South Carolina SC
BanH. 4624 (2024) prohibits gender-transition procedures for minors.
Last verified: 13 Oct 2026
Medical care for minorsBan
H. 4624 (2024) prohibits gender-transition procedures for minors.
South Carolina Legislature (H.4624)
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 coverageExcludes
State employee health plans explicitly exclude coverage of gender-transition procedures.
Insurance Benefits Serving those who serve South Carolina (peba.sc.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).
H4608
FacilitiesSex-based (K-12 schools)
State law requires multiple-occupancy restrooms and changing facilities in K-12 schools to be designated and used by biological sex.
South Carolina S 4756
Pronouns and parent noticeParent notice required
State law requires schools to notify parents when a student requests to be identified by a different name, pronoun or gender.
H 4624
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 process unclear (court order)
Birth-certificate process unclear (court order); driver's licence sex change needs surgery, court order or amended birth certificate.
S.C. Code Regs. 61-19 §1110, Amendments by Court Order; DPH birth-certificate page
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, state-employee plan exclusion, ban on public funds at any age.
), and HB4624 (2024) prohibiting this
DetransitionNo state law
No state law provides an extended limitations period or other remedy specific to detransitioners.
No state law identified
PrisonsCase-by-case
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
- South Carolina Legislature (H.4624) →
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406) →
- Insurance Benefits Serving those who serve South Carolina (peba.sc.gov) →
- H4608 →
- South Carolina S 4756 →
- S.C. Code Regs. 61-19 §1110, Amendments by Court Order; DPH birth-certificate page →
- SCDC Policy GA-06.09 →
- LegiScan search, checked 13 Oct 2026 (adjourned legislature) →