Nebraska NE
RestrictionLB 574 (2023), the Let Them Grow Act (Neb. Rev. Stat. § 71-7304), provides that a health care practitioner shall not perform gender-altering procedures on anyone younger than 19 except as the Act allows. Surgeries under 19 are not excepted. Continuation of puberty blockers and/or cross-sex hormones is allowed if the course began before October 1, 2023. New puberty blockers and cross-sex hormones are allowed only as nonsurgical procedures under § 71-7305 and DHHS 181 NAC 8 (adopted 17 March 2024): a long-lasting and intense pattern of gender nonconformity or gender dysphoria that began or worsened at the start of puberty; at least 40 gender-identity-focused therapeutic contact hours before prescribing; signed informed consent (and patient assent for unemancipated minors); and a minimum seven calendar day waiting period after informed consent before prescribing, administering, or delivering the drugs.
Last verified: 13 Oct 2026
Medical care for minorsRestriction
LB 574 (2023), the Let Them Grow Act (Neb. Rev. Stat. § 71-7304), provides that a health care practitioner shall not perform gender-altering procedures on anyone younger than 19 except as the Act allows. Surgeries under 19 are not excepted. Continuation of puberty blockers and/or cross-sex hormones is allowed if the course began before October 1, 2023. New puberty blockers and cross-sex hormones are allowed only as nonsurgical procedures under § 71-7305 and DHHS 181 NAC 8 (adopted 17 March 2024): a long-lasting and intense pattern of gender nonconformity or gender dysphoria that began or worsened at the start of puberty; at least 40 gender-identity-focused therapeutic contact hours before prescribing; signed informed consent (and patient assent for unemancipated minors); and a minimum seven calendar day waiting period after informed consent before prescribing, administering, or delivering the drugs.
Nebraska Legislature (LB574)
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)
State employee coverageNo explicit policy
State employee health plan documents do not explicitly address gender-transition procedures.
Nebraska DAS State Personnel Wellness and Benefits: Health and Prescription Plan (das.nebraska.gov)
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).
LB89
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 sexDefined by biology (executive order)
State executive order defines "sex", "male" and "female" in biological terms for purposes of state law.
Nebraska Executive Order 23-16, Women's Bill of Rights (Aug 2023)
Identity documentsBirth-certificate sex changed only with surgery
Birth-certificate sex changed only with surgery; driver's licence sex change needs a provider form.
LEGISLATIVE BILL 885 Approved by the Governor aPril 19, 1994 (nebraskalegislature.gov)
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.
471 NAC 10-004 (since 1990
DetransitionNo state law
No state law provides an extended limitations period or other remedy specific to detransitioners.
No state law identified
PrisonsBy sex at birth / post-surgery, case-by-case review
Inmates are generally assigned by birth sex or post-surgery status, with case-by-case review.
NDCS AR 115.11 (2025)
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)
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
- Nebraska Legislature (LB574) →
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406) →
- 471 NAC 10-004 (since 1990 →
- Nebraska DAS State Personnel Wellness and Benefits: Health and Prescription Plan (das.nebraska.gov) →
- LB89 →
- Nebraska Executive Order 23-16, Women's Bill of Rights (Aug 2023) →
- LEGISLATIVE BILL 885 Approved by the Governor aPril 19, 1994 (nebraskalegislature.gov) →
- NDCS AR 115.11 (2025) →
- LegiScan search, checked 13 Oct 2026 (adjourned legislature) →