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World Progress · United States

Louisiana

Ban

HB648, veto overridden. In force.

Last verified: 13 Oct 2026

Medical care for minorsBan

HB648, veto overridden. In force.

Louisiana Legislature (HB648)

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)

HB648 — legis.la.gov

State source
State employeesExcludes

State-employee health plans don't pay for sex-change procedures.

Office of Group Benefits Pelican HRA 1000 For State of Louisiana Plan Participants (info.groupbenefits.org)

SportsSex-based

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

SB44

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.

Louisiana HB608

Pronouns and parent noticeNo state law

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

No state law identified (statute review, Oct 2026)

CurriculumRestricted

Schools may not teach gender ideology or sexual orientation to young children (K-12).

Louisiana HB 122

Sex definitionDefined by biology

State law defines male and female by biology for state purposes.

HB 608

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.

La. Rev. Stat. Ann. § 40:62 ,

Shield lawNone

No shield law.

No shield statute identified

AdultsRestricted (funding)

Adults: no taxpayer money for sex-change procedures (Medicaid exclusion at all ages, state-employee plan exclusion, ban on public funds at any age).

Louisiana HB648

DetransitionUp to age 30

Detransitioners can sue until age 30 (12 years after turning 18).

HB 648 / Act 466 (2023)

PrisonsBy sex (statute)

State law requires prison and juvenile-detention sleeping quarters, restrooms and changing rooms to be designated for one sex (La. R.S. 9:63, Women's Safety and Protection Act, Act 436 of 2024). Sex means biological sex observed or clinically verified at birth (La. R.S. 9:58). The 2020 DPS&C case-by-case regulation predates the statute.

La. R.S. 9:63 (Act 436, 2024)

La. R.S. 9:58

State source
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)

LitigationNone identified

No active court case on these laws identified in this review.

Review, Oct 2026

Key datesNone upcoming

No upcoming effective dates or court deadlines identified.

Review, Oct 2026

Sources

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