District of Columbia

No state law restricts puberty blockers, cross-sex hormones or surgery for minors.

D.C. Code § 2-1461.01

As of 13 Oct 2026, District of Columbia has not announced whether it will pay for puberty blockers and cross-sex hormones for minors with state money after the federal Medicaid and CHIP cutoff.

42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406)

State-employee health plans pay for sex-change procedures with taxpayer money.

Government of the District of Columbia Vincent C. Gray, Mayor (disb.dc.gov)

No state law keeps males out of girls' sports.

No state law identified (statute review, Oct 2026)

No state law keeps males out of women's and girls' bathrooms and changing rooms.

No state law identified (statute review, Oct 2026)

No state law requires schools to tell parents if their child socially transitions at school.

No state law identified (statute review, Oct 2026)

No state law on gender-identity lessons; local school boards decide.

No state law identified (statute review, Oct 2026)

No state law defines male and female by biology.

No state law identified (statute review, Oct 2026)

Birth-certificate sex changed with clinician statement; licence sex changed by self-declaration. 'X' marker offered.

D.C. Law 20-37. JaParker Deoni Jones Birth Certificate Equality Amendment Act of 2013. | D.C. Law Library (code.dccouncil.gov)

This state shields providers and patients from out-of-state investigations and lawsuits over these procedures for minors.

D.C. Code § 2-1461.01

No state law restricts adults or public funding for adult sex-change procedures.

No state law identified (statute review, Oct 2026)

No special right for detransitioners to sue.

No state law identified

Housing generally follows the inmate's stated preference, subject to Transgender Housing Committee review.

DOC PP 4020.3, Gender Classification and Housing

No active bills (checked 13 Oct 2026).

LegiScan search, checked 13 Oct 2026

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)

No upcoming effective dates or court deadlines identified.

Review, Oct 2026