Colorado CO
No banNo 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.
Last verified: 13 Oct 2026
Medical care for minorsNo ban
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.
2026 CO 32
Medicaid and CHIPSuspended
Colorado suspended Medicaid and CHP+ payment for puberty blockers, cross-sex hormones and related procedures starting 13 Oct 2026. The state says payment can resume only if the legislature acts. Behavioral health care is not included in the suspension. Members already taking cross-sex hormones may have a six-month taper under the federal rule. 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)
The Colorado Sun — Medicaid payment suspended pending the legislature (21 Aug 2026)
State employee coverageCovers
SportsNo state law
No state law separates school sports by biological sex; eligibility is set by schools and athletic associations.
No state law identified (statute review, Oct 2026)
FacilitiesNo state law
No state law requires restrooms or changing facilities to be used according to biological sex.
No state law identified (statute review, Oct 2026)
Pronouns and parent noticeNo state law
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)
CurriculumGender-identity content required
State law requires curricula to include the contributions of LGBT people.
LGBTQ-inclusive curricular standards. See HB1192 (2019).
Definition of sexNo state law
No state statute defines sex in biological terms across state law.
No state law identified (statute review, Oct 2026)
Identity documentsBirth-certificate sex changed by self-declaration
Birth-certificate sex changed by self-declaration; driver's licence sex changed by self-declaration. 'X' marker offered.
Correct or change a birth certificate | Colorado Department of Public Health and Environment (cdphe.colorado.gov)
Shield lawShield law
State law limits cooperation with out-of-state legal actions over these procedures when they are lawful in the state.
SB23-188
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 (consent decree)
Housing decided case by case, and inmates may be placed by identified gender; a 2024 consent decree created transgender units.
CDOC AR 700-14; Raven v. Polis consent decree (2024)
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)
LitigationActive
Boe v. Children's Hospital Colorado, 2026 CO 32 (18 May 2026). Plaintiff in Illinois v. HHS (D. Mass., filed 2 Sept 2026) challenging the CMS funding rule.
Boe v. Children's Hospital Colorado, 2026 CO 32 (Colo. 18 May 2026)
Key datesNone upcoming
No upcoming effective dates or court deadlines were identified.
Review, Oct 2026
Sources
- 2026 CO 32 →
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406) →
- The Colorado Sun — Medicaid payment suspended pending the legislature (21 Aug 2026) →
- HB25 →
- LGBTQ-inclusive curricular standards. See HB1192 (2019). →
- Correct or change a birth certificate | Colorado Department of Public Health and Environment (cdphe.colorado.gov) →
- SB23-188 →
- CDOC AR 700-14; Raven v. Polis consent decree (2024) →
- LegiScan search, checked 13 Oct 2026 (adjourned legislature) →