Alabama Code Title 26 Chapter 26. Alabama Vulnerable Child Compassion and Protection

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. Section 4 prohibits healthcare providers from performing gender-affirming surgeries or prescribing puberty blockers or cross-sex hormones to individuals under the age of 19, with exceptions only for minors born with ambiguous genitalia, chromosomal anomalies, or diagnosed disorders of sexual development. Section 5 mandates that public and private schools must notify a minor’s parent or legal guardian if the student expresses gender dysphoria or a desire to identify as a gender different from their sex assigned at birth, and prohibits schools from encouraging the minor to conceal that information. A newly enrolled act, Senate Bill 101, effective October 1, 2025, raises the age at which a minor may consent independently to medical, dental, and mental-health services, from age 14 to 16.