Alabama AL
BanVulnerable 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.
Last verified: 13 Oct 2026
Medical care for minorsBan
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.
Alabama Legislature (SB184 enrolled)
Medicaid and CHIPFederal funding ended (minors)
State Medicaid policy does not explicitly address gender-transition procedures. A federal CMS final rule (13 Aug 2026) prohibits federal Medicaid and CHIP funding for these procedures for patients under 18 (Medicaid) and under 19 (CHIP).
42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406)
State employee coverageNo explicit policy
State employee health plan documents do not explicitly address gender-transition procedures.
No primary source located; treat as unverified
SportsSex-based
State law requires school athletic teams designated for girls or women to be limited to students of the female sex.
Alabama HB261 (2023) — via LegiScan
FacilitiesSex-based (K-12 schools)
State law requires multiple-occupancy restrooms and changing facilities in K-12 schools to be designated and used by biological sex.
SB129 (2024)
Pronouns and parent noticeParent access on request
State law bars school staff from withholding information about a student's gender identity from a parent who asks for it.
SB184
CurriculumSchools restriction
HB322 (2022) limits classroom instruction on sexual orientation or gender identity in K–5 and requires multiple-occupancy restrooms and changing areas by biological sex. Separate from the medical ban.
Alabama Legislature (HB322 enrolled)
Definition of sexDefined by biology
State law defines "sex", "male" and "female" in biological terms for purposes of state law.
SB 79
Identity documentsBirth-certificate sex changed only with surgery and court order
Birth-certificate sex changed only with surgery and court order; driver's licence sex change needs surgery, court order or amended birth certificate.
Alabama Code § 22-9A-19(d) (1992),
Shield lawNone
No shield statute identified.
No shield statute identified
AdultsNo state law
No state law restricts adult access to, or public funding of, gender-transition procedures.
No state law identified (statute review, Oct 2026)
DetransitionNo state law
No state law provides an extended limitations period or other remedy specific to detransitioners.
No state law identified
PrisonsCase-by-case
Placement in a male or female facility is decided case by case on safety and security; no dedicated transgender units; reviewed twice a year.
ADOC Administrative Regulation 454 (PREA)
Pending billsNo active bills
No active bills (checked 13 Oct 2026). The 2026 regular session has adjourned (or the legislature does not meet in 2026), so 2025-26 bills are no longer moving. LegiScan search linked.
LegiScan search, checked 13 Oct 2026 (adjourned legislature)
LitigationResolved/ongoing
Eknes-Tucker v. Governor: 11th Circuit let the ban take effect (Aug 2023); the case was later dismissed.
Eknes-Tucker v. Governor of Alabama, No. 22-11707 (11th Cir. 21 Aug 2023)
Key datesNone upcoming
No upcoming effective dates or court deadlines were identified.
Review, Oct 2026
Sources
- Alabama Legislature (SB184 enrolled) →
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406) →
- Alabama HB261 (2023) — via LegiScan →
- SB129 (2024) →
- SB184 →
- Alabama Legislature (HB322 enrolled) →
- SB 79 →
- Alabama Code § 22-9A-19(d) (1992), →
- ADOC Administrative Regulation 454 (PREA) →
- LegiScan search, checked 13 Oct 2026 (adjourned legislature) →
- Eknes-Tucker v. Governor of Alabama, No. 22-11707 (11th Cir. 21 Aug 2023) →