See where gender identity care is restricted and where it’s protected across the US

By Annette Choi, CNN

(CNN) — The US Supreme Court’s decision to uphold Tennessee’s ban on gender identity care for transgender minors earlier this summer has fueled ongoing polarization around LGBTQ issues and controversial policies across the nation. The high court has also agreed to take on more cases dealing with trans rights in its next session that begins in October.

Twenty-seven states have passed laws limiting access to gender identity health care for transgender children and teenagers, according to KFF, a nonpartisan health policy think tank. An estimated 40% of trans youth ages 13 to 17 live in these states.

There have already been more anti-LGBTQ bills introduced in state legislatures so far this year than in any full year since at least 2020, a CNN analysis of American Civil Liberties Union data found. These bills span various aspects of everyday life, including bathroom access, school sports and identification documents.

CNN is tracking where these laws are being passed and where these bills are being introduced. This story will be updated.

Gender identity care includes medically necessary, evidence-based care that uses a multidisciplinary approach to help a person transition from their assigned sex— the one the person was designated at birth — to their affirmed gender, the gender by which one wants to be known.

Most of the states limiting gender identity care for trans minors adopted their bans in 2023, a record-breaking year for such laws. So far this year, one state — Kansas — has passed a ban, prohibiting the use of state funds to provide or subsidize health care for transgender youth.

Not all laws are currently being enforced, however. The ban in Arkansas has been permanently blocked by a federal court, though the state said it would appeal the ruling. Montana’s ban is also permanently blocked, according to KFF. Though Arizona has a 2022 law on the books banning surgical care for transgender minors, Democratic Gov. Katie Hobbs signed an executive order in 2023 ensuring access to gender identity health care.

Another record year for anti-LGBTQ bills

Nearly 600 anti-LGBTQ bills have been introduced into state legislatures as of July 11, which is already more than any other year on record, according to the ACLU.

Education and health care continue to be key targets. There were more bills restricting student and educator rights — enforcing school sports bans and targeting students’ access to facilities consistent with their gender identities, for example — than any other category of bills, according to a CNN analysis of ACLU data.

Legislators in Texas have introduced 88 anti-LGBTQ bills so far this year, more than double the number of bills being considered in any other state. Four of those — including one that limits changes to gender markers on state medical records — have been passed into law.

In late July, Texas lawmakers are reconvening for a 30-day special session. On the agenda is a transgender bathroom bill.

Lawmakers in every state, except for Vermont, have filed at least one anti-LGBTQ bill in 2025, according to a CNN analysis. Twenty-two states have signed those bills into law.

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