Medical care for minorsBan▾
SB184 / Act 2022-289. In force. Under-19 medical transition banned.
Alabama Legislature (SB184 enrolled)
MedicaidFederal funding ended (minors)▾
Medicaid has no explicit state rule on sex-change procedures. A federal CMS rule ends federal Medicaid and CHIP money for puberty blockers, cross-sex hormones and surgery for minors.
42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406)
State employeesNo explicit policy▾
State-employee plans have no explicit rule on sex-change procedures.
SportsSex-based▾
Girls' sports are protected: state law keeps males out of girls' and women's teams.
Alabama HB261 (2023) — via LegiScan
FacilitiesSex-based (K-12 schools)▾
Bathrooms and changing rooms in K-12 schools are separated by sex, so males stay out of women's and girls' spaces.
SB129 (2024)
Pronouns and parent noticeParent access on request▾
CurriculumSchools restriction▾
HB322 (2022) limits classroom instruction on sexual orientation or gender identity in K–5 and requires multiple-occupancy restrooms and changing areas by biological sex. Separate from the medical ban.
Alabama Legislature (HB322 enrolled)
Sex definitionDefined by biology▾
ID markersBirth-certificate sex changed only with surgery and court order▾
Birth-certificate sex changed only with surgery and court order; licence sex change needs surgery, court order or amended birth certificate.
Alabama Code § 22-9A-19(d) (1992),
Shield lawNone▾
No shield law.
No shield statute identified
AdultsNo state law▾
No state law restricts adults or public funding for adult sex-change procedures.
No state law identified (statute review, Oct 2026)
DetransitionNo state law▾
No special right for detransitioners to sue.
No state law identified
PrisonsCase-by-case▾
Placement in a male or female facility is decided case by case on safety and security; no dedicated transgender units; reviewed twice a year.
ADOC Administrative Regulation 454 (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)
LitigationResolved/ongoing▾
Eknes-Tucker v. Governor: 11th Circuit let the ban take effect (Aug 2023); the case was later dismissed.
Eknes-Tucker v. Governor of Alabama, No. 22-11707 (11th Cir. 21 Aug 2023)
Key datesNone upcoming▾
No upcoming effective dates or court deadlines identified.
Review, Oct 2026
Sources
- Alabama Legislature (SB184 enrolled)
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406)
- Alabama HB261 (2023) — via LegiScan
- SB129 (2024)
- SB184
- Alabama Legislature (HB322 enrolled)
- SB 79
- Alabama Code § 22-9A-19(d) (1992),
- ADOC Administrative Regulation 454 (PREA)
- LegiScan search, checked 13 Oct 2026 (adjourned legislature)
- Eknes-Tucker v. Governor of Alabama, No. 22-11707 (11th Cir. 21 Aug 2023)