North Carolina NC

Ban

HB 808 (2023) prohibits certain gender-transition procedures for minors.

Last verified: 13 Oct 2026

Medical care for minorsBan

HB 808 (2023) prohibits certain gender-transition procedures for minors.

North Carolina General Assembly (H808)

Medicaid and CHIPFederal funding ended (minors)

State Medicaid policy excludes gender-transition procedures for minors. 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 (minors)

H808/S639

State source

State employee coverageExcludes

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

North Carolina H808 (2023)

Source

SportsSex-based

State law requires school athletic teams designated for girls or women to be limited to students of the female sex (middle school ( defined in state law as grades 6-9), high school, and higher education).

H574/S631

Source

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 noticeParental consent for names/pronouns

State law or policy requires parental consent before school staff use a name or pronouns that differ from those associated with the student's sex.

SB49

Source

CurriculumSchools restriction

SL 2023-106 (SB 49), Parents’ Bill of Rights: no gender-identity, sexual-activity, or sexuality curriculum in K–4, except answers to student-initiated questions.

North Carolina Session Law 2023-106

Source

Definition of sexDefined by biology

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

H 805

Source

Identity documentsBirth-certificate sex changed with clinician statement

Birth-certificate sex changed with clinician statement; driver's licence sex change needs a provider form.

Birth Certificate Modification Application (vitalrecords.nc.gov)

Source

Shield lawNone

No shield statute identified.

No shield statute identified

AdultsRestricted (funding)

Adult access is limited through public funding rules: state-employee plan exclusion.

H808/S639

Source

DetransitionExtended limitations period

H 808 (2023) extends the time limit for civil actions over gender-transition procedures provided to minors.

H 808 (2023)

Source

PrisonsCase-by-case (committee)

Transgender Accommodation Review Committees decide placement, including transfers.

DAC Policy, Evaluation and Management of Transgender Offenders

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Pending billsProposed bills

S516 / H791, the Women's Safety and Protection Act; H1000, the Detransitioners Bill of Rights; and H502, a bill protecting access to transition procedures, have all been in Rules committees since 2025.

S516, H791, H1000, H502 (2025-26) — LegiScan search, checked 13 Oct 2026

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