insurance; gender surgeries; documentation; reports

SB 1014 requires health insurers in Arizona to cover gender detransition procedures (if they cover gender transition procedures) starting January 1, 2027, and mandates healthcare providers performing transition procedures to agree to provide or pay for detransition care. Insurers must report monthly data on detransition claims (excluding personal identifiers) to the state department, which will compile an annual public report. State agencies must create expedited processes for changing gender markers on official documents during detransition, with implementation deadlines through 2028, though the requirement expires December 31, 2028. The bill directly affects insurers, healthcare providers, and individuals seeking gender-related medical care or documentation changes.