authorized or appropriated under
18state law or derived from any fund in which moneys are deposited.
AB977,5,21 19(2) Prohibiting gender transition on minors. (a) No physician or health care
20provider may provide any gender transition procedure to any individual under 18
21years of age.
AB977,5,2422 (b) No physician or health care provider may refer any individual who is under
2318 years of age to any other physician or health care provider for any gender
24transition procedure.
AB977,6,4
1(3) Prohibiting use of public funds for gender transition of minors. (a) No
2person may use public funds directly or indirectly for or grant, pay, or distribute
3public funds to any entity, organization, or individual that provides any gender
4transition procedure to an individual under 18 years of age.
AB977,6,65 (b) None of the following may include any gender transition procedure provided
6to an individual under 18 years of age in the health care services it provides:
AB977,6,77 1. A facility owned by the state or a county or local government.
AB977,6,98 2. A physician or health care provider who is employed by the state or a county
9or local government.
AB977,6,1210 (c) The department may not reimburse or include as a benefit under the
11Medical Assistance program under subch. IV of ch. 49 any gender transition
12procedure for an individual under 18 years of age.
AB977,6,16 13(4) Tax deduction prohibited. Any amount paid during a taxable year by an
14entity, organization, or individual to provide a gender transition procedure or as
15premiums for health care coverage that includes coverage for a gender transition
16procedure is not tax deductible.
AB977,6,20 17(5) Civil liability. (a) Any violation of sub. (2) is presumed to be reckless
18conduct for purposes of civil liability. The party injured by a violation of sub. (2) or
19a parent, guardian, or legal representative of the injured party may bring a claim for
20any of the following damages:
AB977,6,2321 1. Any compensatory damages, including damages for pain and suffering, loss
22of reputation, loss of income, and loss of consortium, including loss of expectation of
23sharing parenthood.
AB977,6,2424 2. Injunctive relief.
AB977,6,2525 3. Declaratory relief.
AB977,7,1
14. Punitive damages.
AB977,7,22 5. Any other appropriate relief.
AB977,7,43 6. If the prevailing party, reasonable attorney's fees notwithstanding s. 814.04
4(1).
AB977,7,65 (b) A party may commence an action under par. (a) regardless of whether or not
6available administrative remedies have been sought or exhausted.
AB977,7,87 (c) The attorney general and any district attorney may bring an action to
8enforce compliance with this section.
AB977,7,119 (d) Nothing in this section shall be construed to deny, impair, or otherwise affect
10any right or authority of the attorney general, the state, or any agency, officer, or
11employee of the state to institute or intervene in any proceeding.
AB977,7,21 12(6) Limitation of actions. Notwithstanding any limitation under ch. 893, an
13action to recover damages caused by an act that would constitute a violation of sub.
14(2) shall be commenced before the date that is 30 years after the date the injured
15party attains the age of 18 or be barred. If the injured party has a legal disability on
16the date the injured person attains the age of 18, the statute of limitations under this
17subsection is tolled until the disability is resolved. The statute of limitations under
18this subsection is tolled during any time the injured party is subject to threats,
19intimidation, manipulation, fraudulent concealment, or fraud by the physician,
20health care provider, or person acting in the interest of the physician or health care
21provider that provided any gender transition procedure.
AB977,2 22Section 2. 448.02 (3) (a) of the statutes, as affected by 2021 Wisconsin Act 23,
23is amended to read:
AB977,8,1724 448.02 (3) (a) The board shall investigate allegations of unprofessional conduct
25and negligence in treatment by persons holding a license or certificate granted by the

1board. An allegation that a physician has violated s. 146.36 (2), 253.10 (3), 448.30
2or 450.13 (2) or has failed to mail or present a medical certification required under
3s. 69.18 (2) within 21 days after the pronouncement of death of the person who is the
4subject of the required certificate or that a physician has failed at least 6 times within
5a 6-month period to mail or present a medical certificate required under s. 69.18 (2)
6within 6 days after the pronouncement of death of the person who is the subject of
7the required certificate is an allegation of unprofessional conduct. Information
8contained in reports filed with the board under s. 49.45 (2) (a) 12r., 50.36 (3) (b),
9609.17 or 632.715, or under 42 CFR 1001.2005, shall be investigated by the board.
10Information contained in a report filed with the board under s. 655.045 (1), as created
11by 1985 Wisconsin Act 29, which is not a finding of negligence or in a report filed with
12the board under s. 50.36 (3) (c) may, within the discretion of the board, be used as the
13basis of an investigation of a person named in the report. The board may require a
14person holding a license or certificate to undergo and may consider the results of one
15or more physical, mental or professional competency examinations if the board
16believes that the results of any such examinations may be useful to the board in
17conducting its investigation.
AB977,3 18Section 3. 632.8983 of the statutes is created to read:
AB977,8,20 19632.8983 Prohibiting gender transition procedure coverage for
20minors.
(1) In this section:
AB977,8,2121 (a) “Disability insurance policy” has the meaning given in s. 632.895 (1) (a).
AB977,8,2222 (b) “Gender transition procedure” has the meaning given in s. 146.36 (1) (e).
AB977,8,25 23(2) No disability insurance policy and no self-insured health plan of the state
24or of a county, city, town, village, or school district may provide coverage of any gender
25transition procedure for an individual under 18 years of age.
AB977,9,3
1(3) A disability insurance policy or self-insured health plan of the state or of
2a county, city, town, village, or school district is not required to provide coverage of
3any gender transition procedure.
AB977,9,44 (End)
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