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World Progress · United States

Maine

No ban

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

Last verified: 13 Oct 2026

Medical care for minorsNo ban

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

14 M.R.S. § 9002

MedicaidState money (minors)

From 13 Oct 2026, MaineCare pays for puberty blockers, cross-sex hormones and surgeries for minors with state-only money. Maine law still requires that coverage.

MaineCare provider bulletin, 9 Oct 2026

State employeesCovers

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

Plan Documents and Coverage | Office of Employee Health, Wellness, & Workers' Compensation (maine.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 by self-declaration

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

Maine Department of Health and Human Services 10-146 CMR ch. 16 (2020), Maine

Shield lawShield law

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

14 M.R.S. § 9002

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

PrisonsBy gender identity (statute + policy)

Residents are generally housed according to gender identity unless safety or security concerns require otherwise.

MDOC Policy 23.8

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)

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

All U.S. states →

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