Hawaii HI
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.
Act 059 (HB 1875, 2026), effective 1 July 2026
Medicaid and CHIPNot yet announced
Hawaii 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.
HMSA Active Benefits – Hawaii Employer-Union Health Benefits Trust Fund (eutf.hawaii.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.
New Birth Certificate for Sex Designation Change – Vital Records (health.hawaii.gov)
Shield lawShield law
State law limits cooperation with out-of-state legal actions over these procedures when they are lawful in the state.
Act 059 (HB 1875, 2026), effective 1 July 2026
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 legal sex, then case-by-case
Initial placement by legal sex, followed by an individualized review.
DCR Policy ADM.08.08 (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)
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 datesDate
1 July 2026: Act 059 shield expansion took effect.
BILLS ENACTED BY THE HAWAII STATE LEGISLATURE, Regular Session of 2026, as of July 15, 2026 (lrb.hawaii.gov)
Sources
- Act 059 (HB 1875, 2026), effective 1 July 2026 →
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406) →
- Earlier policy: § 17-1737-84 — humanservices.hawaii.gov →
- HMSA Active Benefits – Hawaii Employer-Union Health Benefits Trust Fund (eutf.hawaii.gov) →
- New Birth Certificate for Sex Designation Change – Vital Records (health.hawaii.gov) →
- DCR Policy ADM.08.08 (PREA) →
- LegiScan search, checked 13 Oct 2026 (adjourned legislature) →
- Complaint, Illinois v. HHS, No. 1:26-cv (D. Mass., filed 2 Sep 2026) →
- BILLS ENACTED BY THE HAWAII STATE LEGISLATURE, Regular Session of 2026, as of July 15, 2026 (lrb.hawaii.gov) →