Medical care for minorsNo ban▾
No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
Ch. 253 (HB 283, 2023) Medicaid coverage law
MedicaidState money (minors)▾
Maryland Medicaid keeps paying for puberty blockers, cross-sex hormones and surgeries for minors with state dollars after the 13 Oct 2026 federal cutoff. Providers were told to keep billing as usual.
Maryland Medicaid transmittal PT 38-27, 2 Oct 2026
State employeesCovers▾
State-employee health plans pay for sex-change procedures with taxpayer money.
Evidence of Coverage (dbm.maryland.gov)
SportsNo state law▾
No state law keeps males out of girls' sports.
No state law identified (statute review, Oct 2026)
FacilitiesNo state law▾
No state law keeps males out of women's and girls' bathrooms and changing rooms.
No state law identified (statute review, Oct 2026)
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)
CurriculumNo state law▾
No state law on gender-identity lessons; local school boards decide.
No state law identified (statute review, Oct 2026)
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 with clinician statement▾
Birth-certificate sex changed with clinician statement; licence sex changed by self-declaration. 'X' marker offered.
Maryland § 4-211
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▾
Case-by-case review that considers anatomy and the inmate's safety concerns.
DPSCS Directive OPS.131.0001
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)
LitigationActive▾
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)
Key datesNone upcoming▾
No upcoming effective dates or court deadlines identified.
Review, Oct 2026
Sources
- Ch. 253 (HB 283, 2023) Medicaid coverage law
- Maryland Medicaid transmittal PT 38-27, 2 Oct 2026
- Evidence of Coverage (dbm.maryland.gov)
- Maryland § 4-211
- DPSCS Directive OPS.131.0001
- LegiScan search, checked 13 Oct 2026 (adjourned legislature)
- Complaint, Illinois v. HHS, No. 1:26-cv (D. Mass., filed 2 Sep 2026)