Maryland MD
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.
Ch. 253 (HB 283, 2023) Medicaid coverage law
Medicaid and CHIPState funds
From 13 Oct 2026, Maryland Medicaid will keep paying for these procedures for minors with state funds. 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.
Evidence of Coverage (dbm.maryland.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.
Maryland § 4-211
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
Case-by-case review that considers anatomy and the inmate's safety concerns.
DPSCS Directive OPS.131.0001
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 datesNone upcoming
No upcoming effective dates or court deadlines were identified.
Review, Oct 2026
Sources
- Ch. 253 (HB 283, 2023) Medicaid coverage law →
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406) →
- Maryland Medicaid transmittal PT 38-27 →
- Evidence of Coverage (dbm.maryland.gov) →
- Maryland § 4-211 →
- DPSCS Directive OPS.131.0001 →
- LegiScan search, checked 13 Oct 2026 (adjourned legislature) →
- Complaint, Illinois v. HHS, No. 1:26-cv (D. Mass., filed 2 Sep 2026) →