The North Carolina Department of Public Safety has continually denied Kanautica Zayre-Brown, an incarcerated transgender woman in their custody, access to gender-affirming surgery.

A 2023 Idaho law criminalizing gender-affirming medical care for transgender youth is being challenged in federal court by two transgender adolescents and their families. HB 71, signed into law by Idaho Governor Brad Little in May 2023, prohibits gender-affirming medical care that is widely accepted to treat gender dysphoria, helping alleviate the distress of gender dysphoria and significantly improving patients’ mental health and well-being. Such treatment is supported by leading medical experts and all major U.S. medical organizations, including the American Medical Association, the American Psychiatric Association, and the American Academy of Pediatrics.

Transgender adolescents, their parents, and two medical providers who work with transgender youth are challenging a 2023 Montana law that bans gender-affirming care for trans youth. The plaintiffs charge the law with violating their rights under the Montana Constitution, including the right to equal protection, the right to access medical care, and the right of parents to direct the upbringing of their children.

In the spring of 2023, Texas became the largest state in the country to ban gender-affirming care for transgender youth after Governor Greg Abbott signed SB 14. In July 2023, a lawsuit was filed on behalf of five Texas families, three medical professionals, and two organizations representing hundreds of families and health professionals across the state. The five Texas families challenging this law come from diverse backgrounds across the state with transgender children and teenagers. The bill’s passage alone resulted in families splitting up or planning to leave Texas to continue treatment for their children. The families are suing pseudonymously to protect themselves and their children, who are transgender Texans between the ages of 9 and 16.

Thousands of school districts across the country operate with nondiscrimination policies inclusive of their transgender students, including the legal right for these students to access facilities (bathrooms, locker rooms, etc.) consistent with their gender identity. These policies help protect transgender students from harassment, being isolated from their peers, and thrive in a learning environment that believes in their fundamental rights.