Illinois IL
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.
Public Act 102-1117
Medicaid and CHIPState funds through 30 June 2027
Illinois is paying for these procedures with state funds through 30 June 2027. 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 payment through 30 June 2027 (no notice URL listed)
State employee coverageCovers
State employee health plans explicitly cover gender-transition procedures.
Illinois Department of Central Management Services (www2.illinois.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)
CurriculumGender-identity content required
State law requires curricula to include the contributions of LGBT people.
LGBTQ-inclusive curricular standards. See HB246 (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.
Gender Neutral Designation on Illinois Birth Certificates – Equality Illinois (equalityillinois.us)
Shield lawShield law
State law limits cooperation with out-of-state legal actions over these procedures when they are lawful in the state.
Public Act 102-1117
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 (committee may transfer)
A Transgender Administrative Committee decides housing and can transfer inmates to facilities for the other sex.
IDOC Administrative Directive 04.03.104
Pending billsNo active bills
No active bills (checked 13 Oct 2026). SB 3920 and SB 2474 (Youth Health Protection Act) died in committee.
LegiScan search, checked 13 Oct 2026
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
- Public Act 102-1117 →
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406) →
- Illinois Department of Central Management Services (www2.illinois.gov) →
- LGBTQ-inclusive curricular standards. See HB246 (2019). →
- Gender Neutral Designation on Illinois Birth Certificates – Equality Illinois (equalityillinois.us) →
- IDOC Administrative Directive 04.03.104 →
- LegiScan search, checked 13 Oct 2026 →
- Complaint, Illinois v. HHS, No. 1:26-cv (D. Mass., filed 2 Sep 2026) →