Bans on best-practice medical care represent one of the most extreme and coordinated political attacks on transgender people in recent years. These bills target transgender youth by blocking their access to best-practice medical care, care that is backed by years of rigorous research and endorsed by the American Academy of Pediatrics, the American Medical Association, and other leading health authorities. These bills not only display a fundamental lack of understanding of transgender children, but they also ban access to medical care often by criminalizing either the doctors or even the parents of transgender youth seeking to provide best-practice medicine for children in their care.
For more on these efforts, including how these attacks have become more extreme over time,
read MAP's 2023 spotlight report.
*Notes (and see the "Citations" tab or click "Citations & More Information" below the map legend for more information about every state):
-Arizona banned surgical care for transgender minors in 2022, but in 2023 a new governor issued an executive order with "shield" style protections for transgender health care that is still legal in the state. Go to the transgender healthcare "shield" Equality Map to learn more about these laws.
-Multiple states have "grandfather" clauses, "weaning off" clauses, or limited exceptions for some transgender youth and/or for some types of medication. Click "Citations" to read more detail about each bill or to access the law's language directly.
Bans Permanently Blocked
The following laws are permanently blocked from being enforced, though appeals may be ongoing. Transgender youth should still be able to access care legally.
-Arkansas: In June 2023, a federal judge permanently blocked the state's 2021 ban, ruling it unconstitutional. However, the state has said it will appeal the ruling, and the state also passed a new law in 2023 (effective 90 days after the legislature adjourns) that will allow individuals who receive gender-affirming care as minors (or the family members of those minors) to sue their medical providers for malpractice, among other provisions. The 2023 permanent block builds on an earlier temporary block issued in July 2021.
-Florida: In June 2023, a federal judge temporarily blocked the state's ban on youth's care, though not the provisions regarding adult access to care. In June 2024, the ban was permanently blocked, including multiple provisions restricting adult access to care. Read more here. However, an appeal of that ruling is expected.
Bans Temporarily Blocked (In Full or In Part)
The following laws are at least partially blocked from being enforced, though these court cases are still ongoing. Transgender youth should still be able to access care legally to the extent each of these blocks allow.
-Montana, fully blocked: In Sept 2023, a state district court temporarily blocked the state's ban on youth's care from being enforced while the lawsuit continues.
Bans Not Yet in Effect
The following laws are not yet in effect. Transgender youth should still be able to access care legally to the extent each of these situations allow.
-New Hampshire: The state's ban will not go into effect until January 1, 2025.
Recommended citation:
Movement Advancement Project. [Year of access]. "Equality Maps: Bans on Best Practice Medical Care for Transgender Youth."
https://www.mapresearch.org/equality-maps/healthcare/youth_medical_care_bans. Accessed [day of access].
*Note: These percentages reflect estimates of the transgender youth (ages 13-17) population living in the 50 states and the District of Columbia. Estimates of transgender youth in the U.S. territories or under age 13 are not available, and so cannot be reflected here. Population estimates are from The Williams Institute.
State | Bans on Medical Care for Transgender Youth |
Citations | |
Alabama | State does not have this law |
Alaska | |
American Samoa | |
Arizona | State does not have this law |
Arkansas | State does not have this law |
California | |
Colorado | |
Connecticut | |
Delaware | |
District of Columbia | |
Florida | State does not have this law |
Georgia | State does not have this law |
Guam | |
Hawaii | |
Idaho | State does not have this law |
Illinois | |
Indiana | State does not have this law |
Iowa | State does not have this law |
Kansas | |
Kentucky | State does not have this law |
Louisiana | State does not have this law |
Maine | |
Maryland | |
Massachusetts | |
Michigan | |
Minnesota | |
Mississippi | State does not have this law |
Missouri | State does not have this law |
Montana | State does not have this law |
Nebraska | State does not have this law |
Nevada | |
New Hampshire | State does not have this law |
New Jersey | |
New Mexico | |
New York | |
North Carolina | State does not have this law |
North Dakota | State does not have this law |
Northern Mariana Islands | |
Ohio | State does not have this law |
Oklahoma | State does not have this law |
Oregon | |
Pennsylvania | |
Puerto Rico | |
Rhode Island | |
South Carolina | State does not have this law |
South Dakota | State does not have this law |
Tennessee | State does not have this law |
Texas | State does not have this law |
U.S. Virgin Islands | |
Utah | State does not have this law |
Vermont | |
Virginia | |
Washington | |
West Virginia | State does not have this law |
Wisconsin | |
Wyoming | State does not have this law |
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