District of Columbia DC
No banNo state law restricts puberty blockers, cross-sex hormones or surgery for minors.
Last verified: 13 Oct 2026
Medical care for minorsNo ban
No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
D.C. Code § 2-1461.01
Medicaid and CHIPNot yet announced
The District of Columbia has not announced whether it will pay with state funds after the 13 Oct 2026 cutoff. 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 coverageCovers
State employee health plans explicitly cover gender-transition procedures.
Government of the District of Columbia Vincent C. Gray, Mayor (disb.dc.gov)
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)
CurriculumNo state law
No state law specifically addresses instruction on sexual orientation or gender identity.
No state law identified (statute review, Oct 2026)
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 with clinician statement
Birth-certificate sex changed with clinician statement; driver's licence sex changed by self-declaration. 'X' marker offered.
D.C. Law 20-37. JaParker Deoni Jones Birth Certificate Equality Amendment Act of 2013. | D.C. Law Library (code.dccouncil.gov)
Shield lawShield law
State law limits cooperation with out-of-state legal actions over these procedures when they are lawful in the state.
D.C. Code § 2-1461.01
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
PrisonsBy gender identity (preference)
Housing generally follows the inmate's stated preference, subject to Transgender Housing Committee review.
DOC PP 4020.3, Gender Classification and Housing
Pending billsNo active bills
LitigationActive
Plaintiff in Illinois v. HHS (D. Mass., filed 2 Sept 2026) challenging the CMS funding rule.
Complaint, Illinois v. HHS, No. 1:26-cv (D. Mass., filed 2 Sep 2026)
Key datesNone upcoming
No upcoming effective dates or court deadlines were identified.
Review, Oct 2026
Sources
- D.C. Code § 2-1461.01 →
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406) →
- Earlier policy: Official source: dhcf.dc.gov →
- Government of the District of Columbia Vincent C. Gray, Mayor (disb.dc.gov) →
- D.C. Law 20-37. JaParker Deoni Jones Birth Certificate Equality Amendment Act of 2013. | D.C. Law Library (code.dccouncil.gov) →
- DOC PP 4020.3, Gender Classification and Housing →
- LegiScan search, checked 13 Oct 2026 →
- Complaint, Illinois v. HHS, No. 1:26-cv (D. Mass., filed 2 Sep 2026) →