Kentucky KY

Ban

KRS 311.372 prohibits drugs that delay or stop normal puberty, plus hormones and listed surgeries for minors.

Last verified: 13 Oct 2026

Medical care for minorsBan

KRS 311.372 prohibits drugs that delay or stop normal puberty, plus hormones and listed surgeries for minors.

Kentucky Legislature (SB150)

Medicaid and CHIPFederal funding ended (minors)

State Medicaid policy excludes gender-transition procedures for all ages. 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)

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Excludes (all ages)

PDF on file), 2019 (

State source

State employee coverageCovers

State employee health plans explicitly cover gender-transition procedures.

Benefit Booklet Kentucky Employeesâ Health Plan â W31060 â 20260101 â Living Well CDHP PPO â W0CA (extranet.personnel.ky.gov)

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SportsSex-based

State law requires school athletic teams designated for girls or women to be limited to students of the female sex (grades 6 -12 and higher education).

SB83

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FacilitiesSex-based (K-12 schools)

State law requires multiple-occupancy restrooms and changing facilities in K-12 schools to be designated and used by biological sex.

Kentucky SB150

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Pronouns and parent noticeParental-rights law (no specific notice rule)

State parental-rights law requires schools to keep parents informed about changes in a student's health or well-being; it has no provision specific to gender identity.

SB150

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CurriculumSchools restriction

The same SB150 also rewrote KRS 158.1415: no human-sexuality instruction in grade 5 and below; no instruction whose purpose is exploring gender identity, gender expression, or sexual orientation; parental consent from grade 6.

Kentucky Legislature (SB150 — school sections)

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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 only with surgery

Birth-certificate sex changed only with surgery; driver's licence sex change needs surgery, court order or amended birth certificate.

Kentucky § 213.121

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Shield lawNone

No shield statute identified.

No shield statute identified

AdultsRestricted (funding)

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

PDF on file), 2019 (

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DetransitionNo state law

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

No state law identified

PrisonsCase-by-case

Individual housing assessments; anatomy alone does not decide.

KDOC CPP 14.8

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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)

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LitigationResolved/ongoing

L.W. v. Skrmetti (6th Cir.) and U.S. v. Skrmetti (2025) leave the ban in force.

United States v. Skrmetti, No. 23-477 (U.S. 18 Jun 2025)

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Key datesNone upcoming

No upcoming effective dates or court deadlines were identified.

Review, Oct 2026

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