Iowa has banned puberty blockers, opposite-sex hormones, and surgeries for minors.
Iowa IA
MedicalBanSchoolsSchools mixed
Schools: SF496 (2023) barred K–6 gender-identity and sexual-orientation instruction and added parental-notification rules. A federal district order in May 2025 narrowed “program/promotion” language and most notification text; the K–6 mandatory-instruction bar still stands. Written rule, court narrowing — Schools mixed.