West Virginia WV
BanHB 2007 / W. Va. Code § 30-3-20 prohibits gender-reassignment surgery and gender-altering medication for minors, including puberty blockers. 2025 amendments removed the former severe-dysphoria pathway. The ban is in force.
Last verified: 13 Oct 2026
Medical care for minorsBan
HB 2007 / W. Va. Code § 30-3-20 prohibits gender-reassignment surgery and gender-altering medication for minors, including puberty blockers. 2025 amendments removed the former severe-dysphoria pathway. The ban is in force.
West Virginia Legislature (SB299)
Medicaid and CHIPFederal funding ended (minors)
State Medicaid policy covers gender-transition procedures; federal funding for minors ended under the 2026 CMS rule. 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.
PEIA Summary Plan Description 2026 ABD (peia.wv.gov)
SportsSex-based
State law requires school athletic teams designated for girls or women to be limited to students of the female sex (secondary and higher education). The U.S. Supreme Court upheld the law on 30 June 2026 (Little v. Hecox; West Virginia v. B.P.J.).
HB3293; upheld in West Virginia v. B.P.J., No. 24-43 (U.S. 30 Jun 2026)
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.
West Virginia SB456
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.
SB 154
CurriculumRestricted
State law limits classroom instruction on sexual orientation and gender identity (see statute for grades).
West Virginia SB154
Definition of sexDefined by biology
State law defines "sex", "male" and "female" in biological terms for purposes of state law.
SB 456
Identity documentsBirth-certificate sex changed with clinician statement
Birth-certificate sex changed with clinician statement; driver's licence sex change needs a provider form.
West Virginia HB4233
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
Case-by-case facility assignment. The copy is hosted by the WV Center on Budget & Policy; the DCR does not post it.
DCR Policy Directive 411.00
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)
LitigationResolved/ongoing
West Virginia v. B.P.J.: U.S. Supreme Court upheld the sports law on 30 June 2026.
West Virginia v. B.P.J., No. 24-43 (U.S. 30 Jun 2026)
Key datesNone upcoming
No upcoming effective dates or court deadlines were identified.
Review, Oct 2026
Sources
- West Virginia Legislature (SB299) →
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406) →
- HB200 →
- PEIA Summary Plan Description 2026 ABD (peia.wv.gov) →
- HB3293; upheld in West Virginia v. B.P.J., No. 24-43 (U.S. 30 Jun 2026) →
- Sports court opinion →
- West Virginia SB456 →
- SB 154 →
- West Virginia HB4233 →
- DCR Policy Directive 411.00 →
- LegiScan search, checked 13 Oct 2026 (adjourned legislature) →