The Alabama Vulnerable Child Compassion and Protection Act establishes state controls over gender-identity-related medical and educational interventions for minors. Section 2 sets the legislative findings, declaring that a child’s biological sex is immutable and that medical treatments intended to affirm a different gender present experimental risks.
Following a class action settlement in January 2021, Alaska’s Medicaid program eliminated its prior exclusion of gender‑affirming treatments and began affirmative coverage of medically necessary care related to gender affirming care on July 25, 2021.
In Being v. Crum, transgender and nonbinary plaintiffs challenged Alaska’s Medicaid regulations that categorically excluded coverage for treatments related to gender affirming care, such as hormone therapy, surgical procedures, or additional therapies for gender dysphoria. The plaintiffs argued that these exclusions violated the Equal Protection Clause, Section 1557 of the Affordable Care Act and Medicaid’s requirements for comparability and availability.
Law 26743 codifies the definition of gender identity and ensures its protections. Article 2 defines gender identity as an internal and individual experience which may or may not correspond to an individual's sex assigned at birth. Article 1 recognizes the right for a person to be recognized and freely develop in accordance with their gender identity, including government identification.
In Moe v. Yost (2025), the plaintiffs/appellants are two transgender adolescents and their families, challenging House Bill 68, also known as the SAFE Act, which restricts minors in Ohio from gaining access to gender-affirming care and services. The defendants/appellees are the Attorney General of Ohio, et al.
Under New Jersey Public Law 2017, Chapter 176, discrimination in health insurance coverage and public employee benefit plans on the basis of gender identity, gender expression, or transgender status is prohibited.
Ohio Revised Code Title 31 contains provisions on domestic relations and children. Chapter 3113 addresses neglect, abandonment, and domestic violence involving children, covering court procedures, protective services, and funding. Chapter 3109 governs child abuse prevention, custody
Ohio House Bill 68 (2024), the Saving Ohio Adolescents from Experimentation (SAFE) Act, prohibits minors from receiving gender-affirming medical services and requires schools to maintain single-sex sports teams, thereby excluding transgender girls from participating in female sports. The bill was vetoed by Governor DeWine in December of 2023, but the veto was overridden by the House and Senate in early 2024, making it law. The law is currently blocked by a court order and is being challenged in Moe v.
