Louisiana LA

Ban

HB 648 (2023) prohibits certain gender-transition procedures for minors.

Last verified: 13 Oct 2026

Medical care for minorsBan

HB 648 (2023) prohibits certain gender-transition procedures for minors.

Louisiana Legislature (HB648)

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)

Source

Excludes (all ages)

HB648 — legis.la.gov

State source

State employee coverageExcludes

State employee health plans explicitly exclude coverage of gender-transition procedures.

Office of Group Benefits Pelican HRA 1000 For State of Louisiana Plan Participants (info.groupbenefits.org)

Source

SportsSex-based

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

SB44

Source

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.

Louisiana HB608

Source

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)

CurriculumRestricted

State law limits classroom instruction on sexual orientation and gender identity (K-12).

Louisiana HB 122

Source

Definition of sexDefined by biology

State law defines "sex", "male" and "female" in biological terms for purposes of state law.

HB 608

Source

Identity documentsBirth-certificate sex changed only with surgery and court order

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

La. Rev. Stat. Ann. § 40:62 ,

Source

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, state-employee plan exclusion, ban on public funds at any age.

Louisiana HB648

Source

DetransitionUp to age 30

HB 648 (2023) allows civil actions until 12 years after the patient turns 18.

HB 648 / Act 466 (2023)

Source

PrisonsCase-by-case

Case-by-case housing, reviewed twice a year.

DPS&C Regulation C-01-022 (PREA)

Source

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)

Source

LitigationNone identified

No active court case on these laws identified in this review.

Review, Oct 2026

Key datesNone upcoming

No upcoming effective dates or court deadlines were identified.

Review, Oct 2026

Sources