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)