Maine ME
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.
14 M.R.S. § 9002
Medicaid and CHIPState funds
From 13 Oct 2026, MaineCare will pay with state funds for these procedures for Medicaid members under 18 and CHIP enrollees under 19. Behavioral health treatment stays eligible for federal matching 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)
MaineCare provider bulletin — coverage for beneficiaries under 18 and CHIP under 19
State employee coverageCovers
State employee health plans explicitly cover gender-transition procedures.
Plan Documents and Coverage | Office of Employee Health, Wellness, & Workers' Compensation (maine.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 by self-declaration
Birth-certificate sex changed by self-declaration; driver's licence sex changed by self-declaration. 'X' marker offered.
Maine Department of Health and Human Services 10-146 CMR ch. 16 (2020), Maine
Shield lawShield law
State law limits cooperation with out-of-state legal actions over these procedures when they are lawful in the state.
14 M.R.S. § 9002
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 gender identity (statute + policy)
Residents are generally housed according to gender identity unless safety or security concerns require otherwise.
MDOC Policy 23.8
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
- 14 M.R.S. § 9002 →
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406) →
- MaineCare provider bulletin — coverage for beneficiaries under 18 and CHIP under 19 →
- Plan Documents and Coverage | Office of Employee Health, Wellness, & Workers' Compensation (maine.gov) →
- Maine Department of Health and Human Services 10-146 CMR ch. 16 (2020), Maine →
- MDOC Policy 23.8 →
- LegiScan search, checked 13 Oct 2026 (adjourned legislature) →
- Complaint, Illinois v. HHS, No. 1:26-cv (D. Mass., filed 2 Sep 2026) →