1 in 5 American Trans Kids Live in States That Have Passed Bans on Gender-Affirming Care


A member of the LGBTQ community holds a sign reading Protect Trans Youth.
ANDREJ IVANOV/AFP via Getty Images

Though the full human impact of the current legislative assault on trans existence can never be quantified, a new analysis from the Human Rights Campaign shows its magnitude. According to new statistics from the LGBTQ+ organization, more than one-fifth of trans youth live in states that have passed bans on gender-affirming care for minors. 

On Wednesday, HRC released a new map outlining attacks on gender-affirming care by state alongside a new report with information pulled from the organization’s own legislative tracking. The report also drew from data compiled by the Williams Institute at the UCLA School of Law showing that there are more than 300,000 trans youth aged 13-17 in the United States. The map also illustrates which states have already banned gender-affirming care for minors and which are currently considering laws or policies to do so. 

According to the report, 22.9% of trans youth live in states that have passed bans on gender-affirming care for minors, a list that includes Arizona, Utah, Texas, South Dakota, Iowa, Arkansas, Mississippi, Tennessee, Alabama, and Florida. In three states — Alabama, Arkansas, and Texas — temporary court injunctions are currently blocking those bans. In addition to youth living in states that have already passed bans on gender-affirming care a further 27.5% of trans youth are at risk of losing access. 


Combined, over half of trans youth (50.4%) live in states where they’ve already lost access to or are at risk of losing access to gender-affirming care, according to the HRC report. However, as ACLU communications strategist Gillian Branstetter pointed out on Twitter, this statistic accounts for every state that has a proposed ban, even though many of those bills will likely never pass into law. According to a separate report by HRC, 91% of the anti-LGBTQ+ bills introduced in 2022 failed to become law. 

However, that doesn’t change the fact that the mere introduction of these bills profoundly impacts LGBTQ+ people, especially trans people. Jay Brown, senior vice president of HRC, stated that Republican politicians “are spreading propaganda and creating more stigma, discrimination, and violence against transgender people just to rile up extreme members of their base.”

January report by the LGBTQ+ advocacy organization Trevor Project found that state-level anti-trans laws negatively affected the mental health of 86% of trans and nonbinary youth between ages 13 and 24. 

“LGBTQ+ people are living in a state of emergency,” Brown said in a press release. “Today’s findings illustrate how the ongoing assault against transgender people is taking hold across the country and underscore how dire the situation is growing for our community by the day. These dangerous and discriminatory policies advocated by power-hungry politicians are void of any credible purpose.”

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