{"id":354796,"date":"2022-06-15T08:26:04","date_gmt":"2022-06-15T13:26:04","guid":{"rendered":"https:\/\/content.findlaw-admin.com\/ability-law\/lgbtq-law\/how-to-access-gender-affirming-healthcare-for-transgender-youth.html"},"modified":"2026-06-08T08:57:00","modified_gmt":"2026-06-08T13:57:00","slug":"how-to-access-gender-affirming-healthcare-for-transgender-youth","status":"publish","type":"page","link":"https:\/\/www.findlaw.com\/lgbtq-law\/how-to-access-gender-affirming-healthcare-for-transgender-youth.html","title":{"rendered":"Laws on Gender-Affirming Care for Minors"},"content":{"rendered":"\n<div class=\"wp-container-core-columns-is-layout-9d6595d7 fl-sectionWithSidebar fl-container fl-flex fl-flex-wrap fl-gap30\">\n<div class=\"fl-page-articles fl-section-main fl-section-main-full-width\"><h1 class=\"fl-no-margin-top\">Laws on Gender-Affirming Care for Minors<\/h1>\n\n<section class=\"fl-gutenberg-byline\">\n    <div class=\"fl-gutenberg-byline-content\">\n                    By <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/susan-buckner-j-d\/\">Susan Buckner, J.D.<\/a> | Legally reviewed by <a\n                href=\"https:\/\/www.findlaw.com\/company\/our-team\/laura-temme-esq\/\">Laura Temme, Esq.<\/a>\n                | Last updated\n        <time>\n                            June 08, 2026\n                    <\/time>\n    <\/div>\n\n    \n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-legally-reviewed\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Legally Reviewed\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>This article has been written and reviewed for legal accuracy, clarity, and style by <a href=\"https:\/\/www.findlaw.com\/company\/our-team.html\">FindLaw\u2019s team of legal writers and attorneys<\/a> and in accordance with <a href=\"https:\/\/www.findlaw.com\/company\/company-history\/editorial-policy.html\">our editorial standards<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n\n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-fast-checked\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Fact-Checked\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>The last updated date refers to the last time this article was reviewed by FindLaw or one of our <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/contributing-authors.html\">contributing authors<\/a>. We make every effort to keep our articles updated. For information regarding a specific legal issue affecting you, please <a href=\"https:\/\/lawyers.findlaw.com\/?fli=bylinelink\" target=\"_blank\" rel=\"noopener\">contact an attorney in your area<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n<\/section>\n\n\n    <div class=\"fl-callout-text article-blockquote\">\n        <p>Gender-affirming healthcare for minors involves medical and psychological interventions like hormone therapy, puberty blockers, and mental health counseling. Legal considerations are critical as many states have differing laws regarding the availability and restrictions of such treatments for minors.<\/p>\n\n    <\/div>\n\n\n\n<p>The legal landscape surrounding transgender rights and gender-affirming care for minors remains uncertain. Parents of transgender teens who need current information should stay in touch with LGBTQ+ organizations in their state.<\/p>\n<p>In recent years, more than half the states have passed laws prohibiting gender-affirming care for minors under the age of 18. Some state bans include <a href=\"https:\/\/www.findlaw.com\/criminal\/criminal-charges\/view-all-criminal-charges.html\">criminal charges<\/a> for providing some types of care, such as gender-affirming surgeries for minors.<\/p>\n<p>Twelve states are considered \u201csanctuary states\u201d for transgender medical treatment. These states have laws protecting the <a href=\"https:\/\/www.findlaw.com\/lgbtq-law.html\">rights of transgender individuals<\/a> and their parents to receive medical treatment and will not enforce out-of-state investigations or prosecutions.<\/p>\n<p>This article summarizes how state laws regarding gender-affirming care for minors differ across the nation. Keep in mind these laws are evolving and subject to change. For the most up-to-date legal guidance, <a href=\"https:\/\/lawyers.findlaw.com\/health-health-care-law\/\" target=\"_blank\" rel=\"noopener\">contact an attorney<\/a> in your state.<\/p>\n<h2><b>What Is Gender-Affirming Healthcare?<\/b><\/h2>\n<p>Transgender individuals are those whose <a href=\"https:\/\/www.webmd.com\/sex-relationships\/what-is-transgender\" target=\"_blank\" rel=\"noopener\">gender identity<\/a> differs from their sex assigned at birth.<\/p>\n<p>When the person feels distress or depression caused by the difference in their identity and assigned sex, they may experience gender dysphoria. However, not all transgender individuals experience gender dysphoria. And not all those with gender dysphoria are transgender.<\/p>\n<p>Most serious cases of gender dysphoria occur during puberty. According to leading medical associations like the <a title=\"American Medical Association (AMA)\" href=\"https:\/\/www.ama-assn.org\/delivering-care\/population-care\/what-know-about-gender-affirming-care-younger-patients\" target=\"_blank\" rel=\"noopener\">American Medical Association (AMA)<\/a>, current best practices for adolescent gender transition and gender dysphoria include:<\/p>\n<ul>\n<li>Hormone therapy and puberty blockers to delay the development of secondary sex characteristics<\/li>\n<li>Gender therapy or counseling<\/li>\n<\/ul>\n<p>The AMA and the <a title=\"World Professional Association for Transgender Health (WPATH)\" href=\"https:\/\/wpath.org\/\" target=\"_blank\" rel=\"noopener\">World Professional Association for Transgender Health (WPATH)<\/a> both recommend therapy to address the anxiety and other <a href=\"https:\/\/journalofethics.ama-assn.org\/article\/should-mental-health-screening-and-psychotherapy-be-required-prior-body-modification-gender\/2016-11\" target=\"_blank\" rel=\"noopener\">emotional issues of gender dysphoria<\/a>.<\/p>\n<p><b>Surgical intervention is extremely rare for transgender youth.<\/b><\/p>\n<p>Most medical providers follow WPATH best practices and will not perform complete gender confirmation surgery (GCS) on any individual under 18.<\/p>\n<p>Hormone treatments are preferable treatments for trans youth because the effects are not permanent. Once the hormone therapy is halted, the child\u2019s regular development resumes as before. In cases where a juvenile is uncertain or has other unresolved issues, waiting can be a better option.<\/p>\n<p>Medical organizations, including the <a href=\"https:\/\/publications.aap.org\/pediatrics\/article\/142\/4\/e20182162\/37381\/Ensuring-Comprehensive-Care-and-Support-for?autologincheck=redirected\" target=\"_blank\" rel=\"noopener\">American Academy of Pediatrics<\/a> and the American Medical Association, agree that properly managed hormone therapy is a preferable and reversible option to surgery.<\/p>\n<p>The <a href=\"https:\/\/www.psychiatry.org\/getattachment\/8665a2f2-0b73-4477-8f60-79015ba9f815\/Position-Treatment-of-Transgender-Gender-Diverse-Youth.pdf\" target=\"_blank\" rel=\"noopener\">American Psychiatric Association<\/a> recommends using puberty blockers to give trans youth and their parents more time to decide if other care is needed or desired.<\/p>\n<h2><b>White House Executive Orders<\/b><\/h2>\n<p>On January 28, 2025, President Trump issued an <a title=\"executive order\" href=\"https:\/\/www.findlaw.com\/legalblogs\/law-and-life\/what-are-executive-orders-what-are-their-limits\/\">executive order<\/a> limiting federal coverage for pediatric gender-affirming care.<\/p>\n<p>The order applies to all individuals 19 years of age or under and requires, among other things:<\/p>\n<ul>\n<li>Agencies must cease reliance on WPATH best practices and rescind or amend all policies that contain \u201cWPATH Standards of Care Version 8.&#8221;<\/li>\n<li>Institutions receiving federal research or educational grants must cease all gender-affirming care for minors.<\/li>\n<li>All gender-affirming actions, programs, and language must be removed from Medicare, Medicaid, and Section 1557 of the Affordable Care Act (ACA).<\/li>\n<li>Tricare will no longer cover any gender-affirming care for any transgender minors previously covered.<\/li>\n<\/ul>\n<p>The order contains additional language regarding federal insurance and a timeline for updating Department of Health and Human Services policies.\u00a0<\/p>\n<p>However, state laws provide varying levels of protection or restrictions regarding gender-affirming care.\u00a0<\/p>\n<h2>Shield Law and Sanctuary States<\/h2>\n<p>In 2022, following a wave of state bans on gender-affirming care, California became the first state to declare itself a \u201csanctuary state\u201d for transgender youth.<\/p>\n<p>Currently, 15 states have \u201c<a title=\"shield laws\" href=\"https:\/\/www.lgbtmap.org\/equality-maps\/healthcare\/trans_shield_laws\" target=\"_blank\" rel=\"noopener\">shield laws<\/a>\u201d protecting transgender young people\u2019s access to gender-affirming care, health insurance coverage, and out-of-state protection.<\/p>\n<p>Several other states protect the right to gender-affirming medical care, but may not protect insurance coverage or out-of-state legal challenges.<\/p>\n<p>The chart below summarizes how states that protect access to gender-affirming care differ in their approach.<\/p>\n<table>\n<tbody>\n<tr>\n<td>\n<p><b>State<\/b><\/p>\n<\/td>\n<td>\n<p><b>Gender-affirming care<\/b><\/p>\n<\/td>\n<td>\n<p><b>Insurance and health plans<\/b><\/p>\n<\/td>\n<td>\n<p><b>Out-of-state protection<\/b><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Arizona<\/b><\/p>\n<\/td>\n<td>\n<p>Protects access to gender-affirming care<\/p>\n<\/td>\n<td>\n<p>Does not include state health insurance protection<\/p>\n<\/td>\n<td>\n<p>Will not enforce out-of-state orders<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>California (Shield Laws)<\/b><\/p>\n<\/td>\n<td>\n<p>Protects access to gender-affirming care<\/p>\n<\/td>\n<td>\n<p>Protects state insurance coverage and health care<\/p>\n<\/td>\n<td>\n<p>Will not enforce out-of-state orders<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Colorado (Shield Laws)<\/b><\/p>\n<\/td>\n<td>\n<p>Protects access to gender-affirming care<\/p>\n<\/td>\n<td>\n<p>Protects state insurance coverage and health care<\/p>\n<\/td>\n<td>\n<p>Will not enforce out-of-state orders<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Connecticut (Shield Laws)<\/b><\/p>\n<\/td>\n<td>\n<p>Protects access to gender-affirming care<\/p>\n<\/td>\n<td>\n<p>Protects state insurance coverage and health care<\/p>\n<\/td>\n<td>\n<p>Will not enforce out-of-state orders<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Delaware<\/b><\/p>\n<\/td>\n<td>\n<p>Protects access to gender-affirming care<\/p>\n<\/td>\n<td>\n<p>Protects state insurance coverage and health care<\/p>\n<\/td>\n<td>\n<p>Will not enforce out-of-state orders<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Illinois (Shield Laws)<\/b><\/p>\n<\/td>\n<td>\n<p>Protects access to gender-affirming care<\/p>\n<\/td>\n<td>\n<p>Protects state insurance coverage and health care<\/p>\n<\/td>\n<td>\n<p>Will not enforce out-of-state orders<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Maine (Shield Laws)<\/b><\/p>\n<\/td>\n<td>\n<p>Protects access to gender-affirming care<\/p>\n<\/td>\n<td>\n<p>Protects state insurance coverage and health care<\/p>\n<\/td>\n<td>\n<p>Will not enforce out-of-state orders<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Maryland (Shield Laws)<\/b><\/p>\n<\/td>\n<td>\n<p>Protects access to gender-affirming care<\/p>\n<\/td>\n<td>\n<p>Protects state insurance coverage and health care<\/p>\n<\/td>\n<td>\n<p>Will not enforce out-of-state orders<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Massachusetts (Shield Laws)<\/b><\/p>\n<\/td>\n<td>\n<p>Protects access to gender-affirming care<\/p>\n<\/td>\n<td>\n<p>Protects state insurance coverage and health care<\/p>\n<\/td>\n<td>\n<p>Will not enforce out-of-state orders<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Minnesota (Shield Laws)<\/b><\/p>\n<\/td>\n<td>\n<p>Protects access to gender-affirming care<\/p>\n<\/td>\n<td>\n<p>Protects state insurance coverage and health care<\/p>\n<\/td>\n<td>\n<p>Will not enforce out-of-state orders<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Nevada<\/b><\/p>\n<\/td>\n<td>\n<p>Protects access to gender-affirming care<\/p>\n<\/td>\n<td>\n<p>Does not include state health insurance protection<\/p>\n<\/td>\n<td>\n<p>Will not enforce out-of-state orders<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>New Jersey<\/b><\/p>\n<\/td>\n<td>\n<p>Protects access to gender-affirming care<\/p>\n<\/td>\n<td>\n<p>Does not include state health insurance protection<\/p>\n<\/td>\n<td>\n<p>Will not enforce out-of-state orders<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>New Mexico (Shield Laws)<\/b><\/p>\n<\/td>\n<td>\n<p>Protects access to gender-affirming care<\/p>\n<\/td>\n<td>\n<p>Does not include state health insurance protection<\/p>\n<\/td>\n<td>\n<p>Will not enforce out-of-state orders<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>New York (Shield Laws)<\/b><\/p>\n<\/td>\n<td>\n<p>Protects access to gender-affirming care<\/p>\n<\/td>\n<td>\n<p>Protects state insurance coverage and health care<\/p>\n<\/td>\n<td>\n<p>Will not enforce out-of-state orders<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Oregon (Shield Laws)<\/b><\/p>\n<\/td>\n<td>\n<p>Protects access to gender-affirming care<\/p>\n<\/td>\n<td>\n<p>Protects state insurance coverage and health care<\/p>\n<\/td>\n<td>\n<p>Will not enforce out-of-state orders<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Rhode Island (Shield Laws)<\/b><\/p>\n<\/td>\n<td>\n<p>Protects access to gender-affirming care<\/p>\n<\/td>\n<td>\n<p>Protects state insurance coverage and health care<\/p>\n<\/td>\n<td>\n<p>Will not enforce out-of-state orders<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Vermont (Shield Laws)<\/b><\/p>\n<\/td>\n<td>\n<p>Protects access to gender-affirming care<\/p>\n<\/td>\n<td>\n<p>Protects state insurance coverage and health care<\/p>\n<\/td>\n<td>\n<p>Will not enforce out-of-state orders<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Washington (Shield Laws)<\/b><\/p>\n<\/td>\n<td>\n<p>Protects access to gender-affirming care<\/p>\n<\/td>\n<td>\n<p>Protects state insurance coverage and health care<\/p>\n<\/td>\n<td>\n<p>Will not enforce out-of-state orders<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>State Bans on Gender-Affirming Healthcare<\/h2>\n<p>There are 27 states with statutes that limit or prohibit gender-affirming care (GAC) for minors.<\/p>\n<p>Six states\u2014Alabama, Florida, Idaho, North Dakota, Oklahoma, and South Carolina\u2014have <a href=\"https:\/\/www.findlaw.com\/criminal\/criminal-law-basics\/felonies.html\">made it a felony<\/a> to provide some kinds of GAC to minors.<\/p>\n<p>One state (Nebraska) prohibits GAC for anyone under 19, meaning some people who are legally adults still cannot access gender-affirming care.<\/p>\n<p>The table below summarizes state laws that restrict gender-affirming care.<\/p>\n<table>\n<tbody>\n<tr>\n<td>\n<p><b>State<\/b><\/p>\n<\/td>\n<td>\n<p><b>Who restricted<\/b><\/p>\n<\/td>\n<td>\n<p><b>What limited<\/b><\/p>\n<\/td>\n<td>\n<p><b>Civil penalty?<\/b><\/p>\n<\/td>\n<td>\n<p><b>Criminal penalty?<\/b><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Alabama<\/b><\/p>\n<\/td>\n<td>\n<p>All people<\/p>\n<\/td>\n<td>\n<ul>\n<li>Puberty blockers<\/li>\n<li>Hormone therapy<\/li>\n<li>GAC surgery<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>\u00a0N\/A<\/p>\n<\/td>\n<td>\n<p>Class C felony<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Arkansas<\/b><\/p>\n<p><b>(Permanently blocked)<\/b><\/p>\n<\/td>\n<td>\n<ul>\n<li>Physicians<\/li>\n<li>Healthcare providers<\/li>\n<\/ul>\n<\/td>\n<td>\n<div>\u00a0<\/div>\n<ul>\n<li>Providing or referring hormone therapy or puberty blockers<\/li>\n<li>Prohibits public funds including Medicaid for GAC<\/li>\n<li>Prohibits health insurance plans from covering GAC for minors<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>Private action for individuals<\/p>\n<\/td>\n<td>\n<p>\u00a0N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Arizona<\/b><\/p>\n<\/td>\n<td>\n<p>Physicians<\/p>\n<\/td>\n<td>\n<p>GAC surgery for minors<\/p>\n<\/td>\n<td>\u00a0<\/td>\n<td>\u00a0<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Florida<\/b><\/p>\n<\/td>\n<td>\n<ul>\n<li>Physicians<\/li>\n<li>Some court orders<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Prescription and administration of hormone therapy and puberty blockers<\/li>\n<li>Prohibits referrals<\/li>\n<li>Modifies custody laws and permits the state to take custody of a child \u201cat risk of\u201d GAC even in another state<\/li>\n<li>Prohibits the use of public funds for GAC<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>Loss of physician licensing or facility license<\/p>\n<\/td>\n<td>\n<ul>\n<li>Providing GAC to a minor is a felony<\/li>\n<li>Providing referrals for GAC is a misdemeanor<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Georgia<\/b><\/p>\n<\/td>\n<td>\n<p>Physicians<\/p>\n<\/td>\n<td>\n<ul>\n<li>GAC surgery and hormone therapy<\/li>\n<li>Some exceptions for puberty blockers<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Dept of Health sanctions<\/li>\n<li>Administrative actions<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>\u00a0N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Iowa<\/b><\/p>\n<\/td>\n<td>\n<p>Healthcare professionals<\/p>\n<\/td>\n<td>\n<ul>\n<li>GAC hormone therapy or puberty blockers<\/li>\n<li>GAC surgical care<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Potential licensing revocation<\/li>\n<li>Private right of action<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>\u00a0N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Idaho<\/b><\/p>\n<\/td>\n<td>\n<p>Medical practitioners<\/p>\n<\/td>\n<td>\n<p>\u201cAdministering or supplying\u201d hormone therapy or puberty blockers or providing surgical GAC or referrals to minors<\/p>\n<\/td>\n<td>\n<p>Civil action<\/p>\n<\/td>\n<td>\n<p><b>Felony<\/b><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Indiana<\/b><\/p>\n<\/td>\n<td>\n<p>\u00a0Physicians and medical practitioners<\/p>\n<\/td>\n<td>\n<ul>\n<li>Providing hormone treatment\/ puberty blocker prescriptions and surgical GAC<\/li>\n<li>Prohibits \u201cAiding and abetting\u201d other providers<\/li>\n<li>Bans services in state, county, or city facilities<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>Creates a private right of action.<\/p>\n<\/td>\n<td>\n<p>N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Kentucky<\/b><\/p>\n<\/td>\n<td>\n<p>Health care providers<\/p>\n<\/td>\n<td>\n<p>Prescribing or administering hormones or puberty blockers or providing surgical GAC<\/p>\n<\/td>\n<td>\n<ul>\n<li>Loss of license<\/li>\n<li>Private right of action<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Louisiana<\/b><\/p>\n<\/td>\n<td>\n<p>Health care professionals<\/p>\n<\/td>\n<td>\n<p>Prescribing or administering hormones or puberty blockers or providing surgical GAC<\/p>\n<\/td>\n<td>\n<ul>\n<li>Minimum two-year loss of license<\/li>\n<li>Private right of action<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>\u00a0N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Missouri<\/b><\/p>\n<\/td>\n<td>\n<p>Health care professionals<\/p>\n<\/td>\n<td>\n<ul>\n<li>Prescribing or administering hormones or puberty blockers or providing surgical GAC<\/li>\n<li>Prohibits use of Medicaid funds<\/li>\n<li>Prohibits GAC in correctional facilities<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>License revocation for \u201cunprofessional conduct\u201d<\/li>\n<li>Punitive damages for loss of fertility<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>\u00a0N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Mississippi<\/b><\/p>\n<\/td>\n<td>\n<p>Anyone \u2014 \u201cA person shall not knowingly provide\u201d GAC services to minors<\/p>\n<\/td>\n<td>\n<ul>\n<li>Prescribing or administering hormone or puberty blockers or GAC surgical care<\/li>\n<li>Public funds may not be used to provide GAC directly or indirectly<\/li>\n<li>Medicaid shall not be used to cover or reimburse costs<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Physicians, nurses, and other providers will have their licenses revoked<\/li>\n<li>Private right of action<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>\u00a0N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Montana<\/b><\/p>\n<\/td>\n<td>\n<ul>\n<li>Any \u201cperson\u201d<\/li>\n<li>Health care professionals and physicians<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Hormone or puberty blockers or BAC surgical care<\/li>\n<li>Public funds may not be used, including Medicaid or CHIP<\/li>\n<li>Minors being treated for psychological conditions including gender dysphoria cannot be advised of GAC<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>One-year license suspension<\/li>\n<li>Professional insurance may not cover malpractice charges<\/li>\n<li>Private cause of action<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>\u00a0N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>North Carolina<\/b><\/p>\n<\/td>\n<td>\n<p>Medical professionals<\/p>\n<\/td>\n<td>\n<ul>\n<li>Providing, prescribing, or dispensing hormones or puberty blockers or surgical GAC<\/li>\n<li>State funds may not be used for GAC including Medicaid and CHIP<\/li>\n<li>Providers and facilities may not be required to perform GAC<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Loss of license<\/li>\n<li>Private right of action<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>\u00a0N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>New\u00a0 Hampshire<\/b><\/p>\n<\/td>\n<td>\n<p>Physicians<\/p>\n<\/td>\n<td>\n<p>GAC genital surgical procedures<\/p>\n<\/td>\n<td>\n<ul>\n<li>Licensing board discipline<\/li>\n<li>Parental cause of action<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>\u00a0N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>North Dakota<\/b><\/p>\n<\/td>\n<td>\n<p>Health care providers<\/p>\n<\/td>\n<td>\n<p>Prescribing, dispensing, administering, or supplying hormone and puberty blockers or providing surgical GAC<\/p>\n<\/td>\n<td>\n<p>\u00a0N\/A<\/p>\n<\/td>\n<td>\n<ul>\n<li>\n<p>Surgery: Felony<\/p>\n<\/li>\n<li>\n<p>Medication: Misdemeanor<\/p>\n<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Nebraska<\/b><\/p>\n<\/td>\n<td>\n<p>Health care practitioners<\/p>\n<\/td>\n<td>\n<ul>\n<li>Surgical, hormone, and puberty blocker GAC for those <b>under 19<\/b><\/li>\n<li>Prohibits state funds from going to entities providing minors with GAC<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Professional discipline<\/li>\n<li>Private right of action<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>\u00a0N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Ohio<\/b><\/p>\n<\/td>\n<td>\n<ul>\n<li>Physicians<\/li>\n<li>Mental health professionals<\/li>\n<li>Some court orders<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Hormone therapy, puberty blockers, and surgical GAC, or \u201caiding and abetting\u201d minor access to GAC<\/li>\n<li>Mental health professionals must have parental consent and must screen for comorbidities and abuse or other traumas<\/li>\n<li>Medicaid may not cover GAC<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>Professional discipline<\/p>\n<\/td>\n<td>\n<p>\u00a0N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Oklahoma<\/b><\/p>\n<\/td>\n<td>\n<p>Physicians<\/p>\n<\/td>\n<td>\n<p>Hormone therapy, puberty blockers, and surgical GAC<\/p>\n<\/td>\n<td>\n<ul>\n<li>Private right of action<\/li>\n<li>Unprofessional conduct and discipline by licensing board<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>Felony<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>South Carolina<\/b><\/p>\n<\/td>\n<td>\n<ul>\n<li>Physicians<\/li>\n<li>Mental health providers<\/li>\n<li>Health care providers<\/li>\n<li>School staff<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Hormone therapy, puberty blockers, surgical GAC<\/li>\n<li>Prohibits public funds, including Medicaid, from being used \u201cdirectly or indirectly\u201d for GAC<\/li>\n<li>Prohibits school staff from encouraging a minor to withhold their &#8220;gender inconsistency&#8221; from their parents.<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>Discipline by licensing agency<\/p>\n<\/td>\n<td>\n<p>Surgery is considered \u201cinfliction of great bodily injury on a child,\u201d a felony with a maximum penalty of 25 years imprisonment<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>South Dakota<\/b><\/p>\n<\/td>\n<td>\n<p>Health care professionals<\/p>\n<\/td>\n<td>\n<p>Hormone and puberty blockers and GAC surgery<\/p>\n<\/td>\n<td>\n<p>Loss of license<\/p>\n<\/td>\n<td>\n<p>\u00a0N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Tennessee<\/b><\/p>\n<\/td>\n<td>\n<ul>\n<li>Health care providers<\/li>\n<li>Any \u201cperson\u201d who prescribes medication<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>Hormone and puberty blockers, and offering or performing surgical GAC, including via telehealth<\/p>\n<\/td>\n<td>\n<ul>\n<li>Private right of action for parents if no consent was given<\/li>\n<li>Wrongful death action if a minor\u2019s death results from physical or emotional harm<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>Class B misdemeanor<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Texas<\/b><\/p>\n<\/td>\n<td>\n<p>Health care providers<\/p>\n<\/td>\n<td>\n<ul>\n<li>Prescribing, administering, dispensing hormone or puberty blockers or GAC surgical care<\/li>\n<li>Prohibits public funds from going to any entity providing care, including CHIP, Medicaid and the state medical assistance program<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Loss of license<\/li>\n<li>GAC defined as \u201cchild abuse\u201d that can lead to investigation and possible removal of children<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>\u00a0N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Utah<\/b><\/p>\n<\/td>\n<td>\n<p>Health care providers<\/p>\n<\/td>\n<td>\n<p>Hormone and puberty blockers and surgical GAC<\/p>\n<\/td>\n<td>\n<p>Malpractice cause of action<\/p>\n<\/td>\n<td>\n<p>\u00a0N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>West Virginia<\/b><\/p>\n<\/td>\n<td>\n<p>Physicians<\/p>\n<\/td>\n<td>\n<p>Surgical GAC prohibited<\/p>\n<p>Hormone or puberty blockers are permitted if:<\/p>\n<ul>\n<li>Two medical professionals attest the minor has gender dysphoria<\/li>\n<li>The treatment is necessary to treat or limit self-harm<\/li>\n<li>The minor and parents agree to the treatment in writing<\/li>\n<li>The lowest possible dosage is used<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>N\/A<\/p>\n<\/td>\n<td>\n<p>\u00a0N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><b>Wyoming<\/b><\/p>\n<\/td>\n<td>\n<p>Physicians<\/p>\n<p>Health care providers<\/p>\n<\/td>\n<td>\n<ul>\n<li>Hormone and puberty blockers and GAC surgery<\/li>\n<li>Mental health professionals may provide treatment that does not violate the terms of the law<\/li>\n<\/ul>\n<\/td>\n<td>\n<p>License suspension or revocation<\/p>\n<\/td>\n<td>\n<p>\u00a0N\/A<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>(Charts based on data from <a title=\"KFF Policy Tracker\" href=\"https:\/\/www.kff.org\/other\/dashboard\/gender-affirming-care-policy-tracker\/\" target=\"_blank\" rel=\"noopener\">KFF Policy Tracker<\/a>)<\/p>\n<h2><b>What the Laws Mean for Transgender Children and Parents<\/b><\/h2>\n<p>In June 2025, the U.S. Supreme Court issued its decision in <a href=\"https:\/\/caselaw.findlaw.com\/court\/us-6th-circuit\/115185810.html\" target=\"_blank\" rel=\"noopener\"><em>U.S. v Skrmetti<\/em><\/a>, upholding a Tennessee law that prohibits gender\u2011affirming medical care for minors. The Court concluded that the statute does not amount to sex\u2011based discrimination and therefore does not violate the Equal Protection Clause of the Fourteenth Amendment. Following that ruling, roughly 25 state bans remain in effect.<\/p>\n<p>Arkansas is an example of how <em>Skrmetti <\/em>allowed states to go ahead with a ban. In August 2025, the Eighth Circuit Court of Appeals overturned the lower court ruling that granted the injunction, based heavily on the Supreme Court&#8217;s decision in <em>Skrmetti<\/em>. It came to a similar conclusion that the <a href=\"https:\/\/arkansasag.gov\/news-release\/attorney-general-griffin-applauds-appellate-decision-upholding-the-safe-acts-constitutionality-which-will-protect-arkansas-children-from-harmful-medical-procedures\/\" target=\"_blank\" rel=\"noopener\">Arkansas SAFE Act<\/a> regulates access to medical care by &#8220;age and medical procedure, not sex&#8221; and &#8220;regulates a class of procedures, not people.&#8221;<\/p>\n<p>The court of appeals stated that, in light of this, the law only needed to have a rational basis (the lowest threshold in constitutional cases). It found that the state&#8217;s legitimate interest in protecting the health and safety of children met that standard (<em><a href=\"https:\/\/caselaw.findlaw.com\/court\/us-8th-circuit\/117597005.html\" target=\"_blank\" rel=\"noopener\">Brandt v. Griffin<\/a><\/em>).<\/p>\n<h3><b>Shield Laws<\/b><\/h3>\n<p>In the twelve sanctuary states, <b>shield laws<\/b> preserve access to transgender health care and prevent intrusion from other state actions. Specifically, shield laws:<\/p>\n<ul>\n<li>Protect parents, health care professionals, and others against out-of-state prosecution, extradition, subpoenas, and arrest<\/li>\n<li>Require insurance companies and state health insurance providers to cover GAC and prohibit exclusionary language in <a href=\"https:\/\/www.findlaw.com\/consumer\/insurance\/health-insurance.html\">health insurance<\/a><\/li>\n<li>Permit GAC access for minors and adults, prohibit release of any medical data related to gender-affirming care, and provide a cause of action for denial of service<\/li>\n<li>Protect medical professionals against professional discipline related to GAC, such as suspension, revocation, or dismissal<\/li>\n<\/ul>\n<p>Sanctuary states will not <a href=\"https:\/\/www.findlaw.com\/litigation\/going-to-court\/what-is-a-subpoena.html\">enforce subpoenas<\/a> or extradition orders from other states related to the gender-affirming care laws of those states.<\/p>\n<h3><b>Gender-Affirming Care Bans<\/b><\/h3>\n<p>Except in the handful of states with <a href=\"https:\/\/www.findlaw.com\/criminal\/criminal-law-basics\/what-distinguishes-a-misdemeanor-from-a-felony.html\">felony charges<\/a> for performing surgery on minors, gender-affirming care bans primarily:<\/p>\n<ul>\n<li>Prevent physicians and other health care providers from prescribing hormone therapy and <a href=\"https:\/\/www.webmd.com\/children\/what-are-puberty-blockers\" target=\"_blank\" rel=\"noopener\">puberty-blocking drugs<\/a> to minors<\/li>\n<li>Prohibit performing gender-affirming surgery on minors<\/li>\n<li>Ban the use of public funds for any GAC purpose, including Medicare and CHIP and, pursuant to the Executive Order, Tricare<\/li>\n<li>In some states, providers may not discuss gender-affirming care with minors presenting with <a href=\"https:\/\/www.webmd.com\/sex\/gender-dysphoria\" target=\"_blank\" rel=\"noopener\">gender dysphoria<\/a> as a mental health issue<\/li>\n<li>In some states, school officials may not withhold information that a minor has disclosed a gender-related issue to them<\/li>\n<\/ul>\n<p>Nebraska\u2019s law bans transgender care for minors under the age of 19. However, the state has not banned transgender care for adults. This creates an uncertain area where adults over 18 may be unable to access care.<\/p>\n<p>To date, laws and case law have been silent on gender-affirming care for adults on parental health insurance, such as college students who still use their parents&#8217; health insurance. Parents concerned about such matters should <a href=\"https:\/\/www.findlaw.com\/lgbtq-law\/hiring-an-attorney-in-the-lgbtq-community.html\">consult their attorneys<\/a>.<\/p>\n<h3>Can a Minor Obtain Gender-Affirming Care Without Parental Consent?<\/h3>\n<p>Generally, no. Even in a state that allows minors to access gender-affirming care.<\/p>\n<p>Minors cannot legally consent to medical care on their own. Some states allow minors to access things like <a href=\"https:\/\/www.findlaw.com\/family\/reproductive-rights\/birth-control.html\">contraceptives<\/a> or vaccines without parental consent. But puberty blockers and other hormone therapies would not apply.<\/p>\n<p>However, gender therapy and other counseling services might be an option, particularly for older teens. In some states, minors can access mental health services without parental consent.<\/p>\n<p>For example, <a title=\"in New York\" href=\"https:\/\/codes.findlaw.com\/ny\/mental-hygiene-law\/mhy-sect-33-21\/\" target=\"_blank\" rel=\"noopener\">in New York<\/a>, a licensed mental health provider can provide services without parental consent if they believe it is necessary for your well-being and one of the following is true:<\/p>\n<ul>\n<li>Your parent or guardian is not available<\/li>\n<li>Requiring parental involvement would be detrimental to your treatment<\/li>\n<li>Your parent or guardian has refused consent, but a health care provider has determined mental health treatment is necessary and in your best interest<\/li>\n<\/ul>\n<p>An <a title=\"emancipated minor\" href=\"https:\/\/www.findlaw.com\/family\/emancipation-of-minors.html\">emancipated minor<\/a> can make all of their own health care decisions, including gender-affirming care. However, emancipation is not an easy process and may not be the best option for everyone.<\/p>\n<h2><b>Get Legal Advice for Transgender Issues: Contact an Attorney<\/b><\/h2>\n<p>Families of transgender teens need legal advice while state legislatures decide what new laws will affect them.<a href=\"https:\/\/lawyers.findlaw.com\/same-sex\/\" target=\"_blank\" rel=\"noopener\"> LGBTQ+ rights<\/a> fall in a broad spectrum of legal practice areas, including <a href=\"https:\/\/lawyers.findlaw.com\/family-law\/?fli=dcta\" target=\"_blank\" rel=\"noopener\">family law<\/a>, <a href=\"https:\/\/lawyers.findlaw.com\/discrimination\/?fli=dcta\" target=\"_blank\" rel=\"noopener\">discrimination law<\/a>, <a href=\"https:\/\/lawyers.findlaw.com\/civil-rights\/?fli=dcta\" target=\"_blank\" rel=\"noopener\">civil rights<\/a>, and more.<\/p>\n<p>To keep up with your state\u2019s laws, the <a href=\"https:\/\/www.lgbtmap.org\/\" target=\"_blank\" rel=\"noopener\">Movement Advancement Project<\/a> (MAP) features interactive maps on a wide array of state and federal laws that impact transgender and other LGBTQ+ rights. <a href=\"https:\/\/www.kff.org\/\" target=\"_blank\" rel=\"noopener\">KFF<\/a> is a medical policy tracking site that regularly updates changes in state and federal healthcare, insurance, and research.<\/p>\n<p>For legal referrals in your area, visit <a title=\"FindLaw\u2019s directory of experienced attorneys\" href=\"https:\/\/lawyers.findlaw.com\/?fli=dcta\" target=\"_blank\" rel=\"noopener\">FindLaw\u2019s attorney directory<\/a> or contact an LGBTQ+ organization near you. FindLaw&#8217;s attorney directory is free to use. Start by entering your legal issue and location (city or ZIP code) for a list of qualified legal professionals near you. Because state laws are relevant, your attorney should be licensed in your state.<\/p>\n\n\n<div class=\"was-this-helpful\">\n    <div\n            class=\"was-this-helpful__question-container\"\n            aria-labelledby=\"was-this-helpful__question\"\n            role=\"group\"\n    >\n        <span\n                id=\"was-this-helpful__question\"\n                class=\"was-this-helpful__question fl-text-lg-bold\"\n        >Was this helpful?<\/span>\n        <button\n                class=\"was-this-helpful__button fl-text-sm\"\n                aria-label=\"Yes\"\n                value=\"yes\"\n        >\n            <span class=\"was-this-helpful__button-text fl-text-bold\">Yes<\/span>\n            <i class=\"was-this-helpful__button-icon\">\n                <svg width=\"22\" height=\"22\" viewBox=\"0 0 22 22\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <g id=\"thumbs-up\" clip-path=\"url(#clip0_604_3418)\">\n                        <path 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1.16359 3.40212 1.47599C3.0346 1.78839 2.79235 2.22309 2.72003 2.7L1.34003 11.7C1.29652 11.9866 1.31586 12.2793 1.39669 12.5577C1.47753 12.8362 1.61793 13.0937 1.80817 13.3125C1.99842 13.5313 2.23395 13.7061 2.49846 13.8248C2.76297 13.9435 3.05012 14.0033 3.34003 14H9.00003Z\"\n                              stroke=\"#666666\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n                    <\/g>\n                    <defs>\n                        <clipPath id=\"clip0_604_3423\">\n                            <rect width=\"22\" height=\"22\" fill=\"white\"\/>\n                        <\/clipPath>\n                    <\/defs>\n                <\/svg>\n            <\/i>\n        <\/button>\n    <\/div>\n    <span class=\"was-this-helpful__taken-action fl-text-sm-bold\"><\/span>\n    <div class=\"was-this-helpful__feedback-container\">\n        <div class=\"was-this-helpful__choose-option-message\" role=\"status\">\n            <p class=\"was-this-helpful__choose-option-message-text\"><\/p>\n        <\/div>\n        <form class=\"was-this-helpful__feedback-form\">\n            <div class=\"was-this-helpful__feedback was-this-helpful__feedback--positive\">\n                <fieldset>\n                    <legend class=\"was-this-helpful__feedback-form-title\" tabindex=\"0\">Why was this helpful?<\/legend>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--understandable\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"positive-feedback\"\n                                value=\"Easy to understand\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm 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<\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--other\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"positive-feedback\"\n                                value=\"Other\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--other\"\n                        >Other<\/label>\n                    <\/div>\n                <\/fieldset>\n            <\/div>\n            <div class=\"was-this-helpful__feedback was-this-helpful__feedback--negative\">\n                <fieldset>\n                    <legend 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medium\" aria-hidden=\"true\"><\/i>\n                    <a class=\"fl-list-item-link\" href=\"https:\/\/www.findlaw.com\/education\/discrimination-harassment-at-school\/transgender-student-rights-the-basics.html\">\n                        Transgender Student Rights: The Basics\n                    <\/a>\n                <\/li>\n                        <\/ul>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Find a state-by-state guide of laws on gender-affirming care for minors. 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