Health care; creating the Wrongful Life Act; prohibiting certain services on a minor; authorizing certain civil actions and damages. Effective date.

SB 1049 prohibits physicians and health care professionals from providing gender transition surgery, hormone therapy, or puberty-blocking drugs to minors under 18, unless medically necessary (with gender transition explicitly excluded as medical necessity). It also prohibits parents or legal guardians from consenting to these treatments for minors. The bill creates civil lawsuits for individuals who received such treatments as minors and later lost natural reproductive capacity (e.g., ability to bear children), allowing them to seek compensatory damages, punitive damages, and attorney fees without time limits. Key mechanisms include a rebuttable presumption that the minor would have retained reproductive capacity without the treatments and dismissal of cases if this presumption is successfully challenged. The law directly affects minors receiving gender-affirming care, their health care providers, and parents/guardians who consented to such care.