|  |  Blocked  |  The state board of medicine rule took effect on March 16,
2023.  [206]  [207]  Additionally, on May 17, 2023, Governor DeSantis signed a
ban into law, and it took effect immediately. It applies only to new patients,
not those who were already receiving gender-affirming care.  [208]  However,
on June 6, 2023, a court temporarily blocked enforcement of both the board
rule and the law.  [209]
 Iowa  |  Governor  Kim
Reynolds  |  March 22, 2023  [210]  |  |
 Georgia  "LGBT rights in
Georgia \(U.S. state\)") |  Governor  Brian Kemp  |  March 23, 2023  [211]  |  July 1, 2023  |  Bans hormones and surgery
while continuing to allow puberty blockers. Minors who began hormones prior to
July 1, 2023, are allowed to continue treatment.  [212]  [213]
 West Virginia  |  Governor  Jim Justice  |
March 29, 2023  [214]  |  |  The bill makes exceptions for minors who have
received parental consent and are diagnosed with "severe gender dysphoria" by
two doctors. Due to this exception, experts do not expect the ban to have much
of an impact.  [215]
 Kentucky  |  
State legislature  |  March 29, 2023  |  July 14, 2023  |  The legislature overrode
Governor  Andy Beshear  's veto, banning
gender-affirming healthcare for trans minors.  [216]  Federal appeals judges
allowed the ban to remain in effect during legal challenges to overturn it.
[217]  [218]
 Arizona  |  Governor
 Doug Ducey  |  March 30, 2022  |  March 31,
2023  |  Bans gender-affirming surgery for minors, but not hormones and
puberty blockers. The bill also makes some exceptions, including in the case
of someone born intersex.  [219]  [220]  In mid 2023, a new Governor,  Katie
Hobbs  reversed course by signing a series
of executive orders which include shield-style protections for gender-
affirming care, ensuring that it remains legal in Arizona. It also bans
conversion therapy, requires insurance plans to cover gender-affirming care
and bars state agencies from cooperating with civil and criminal cases in
states where gender-affirming health care is illegal.  [221]
 Idaho  |  Governor 
Brad Little  [222]  [223]  |  April 4, 2023
|  Blocked  |  It would also make it a felony for any medical practitioner to
help a minor seek gender-affirming treatment. On December 27, 2023, a federal
judge blocked the law from taking effect.  [224]
 Indiana  |  Governor
 Eric Holcomb  [225]  |  April 5, 2023  |
February 27, 2024  |  On June 16, 2023, a federal judge temporarily blocked
the law from taking effect.  [226]  On February 27, 2024, the  7th Circuit
Court of Appeals
 reversed the decision allowing the
ban to take effect.  [227]
 North Dakota  |  Governor  Doug Burgum  |  April
20, 2023  |  |  On April 20, 2023, North Dakota Governor  Doug Burgum
 signed a law criminalizing trans health
care for minors. However, the law notably makes exceptions for medication
treatment for "rare circumstances with parental consent". The law also allows
medication treatment for early onset puberty and minors who were already
receiving gender-affirming care will still be able to receive treatment.
[228]
 Montana  |  Governor
 Greg Gianforte  |  April 28, 2023
[229]  |  Blocked  |  Treatments such as puberty-blockers and breast-reduction
surgery will still be legal for minors who are not suffering from gender
dysphoria. On September 27, 2023, a Montana District Court judge prevented it
from taking effect.  [230]
 North Carolina  |   State
legislature  |  |  August 17, 2023  |  Ban on gender-affirming care, such as
hormones, puberty blockers, and surgery, for minors. The ban only applies to
transgender children and still allows such treatments for intersex and
cisgender children. The ban also only applies to new patients. Transgender
children who started treatment prior to August 1, 2023, will be allowed to
continue receiving treatment.  [231]  Governor  Roy Cooper  vetoed the bill on July 5, 2023,  [232]  but the state
legislature overruled his veto on August 17, therefore making the bill law.
[233]
 Missouri  |
Governor Mike Parson  |  June 7, 2023  |  August 28, 2023  |  People receiving
puberty blockers or hormones before the ban went into effect may continue
taking them. Otherwise, blockers and hormones are banned until 2027. Surgery
is also banned.
 Louisiana  |
State Legislature  |  |  January 1, 2024  |  On June 29, 2023, John Bel
Edwards vetoed a ban on blockers, hormones, and surgery for minors. On July
18, the  Louisiana State Legislature  override his veto.
 Oklahoma  |  |  |
|  In October 2023, a judge declined to stop the law from taking effect.
[234]
 Nebraska  |
Governor Jim Pillen  |  October 2, 2023  |  October 2, 2023  |  On October 2,
2023, the state Department of Health and Human Services announced that
Republican Governor  Jim Pillen  had approved
emergency regulations banning gender affirming surgeries for minors. Puberty
blockers and hormone treatments for minors still remain legal, however
applicants must now wait seven days and undergo at least 40 hours of
"clinically neutral" therapy before starting them. The new regulations went
into effect immediately.  [235]
 Ohio  |  State legislature
|  |  April 23, 2024  |  On January 5, 2024, Governor  Mike DeWine
 signed an executive order banning gender-
affirming surgeries for minors.  [236]  Previously, on December 29, 2023, he
had vetoed the Saving Adolescents from Experimentation (SAFE) Act (HB68)
passed (mostly along party lines) by the  Ohio Legislature
 on December 13 which banned
gender-affirming surgeries as well as hormones and puberty blockers for
minors. The bill includes exceptions for this kind of care for non-transgender
youth, and it allows children who were already receiving gender-affirming care
in Ohio to continue their treatment.  [237]  On January 24, 2024, the
legislature overrode DeWine's veto thereby making HB68 law. It will go into
effect after 90 days.  [238]
 Wyoming  |  Governor
Mark Gordon  |  March 22, 2024  |  July 1, 2024  |  On March 22, 2024, Wyoming
Governor  Mark Gordon  signed a law
criminalizing trans health care for minors.  [239]