Current Version
| Region | United States |
| Issue | Gender-affirming care |
| Status | Varies by Region |
| Start Date | Apr 6, 2021 |
| End Date | (none) |
| Description | At the federal level, gender-affirming care is unrestricted, since there are no federal laws governing it. Beginning with Arkansas in 2021, several states have passed laws that restrict access to such care, while others have adopted laws that protect it. On June 18 2025, the U.S. Supreme Court upheld Tennessee’s SB 1 in a 6–3 ruling (*United States v. Skrmetti*), allowing states to prohibit puberty blockers and hormone therapy for anyone under 18 who is transitioning. • The majority applied only “rational-basis” review and rejected claims that the ban violates the 14th Amendment’s Equal Protection Clause. • The decision does **not** impose a federal ban, but it shields similar laws in at least 26 other states from most constitutional challenges. • Adult gender-affirming care remains legal, and the 2020 *Bostock* workplace-rights precedent is unaffected. |
| Sources | https://www.hrc.org/resources/attacks-on-gender-affirming-care-by-state-map https://19thnews.org/2023/06/abortion-trans-health-care-shield-laws/ https://www.huffpost.com/entry/alabama-ban-on-gender-affirming-care-for-transgender-youth-takes-effect_n_62790f2ae4b0d7ea4ccfc4bd https://www.arkleg.state.ar.us/Bills/Detail?id=HB1570&ddBienniumSession=2021%2F2021R https://www.pbs.org/newshour/politics/supreme-court-delivers-major-blow-to-transgender-rights-upholding-tennessee-ban-on-gender-affirming-care-for-minors https://www.supremecourt.gov/opinions/24pdf/23-477_new_10o6.pdf https://apnews.com/article/supreme-court-transgender-tennessee-ban-18d6310c2a19456eabc1b0a5bbf7343e |
Revision History (11)
edited by DaisyGeekyTrans. It is now revoked but it still began in Arkansas.
Helpful?
0 | Old Value | New Value (Current) | |
|---|---|---|
| Start Date | May 8, 2022 | Apr 6, 2021 |
| Description | At the federal level, gender-affirming care is unrestricted, since there are no federal laws governing it. Beginning with Alabama in 2022, several states have passed laws that restrict access to such care, while others have adopted laws that protect it. On June 18 2025, the U.S. Supreme Court upheld Tennessee’s SB 1 in a 6–3 ruling (*United States v. Skrmetti*), allowing states to prohibit puberty blockers and hormone therapy for anyone under 18 who is transitioning. • The majority applied only “rational-basis” review and rejected claims that the ban violates the 14th Amendment’s Equal Protection Clause. • The decision does **not** impose a federal ban, but it shields similar laws in at least 26 other states from most constitutional challenges. • Adult gender-affirming care remains legal, and the 2020 *Bostock* workplace-rights precedent is unaffected. | At the federal level, gender-affirming care is unrestricted, since there are no federal laws governing it. Beginning with Arkansas in 2021, several states have passed laws that restrict access to such care, while others have adopted laws that protect it. On June 18 2025, the U.S. Supreme Court upheld Tennessee’s SB 1 in a 6–3 ruling (*United States v. Skrmetti*), allowing states to prohibit puberty blockers and hormone therapy for anyone under 18 who is transitioning. • The majority applied only “rational-basis” review and rejected claims that the ban violates the 14th Amendment’s Equal Protection Clause. • The decision does **not** impose a federal ban, but it shields similar laws in at least 26 other states from most constitutional challenges. • Adult gender-affirming care remains legal, and the 2020 *Bostock* workplace-rights precedent is unaffected. |
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| Sources | https://www.hrc.org/resources/attacks-on-gender-affirming-care-by-state-map https://19thnews.org/2023/06/abortion-trans-health-care-shield-laws/ https://www.huffpost.com/entry/alabama-ban-on-gender-affirming-care-for-transgender-youth-takes-effect_n_62790f2ae4b0d7ea4ccfc4bd https://www.pbs.org/newshour/politics/supreme-court-delivers-major-blow-to-transgender-rights-upholding-tennessee-ban-on-gender-affirming-care-for-minors https://www.supremecourt.gov/opinions/24pdf/23-477_new_10o6.pdf https://apnews.com/article/supreme-court-transgender-tennessee-ban-18d6310c2a19456eabc1b0a5bbf7343e | https://www.hrc.org/resources/attacks-on-gender-affirming-care-by-state-map https://19thnews.org/2023/06/abortion-trans-health-care-shield-laws/ https://www.huffpost.com/entry/alabama-ban-on-gender-affirming-care-for-transgender-youth-takes-effect_n_62790f2ae4b0d7ea4ccfc4bd https://www.arkleg.state.ar.us/Bills/Detail?id=HB1570&ddBienniumSession=2021%2F2021R https://www.pbs.org/newshour/politics/supreme-court-delivers-major-blow-to-transgender-rights-upholding-tennessee-ban-on-gender-affirming-care-for-minors https://www.supremecourt.gov/opinions/24pdf/23-477_new_10o6.pdf https://apnews.com/article/supreme-court-transgender-tennessee-ban-18d6310c2a19456eabc1b0a5bbf7343e |
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edited by HelloWorld94. Add Supreme Court ruling that upholds Tennessee ban on gender-affirming care for minors; marks start date and clarifies impact on other state bans.
Helpful?
0 | Old Value | New Value | |
|---|---|---|
| Description | At the federal level, gender-affirming care is unrestricted, since there are no federal laws governing it. Beginning with Alabama in 2022, several states have passed laws that restrict access to such care, while others have adopted laws that protect it. | At the federal level, gender-affirming care is unrestricted, since there are no federal laws governing it. Beginning with Alabama in 2022, several states have passed laws that restrict access to such care, while others have adopted laws that protect it. On June 18 2025, the U.S. Supreme Court upheld Tennessee’s SB 1 in a 6–3 ruling (*United States v. Skrmetti*), allowing states to prohibit puberty blockers and hormone therapy for anyone under 18 who is transitioning. • The majority applied only “rational-basis” review and rejected claims that the ban violates the 14th Amendment’s Equal Protection Clause. • The decision does **not** impose a federal ban, but it shields similar laws in at least 26 other states from most constitutional challenges. • Adult gender-affirming care remains legal, and the 2020 *Bostock* workplace-rights precedent is unaffected. |
Show Difference | ||
| Sources | https://www.hrc.org/resources/attacks-on-gender-affirming-care-by-state-map https://19thnews.org/2023/06/abortion-trans-health-care-shield-laws/ https://www.huffpost.com/entry/alabama-ban-on-gender-affirming-care-for-transgender-youth-takes-effect_n_62790f2ae4b0d7ea4ccfc4bd | https://www.hrc.org/resources/attacks-on-gender-affirming-care-by-state-map https://19thnews.org/2023/06/abortion-trans-health-care-shield-laws/ https://www.huffpost.com/entry/alabama-ban-on-gender-affirming-care-for-transgender-youth-takes-effect_n_62790f2ae4b0d7ea4ccfc4bd https://www.pbs.org/newshour/politics/supreme-court-delivers-major-blow-to-transgender-rights-upholding-tennessee-ban-on-gender-affirming-care-for-minors https://www.supremecourt.gov/opinions/24pdf/23-477_new_10o6.pdf https://apnews.com/article/supreme-court-transgender-tennessee-ban-18d6310c2a19456eabc1b0a5bbf7343e |
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edited by Unknownmiles. Replacing description and links and fixing date
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0 | Old Value | New Value | |
|---|---|---|
| Start Date | Apr 6, 2021 | May 8, 2022 |
| Description | While Gender Affirming Care is unrestricted federally, it varies by region due to no federal laws in place. Several states have either banned or passed laws to protect gender affirming care. Office of Health and Human Services made an document stating that they are with gender affirming care in 2022. There have been no efforts made to make gender affirming care federally protected, President Biden has made no comments on the specific topic | At the federal level, gender-affirming care is unrestricted, since there are no federal laws governing it. Beginning with Alabama in 2022, several states have passed laws that restrict access to such care, while others have adopted laws that protect it. |
Show Difference | ||
| Sources | https://www.hrc.org/resources/get-the-facts-on-gender-affirming-care https://www.hhs.gov/sites/default/files/hhs-ocr-notice-and-guidance-gender-affirming-care.pdf https://www.arkleg.state.ar.us/Bills/Detail?id=HB1570&ddBienniumSession=2021%2F2021R | https://www.hrc.org/resources/attacks-on-gender-affirming-care-by-state-map https://19thnews.org/2023/06/abortion-trans-health-care-shield-laws/ https://www.huffpost.com/entry/alabama-ban-on-gender-affirming-care-for-transgender-youth-takes-effect_n_62790f2ae4b0d7ea4ccfc4bd |
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edited by DaisyGeekyTrans. Adding date for when this insanity all began.
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0 | Old Value | New Value | |
|---|---|---|
| Start Date | (unknown) | Apr 6, 2021 |
| Sources | https://www.hrc.org/resources/get-the-facts-on-gender-affirming-care https://www.hhs.gov/sites/default/files/hhs-ocr-notice-and-guidance-gender-affirming-care.pdf | https://www.hrc.org/resources/get-the-facts-on-gender-affirming-care https://www.hhs.gov/sites/default/files/hhs-ocr-notice-and-guidance-gender-affirming-care.pdf https://www.arkleg.state.ar.us/Bills/Detail?id=HB1570&ddBienniumSession=2021%2F2021R |
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edited by Unknownmiles. Reverting to revision #42028:
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0 | Old Value | New Value | |
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| End Date | Jan 29, 2025 | (none) |
Reports (3)
- Newer law has been passed "test"
- Status is not correct "[Removed]
"
- Other "[Removed]"
edited by vmoment_fr. Trump issued an executive order effectively rescinding Trans Healthcare for Individuals Under - 19
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0 | Old Value | New Value | |
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| End Date | (none) | Jan 29, 2025 |
edited by jadeywadey. updated according to mod decision
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| End Date | Jan 28, 2025 | (none) |
edited by jadeywadey. new Trump EO :(.
Helpful?
0 | Old Value | New Value | |
|---|---|---|
| End Date | (none) | Jan 28, 2025 |
| Old Value | New Value | |
|---|---|---|
| Description | While Gender Affirming Care is unrestricted federally, it varies by region due to no federal laws in place. Several states have either banned or passed laws to protect gender affirming care. Office of Health and Human Services made an document stating that they are with gender affirming care in 2022. | While Gender Affirming Care is unrestricted federally, it varies by region due to no federal laws in place. Several states have either banned or passed laws to protect gender affirming care. Office of Health and Human Services made an document stating that they are with gender affirming care in 2022. There have been no efforts made to make gender affirming care federally protected, President Biden has made no comments on the specific topic |
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| Old Value (Original) | New Value | |
|---|---|---|
| Description | While Gender Affirming Care is unrestricted federally, it varies by region due to no federal laws in place. Several states have either banned or passed laws to protect gender affirming care. | While Gender Affirming Care is unrestricted federally, it varies by region due to no federal laws in place. Several states have either banned or passed laws to protect gender affirming care. Office of Health and Human Services made an document stating that they are with gender affirming care in 2022. |
Show Difference | ||
| Sources | https://www.hrc.org/resources/get-the-facts-on-gender-affirming-care | https://www.hrc.org/resources/get-the-facts-on-gender-affirming-care https://www.hhs.gov/sites/default/files/hhs-ocr-notice-and-guidance-gender-affirming-care.pdf |
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| Original entry | |
|---|---|
| Status | Varies by Region |
| Start Date | (unknown) |
| End Date | (none) |
| Description | While Gender Affirming Care is unrestricted federally, it varies by region due to no federal laws in place. Several states have either banned or passed laws to protect gender affirming care. |
| Sources | https://www.hrc.org/resources/get-the-facts-on-gender-affirming-care |