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Tennessee bill could create public registry of trans residents’ medical info

Started by Jessica_Rose, March 20, 2026, 01:59:18 PM

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Jessica_Rose

Tennessee bill could create public registry of trans residents' medical info

https://www.advocate.com/politics/states/tennessee-transgender-residents-registry 🔗

Jacob Ogles (20 March 2026)

The Republican-backed legislation, presented as a requirement that insurance companies cover detransition-related care, was placed on the House calendar for a vote on Thursday. The measure would apply to insurance plans that cover gender-affirming treatment. "It costs a fortune to detransition," Tennessee state Rep. Jeremy Faison said during an earlier House committee hearing.

But beyond its insurance provisions, the bill would require voluminous new data collection on people receiving gender-affirming care. Under the proposal, every gender clinic in the state would be required to report detailed information about transition-related care to the Tennessee Department of Health, which the bill describes as a "right to public transparency."

The required disclosures include the date of care or referral, a patient's age and sex, the specific medications prescribed, including dosage and duration, and any surgical procedures performed, identified by medical billing codes. Providers would also have to report the patient's state and county of residence, along with the treating provider's name and contact information.

That information would be compiled into a statewide report that the Department of Health is required to publish, making it accessible to the public. While the bill states that the report must not include "individually identifiable health information," privacy advocates say the level of detail required could still allow patients to be identified, particularly in smaller communities or when combined with other publicly available information.

The legislation also calls for reporting on patients' neurological, behavioral, or mental health diagnoses. Taken together, those requirements could effectively function as a public listing of transgender people, advocates warn.
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