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World Progress · United States

Kentucky

Ban

SB150, veto overridden. In force after a temporary block was overturned.

Last verified: 13 Oct 2026

Medical care for minorsBan

SB150, veto overridden. In force after a temporary block was overturned.

Kentucky Legislature (SB150)

MedicaidFederal funding ended (minors)

Medicaid doesn't pay for sex-change procedures at any age. 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 policy: Excludes (all ages)

PDF on file), 2019 (

State source
State employeesCovers

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

Benefit Booklet Kentucky Employees’ Health Plan – W31060 – 20260101 – Living Well CDHP PPO – W0CA (extranet.personnel.ky.gov)

SportsSex-based

Girls' sports are protected: state law keeps males out of girls' and women's teams (grades 6 -12 and higher education).

SB83

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.

Kentucky SB150

Pronouns and parent noticeParental-rights law (no specific notice rule)

A parents' rights law gives parents access to information about their child's health and well-being at school, but there is no specific rule on social transition.

SB150

CurriculumSchools restriction

The same SB150 also rewrote KRS 158.1415: no human-sexuality instruction in grade 5 and below; no instruction whose purpose is exploring gender identity, gender expression, or sexual orientation; parental consent from grade 6.

Kentucky Legislature (SB150 — school sections)

Sex definitionNo state law

No state law defines male and female by biology.

No state law identified (statute review, Oct 2026)

ID markersBirth-certificate sex changed only with surgery

Birth-certificate sex changed only with surgery; licence sex change needs surgery, court order or amended birth certificate.

Kentucky § 213.121

Shield lawNone

No shield law.

No shield statute identified

AdultsRestricted (funding)

Adults: no taxpayer money for sex-change procedures (Medicaid exclusion at all ages).

PDF on file), 2019 (

DetransitionNo state law

No special right for detransitioners to sue.

No state law identified

PrisonsCase-by-case

Individual housing assessments; anatomy alone does not decide.

KDOC CPP 14.8

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

L.W. v. Skrmetti (6th Cir.) and U.S. v. Skrmetti (2025) leave the ban in force.

United States v. Skrmetti, No. 23-477 (U.S. 18 Jun 2025)

Key datesNone upcoming

No upcoming effective dates or court deadlines identified.

Review, Oct 2026

Sources

All U.S. states →

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