Pennsylvania PA
Proposed billHB 1033 (2025–2026) would ban puberty blockers, cross-sex hormones, and surgeries for minors. It was referred to House Health on 24 March 2025. It is not law yet.
Last verified: 13 Oct 2026
Medical care for minorsProposed bill
HB 1033 (2025–2026) would ban puberty blockers, cross-sex hormones, and surgeries for minors. It was referred to House Health on 24 March 2025. It is not law yet.
Pennsylvania General Assembly (HB 1033)
Medicaid and CHIPNot yet announced
Pennsylvania has not announced whether it will pay with state funds after the 13 Oct 2026 cutoff. 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.
PEBTF.org (pebtf.org)
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.
Pennsylvania birth-certificate / ID rule (pa.gov)
Shield lawNone
No shield statute identified.
No shield statute identified
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 (committee)
A PREA Accommodation Committee decides housing; transfers by gender identity are considered.
DOC Policy DC-ADM 008 (PREA)
Pending billsProposed bills
HB 1033 (ban on medical transition for minors), SB 213 (recognizes two sexes, male and female) and HB 158 (school and college sports designated by sex) are all in committee.
HB 1033, SB 213, HB 158 (2025-26) — LegiScan search, checked 13 Oct 2026
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 datesDate
30 Nov 2026: session ends; HB 1033 dies if not passed.
See sections above
Sources
- Pennsylvania General Assembly (HB 1033) →
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406) →
- Earlier policy: Official source: pa.gov →
- PEBTF.org (pebtf.org) →
- Pennsylvania birth-certificate / ID rule (pa.gov) →
- DOC Policy DC-ADM 008 (PREA) →
- HB 1033, SB 213, HB 158 (2025-26) — LegiScan search, checked 13 Oct 2026 →
- Complaint, Illinois v. HHS, No. 1:26-cv (D. Mass., filed 2 Sep 2026) →