Transgender Care Ban States 2026

States with Bans on Medication and Surgical Care

Some states prohibit both medication-based and surgical forms of gender-affirming care. These laws restrict access to a broad range of treatments and represent the most comprehensive form of regulation in this area.

States in this category include Alabama, Arkansas, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, Montana, Nebraska, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, West Virginia, and Wyoming.

States with Bans on Surgical Care Only

New Hampshire is the only state that restricts surgical forms of gender-affirming care while not fully prohibiting medication-based treatments. The laws in this state create a narrower set of limitations compared to broader bans.

States with Shield Laws Protecting Access

Some states have enacted shield laws to protect access to gender-affirming care. These laws are designed to safeguard patients and providers, often limiting the ability of other states to enforce restrictive policies across state lines.

The states in this category are California, Colorado, Connecticut, Delaware, District of Columbia, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Mexico, New York, Oregon, Rhode Island, Vermont, and Washington, as well as Arizona, where shield protections exist alongside surgical restrictions.

States with No Specific Policy

Some states do not have a clearly defined statewide policy regarding gender-affirming care, meaning access and regulation may vary depending on local laws, providers, or evolving legal interpretations.

States in this category include Alaska, Hawaii, Michigan, Nevada, Pennsylvania, Virginia, and Wisconsin.