Limiting state medicaid coverage for transition-related surgical and nonsurgical interventions to only adults.

SB 6191 (Washington State) limits Medicaid coverage for certain gender-affirming care to adults only, specifically prohibiting state Medicaid from covering breast augmentation, sex reassignment surgery, puberty suppression therapy, and hormone therapy for individuals under 18 years old. The bill amends existing law to explicitly exclude these services for minors under 18, while maintaining Medicaid coverage for all gender-affirming treatments for adults. It does not restrict care for minors outside of Medicaid or affect coverage for adults, focusing solely on Medicaid funding for youth under 18. The bill directly affects minors in Washington State who rely on Medicaid for gender-affirming care, restricting access to specific procedures. The law takes effect January 1, 2022, and requires the state authority to adopt implementing rules.