Virginia VA
No banNo state law restricts puberty blockers, cross-sex hormones or surgery for minors.
Last verified: 13 Oct 2026
Medical care for minorsNo ban
No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
Virginia law (vamedicaid.dmas.virginia.gov)
Medicaid and CHIPCoverage ended (minors)
Virginia Medicaid (under 18) and CHIP (under 19) stopped paying for puberty blockers, cross-sex hormones and surgery from 13 Oct 2026. Youth already on cross-sex hormones may receive a federally funded taper of up to six months. Puberty blockers and surgeries have no taper. Mental health counseling stays covered. 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.
Active Employees (dhrm.virginia.gov)
SportsSex-based
State agency policy requires school athletic teams designated for girls or women to be limited to students of the female sex.
Virginia § 22.1-23.3
FacilitiesSex-based (K-12 schools)
State agency policy requires multiple-occupancy restrooms and changing facilities in K-12 schools to be designated and used by biological sex.
Virginia § 22.1-23.3
Pronouns and parent noticeParent notice (state guidance)
The Virginia Department of Education's 2023 model policies, still posted, call for parental involvement in decisions about a student's names, pronouns and gender-related counseling.
VDOE 2023 Model Policies
CurriculumOpt-out
Va. Code § 22.1-207.2 lets parents opt their children out of Family Life Education.
Va. Code § 22.1-207.2
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.
Form for Changing Sex Designation (vdh.virginia.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
Individualized housing decisions. The bed-assignment procedure (OP 425.4) is restricted and not public.
VADOC Operating Procedure 038.3 (PREA)
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)
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
13 Oct 2026: Medicaid/CHIP cutoff; hormone taper funding ends up to six months later.
Virginia source document (vamedicaid.dmas.virginia.gov)
Sources
- Virginia law (vamedicaid.dmas.virginia.gov) →
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406) →
- Active Employees (dhrm.virginia.gov) →
- Virginia § 22.1-23.3 →
- VDOE 2023 Model Policies →
- Va. Code § 22.1-207.2 →
- Form for Changing Sex Designation (vdh.virginia.gov) →
- VADOC Operating Procedure 038.3 (PREA) →
- LegiScan search, checked 13 Oct 2026 (adjourned legislature) →
- Complaint, Illinois v. HHS, No. 1:26-cv (D. Mass., filed 2 Sep 2026) →