Local laws
Legal and regulatory provisions on gender vary from jurisdiction to jurisdiction. Find out more about what’s in force in your area, with our directory of local laws.
Please note that the legal landscape in many jurisdictions is frequently shifting, and this directory is liable to change as a result. If you have information you would like to add to this page — or if you think we’ve got something wrong — email us with your suggested additions/corrections and source materials.
United States | Alabama
No mandated curriculum on gender / gender identity
No criminal penalties relating to pronoun use
Public colleges do not fund cross-sex hormones or surgeries
No explicit policy on whether the state pays for mastectomies
No lower age limit for hormones with parental consent
Youngest age that hormones can be legally prescribed without parental consent: 14
Proof of medical transition required to change sex on birth certificate
United States | Alaska
No mandated curriculum on gender / gender identity
Public colleges do not fund cross-sex hormones or surgeries
State pays for mastectomies
No lower age limit for hormones (regardless of parental consent)
Proof of medical transition required to change sex on birth certificate
United States | Arizona
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones and surgeries (Northern AZ University, University of AZ)
State does not pay for mastectomies
Youngest age that hormones can be legally prescribed without parental consent: 18
No proof of medical transition required to change sex on birth certificate
United States | Arkansas
No mandated curriculum on gender / gender identity
No criminal penalties relating to pronoun use
Public colleges do not fund cross-sex hormones
State does not pay for mastectomies
No lower age limit for hormones (regardless of parental consent)
Proof of medical transition required to change sex on birth certificate
“Non-binary” / “Gender X” genders recognized on drivers’ licenses
United States | California
Mandated curriculum on gender / gender identity
Criminal penalties relating to pronoun use
Some public colleges fund cross-sex hormones and surgeries (CA Institute of Technology, Stanford, UC Berkley, UC Davis, UC Hastings College of the Law, UC Irvine, UC Los Angeles, UC Merced, UC Riverside, UC San Diego, UC San Francisco, UC Santa Barbara, UC Santa Cruz, University of Southern California)
State pays for mastectomies
No proof of medical transition required to change sex on birth certificate
“Non-binary” / “Gender X” genders recognized on drivers’ licenses
United States | Colorado
Some public colleges fund cross-sex hormones and surgeries (CO School of Mines, CO State University, University of CO Boulder, University of CO Denver)
State pays for mastectomies
Youngest age that hormones can be legally prescribed without parental consent: 18
No proof of medical transition required to change sex on birth certificate
“Non-binary” / “Gender X” genders recognized on drivers’ licenses
United States | Connecticut
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones and surgeries (Conneticut College, Trinity College, University of Connetticut, Yale University)
State pays for mastectomies
Youngest age that hormones can be legally prescribed without parental consent: 18
No proof of medical transition required to change sex on birth certificate
United States | DC
Some public colleges fund cross-sex hormones and surgeries (American University)
State pays for mastectomies
“Non-binary” / “Gender X” genders recognized on drivers’ licenses
United States | Delaware
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones and surgeries (University of DE)
State pays for mastectomies
Proof of medical transition required to change sex on birth certificate
United States | Florida
Public colleges do not fund cross-sex hormones or surgeries
No explicit policy on whether the state pays for mastectomies
Proof of medical transition required to change sex on birth certificate
United States | Georgia
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones and surgeries (Emory University)
State does not pay for mastectomies
Proof of medical transition required to change sex on birth certificate
United States | Hawaii
No mandated curriculum on gender / gender identity
Public colleges do not fund cross-sex hormones or surgeries
State pays for mastectomies
No proof of medical transition required to change sex on birth certificate
United States | Idaho
No mandated curriculum on gender / gender identity
Public colleges do not fund cross-sex hormones or surgeries
No explicit policy on whether the state pays for mastectomies
No lower age limit for hormones (regardless of parental consent)
No proof of medical transition required to change sex on birth certificate
United States | Illinois
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones (Northwestern University, School of the Art Institute of Chicago, University of Chicago, University of Illinois Chicago, University of Illinois Urbana-Champagne)
Some public colleges fund cross-sex surgeries (Northwestern University, School of the Art Institute of Chicago, University of Illinois Chicago, University of Illinois Urbana-Champagne)
State pays for mastectomies
No lower age limit for hormones (regardless of parental consent)
No proof of medical transition required to change sex on birth certificate
United States | Indiana
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones and surgeries (Perdue University)
No explicit policy on whether the state pays for mastectomies
No proof of medical transition required to change sex on birth certificate
United States | Iowa
Some public colleges fund cross-sex hormones (University of Iowa)
Public colleges do not fund cross-sex surgeries
No explicit policy on whether the state pays for mastectomies
Proof of medical transition required to change sex on birth certificate
United States | Kansas
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones (Kansas State University)
Public colleges do not fund cross-sex surgeries
No explicit policy on whether the state pays for mastectomies
No proof of medical transition required to change sex on birth certificate
United States | Kentucky
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones and surgeries (University of Louisville)
No explicit policy on whether the state pays for mastectomies
Proof of medical transition required to change sex on birth certificate
United States | Louisiana
Some public colleges fund cross-sex hormones (Tulane University)
Public colleges do not fund cross-sex surgeries
No explicit policy on whether the state pays for mastectomies
No lower age limit for hormones (regardless of parental consent)
Proof of medical transition required to change sex on birth certificate
United States | Maine
No mandated curriculum on gender / gender identity
Conversion therapy ban extending to gender identity
No criminal penalties relating to pronoun use
Some public colleges fund cross-sex hormones (Bowdoin College, University of Maine Machias)
Some public colleges fund cross-sex surgeries (Bowdoin College)
State pays for mastectomies
Youngest age that hormones can be legally prescribed without parental consent: 18
Preferred name/pronouns must be used by schools if student makes request in writing. Repeated use of legal name or natal pronouns considered a violation.
Proof of medical transition required to change sex on birth certificate
“Non-binary” / “Gender X” genders recognized on drivers’ licenses
United States | Maryland
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones and surgeries (Johns Hopkins University, University of MD)
State pays for mastectomies
No proof of medical transition required to change sex on birth certificate
“Non-binary” / “Gender X” genders recognized on drivers’ licenses
United States | Massachusetts
No mandated curriculum on gender / gender identity
Conversion therapy ban extending to gender identity
No criminal penalties relating to pronoun use
Some public colleges fund cross-sex hormones (Amherst College, Babson College, Brandeis University, Bridgewater State University, Clark University, Emerson College, Harvard University, Lesley University, Massachusetts Institute of Technology, Mount Holyoke College, Northeastern University, Smith College, Suffolk University, Tufts University, University of Massachusetts Amherst, University of Massachusetts Dartmouth)
Some public colleges fund cross-sex surgeries (Amherst College, Babson College, Bridgewater State University, Clark University, Emerson College, Harvard University, Lesley University, Mount Holyoke College, Northeastern University, Smith College, Tufts University, University of Massachusetts Amherst)
State pays for mastectomies
No lower age limit for hormones (regardless of parental consent)
No proof of medical transition required to change sex on birth certificate
“Non-binary” / “Gender X” genders recognized on drivers’ licenses
United States | Michigan
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones (Eastern Michigan University, University of Michigan)
Some public colleges fund cross-sex surgeries (University of Michigan)
State pays for mastectomies
Proof of medical transition required to change sex on birth certificate
United States | Minnesota
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones (University of MN Morris, University of MN)
Some public colleges fund cross-sex surgeries (University of MN)
State pays for mastectomies
No proof of medical transition required to change sex on birth certificate
“Non-binary” / “Gender X” genders recognized on drivers’ licenses
United States | Mississippi
Public colleges do not fund cross-sex hormones or surgeries
No explicit policy on whether the state pays for mastectomies
No proof of medical transition required to change sex on birth certificate
United States | Missouri
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones and surgeries (University of MO, Washington University in St. Louis)
State does not pay for mastectomies
Proof of medical transition required to change sex on birth certificate
United States | Montana
No mandated curriculum on gender / gender identity
Public colleges do not fund cross-sex hormones or surgeries
State pays for mastectomies
No proof of medical transition required to change sex on birth certificate
United States | Nebraska
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones and surgeries (University of Nebraska Lincoln)
State does not pay for mastectomies
Proof of medical transition required to change sex on birth certificate
United States | Nevada
No mandated curriculum on gender / gender identity
Public colleges do not fund cross-sex hormones or surgeries
State pays for mastectomies
No proof of medical transition required to change sex on birth certificate
“Non-binary” / “Gender X” genders recognized on drivers’ licenses
United States | New Hampshire
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones (Dartmouth College, University of New Hampshire)
Some public colleges fund cross-sex surgeries (Dartmouth College)
State pays for mastectomies
No proof of medical transition required to change sex on birth certificate
“Non-binary” / “Gender X” genders recognized on drivers’ licenses
United States | New Jersey
Mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones and surgeries (College of New Jersey, Kean University, Montclair State University, Princeton University, Rowan University, Rutgers University)
State pays for mastectomies
No proof of medical transition required to change sex on birth certificate
United States | New Mexico
No mandated curriculum on gender / gender identity
Public colleges do not fund cross-sex hormones or surgeries
No explicit policy on whether the state pays for mastectomies
No proof of medical transition required to change sex on birth certificate
United States | New York
No mandated curriculum on gender / gender identity
No criminal penalties relating to pronoun use
Some public colleges fund cross-sex hormones (Columbia University, Cornell University, Ithaca College, New York University, Pace University, University of Rochester, State University of New York College at Oneonta, Stony Brook University, University at Buffalo, Vassar College)
Some public colleges fund cross-sex surgeries (Columbia University, Cornell University, New York University, Pace University, University of Rochester, Stony Brook University)
State pays for mastectomies
No proof of medical transition required to change sex on birth certificate
United States | North Carolina
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones (Duke University, Guilford College)
Some public colleges fund cross-sex surgeries (Duke University)
No explicit policy on whether the state pays for mastectomies
Proof of medical transition required to change sex on birth certificate
United States | North Dakota
No mandated curriculum on gender / gender identity
Public colleges do not fund cross-sex hormones or surgeries
No explicit policy on whether the state pays for mastectomies
Proof of medical transition required to change sex on birth certificate
United States | Ohio
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones and surgeries (Case Western University, Ohio State University, Ohio University (Graduate Students Only))
State does not pay for mastectomies
Sex change forbidden on birth certificate
United States | Oklahoma
Public colleges do not fund cross-sex hormones or surgeries
No explicit policy on whether the state pays for mastectomies
No proof of medical transition required to change sex on birth certificate
United States | Oregon
Mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones (Lewis and Clark College, Oregon State University, Portland State University, University of Oregon)
Some public colleges fund cross-sex surgeries (Oregon State University, Portland State University, University of Oregon)
State pays for mastectomies
No proof of medical transition required to change sex on birth certificate
“Non-binary” / “Gender X” genders recognized on drivers’ licenses
United States | Pennsylvania
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones (Allegheny College, Carnegie Mellon University, Pennsylvania State University, University of Pennsylvania, Widener University)
Some public colleges fund cross-sex surgeries (Carnegie Mellon University, Pennsylvania State University, University of Pennsylvania)
State pays for mastectomies
No proof of medical transition required to change sex on birth certificate
United States | Rhode Island
Mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones and surgeries (Brown University)
State pays for mastectomies
No proof of medical transition required to change sex on birth certificate
United States | South Carolina
No mandated curriculum on gender / gender identity
No criminal penalties relating to pronoun use
Public colleges do not fund cross-sex hormones or surgeries
No explicit policy on whether the state pays for mastectomies
Proof of medical transition required to change sex on birth certificate
United States | South Dakota
No mandated curriculum on gender / gender identity
Public colleges do not fund cross-sex hormones or surgeries
No explicit policy on whether the state pays for mastectomies
No proof of medical transition required to change sex on birth certificate
United States | Tennessee
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones and surgeries (Vanderbilt University)
State does not pay for mastectomies
Sex change forbidden on birth certificate
United States | Texas
Some public colleges fund cross-sex hormones and surgeries (University of Houston Main Campus, University of Texas (UT) Arlington, UT Austin, UT Dallas, UT El Paso, UT Permian Basin, UT Rio Grande Valley, UT San Antonio, UT Tyler)
State does not pay for mastectomies
Proof of medical transition required to change sex on birth certificate
United States | Utah
No mandated curriculum on gender / gender identity
Public colleges do not fund cross-sex hormones or surgeries
No explicit policy on whether the state pays for mastectomies
No proof of medical transition required to change sex on birth certificate
“Non-binary” / “Gender X” genders recognized on drivers’ licenses
United States | Vermont
No mandated curriculum on gender / gender identity
Some public colleges fund cross-sex hormones and surgeries (Champlain College, University of VT)
State pays for mastectomies
No proof of medical transition required to change sex on birth certificate
“Non-binary” / “Gender X” genders recognized on drivers’ licenses
United States | Virginia
No mandated curriculum on gender / gender identity
Public colleges do not fund cross-sex hormones or surgeries
No explicit policy on whether the state pays for mastectomies
Proof of medical transition required to change sex on birth certificate
United States | Washington
Some public colleges fund cross-sex hormones and surgeries (University of Washington)
State pays for mastectomies
No proof of medical transition required to change sex on birth certificate
“Non-binary” / “Gender X” genders recognized on drivers’ licenses
United States | West Virginia
No mandated curriculum on gender / gender identity
Public colleges do not fund cross-sex hormones or surgeries
No explicit policy on whether the state pays for mastectomies
Proof of medical transition required to change sex on birth certificate
United States | Wisconsin
Some public colleges fund cross-sex hormones and surgeries (University of Wisconsin Madison)
State pays for mastectomies
Proof of medical transition required to change sex on birth certificate
United States | Wyoming
No mandated curriculum on gender / gender identity
Public colleges do not fund cross-sex hormones or surgeries
State does not pay for mastectomies
No proof of medical transition required to change sex on birth certificate
United Kingdom
As yet, devolution has not resulted in different laws in the home nations. However, this situation may change, especially in Scotland.
No conversion therapy ban extending to gender identity
No criminal penalties relating to pronoun use
Public colleges do not fund cross-sex hormones or surgeries
State pays for mastectomies
Youngest age that hormones can be legally prescribed with parental consent: 16
Youngest age that hormones can be legally prescribed without parental consent: 18
Ireland
No conversion therapy ban extending to gender identity
No criminal penalties relating to pronoun use
Public colleges do not fund cross-sex hormones or surgeries
State pays for mastectomies
Youngest age that hormones can be legally prescribed (regardless of parental consent): 16
New Zealand
No conversion therapy ban extending to gender identity
No criminal penalties relating to pronoun use
Public colleges do not fund cross-sex hormones or surgeries
State pays for mastectomies
No lower age limit for hormones (regardless of parental consent)