# We Speak Truth Foundation

> We Speak Truth Foundation is a 501(c)(3) public charity. EIN 33-2053514. PO Box 2891, Springfield, VA 22152 We Speak Truth is fighting for the right of children to grow up with their bodies intact, free from the harms of gender ideology. Children are beautiful just as they are, no drugs or scalpels needed.

English only. Canonical URLs use https://wespeaktruth.com. This file points at published pages. It is not medical advice, legal advice, or an endorsement of any candidate or campaign.

## About
- [Mission](https://wespeaktruth.com/mission): We Speak Truth Foundation is a US 501(c)(3) founded to stop pediatric medical transition, defend free speech, and protect parental rights.
- [Board of Directors](https://wespeaktruth.com/board): Meet the leadership of We Speak Truth Foundation: Chris Elston, Bridget Ziegler, Tiffany Justice, Elyssa Koren, and Sonja Shaw.
- [Contact](https://wespeaktruth.com/contact): Media, speaking, and general inquiries. Email Info@WeSpeakTruth.com.
- [Privacy](https://wespeaktruth.com/privacy): This page explains what We Speak Truth Foundation collects on wespeaktruth.com, why we collect it, and how you can unsubscribe or contact us.
- [Get Involved](https://wespeaktruth.com/get-involved): Share, volunteer, and subscribe. Speak the truth — one conversation at a time.
- [Support for Families](https://wespeaktruth.com/support): Peer support and parent networks for families affected by gender ideology.
- [Ask about our work](https://wespeaktruth.com/ask): Ask about We Speak Truth Foundation’s published positions. Awareness only — not Chris, not medical or legal advice.

## Facts, studies, and documents
- [Get the Facts](https://wespeaktruth.com/facts): Facts hub: independent reviews of all the studies, puberty blockers, follow-up on children whose distress later went away, suicide myth, and industry documents.
- [Systematic reviews](https://wespeaktruth.com/facts/systematic-reviews): The gold standard in medicine. These systematic reviews looked at all of the scientific literature regarding sex-rejecting drugs and procedures for children. Reviews in the U.S., Canada, England, Sweden, and Finland all came to the same conclusion. The evidence in support of…
- [Puberty blockers](https://wespeaktruth.com/facts/puberty-blockers): Puberty blockers are chemical castration drugs, first designed to treat men with advanced prostate cancer. They are now used off-label to stop children from going through puberty — children taught they were ‘born in the wrong body.’ Systematic reviews in several countries have…
- [Desistance](https://wespeaktruth.com/facts/desistance): Desistance is when the distress about being male or female goes away. Older studies — before pediatric medical transition existed — show that most children did not stay dysphoric after puberty. The best cure for gender dysphoria was puberty! Now, doctors block the cure.
- [Suicide Myth](https://wespeaktruth.com/facts/suicide-myths): The facts are in. Completed suicide is thankfully rare, and pediatric medical transition has not been shown to prevent suicide.
- [Industry documents](https://wespeaktruth.com/facts/documents): More important documents, including the WPATH Files — leaked documents and videos from trans health professionals.
- [HHS Evidence Review](https://wespeaktruth.com/facts/hhs-report): Provide accurate information on the current evidence for treating gender dysphoria in children and adolescents, assess the state of medical practice in the U.S., and explore the ethical issues related to these treatments.
- [The Cass Review](https://wespeaktruth.com/facts/cass-review): Independent Review of Gender Identity Services for Children and Young People to provide recommendations on issues related to the delivery of these services.
- [Canada — McMaster HEI systematic reviews](https://wespeaktruth.com/facts/canada-review): McMaster’s evidence institute (HEI) published systematic reviews of sex-rejecting procedures, grading how sure we can be about the results (GRADE). The HEI department page does not list the papers one by one; the published reviews are the puberty-blocker and hormone reviews and…
- [Ludvigsson et al. 2023](https://wespeaktruth.com/facts/ludvigsson-2023): Jonas F. Ludvigsson and colleagues published a systematic review (a careful look at all the studies, following a published search method) of hormone treatment in children with gender dysphoria — mood and daily life, thinking, body composition, and metabolic markers. This is a…
- [Sweden — Socialstyrelsen / SBU](https://wespeaktruth.com/facts/sweden-review): Sweden’s health board (Socialstyrelsen) updated national guidelines after its evidence agency (SBU) looked at all the studies and found the evidence not enough to judge puberty blockers and hormones of the opposite sex in adolescents. This card is that official evidence and…
- [Finland — COHERE](https://wespeaktruth.com/facts/finland-review): Finland’s public-care council (COHERE / PALKO) issued a recommendation on which medical treatments for gender dysphoria in minors belong in public healthcare. Research data on those treatments in minors, it states, is limited.
- [The WPATH Files](https://wespeaktruth.com/facts/wpath-files): Leaked files from the main gender-clinic lobby (WPATH) show clinicians discussing serious problems with the ethics and science of sex-rejecting procedures, including WPATH’s treatment rulebook (Standards of Care) that has shaped clinic policy worldwide.
- [CMS Final Rule](https://wespeaktruth.com/facts/cms-medicaid-chip-rule): The U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services, issued a final rule ending the use of federal Medicaid and children’s-insurance (CHIP) funds to pay for sex-rejecting procedures on children and youth. HHS describes those…
- [Wolves in White Coats](https://wespeaktruth.com/facts/wolves-in-white-coats): A commissioned HHS report examining insurance coding practices, perverse financial incentives, and the provision of sex-rejecting procedures for minors. HHS draws on CMS guidance, Department of Justice investigations, peer-reviewed literature, hospital records, whistleblower…
- [American Society of Plastic Surgeons](https://wespeaktruth.com/facts/asps-gender-surgery-2026): ASPS advises surgeons to delay breast/chest, genital, and facial gender surgery until patients are at least 19. It cites insufficient evidence of a favorable risk–benefit ratio, low-certainty mental-health evidence, concerns about long-term harms, and irreversibility in a…
- [Finland register study — Ruuska et al. 2026](https://wespeaktruth.com/facts/ruuska-finland-psychiatric-morbidity-2026): Finland followed every person under 23 who contacted a specialist gender clinic from 1996 to 2019 — 2,083 people — and compared them with 16,643 matched peers in official records, for up to 25 years. Serious psychiatric illness was already much more common before referral. It…
- [Sweden Study](https://wespeaktruth.com/facts/sweden-study): Assess mortality, morbidity, and crime rates following surgical gender reassignment in transgender individuals.

## Model legislation
- [Educational model legislation templates](https://wespeaktruth.com/model-legislation): Educational bill and school-board templates on sex definitions, minors’ medical limits, schools, sports, and single-sex spaces. For learning and reference — not an endorsement or legal advice.

## U.S. and World Progress
- [U.S. and World Progress](https://wespeaktruth.com/world-progress): We’re winning all over the world, one conversation at a time, one law at a time. See where your country or state stands.
- [United States](https://wespeaktruth.com/world-progress/united-states): Federal actions and state bans, limits, and court setbacks on giving children drugs or surgery to reject their sex.
- [Canada](https://wespeaktruth.com/world-progress/canada): Alberta is the only Canadian jurisdiction with a medical restriction on puberty blockers and opposite-sex hormones for minors. There is no federal ban.
- [Australia](https://wespeaktruth.com/world-progress/australia): NHMRC is writing under-18 guidelines. Queensland and the Northern Territory are public-system restrictions. Open this hub for states and territories.
- [Alberta](https://wespeaktruth.com/world-progress/alberta): Alberta’s restriction on puberty blockers and cross-sex hormones applies only to children under 16. Youth aged 16 and 17 may still start them if a parent or guardian, a physician, and a psychologist all approve, under Ministerial Order 31/2025. Sex-reassignment surgery on…
- [British Columbia](https://wespeaktruth.com/world-progress/british-columbia): B.C. has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. B.C. covers the cost through its public health plan.
- [Manitoba](https://wespeaktruth.com/world-progress/manitoba): Manitoba has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Manitoba covers the cost through its public health plan.
- [New Brunswick](https://wespeaktruth.com/world-progress/new-brunswick): New Brunswick has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. New Brunswick covers the cost through its public health plan.
- [Newfoundland and Labrador](https://wespeaktruth.com/world-progress/newfoundland-and-labrador): Newfoundland and Labrador has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Newfoundland and Labrador covers the cost through its…
- [Northwest Territories](https://wespeaktruth.com/world-progress/northwest-territories): The Northwest Territories has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. The Northwest Territories covers the cost through its…
- [Nova Scotia](https://wespeaktruth.com/world-progress/nova-scotia): Nova Scotia has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Nova Scotia covers the cost through its public health plan.
- [Nunavut](https://wespeaktruth.com/world-progress/nunavut): Nunavut has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Nunavut covers the cost through its public health plan.
- [Ontario](https://wespeaktruth.com/world-progress/ontario): Ontario has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Ontario covers the cost through its public health plan.
- [Prince Edward Island](https://wespeaktruth.com/world-progress/prince-edward-island): Prince Edward Island has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Prince Edward Island covers the cost through its public…
- [Québec](https://wespeaktruth.com/world-progress/quebec): Quebec has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Quebec covers the cost through its public health plan.
- [Saskatchewan](https://wespeaktruth.com/world-progress/saskatchewan): Saskatchewan has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Saskatchewan covers the cost through its public health plan.
- [Yukon](https://wespeaktruth.com/world-progress/yukon): Yukon has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Yukon covers the cost through its public health plan.
- [Australian Capital Territory](https://wespeaktruth.com/world-progress/australian-capital-territory): No official medical policy listed.
- [New South Wales](https://wespeaktruth.com/world-progress/new-south-wales): NSW Health’s official specialist service for people under 25 includes puberty blockers and opposite-sex hormones where clinically appropriate.
- [Northern Territory](https://wespeaktruth.com/world-progress/northern-territory): Northern Territory public hospitals will stop puberty blockers and opposite-sex hormones for under-18s.
- [Queensland](https://wespeaktruth.com/world-progress/queensland): Queensland public hospitals stopped new puberty blockers and opposite-sex hormones for under-18s.
- [South Australia](https://wespeaktruth.com/world-progress/south-australia): SA Health’s model of care lists puberty blockers and opposite-sex hormones for children and young people up to 17.
- [Tasmania](https://wespeaktruth.com/world-progress/tasmania): The Tasmanian Department of Health lists puberty blockers and opposite-sex hormones for children and young people.
- [Victoria](https://wespeaktruth.com/world-progress/victoria): No official medical policy listed.
- [Western Australia](https://wespeaktruth.com/world-progress/western-australia): No official medical policy listed.
- [Alabama](https://wespeaktruth.com/world-progress/united-states/al): Vulnerable Child Compassion and Protection Act. The 11th Circuit let the puberty-blocker and hormone prohibitions take effect. The Supreme Court dismissed the later petition, and the district case was dismissed. The ban is in force.
- [Alaska](https://wespeaktruth.com/world-progress/united-states/ak): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [Arizona](https://wespeaktruth.com/world-progress/united-states/az): SB 1138 (2022) prohibits irreversible gender-reassignment surgery on minors. As of 13 October 2026, AHCCCS fee-for-service pharmacy prior-authorization criteria no longer cover puberty blockers or cross-sex hormones used for gender dysphoria in patients under 19. The criteria…
- [Arkansas](https://wespeaktruth.com/world-progress/united-states/ar): Act 626 prohibits gender-transition procedures on minors. The 8th Circuit reversed the permanent injunction on 12 August 2025 (Brandt, No. 23-2681). That is a revival of the statute, not a new law.
- [California](https://wespeaktruth.com/world-progress/united-states/ca): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [Colorado](https://wespeaktruth.com/world-progress/united-states/co): No state law restricts puberty blockers, cross-sex hormones or surgery for minors. In Boe v. Children's Hospital Colorado, 2026 CO 32 (18 May 2026), the Colorado Supreme Court ordered a preliminary injunction requiring the hospital to resume these drugs for minors pending trial.
- [Connecticut](https://wespeaktruth.com/world-progress/united-states/ct): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [Delaware](https://wespeaktruth.com/world-progress/united-states/de): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [District of Columbia](https://wespeaktruth.com/world-progress/united-states/dc): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [Florida](https://wespeaktruth.com/world-progress/united-states/fl): SB 254 (2023) / Fla. Stat. § 456.52 prohibits sex-reassignment prescriptions and procedures for minors, with a grandfather for treatment already underway. An 11th Circuit stay keeps the statute in force.
- [Georgia](https://wespeaktruth.com/world-progress/united-states/ga): SB 140 (2023) prohibits certain cross-sex hormones and surgeries for minors for the purpose of gender transition. Puberty blockers are not expressly listed in the same terms.
- [Hawaii](https://wespeaktruth.com/world-progress/united-states/hi): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [Idaho](https://wespeaktruth.com/world-progress/united-states/id): HB 71 (2023), now Idaho Code § 18-1506C, prohibits puberty blockers and other listed gender-transition procedures on minors. Poe v. Labrador was dismissed in 2025. The ban is in force.
- [Illinois](https://wespeaktruth.com/world-progress/united-states/il): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [Indiana](https://wespeaktruth.com/world-progress/united-states/in): SEA 480 (2023) prohibits gender-transition procedures for minors, including puberty blockers, with stated exceptions. The 7th Circuit vacated the preliminary injunction. The ban is in force.
- [Iowa](https://wespeaktruth.com/world-progress/united-states/ia): SF 538 (2023) prohibits gender-transition procedures and certain prescriptions for minors.
- [Kansas](https://wespeaktruth.com/world-progress/united-states/ks): SB 63 (Help Not Harm Act, 2025) is an enacted statute. A Douglas County District Court temporary injunction on 15 May 2026 blocked enforcement of the puberty-blocker and hormone sections (now K.S.A. 65-28,139(a)(2), (a)(3), (b)(2), and (b)(3)). The Attorney General noticed an…
- [Kentucky](https://wespeaktruth.com/world-progress/united-states/ky): KRS 311.372 prohibits drugs that delay or stop normal puberty, plus hormones and listed surgeries for minors.
- [Louisiana](https://wespeaktruth.com/world-progress/united-states/la): HB 648 (2023) prohibits certain gender-transition procedures for minors.
- [Maine](https://wespeaktruth.com/world-progress/united-states/me): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [Maryland](https://wespeaktruth.com/world-progress/united-states/md): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [Massachusetts](https://wespeaktruth.com/world-progress/united-states/ma): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [Michigan](https://wespeaktruth.com/world-progress/united-states/mi): HB 4467 (2025–2026) would ban puberty blockers, cross-sex hormones, and listed surgeries for minors. The House passed it; the Senate referred it to Government Operations on 10 June 2026. It is not law yet.
- [Minnesota](https://wespeaktruth.com/world-progress/united-states/mn): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [Mississippi](https://wespeaktruth.com/world-progress/united-states/ms): HB 1125 (2023) prohibits gender-transition procedures for minors.
- [Missouri](https://wespeaktruth.com/world-progress/united-states/mo): SB 49 / Mo. Rev. Stat. § 191.1720 prohibits gender-transition surgery and, until 28 August 2027, puberty blockers and cross-sex hormones for minors. The Missouri Supreme Court upheld it on 13 January 2026.
- [Montana](https://wespeaktruth.com/world-progress/united-states/mt): SB 99 (2023) is an enacted statute, later codified at MCA 50-4-1001 and following, covering puberty blockers and other listed interventions. In Cross v. State, 2024 MT 303, the Montana Supreme Court affirmed a preliminary injunction. The Missoula district court permanently…
- [Nebraska](https://wespeaktruth.com/world-progress/united-states/ne): LB 574 (2023), the Let Them Grow Act (Neb. Rev. Stat. § 71-7304), provides that a health care practitioner shall not perform gender-altering procedures on anyone younger than 19 except as the Act allows. Surgeries under 19 are not excepted. Continuation of puberty blockers…
- [Nevada](https://wespeaktruth.com/world-progress/united-states/nv): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [New Hampshire](https://wespeaktruth.com/world-progress/united-states/nh): HB 377 (Chapter 275, 2025) prohibits puberty blockers and cross-sex hormones for minors from 1 January 2026, with continuation for treatment begun earlier; HB 619 (2024) covers surgery.
- [New Jersey](https://wespeaktruth.com/world-progress/united-states/nj): A1847 (222nd Legislature, 2026–2027) would prohibit sex-rejecting medical services for people under 21. It is not law yet. Enacted P.L. 2022, c. 51 remains a reproductive-health shield only.
- [New Mexico](https://wespeaktruth.com/world-progress/united-states/nm): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [New York](https://wespeaktruth.com/world-progress/united-states/ny): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [North Carolina](https://wespeaktruth.com/world-progress/united-states/nc): HB 808 (2023) prohibits certain gender-transition procedures for minors.
- [North Dakota](https://wespeaktruth.com/world-progress/united-states/nd): HB 1254 (2023) / N.D.C.C. 12.1-36.1-02 prohibits puberty blockers and listed hormones and surgeries for gender-transition purposes on minors. The North Dakota Supreme Court upheld it on 17 September 2026.
- [Ohio](https://wespeaktruth.com/world-progress/united-states/oh): HB 68 / R.C. 3129.02 prohibits puberty blockers and cross-sex hormones for minors. The Ohio Supreme Court stayed a lower-court injunction in April 2025 and heard argument on 24 March 2026; a decision is pending.
- [Oklahoma](https://wespeaktruth.com/world-progress/united-states/ok): SB 613 (2023) prohibits gender-transition procedures for minors.
- [Oregon](https://wespeaktruth.com/world-progress/united-states/or): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [Pennsylvania](https://wespeaktruth.com/world-progress/united-states/pa): HB 1033 (2025–2026) would ban puberty blockers, cross-sex hormones, and surgeries for minors. It was referred to House Health on 24 March 2025. It is not law yet.
- [Rhode Island](https://wespeaktruth.com/world-progress/united-states/ri): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [South Carolina](https://wespeaktruth.com/world-progress/united-states/sc): H. 4624 (2024) prohibits gender-transition procedures for minors.
- [South Dakota](https://wespeaktruth.com/world-progress/united-states/sd): HB 1080 (2023) prohibits certain medical treatments intended to alter a minor’s sex characteristics.
- [Tennessee](https://wespeaktruth.com/world-progress/united-states/tn): SB 1 / Tenn. Code Ann. title 68, ch. 33. Upheld against an Equal Protection challenge in United States v. Skrmetti (2025).
- [Texas](https://wespeaktruth.com/world-progress/united-states/tx): SB 14 (2023) prohibits puberty blockers, cross-sex hormones and surgery for minors; the Texas Supreme Court upheld it in State v. Loe (28 June 2024).
- [Utah](https://wespeaktruth.com/world-progress/united-states/ut): SB 16 (2023) prohibits new puberty blockers, cross-sex hormones and surgery for minors. HB 174 (2026) replaces the moratorium with a permanent prohibition and limits continuation to certain existing patients.
- [Vermont](https://wespeaktruth.com/world-progress/united-states/vt): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [Virginia](https://wespeaktruth.com/world-progress/united-states/va): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [Washington](https://wespeaktruth.com/world-progress/united-states/wa): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [West Virginia](https://wespeaktruth.com/world-progress/united-states/wv): HB 2007 / W. Va. Code § 30-3-20 prohibits gender-reassignment surgery and gender-altering medication for minors, including puberty blockers. 2025 amendments removed the former severe-dysphoria pathway. The ban is in force.
- [Wisconsin](https://wespeaktruth.com/world-progress/united-states/wi): No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
- [Wyoming](https://wespeaktruth.com/world-progress/united-states/wy): SF0099 (2024), enrolled as SEA 52 / Chapter 113 and codified at W.S. 35-4-1001, prohibits specified surgeries, puberty blockers, and certain hormone doses for children, with a congenital / DSD and central-precocious-puberty exception. Main prohibitions took effect 1 July 2024.
- [Afghanistan](https://wespeaktruth.com/world-progress/afghanistan): Restricted. The de facto health minister said sex-reassignment surgery is forbidden under Sharia.
- [Albania](https://wespeaktruth.com/world-progress/albania): Restricted. Albania’s deputy minister said the 2026 hormone guidance is for adults only.
- [Alberta](https://wespeaktruth.com/world-progress/alberta): Restricted. Alberta’s restriction on puberty blockers and cross-sex hormones applies only to children under 16, as of 7 January 2026. Youth aged 16 and 17 may still start them if a parent or guardian, a physician, and a psychologist all approve. Surgery on minors has been…
- [Algeria](https://wespeaktruth.com/world-progress/algeria): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Andorra](https://wespeaktruth.com/world-progress/andorra): Restricted. Andorra funds hormones from 16 and surgery from 18 — under-16s get assessment, not funded hormones.
- [Angola](https://wespeaktruth.com/world-progress/angola): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Antigua and Barbuda](https://wespeaktruth.com/world-progress/antigua-and-barbuda): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Argentina](https://wespeaktruth.com/world-progress/argentina): Mixed. A federal court paused Decree 62/2025, which would have blocked hormones and surgeries under 18.
- [Armenia](https://wespeaktruth.com/world-progress/armenia): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Australia](https://wespeaktruth.com/world-progress/australia): Mixed. The NHMRC is writing national under-18 gender-dysphoria guidelines. Queensland and the Northern Territory restrict new public-hospital puberty blockers and opposite-sex hormones for minors.
- [Australian Capital Territory](https://wespeaktruth.com/world-progress/australian-capital-territory): Affirming. No official medical policy listed.
- [Austria](https://wespeaktruth.com/world-progress/austria): Affirming. Austria’s health ministry points clinicians to the German-language AWMF child-and-adolescent guideline for diagnosis and treatment.
- [Azerbaijan](https://wespeaktruth.com/world-progress/azerbaijan): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Bahamas](https://wespeaktruth.com/world-progress/bahamas): No ban. No official medical policy listed.
- [Bahrain](https://wespeaktruth.com/world-progress/bahrain): No ban. No official medical policy listed.
- [Bangladesh](https://wespeaktruth.com/world-progress/bangladesh): No ban. No official medical policy listed.
- [Barbados](https://wespeaktruth.com/world-progress/barbados): No ban. No official medical policy listed.
- [Belarus](https://wespeaktruth.com/world-progress/belarus): Restricted. Belarus only runs official sex-change/correction for adults in state facilities.
- [Belgium](https://wespeaktruth.com/world-progress/belgium): Affirming. Belgium’s knowledge centre is studying puberty blockers in teenagers.
- [Belize](https://wespeaktruth.com/world-progress/belize): No ban. No official medical policy listed.
- [Benin](https://wespeaktruth.com/world-progress/benin): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Bhutan](https://wespeaktruth.com/world-progress/bhutan): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Bolivia](https://wespeaktruth.com/world-progress/bolivia): No ban. No official medical policy listed.
- [Bosnia and Herzegovina](https://wespeaktruth.com/world-progress/bosnia-and-herzegovina): No ban. No official medical policy listed.
- [Botswana](https://wespeaktruth.com/world-progress/botswana): No ban. No official medical policy listed.
- [Brazil](https://wespeaktruth.com/world-progress/brazil): Mixed. Brazil’s medical council forbids puberty blockers for gender dysphoria in children and hormones before 18.
- [British Columbia](https://wespeaktruth.com/world-progress/british-columbia): Affirming. B.C. has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. B.C. covers the cost through its public health plan.
- [Brunei](https://wespeaktruth.com/world-progress/brunei): No ban. No official medical policy listed.
- [Bulgaria](https://wespeaktruth.com/world-progress/bulgaria): No ban. No official medical policy listed.
- [Burkina Faso](https://wespeaktruth.com/world-progress/burkina-faso): No ban. No official medical policy listed.
- [Burundi](https://wespeaktruth.com/world-progress/burundi): No ban. No official medical policy listed.
- [Cabo Verde](https://wespeaktruth.com/world-progress/cabo-verde): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Cambodia](https://wespeaktruth.com/world-progress/cambodia): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Cameroon](https://wespeaktruth.com/world-progress/cameroon): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Canada](https://wespeaktruth.com/world-progress/canada): Mixed. Alberta is the only Canadian jurisdiction with a medical restriction on puberty blockers and opposite-sex hormones for minors. There is no federal ban.
- [Central African Republic](https://wespeaktruth.com/world-progress/central-african-republic): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Chad](https://wespeaktruth.com/world-progress/chad): No ban. No official medical policy listed.
- [Chile](https://wespeaktruth.com/world-progress/chile): Mixed. MINSAL’s 2024 circular names puberty blockers and opposite-sex hormones for adolescents and suggests deferring new starts. A 2025 bill would ban those interventions under 18; it has not been enacted.
- [China](https://wespeaktruth.com/world-progress/china): Affirming. A national surgery standard starts at 18.
- [Colombia](https://wespeaktruth.com/world-progress/colombia): Proposed bill. Senate bills, including 2026 “Ley Laura,” would restrict puberty blockers and opposite-sex hormones for minors. They have not been enacted.
- [Comoros](https://wespeaktruth.com/world-progress/comoros): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Costa Rica](https://wespeaktruth.com/world-progress/costa-rica): Proposed bill. A bill is under consultation.
- [Côte d’Ivoire](https://wespeaktruth.com/world-progress/cote-d-ivoire): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Croatia](https://wespeaktruth.com/world-progress/croatia): Affirming. Croatia’s 2016 ministry guidelines allow puberty blockers from early puberty (Tanner stage 2).
- [Cuba](https://wespeaktruth.com/world-progress/cuba): Affirming. Cuba’s health ministry created a national commission and an SNS centre for sex-reassignment treatments.
- [Cyprus](https://wespeaktruth.com/world-progress/cyprus): No ban. No official medical policy listed.
- [Czechia](https://wespeaktruth.com/world-progress/czechia): Affirming. A 2025 health-ministry methodology covers gender-incongruence care, including before 18.
- [Democratic Republic of the Congo](https://wespeaktruth.com/world-progress/democratic-republic-of-the-congo): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Denmark](https://wespeaktruth.com/world-progress/denmark): Restricted. Denmark’s health authority is revising 2018 clinical guidance. No legislative ban is listed.
- [Djibouti](https://wespeaktruth.com/world-progress/djibouti): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Dominica](https://wespeaktruth.com/world-progress/dominica): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Dominican Republic](https://wespeaktruth.com/world-progress/dominican-republic): No ban. No official medical policy listed.
- [Ecuador](https://wespeaktruth.com/world-progress/ecuador): Proposed bill. A childhood-code bill would prohibit medical, drug, or surgical procedures meant to change a minor’s biological sex.
- [Egypt](https://wespeaktruth.com/world-progress/egypt): Restricted. Egypt forbids sex-change operations except committee-approved correction for conditions where a baby’s sex development didn’t follow the usual path (DSD).
- [El Salvador](https://wespeaktruth.com/world-progress/el-salvador): No ban. No official medical policy listed.
- [Equatorial Guinea](https://wespeaktruth.com/world-progress/equatorial-guinea): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Eritrea](https://wespeaktruth.com/world-progress/eritrea): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Estonia](https://wespeaktruth.com/world-progress/estonia): Restricted. The Social Ministry–funded hormone guideline requires adulthood before opposite-sex hormones.
- [Eswatini](https://wespeaktruth.com/world-progress/eswatini): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Ethiopia](https://wespeaktruth.com/world-progress/ethiopia): No ban. No official medical policy listed.
- [Fiji](https://wespeaktruth.com/world-progress/fiji): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Finland](https://wespeaktruth.com/world-progress/finland): Restricted. Finland puts talk therapy first and uses hormones only in exceptional, centralized cases.
- [France](https://wespeaktruth.com/world-progress/france): Mixed. France’s medical academy urged great caution.
- [French Guiana](https://wespeaktruth.com/world-progress/french-guiana): No ban. No official pediatric medical policy listed.
- [Gabon](https://wespeaktruth.com/world-progress/gabon): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Gambia](https://wespeaktruth.com/world-progress/gambia): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Georgia](https://wespeaktruth.com/world-progress/georgia): Banned. Georgia forbids surgery or other medical manipulation to assign a sex different from biological sex, for people of any age.
- [Germany](https://wespeaktruth.com/world-progress/germany): Mixed. Germany still allows puberty blockers after strict criteria.
- [Ghana](https://wespeaktruth.com/world-progress/ghana): No ban. No official medical policy listed.
- [Greece](https://wespeaktruth.com/world-progress/greece): No ban. Law 4491/2017 lets a person from age 15 change the registered sex after an interdisciplinary medical committee.
- [Greenland](https://wespeaktruth.com/world-progress/greenland): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Grenada](https://wespeaktruth.com/world-progress/grenada): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Guatemala](https://wespeaktruth.com/world-progress/guatemala): No ban. No official medical policy listed.
- [Guinea](https://wespeaktruth.com/world-progress/guinea): No ban. No official medical policy listed.
- [Guinea-Bissau](https://wespeaktruth.com/world-progress/guinea-bissau): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Guyana](https://wespeaktruth.com/world-progress/guyana): No ban. No official medical policy listed.
- [Haiti](https://wespeaktruth.com/world-progress/haiti): No ban. No official medical policy listed.
- [Honduras](https://wespeaktruth.com/world-progress/honduras): No ban. No official medical policy listed.
- [Hong Kong](https://wespeaktruth.com/world-progress/hong-kong): Restricted. Public referrals start at 18.
- [Hungary](https://wespeaktruth.com/world-progress/hungary): No ban. No official medical policy listed.
- [Iceland](https://wespeaktruth.com/world-progress/iceland): Affirming. Permanent genital change under 16 is excluded by the Gender Autonomy Act.
- [India](https://wespeaktruth.com/world-progress/india): No ban. The 2026 Transgender Persons Amendment Act routes identity certificates through a medical board.
- [Indonesia](https://wespeaktruth.com/world-progress/indonesia): No ban. No official medical policy listed.
- [Iran](https://wespeaktruth.com/world-progress/iran): Affirming. Iran allows official sex-reassignment while criminalizing homosexuality.
- [Iraq](https://wespeaktruth.com/world-progress/iraq): Banned. Federal Iraq forbids changing biological sex based on personal desire.
- [Ireland](https://wespeaktruth.com/world-progress/ireland): Under review. Ireland’s health service is writing a new model of care.
- [Israel](https://wespeaktruth.com/world-progress/israel): Affirming. A Ministry of Health procedure names opposite-sex hormones and has a minors section. Surgery-committee rules start at 18.
- [Italy](https://wespeaktruth.com/world-progress/italy): Restricted. Italy’s bioethics committee said the evidence on puberty blockers for minors is too weak.
- [Jamaica](https://wespeaktruth.com/world-progress/jamaica): No ban. No official medical policy listed.
- [Japan](https://wespeaktruth.com/world-progress/japan): Affirming. Japan’s psychiatry society guideline lists puberty blockers from Tanner 2. A family-court statute lets a person change legal sex from 18.
- [Jordan](https://wespeaktruth.com/world-progress/jordan): Banned. Jordan’s medical-liability law forbids sex-change operations.
- [Kazakhstan](https://wespeaktruth.com/world-progress/kazakhstan): Restricted. Kazakhstan’s health code allows sex change from age 21.
- [Kenya](https://wespeaktruth.com/world-progress/kenya): No ban. No official medical policy listed.
- [Kiribati](https://wespeaktruth.com/world-progress/kiribati): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Kosovo](https://wespeaktruth.com/world-progress/kosovo): No ban. No official medical policy listed.
- [Kuwait](https://wespeaktruth.com/world-progress/kuwait): Banned. Kuwait forbids operations aimed at changing sex except committee-approved correction when a baby’s sex development didn’t follow the usual path (DSD).
- [Kyrgyzstan](https://wespeaktruth.com/world-progress/kyrgyzstan): Proposed bill. A 2026 bill would ban surgery and opposite-sex hormones for sex change, including for minors. It has not been enacted.
- [Laos](https://wespeaktruth.com/world-progress/laos): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Latvia](https://wespeaktruth.com/world-progress/latvia): Restricted. Latvia does not perform surgical sex-change on minors.
- [Lebanon](https://wespeaktruth.com/world-progress/lebanon): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Lesotho](https://wespeaktruth.com/world-progress/lesotho): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Liberia](https://wespeaktruth.com/world-progress/liberia): No ban. No official medical policy listed.
- [Libya](https://wespeaktruth.com/world-progress/libya): No ban. No official medical policy listed.
- [Liechtenstein](https://wespeaktruth.com/world-progress/liechtenstein): No ban. No official medical policy listed.
- [Lithuania](https://wespeaktruth.com/world-progress/lithuania): Affirming. Lithuania’s 2022 health-ministry procedure for gender-identity disorder is for adults. No official pediatric puberty-blocker protocol is listed.
- [Luxembourg](https://wespeaktruth.com/world-progress/luxembourg): No ban. No official medical policy listed.
- [Madagascar](https://wespeaktruth.com/world-progress/madagascar): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Malawi](https://wespeaktruth.com/world-progress/malawi): No ban. No official medical policy listed.
- [Malaysia](https://wespeaktruth.com/world-progress/malaysia): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Maldives](https://wespeaktruth.com/world-progress/maldives): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Mali](https://wespeaktruth.com/world-progress/mali): No ban. No official medical policy listed.
- [Malta](https://wespeaktruth.com/world-progress/malta): No ban. No official medical policy listed.
- [Manitoba](https://wespeaktruth.com/world-progress/manitoba): Affirming. Manitoba has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Manitoba covers the cost through its public health plan.
- [Marshall Islands](https://wespeaktruth.com/world-progress/marshall-islands): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Mauritania](https://wespeaktruth.com/world-progress/mauritania): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Mauritius](https://wespeaktruth.com/world-progress/mauritius): No ban. No official pediatric medical policy listed.
- [Mexico](https://wespeaktruth.com/world-progress/mexico): Affirming. A Secretaría de Salud protocol says clinics may consider puberty blockers for trans minors, then hormones.
- [Micronesia](https://wespeaktruth.com/world-progress/micronesia): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Moldova](https://wespeaktruth.com/world-progress/moldova): No ban. No official medical policy listed.
- [Monaco](https://wespeaktruth.com/world-progress/monaco): No ban. No official medical policy listed.
- [Mongolia](https://wespeaktruth.com/world-progress/mongolia): No ban. No official medical policy listed.
- [Montenegro](https://wespeaktruth.com/world-progress/montenegro): No ban. No official medical policy listed.
- [Morocco](https://wespeaktruth.com/world-progress/morocco): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Mozambique](https://wespeaktruth.com/world-progress/mozambique): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Myanmar](https://wespeaktruth.com/world-progress/myanmar): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Namibia](https://wespeaktruth.com/world-progress/namibia): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Nauru](https://wespeaktruth.com/world-progress/nauru): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Nepal](https://wespeaktruth.com/world-progress/nepal): No ban. No official medical policy listed.
- [Netherlands](https://wespeaktruth.com/world-progress/netherlands): Affirming. The Health Council left puberty blockers and hormones available after assessment.
- [New Brunswick](https://wespeaktruth.com/world-progress/new-brunswick): Affirming. New Brunswick has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. New Brunswick covers the cost through its public health…
- [New South Wales](https://wespeaktruth.com/world-progress/new-south-wales): Affirming. NSW Health’s official specialist service for people under 25 includes puberty blockers and opposite-sex hormones where clinically appropriate.
- [New Zealand](https://wespeaktruth.com/world-progress/new-zealand): Court suspension. Rules on puberty blockers exist; a court said the government should not enforce them for now.
- [Newfoundland and Labrador](https://wespeaktruth.com/world-progress/newfoundland-and-labrador): Affirming. Newfoundland and Labrador has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Newfoundland and Labrador covers the cost…
- [Nicaragua](https://wespeaktruth.com/world-progress/nicaragua): No ban. No official medical policy listed.
- [Niger](https://wespeaktruth.com/world-progress/niger): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Nigeria](https://wespeaktruth.com/world-progress/nigeria): No ban. No official medical policy listed.
- [North Korea](https://wespeaktruth.com/world-progress/north-korea): No ban. No data at this time. Please email us at Contact if you have official updates.
- [North Macedonia](https://wespeaktruth.com/world-progress/north-macedonia): Affirming. The health ministry’s 2013 guideline sets an official adult-framed pathway for hormones and surgery.
- [Northern Territory](https://wespeaktruth.com/world-progress/northern-territory): Restricted. Northern Territory public hospitals will stop puberty blockers and hormones for under-18s.
- [Northwest Territories](https://wespeaktruth.com/world-progress/northwest-territories): Affirming. The Northwest Territories has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. The Northwest Territories covers the cost…
- [Norway](https://wespeaktruth.com/world-progress/norway): Restricted. A safety agency called puberty blockers and hormones experimental.
- [Nova Scotia](https://wespeaktruth.com/world-progress/nova-scotia): Affirming. Nova Scotia has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Nova Scotia covers the cost through its public health plan.
- [Nunavut](https://wespeaktruth.com/world-progress/nunavut): Affirming. Nunavut has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Nunavut covers the cost through its public health plan.
- [Oman](https://wespeaktruth.com/world-progress/oman): Banned. Oman forbids converting a complete male into a female or vice versa, with an exception for fixing an unclear sex at birth.
- [Ontario](https://wespeaktruth.com/world-progress/ontario): Affirming. Ontario has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Ontario covers the cost through its public health plan.
- [Pakistan](https://wespeaktruth.com/world-progress/pakistan): No ban. Pakistan’s 2018 Transgender Persons Act is an official identity and welfare statute.
- [Palau](https://wespeaktruth.com/world-progress/palau): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Palestine](https://wespeaktruth.com/world-progress/palestine): No ban. No official medical policy listed.
- [Panama](https://wespeaktruth.com/world-progress/panama): No ban. No official medical policy listed.
- [Papua New Guinea](https://wespeaktruth.com/world-progress/papua-new-guinea): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Paraguay](https://wespeaktruth.com/world-progress/paraguay): No ban. No official medical policy listed.
- [Peru](https://wespeaktruth.com/world-progress/peru): Proposed bill. A bill would ban puberty blockers, hormones, and surgeries under 18.
- [Philippines](https://wespeaktruth.com/world-progress/philippines): No ban. No official medical policy listed.
- [Poland](https://wespeaktruth.com/world-progress/poland): Affirming. Polish expert guidelines still endorse puberty blockers and hormones for assessed adolescents.
- [Portugal](https://wespeaktruth.com/world-progress/portugal): Proposed bill. A bill would ban puberty blockers and hormones under 18 — parliament has not made it law.
- [Prince Edward Island](https://wespeaktruth.com/world-progress/prince-edward-island): Affirming. Prince Edward Island has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Prince Edward Island covers the cost through its…
- [Puerto Rico](https://wespeaktruth.com/world-progress/puerto-rico): Banned. Puerto Rico banned sex-rejecting drugs and surgeries for people under 21.
- [Qatar](https://wespeaktruth.com/world-progress/qatar): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Québec](https://wespeaktruth.com/world-progress/quebec): Affirming. Quebec has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Quebec covers the cost through its public health plan.
- [Queensland](https://wespeaktruth.com/world-progress/queensland): Restricted. Queensland public hospitals stopped new puberty blockers and hormones of the opposite sex for under-18s.
- [Republic of the Congo](https://wespeaktruth.com/world-progress/republic-of-the-congo): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Romania](https://wespeaktruth.com/world-progress/romania): No ban. No official medical policy listed.
- [Russia](https://wespeaktruth.com/world-progress/russia): Banned. Russia banned medical interventions aimed at changing sex, with an exception for inborn sex-development conditions (DSD).
- [Rwanda](https://wespeaktruth.com/world-progress/rwanda): No ban. No official medical policy listed.
- [Saint Kitts and Nevis](https://wespeaktruth.com/world-progress/saint-kitts-and-nevis): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Saint Lucia](https://wespeaktruth.com/world-progress/saint-lucia): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Saint Vincent and the Grenadines](https://wespeaktruth.com/world-progress/saint-vincent-and-the-grenadines): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Samoa](https://wespeaktruth.com/world-progress/samoa): No ban. No data at this time. Please email us at Contact if you have official updates.
- [San Marino](https://wespeaktruth.com/world-progress/san-marino): No ban. No official medical policy listed.
- [São Tomé and Príncipe](https://wespeaktruth.com/world-progress/sao-tome-and-principe): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Saskatchewan](https://wespeaktruth.com/world-progress/saskatchewan): Affirming. Saskatchewan has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Saskatchewan covers the cost through its public health…
- [Saudi Arabia](https://wespeaktruth.com/world-progress/saudi-arabia): Restricted. Saudi Ministry of Health informed-consent guidelines list sex changes among forbidden procedures.
- [Scotland](https://wespeaktruth.com/world-progress/scotland): Restricted. Two NHS boards paused new puberty blockers and hormones for minors — existing patients were not taken off treatment.
- [Senegal](https://wespeaktruth.com/world-progress/senegal): No ban. No official medical policy listed.
- [Serbia](https://wespeaktruth.com/world-progress/serbia): Restricted. The health-insurance fund’s sex-change brochure requires the person to be older than 18.
- [Seychelles](https://wespeaktruth.com/world-progress/seychelles): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Sierra Leone](https://wespeaktruth.com/world-progress/sierra-leone): No ban. No official medical policy listed.
- [Singapore](https://wespeaktruth.com/world-progress/singapore): Mixed. MOH does not recommend puberty blockers for minors. Hormones and surgery should not be offered under 18.
- [Slovakia](https://wespeaktruth.com/world-progress/slovakia): No ban. Slovakia’s health ministry said its transsexualism standard was for adults over 18 only, then cancelled it. No official pediatric puberty-blocker protocol is listed.
- [Slovenia](https://wespeaktruth.com/world-progress/slovenia): No ban. Slovenia’s public gender-identity council includes child psychiatry and endocrinology.
- [Solomon Islands](https://wespeaktruth.com/world-progress/solomon-islands): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Somalia](https://wespeaktruth.com/world-progress/somalia): No ban. No data at this time. Please email us at Contact if you have official updates.
- [South Africa](https://wespeaktruth.com/world-progress/south-africa): No ban. No official medical policy listed.
- [South Australia](https://wespeaktruth.com/world-progress/south-australia): Affirming. SA Health’s model of care lists puberty blockers and opposite-sex hormones for children and young people up to 17.
- [South Korea](https://wespeaktruth.com/world-progress/south-korea): No ban. No official medical policy listed.
- [South Sudan](https://wespeaktruth.com/world-progress/south-sudan): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Spain](https://wespeaktruth.com/world-progress/spain): Mixed. A Valencian rule on pharmacological treatment for minors is in court.
- [Sri Lanka](https://wespeaktruth.com/world-progress/sri-lanka): No ban. Sri Lanka issues a Gender Recognition Certificate from 16 with a medical referral.
- [Sudan](https://wespeaktruth.com/world-progress/sudan): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Suriname](https://wespeaktruth.com/world-progress/suriname): No ban. No official medical policy listed.
- [Sweden](https://wespeaktruth.com/world-progress/sweden): Restricted. Sweden treats puberty blockers and hormones for adolescents as research, not standard care.
- [Switzerland](https://wespeaktruth.com/world-progress/switzerland): Affirming. Zürich says puberty blockers stay available with specialist assessment.
- [Syria](https://wespeaktruth.com/world-progress/syria): No ban. No official medical policy listed.
- [Taiwan](https://wespeaktruth.com/world-progress/taiwan): No ban. Taiwan’s health ministry published an LGBT+ care guide. No official pediatric puberty-blocker protocol is listed.
- [Tajikistan](https://wespeaktruth.com/world-progress/tajikistan): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Tanzania](https://wespeaktruth.com/world-progress/tanzania): No ban. No official medical policy listed.
- [Tasmania](https://wespeaktruth.com/world-progress/tasmania): Affirming. The Tasmanian Department of Health lists puberty blockers and opposite-sex hormones for children and young people.
- [Thailand](https://wespeaktruth.com/world-progress/thailand): Restricted. Sex-change surgery is an adult procedure under medical-council ethics.
- [Timor-Leste](https://wespeaktruth.com/world-progress/timor-leste): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Togo](https://wespeaktruth.com/world-progress/togo): No ban. No official medical policy listed.
- [Tonga](https://wespeaktruth.com/world-progress/tonga): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Trinidad and Tobago](https://wespeaktruth.com/world-progress/trinidad-and-tobago): No ban. No official medical policy listed.
- [Tunisia](https://wespeaktruth.com/world-progress/tunisia): No ban. No official medical policy listed.
- [Turkey](https://wespeaktruth.com/world-progress/turkey): Restricted. Turkey’s medicines agency told doctors not to prescribe testosterone, puberty blockers, or listed oestrogens to change sex under 21.
- [Turkmenistan](https://wespeaktruth.com/world-progress/turkmenistan): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Tuvalu](https://wespeaktruth.com/world-progress/tuvalu): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Uganda](https://wespeaktruth.com/world-progress/uganda): No ban. No official medical policy listed.
- [Ukraine](https://wespeaktruth.com/world-progress/ukraine): Affirming. Ukraine’s 2016 health-ministry protocol lists GnRH analogues as fully reversible interventions for minors, and opposite-sex hormones as partly reversible.
- [United Arab Emirates](https://wespeaktruth.com/world-progress/united-arab-emirates): Banned. UAE law bans sex-change surgery except committee-approved correction for conditions where a baby’s sex development didn’t follow the usual path (DSD).
- [United Kingdom](https://wespeaktruth.com/world-progress/united-kingdom): Restricted. The UK limited new puberty blockers for under-18s to research; the PATHWAYS trial is ongoing. No Act of Parliament has banned them.
- [United States](https://wespeaktruth.com/world-progress/united-states): Mixed. Many states banned or limited sex-rejecting procedures for minors, the Supreme Court said those state bans may stand, and a federal Medicaid rule cuts funding for those procedures on minors.
- [Uruguay](https://wespeaktruth.com/world-progress/uruguay): Affirming. Uruguay’s 2016 hormonization guide recommends puberty suppression with GnRH analogues from Tanner 2–3, and opposite-sex hormones from 16.
- [Uzbekistan](https://wespeaktruth.com/world-progress/uzbekistan): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Valencia (Comunitat Valenciana)](https://wespeaktruth.com/world-progress/valencia): Mixed. A court paused Valencia’s 2025 changes to the regional gender-identity law.
- [Vanuatu](https://wespeaktruth.com/world-progress/vanuatu): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Vatican City](https://wespeaktruth.com/world-progress/vatican-city): Restricted. Holy See teaching in Dignitas Infinita rejects gender theory and sex-change interventions.
- [Venezuela](https://wespeaktruth.com/world-progress/venezuela): No ban. No official medical policy listed.
- [Victoria](https://wespeaktruth.com/world-progress/victoria): Affirming. No official medical policy listed.
- [Vietnam](https://wespeaktruth.com/world-progress/vietnam): No ban. Vietnam’s Civil Code says sex reassignment shall follow the law. The implementing statute is still a draft.
- [Wales](https://wespeaktruth.com/world-progress/wales): Restricted. The UK ban on puberty blockers applies in Wales.
- [Wallonia-Brussels (Fédération Wallonie-Bruxelles)](https://wespeaktruth.com/world-progress/wallonia-brussels): No ban. No official medical policy listed.
- [Western Australia](https://wespeaktruth.com/world-progress/western-australia): No ban. No official medical policy listed.
- [Yemen](https://wespeaktruth.com/world-progress/yemen): No ban. No official medical policy listed.
- [Yukon](https://wespeaktruth.com/world-progress/yukon): Affirming. Yukon has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Yukon covers the cost through its public health plan.
- [Zambia](https://wespeaktruth.com/world-progress/zambia): No ban. No data at this time. Please email us at Contact if you have official updates.
- [Zimbabwe](https://wespeaktruth.com/world-progress/zimbabwe): No ban. No data at this time. Please email us at Contact if you have official updates.

## News
- [News](https://wespeaktruth.com/news): News from We Speak Truth Foundation on laws, court rulings, and official reports about pediatric medical transition.
- [Canada funds $1.4M in gender surgery research; grant states expected outcome](https://wespeaktruth.com/news/canada-gender-surgery-research-grants): 2026-10-22. The Canadian Institutes of Health Research has approved nearly $1.4 million for two Toronto gender surgery studies. The summary of one, a study of double mastectomies for gender, states the result the researchers expect.
- [Judge scraps New Zealand's puberty blocker ban](https://wespeaktruth.com/news/2026-10-21-nz-puberty-blocker-ban-struck-down): 2026-10-21. In [2026] NZHC 3248, the High Court of New Zealand declared the 2025 regulations prohibiting new puberty blocker prescriptions for children and adolescents with gender dysphoria or gender incongruence unlawful and invalid, and set them aside. The court found…
- [Supreme Court denies Trump administration request to enforce federal prison policy on cross-sex hormones](https://wespeaktruth.com/news/2026-10-21-scotus-bop-cross-sex-hormones): 2026-10-21. The Supreme Court on Oct. 21 denied the government's application to stay a district court order blocking a Bureau of Prisons policy that would end cross-sex hormones and items such as wigs and padding for trans-identified inmates. Justices Thomas and Alito would…
- [Melbourne studies: share of patients who call themselves "nonbinary" rose to 39%; most children's "social transition" goals changed over two years](https://wespeaktruth.com/news/2026-10-20-melbourne-nonbinary-studies): 2026-10-20. Two studies led by Murdoch Children's Research Institute report that the proportion of patients who call themselves "nonbinary" at a specialist pediatric gender service rose from 14.2% in 2017 to 39% in 2023, and that 60.7% of 234 children and adolescents followed…
- [FDA requires suicidal ideation and suicide attempt risk on labels of GnRH agonists, the drug class used as puberty blockers](https://wespeaktruth.com/news/2026-10-18-fda-puberty-blocker-suicide-label): 2026-10-18. In a March 10, 2026 safety labeling change notice, the FDA told makers of GnRH agonist drugs to add information on "the serious risks of suicidal ideation and suicidal attempt." Revised labels for Lupron, Zoladex, Vantas and Trelstar were approved in May and June…
- [Finnish register: specialist psychiatric care rose from 19% to 49% after cross-sex hormones or surgery; authors stand by findings](https://wespeaktruth.com/news/2026-10-18-finland-study-psychiatric-care): 2026-10-18. In a new analysis published in Acta Paediatrica, Finnish researchers report that among young people who received cross-sex hormones or surgery, 19.2% had needed specialist psychiatric care before their first gender-clinic visit and 48.9% after their last procedure.…
- [Jeffco parents say male player made Dakota Ridge girls' JV volleyball team; school board opposes Prop 134](https://wespeaktruth.com/news/2026-10-18-jeffco-volleyball-prop-134): 2026-10-18. Parents at Dakota Ridge High School in Jeffco Public Schools say a male player was placed on the girls' junior varsity volleyball team while eight junior girls were cut. The district says it does not record whether students identify as transgender, and its board has…
- [Massachusetts Department of Correction declines to say how many male inmates are housed at MCI-Framingham women's prison](https://wespeaktruth.com/news/2026-10-18-massachusetts-womens-prison-males): 2026-10-18. The Massachusetts Department of Correction declined repeated Boston Herald requests for the number of male inmates at MCI-Framingham, the state's only state-run prison for women. A 2018 state law allows inmates to be housed according to gender identity, with…
- [Nebraska Initiative 442 would put sex-separated school sports in the state constitution; Supreme Court keeps it on Nov. 3 ballot](https://wespeaktruth.com/news/2026-10-18-nebraska-442-fairness-for-girls): 2026-10-18. Initiative Measure 442, "Fairness for Girls," would amend Nebraska's constitution to require schools to designate teams by biological sex and close girls' teams to male students. The Nebraska Supreme Court rejected a challenge to the measure on Oct. 16.
- [NHS England issues guidance: single-sex hospital accommodation and staff facilities by biological sex](https://wespeaktruth.com/news/2026-10-16-nhs-england-single-sex): 2026-10-16. On 15 October 2026, NHS England published guidance telling trusts and ICBs that hospital accommodation should remain single-sex and that patients should be accommodated according to biological sex, including males who identify as women and females who identify as…
- [Swedish man serving life for murdering his two children moved to women's prison after changing legal sex; inmates allege indecent exposure](https://wespeaktruth.com/news/2026-10-16-sweden-womens-prison): 2026-10-16. Paulus Abdelshahed, sentenced to life for murdering his two children in 2024, changed his legal sex in prison and was moved to the women's prison in Ystad. Inmates and staff have made allegations of indecent exposure and other misconduct; a police investigation was…
- [Palatine 19-year-old charged in alleged mass-shooting plot targeting Hindu place of worship in Aurora](https://wespeaktruth.com/news/2026-10-15-aurora-temple-plot): 2026-10-15. Alexandros Paporakis, 19, of Palatine, Illinois, is charged with making a terrorist threat and weapons offences after police say he planned a mass shooting, at a Hindu temple in Aurora. Police say surveillance video shows his car at a large Hindu temple there on…
- [New York to fund puberty blockers, cross-sex hormones and surgeries for minors on Medicaid with state money after federal cutoff](https://wespeaktruth.com/news/2026-10-15-new-york-state-money): 2026-10-15. After a federal rule ended Medicaid and CHIP funding for puberty blockers, cross-sex hormones and related surgeries for minors on October 13, the New York State Department of Health told providers to continue the services and bill as usual, with costs covered by…
- [HHS gives WPATH, the AMA and the AAP 10 business days to explain the evidence for sex-rejecting procedures on minors and disclose planned changes](https://wespeaktruth.com/news/2026-10-14-hhs-final-demand): 2026-10-14. On October 14, the U.S. Department of Health and Human Services sent letters to WPATH, the AMA, the American Psychiatric Association, the American Psychological Association, the Endocrine Society, the AAP and others, asking each to state in writing its current…
- [Former Loudoun County substitute teacher convicted of threats against John Champe High School](https://wespeaktruth.com/news/2026-10-14-loudoun-dollery): 2026-10-14. A Loudoun County, Virginia, jury convicted Hadyn James Dollery, 19, a trans-identified male and former substitute teacher, on four of five counts over Discord messages threatening to kill several people and go on a 'murder spree' at a high school. Sentencing is set…
- [Camas High girls forfeit cross-country race over male teammate's eligibility](https://wespeaktruth.com/news/2026-10-13-camas-forfeit): 2026-10-13. Members of the Camas High School girls' cross-country team in Washington forfeited a race on October 13 rather than compete against a male teammate who moved from the boys' team to the girls' team midseason under WIAA rules.
- [Federal Medicaid funding for minors' puberty blockers, cross-sex hormones and surgeries ends: which states stopped coverage and which continue](https://wespeaktruth.com/news/2026-10-13-states-fund-minors): 2026-10-13. A federal rule effective October 13, 2026 ends federal Medicaid and CHIP funding for puberty blockers, cross-sex hormones and related surgeries for minors. Virginia, Arizona, Montana and Colorado have ended or suspended coverage, joining about 27 states with…
- [Oregon will fund youth Medicaid coverage with state money after the federal cutoff, and delays HB 2002 insurer exams](https://wespeaktruth.com/news/2026-10-12-oregon-mandate): 2026-10-12. After a federal rule ends Medicaid and CHIP funding for puberty blockers, opposite-sex hormones and related surgeries for minors on October 13, Oregon will cover about 600 Oregon Health Plan members under 18 with state-only funds. Separately, regulators have delayed…
- [Shoot-out after lovers' quarrel: Tennessee appeals court orders new trial after jury was lied to about victim's sex](https://wespeaktruth.com/news/2026-10-12-tennessee-jury-sex): 2026-10-12. In State v. Ward, the Tennessee Court of Criminal Appeals held that a trial court erred by barring evidence that the person who was shot, Paris Lee, was male. The court said the exclusion misled the jury, vacated Samuel Ward Jr.'s voluntary manslaughter conviction,…
- [Virginia Medicaid ends coverage of puberty blockers, opposite-sex hormones and related surgeries for minors on October 13](https://wespeaktruth.com/news/2026-10-12-virginia-medicaid): 2026-10-12. Following a new federal Medicaid and CHIP funding rule, Virginia's Department of Medical Assistance Services will stop covering these procedures for Medicaid members under 18 and CHIP members under 19 starting October 13, 2026. Here is what changes, what stays the…
- [Chicago murder charge: what prosecutors allege in the death of Larry Young](https://wespeaktruth.com/news/2026-10-11-chicago-stabbing): 2026-10-11. Kelly Day, a 32-year-old trans-identified male from Chicago’s Chatham neighborhood, is charged with first-degree murder in the stabbing death of Larry Young, 50, on October 7, 2026. Here is what prosecutors told the court, what Day told investigators, what the…
- [How York University’s AI research chair limits eligibility by self-identification](https://wespeaktruth.com/news/2026-10-09-york-ai-chair): 2026-10-09. York University is recruiting a Tier 2 Canada Research Chair in Artificial Intelligence and the Arts, and the posting says the job is open only to applicants who self-identify as women or gender non-conforming, including trans-identified males and females. Here is…
- [What the Washington girls’ wrestling case at the Supreme Court asks](https://wespeaktruth.com/news/kmk-scotus-washington-2026): 2026-10-08T23:59:59. A Washington high school wrestler and her mother have filed an emergency application at the U.S. Supreme Court (No. 26A458) challenging state rules that let males compete in girls’ sports. Court filings say she was sexually assaulted by a male opponent…
- [What Colorado’s Propositions 133, 134, and 135 would do](https://wespeaktruth.com/news/colorado-props-133-134-135-ballot-2026): 2026-10-08. Three citizen initiatives are on Colorado’s November 3, 2026 ballot: life without parole for child sex trafficking (133), school sports teams designated by sex (134), and a ban on surgery to alter the sex characteristics of minors (135). Here is what each measure…
- [What the U.S. conspiracy charge in the Tumbler Ridge school shooting alleges](https://wespeaktruth.com/news/tumbler-ridge-washington-conspiracy-charge-2026): 2026-10-08. A 30-year-old Bellingham, Washington, resident is charged in U.S. federal court with conspiracy to murder persons in a foreign country, in connection with the February 10, 2026 shooting in Tumbler Ridge, B.C. Here is what the criminal complaint alleges, how the case…
- [Arizona man who identifies as trans pleads guilty to murdering hiker he said was ‘what I would want to look like’](https://wespeaktruth.com/news/arizona-teasley-pleads-guilty-lauren-heike-2026): 2026-10-06. Zion Teasley, a 25-year-old trans-identified male, pleaded guilty to murdering Lauren Heike, 29, on a Phoenix hiking trail in 2023. He told police she was “what I would want to look like.” He will spend the rest of his life in prison.
- [NYC signs $8.9 million in contracts to give minors puberty blockers and cross-sex hormones](https://wespeaktruth.com/news/nyc-8-9m-contracts-puberty-blockers-minors-2026): 2026-10-06. The New York Post reported that New York City is entering two Department of Health contracts, totaling $8.9 million, for puberty blockers and cross-sex hormones for minors. The vendors are Callen-Lorde and the Nonprofit Organization for Philanthropic Initiatives,…
- [Education and Justice Departments act against LAUSD over keeping students' gender identities from parents](https://wespeaktruth.com/news/ed-doj-lausd-parental-rights-2026): 2026-10-05. Federal officials say Los Angeles Unified's policies on keeping a student's 'gender identity' confidential from parents violate FERPA and PPRA, and remind every state that school mental-health screenings require prior written parental consent.
- [EEOC: pediatric hospital to pay $650,000 over religious objection to sex-rejecting procedures on minors](https://wespeaktruth.com/news/eeoc-pediatric-hospital-religious-accommodation-2026): 2026-09-30. The EEOC announced that a large unnamed pediatric healthcare provider will pay $650,000 to resolve a Title VII charge alleging it fired an employee who sought a religious accommodation from work related to sex-rejecting procedures on minors, including hormones.
- [U.S. Education Department removes vacated 2024 Title IX gender-identity rewrite from the CFR](https://wespeaktruth.com/news/ed-title-ix-cfr-recodification-2026): 2026-09-29. Effective September 29, 2026, a Department of Education final rule clears the vacated 2024 Title IX gender-identity rewrite from the Code of Federal Regulations and restores the pre-2024 regulatory text.
- [Fairness in Girls’ Athletics would keep K–12 girls’ sports for females](https://wespeaktruth.com/news/2026-09-28-washington-i-638-girls-sports): 2026-09-28. Fairness in Girls’ Athletics would require Washington school districts and nonprofit sports organizations to prohibit biologically male students from competing with and against female students in sex-separated K–12 sports.
- [WSJ: Texas lawyer Jordan Campbell now leads DOJ effort against pediatric sex-rejecting procedures](https://wespeaktruth.com/news/wsj-jordan-campbell-doj-point-man-2026): 2026-09-27. The Wall Street Journal profiles Jordan Campbell, a Texas business litigator who co-founded Campbell Miller Payne in 2023 and now leads Justice Department civil and criminal probes of sex-rejecting interventions on minors.
- [Prosilio Care in Pasadena to close; pediatric clinic linked to Olson-Kennedy winds down](https://wespeaktruth.com/news/prosilio-care-closes-olson-kennedy-2026): 2026-09-23. Prosilio Care, a private pediatric transgender facility in Pasadena linked to San Francisco’s Gender Confirmation Center, is shutting entirely by October 1, 2026. Johanna Olson-Kennedy was listed on staff until the site was scrubbed on September 23.
- [California opens bid to run state funds for sex-rejecting procedures on children](https://wespeaktruth.com/news/ca-hcai-rfi-youth-sex-rejecting-funds-2026): 2026-09-22. HCAI opened a Request for Information for a third-party administrator of $66 million in state programs, including $10 million for medical and pharmacy services for children and youth after the federal Medicaid/CHIP cut.
- [Archives of Disease in Childhood: intellectual conflicts of interest in youth sex-rejecting guidelines](https://wespeaktruth.com/news/adc-bmj-intellectual-conflicts-guidelines-2026): 2026-09-20. A BMJ journal, Archives of Disease in Childhood, published an article on 18 September 2026 on intellectual conflicts of interest in clinical guidelines for what the paper calls “gender-affirming care” — puberty blockers and opposite-sex hormones for children and…
- [Finland register study: psychiatric need stayed high after sex-rejecting procedures](https://wespeaktruth.com/news/finland-ruuska-psychiatric-morbidity-2026): 2026-09-20. A Finnish nationwide records study of all under-23s referred to specialised gender clinics from 1996 to 2019 found far more severe psychiatric illness than in matched peers — before referral and years after. Among those who had medical gender reassignment,…
- [California governor signs $9 million for sex-rejecting procedures on children](https://wespeaktruth.com/news/ca-ab113-newsom-signs-9m-youth-sex-rejecting-2026): 2026-09-18. Governor Newsom signed AB 113, locking in a $9 million state appropriation “to support gender-affirming care services for children and youth” after the federal Medicaid/CHIP cut.
- [DOJ: NYU Langone and UPMC agree to end sex-rejecting procedures on children](https://wespeaktruth.com/news/doj-nyu-upmc-end-pediatric-sex-rejecting-2026): 2026-09-18. Justice Department resolutions with NYU Langone Hospitals and UPMC stop puberty blockers, cross-sex hormones, and surgeries for minors, with $8.5 million and $950,000 payments.
- [Do No Harm: state bans on sex-rejecting procedures for minors did not raise teen suicide rates](https://wespeaktruth.com/news/do-no-harm-suicide-rates-state-bans-2026): 2026-09-17. Do No Harm analyzed CDC completed-suicide mortality against state bans and restrictions on puberty blockers, hormones, and surgeries for minors that took effect. Three models found no statistically significant increase in teen suicide rates.
- [DOJ tells Supreme Court: parents can sue when a state cuts them out of a child’s medical decisions](https://wespeaktruth.com/news/doj-scotus-parents-standing-washington-2026): 2026-09-17. The U.S. Department of Justice told the Supreme Court that parents can sue when a state cuts them out of a child’s medical decisions. In a merits-stage friend-of-the-court brief in International Partners for Ethical Care v. Ferguson (No. 25-840), DOJ backs parents…
- [U.S. Education Department opens probe of Massachusetts district over alleged secret social transition](https://wespeaktruth.com/news/ed-northborough-southborough-investigation-2026): 2026-09-17. On September 17, 2026, the U.S. Department of Education’s Student Privacy Policy Office opened an investigation into the Public Schools of Northborough and Southborough, Massachusetts. ED says it is determining whether the district violated federal student-privacy…
- [Massachusetts parents say DCF took their daughter after they refused to affirm her as a boy](https://wespeaktruth.com/news/massachusetts-kutzko-dcf-lighthouse-faith-2026): 2026-09-17. Joseph and Arlene Kutzko of Massachusetts say Algonquin Regional High School socially transitioned their daughter without telling them, and that DCF took custody after they opposed that path. Parents deny assault allegations; Deseret News, summarizing coverage, says…
- [DOJ Agreement: Mount Sinai Ends Pediatric Sex-Rejecting Procedures](https://wespeaktruth.com/news/doj-mount-sinai-ends-pediatric-sex-rejecting-procedures): 2026-09-04. On September 4, 2026, the U.S. Department of Justice announced an agreement with Mount Sinai Health System resolving an investigation into potential federal-law violations arising from sex-rejecting procedures on children.
- [20 states, plus the District of Columbia and Pennsylvania's governor, challenge the CMS Medicaid rule](https://wespeaktruth.com/news/22-states-dc-challenge-cms-medicaid-rule): 2026-09-03. On September 2, 2026, 20 states, plus the District of Columbia and Pennsylvania's governor, filed suit against the Department of Health and Human Services and the Centers for Medicare & Medicaid Services in the U.S. District Court for the District of Massachusetts,…
- [California Enrolls $9 Million for Pediatric Sex-Rejecting Procedures After CMS Medicaid Cut](https://wespeaktruth.com/news/california-enrolls-9-million-pediatric-gender-affirming-care): 2026-09-01. On September 1, 2026, the California Legislature enrolled AB 113, an urgency end-of-session Budget Bill Junior amending the Budget Act of 2026.
- [HHS releases Wolves in White Coats report on insurance coding for sex-rejecting procedures on minors](https://wespeaktruth.com/news/wolves-in-white-coats-2026): 2026-08-13. HHS released Wolves in White Coats, a commissioned report on insurance coding, financial incentives, and sex-rejecting procedures for minors. Claims analysis covers 2015 through 2025.
- [HHS ends federal Medicaid and CHIP funding for sex-rejecting procedures on children](https://wespeaktruth.com/news/cms-medicaid-chip-rule-2026): 2026-08-11. CMS issued a final rule ending the use of federal Medicaid and CHIP funds to pay for sex-rejecting procedures on children and youth. The rule is scheduled to take effect October 13, 2026.
- [High Court rejects challenge to PATHWAYS; HRA response — routine NHS ban unchanged](https://wespeaktruth.com/news/uk-high-court-pathways-judicial-review-2026): 2026-07-31. On 31 July 2026, the Health Research Authority published its response to the High Court’s decision on the PATHWAYS legal challenge. Mr Justice Chamberlain **refused permission** to apply for a judicial review and **refused the application to stop the trial**.
- [PATHWAYS is England’s research trial of puberty blockers — not a return of routine NHS care](https://wespeaktruth.com/news/nhs-pathways-trial-explained): 2026-07-26. England stopped routine puberty blockers for gender distress outside research. PATHWAYS is the NHS-funded King’s College London research trial for that indication. It is a study pathway, not a return of everyday clinic prescribing.
- [Argentina Infoleg records a 16 July 2026 cautelar suspending Decreto 62/2025](https://wespeaktruth.com/news/argentina-decree-62-cautelar-2026): 2026-07-16. On 16 July 2026, Argentina’s official legislative database (**Infoleg**) recorded that Chamber V of the Federal Contentious-Administrative Court ordered a **precautionary suspension** (*suspensión cautelar*) of **Decreto DNU 62/2025** until the action is decided.…
- [MHRA and HRA agree a modified PATHWAYS protocol; recruitment not due until 1 August 2026 pending legal proceedings](https://wespeaktruth.com/news/uk-pathways-modified-protocol-2026): 2026-06-19. On 19 June 2026, the Medicines and Healthcare products Regulatory Agency said it had concluded scientific dialogue with the PATHWAYS sponsor and that a **modified protocol** met required regulatory standards. The Health Research Authority, in parallel, approved the…
- [CDC adds codes so charts can record remission and detransition](https://wespeaktruth.com/news/cdc-icd10cm-fy2027-remission-detransition): 2026-06-16. From October 1, 2026, U.S. clinicians can record when gender-related distress has remitted, or that someone has a history of detransition. That is chart coding.
- [DOJ and Ohio AG resolve with Cleveland Clinic: end pediatric sex-rejecting procedures; $308,000 and $2 million for detransition care](https://wespeaktruth.com/news/doj-cleveland-clinic-resolution-2026): 2026-06-05. On 5 June 2026, the U.S. Department of Justice announced a resolution with the **Cleveland Clinic Foundation**, together with the Ohio Attorney General. DOJ describes a decades-long commitment not to perform or offer **sex-rejecting procedures** on minors, including…
- [Colorado Supreme Court orders Children’s Hospital Colorado to restore youth blockers and hormones pending trial](https://wespeaktruth.com/news/colorado-supreme-court-boe-26sa66): 2026-05-18. On 18 May 2026 the Supreme Court of Colorado decided *In re Bella Boe et al. v. Children’s Hospital Colorado*, 2026 CO 32, Case No. **26SA66**.
- [DOJ and Texas AG resolve with Texas Children’s Hospital: end pediatric sex-rejecting procedures, $10 million, detransition clinic](https://wespeaktruth.com/news/doj-texas-childrens-hospital-resolution-2026): 2026-05-15. On 15 May 2026, the U.S. Department of Justice announced a resolution with **Texas Children’s Hospital (TCH)** together with the Texas Attorney General. DOJ describes it as the first resolution under its national investigation into **sex-rejecting procedures on…
- [UK PATHWAYS trial paused after MHRA advice](https://wespeaktruth.com/news/uk-pathways-trial-paused-mhra-2026): 2026-02-20. On 20 February 2026, the Department of Health and Social Care said **preliminary work** to establish the **PATHWAYS** clinical trial had been **paused** after new concerns from the Medicines and Healthcare products Regulatory Agency (MHRA). DHSC said the trial would…
- [U.S. plastic surgeons advise delaying gender surgery until age 19](https://wespeaktruth.com/news/asps-gender-surgery-age-19-2026): 2026-02-03. On February 3, 2026, ASPS published a position statement recommending delay of breast/chest, genital, and facial gender-related surgery until age 19, saying evidence is insufficient that benefits outweigh risks for minors. This is guidance for plastic surgeons.
- [Alberta opposite-sex hormone rules for minors take effect (Ministerial Order 31/2025)](https://wespeaktruth.com/news/alberta-hormone-therapy-rules-minors-2026): 2026-01-07. Alberta’s rules on opposite-sex hormones for minors under **Ministerial Order 31/2025** took effect on **7 January 2026**. This is **Alberta only**, not a Canada-wide ban.
- [CMS proposes ending federal Medicaid and CHIP funding for sex-rejecting procedures on children (CMS-2451-P)](https://wespeaktruth.com/news/cms-proposed-medicaid-chip-rule-2025): 2025-12-19. On 19 December 2025 the Federal Register published **CMS-2451-P**, a **proposed** rule. It is not the later August 2026 final rule (CMS-2451-F), and a proposal is **not** an enacted funding cutoff.
- [New Zealand GnRH analogue regulations restrict new puberty-suppression scripts — enforcement paused by the courts](https://wespeaktruth.com/news/nz-gnrh-analogue-regulations-2025): 2025-12-19. On 19 December 2025 the **Medicines (Restriction on Prescribing Gonadotropin-releasing Hormone Analogues) Amendment Regulations 2025** (LI 2025/256) came into force. A same-day-period **No 2** instrument (LI 2025/302, made 1 December 2025) confined the new limit to…
- [Queensland Cabinet continues the public Stage 1/2 pause pending UK PATHWAYS results in 2031](https://wespeaktruth.com/news/queensland-vine-review-pause-to-2031): 2025-12-19. On 19 December 2025, Queensland’s Minister for Health and Ambulance Services published the Independent Review Advice Report (Professor Ruth Vine) on Stage 1 and Stage 2 hormones for children and adolescents with gender dysphoria in **Queensland public hospitals**,…
- [Levy review: NHS adult gender clinics have very long waits and weak outcome records](https://wespeaktruth.com/news/levy-adult-gender-clinics-2025): 2025-12-18. An independent NHS review of adult gender dysphoria clinics found very long waits and that outcomes are not recorded well enough to judge safety or effectiveness. NHS England published an initial response committing to improve. This is about adult services — not…
- [New Zealand High Court: Crown must take no steps to enforce GnRH regulations pending review](https://wespeaktruth.com/news/nz-high-court-gnrh-non-enforcement-2025): 2025-12-17. On 17 December 2025 the High Court of New Zealand delivered *Professional Association for Transgender Health Aotearoa Inc v Minister of Health* [2025] NZHC 4045.
- [Alberta Bill 9 receives Royal Assent — notwithstanding clause shields youth surgery, under-16 hormones, and related statutes](https://wespeaktruth.com/news/alberta-bill-9-notwithstanding-2025): 2025-12-11. On 11 December 2025, Alberta’s **Protecting Alberta’s Children Statutes Amendment Act** (Bill 9) received Royal Assent and took effect that day. This is **Alberta only**, not a Canada-wide ban.
- [HHS publishes Treatment for Pediatric Gender Dysphoria evidence review](https://wespeaktruth.com/news/hhs-pediatric-gender-dysphoria-review-2025): 2025-11-19. The U.S. Department of Health and Human Services published *Treatment for Pediatric Gender Dysphoria: Review of Evidence and Best Practices* on 19 November 2025. This is an **evidence review**.
- [England starts building NHS care for people who want to detransition](https://wespeaktruth.com/news/nhs-detransition-pathway-2025): 2025-10-30. NHS England is developing a clinical pathway for adults who medically transitioned and later want to detransition. After a lived-experience hearing in April 2025, it ran a clinician call for evidence from 30 October to 28 December 2025. This follows Cass Review…
- [Queensland Ministerial Direction QH-MD-002 pauses Stage 1 and Stage 2 for new public patients under 18](https://wespeaktruth.com/news/queensland-ministerial-direction-qh-md-002): 2025-10-28. On 28 October 2025, Queensland’s Minister for Health and Ambulance Services issued **Ministerial Direction QH-MD-002** under section 44(1) of the *Hospital and Health Boards Act 2011*. The official page states that it operates on and from that date, with immediate…
- [STF restores CFM Resolution 2.427/2025 after the Acre pause — professional rule, not a criminal statute](https://wespeaktruth.com/news/brazil-stf-restores-cfm-2427-2025): 2025-10-02. On 2 October 2025, Justice Flávio Dino of Brazil’s Supremo Tribunal Federal issued a **provisional** decision in Reclamação (Rcl) 84653 suspending a Federal Court of Acre injunction that had paused **CFM Resolution 2.427/2025**. STF’s official news item reporting…
- [Billboard Chris launches nonprofit to combat child medical transitioning](https://wespeaktruth.com/news/nonprofit-launch-rebel-news): 2025-08-12. After years of child protection activism and more than 30 assaults, Chris Elston takes his fight against child gender ideology to the next level with the launch of the We Speak Truth Foundation.
- [‘Billboard Chris’ Launches Global Nonprofit To Fight Child Gender Exploitation](https://wespeaktruth.com/news/daily-wire-nonprofit-launch): 2025-08-06. We’re formalizing a grassroots movement to educate, activate, and equip people to protect children.
- [Elon Musk’s X and Billboard Chris celebrate ‘decisive victory’ against censorship in Australia](https://wespeaktruth.com/news/australia-x-legal-victory): 2025-07-05. Billboard Chris forces Australia to back down after a tribunal threatened X with an $800,000 fine for his post critical of a transgender WHO official.
- [UN report calls on governments to prohibit ‘gender transition’ for children](https://wespeaktruth.com/news/un-report-gender-transition-children): 2025-06-26. A new report from the United Nations’ Special Rapporteur on violence against women and girls warns that countries are failing to address both persistent and newly emerging forms of sex-based violence, including those that relate to gender ideology.
- [Supreme Court upholds Tennessee’s ban on sex-rejecting procedures for minors](https://wespeaktruth.com/news/scotus-tennessee-ban): 2025-06-18. The ruling was 6-3 along ideological lines. The Supreme Court has upheld a Tennessee law that bans sex-rejecting procedures for transgender minors.
- [Brazil CFM Resolution 2.427/2025: professional ethics rule on blockers and hormones under 18 — STF later restored full force](https://wespeaktruth.com/news/brazil-cfm-resolution-2427-2025): 2025-04-16. **Conselho Federal de Medicina (CFM) Resolution 2.427/2025** is a **professional ethics / medical-board rule**, not a criminal statute. It was signed 8 April 2025 and **published in the Diário Oficial da União on 16 April 2025**.

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