Tennessee TN

Ban

SB 1 / Tenn. Code Ann. title 68, ch. 33. Upheld against an Equal Protection challenge in United States v. Skrmetti (2025).

Last verified: 13 Oct 2026

Medical care for minorsBan

SB 1 / Tenn. Code Ann. title 68, ch. 33. Upheld against an Equal Protection challenge in United States v. Skrmetti (2025).

Tennessee General Assembly (SB1)

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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)

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Excludes (all ages)

Official source: publications.tnsosfiles.com

State source

State employee coverageExcludes

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

Health Insurance (tn.gov)

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SportsSex-based

State law requires school athletic teams designated for girls or women to be limited to students of the female sex.

HB1895/SB1861

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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.

Tennessee HB1233

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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.

HB 2165/SB 1810

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CurriculumSchools restriction

Tenn. Code §49-6-1308 (SB1443 / Public Chapter 353, 2023): 30-day notice and written parental opt-in before sexual-orientation or gender-identity curriculum. Separate from the medical ban (SB1 / Skrmetti).

Tennessee General Assembly (SB1443 / Pub. Ch. 353)

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Definition of sexDefined by biology

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

Bill Information - Tennessee General Assembly (wapp.capitol.tn.gov)

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Identity documentsBirth-certificate sex cannot be

Birth-certificate sex cannot be changed; driver's licence sex cannot be changed.

2021 version ;

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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.

Tennessee adult-care rule (publications.tnsosfiles.com)

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DetransitionUp to 30 years after turning 18

SB 1 (2023) allows civil actions over these procedures until 30 years after the patient turns 18.

SB 1 (2023)

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PrisonsCase-by-case

Housing is decided case by case. Post-surgery inmates may be placed by committee decision.

TDOC Policy 113.37 (as quoted by the National LGBTQ+ Bar)

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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)

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LitigationResolved

United States v. Skrmetti (18 June 2025): U.S. Supreme Court upheld SB 1, 6–3.

23-477 United States v. Skrmetti (06/18/2025) (supremecourt.gov)

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Key datesNone upcoming

No upcoming effective dates or court deadlines were identified.

Review, Oct 2026

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