Arizona 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 name gonadotropin-releasing hormone agonists and testosterone products, and deny those requests as a benefit exclusion. Patients who started them on or before 13 October 2026 are grandfathered for six months.

Arizona Legislature (SB1138)

State Medicaid policy excludes gender-transition procedures for all ages. AHCCCS stopped covering puberty blockers and cross-sex hormones for gender dysphoria under 19 from 13 Oct 2026, with a six-month grandfather. 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 notice

State and university employee plans may not categorically exclude sex-change surgery (Toomey v. Arizona consent decree, 2023).

Toomey v. Arizona final consent decree, No. 4:19-cv-35 (D. Ariz. 29 Sep 2023)

State law requires school athletic teams designated for girls or women to be limited to students of the female sex (K-12 and higher education). A court challenge was dropped in July 2026, so the law can be enforced.

SB1165

No state law requires restrooms or changing facilities to be used according to biological sex.

No state law identified (statute review, Oct 2026)

No state law requires schools to notify parents about a student's gender identity or name and pronoun requests.

No state law identified (statute review, Oct 2026)

State law requires advance notice to parents and written parental opt-in before instruction on sexual orientation or gender identity.

Arizona HB 2035

No state statute defines sex in biological terms across state law.

No state law identified (statute review, Oct 2026)

Birth-certificate sex changed with clinician statement; driver's licence sex change needs a provider form.

ADHS - Vital Records (azdhs.gov)

No shield statute identified.

No shield statute identified

Adult access is limited through public funding rules: Medicaid exclusion at all ages.

SB1138

No state law provides an extended limitations period or other remedy specific to detransitioners.

No state law identified

A committee decides housing case by case, not on gender identity alone.

ADCRR Department Order 810, Management of LGBTI Inmates

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)

No active court case on these laws identified in this review.

Review, Oct 2026

No upcoming effective dates or court deadlines were identified.

Review, Oct 2026