Medical care for minorsBan▾
H808, veto overridden. In force. Grandfather for some existing patients.
North Carolina General Assembly (H808)
MedicaidFederal funding ended (minors)▾
Medicaid doesn't pay for sex-change procedures for minors. 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 employeesExcludes▾
SportsSex-based▾
Girls' sports are protected: state law keeps males out of girls' and women's teams (middle school ( defined in state law as grades 6-9), high school, and higher education).
H574/S631
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 noticeParental consent for names/pronouns▾
Teachers need a parent's permission before using a different name or pronouns that don't match their sex for a child.
SB49
CurriculumSchools restriction▾
SL 2023-106 (SB 49), Parents’ Bill of Rights: no gender-identity, sexual-activity, or sexuality curriculum in K–4, except answers to student-initiated questions.
North Carolina Session Law 2023-106
Sex definitionDefined by biology▾
ID markersBirth-certificate sex changed with clinician statement▾
Birth-certificate sex changed with clinician statement; licence sex change needs a provider form.
Birth Certificate Modification Application (vitalrecords.nc.gov)
Shield lawNone▾
No shield law.
No shield statute identified
AdultsRestricted (funding)▾
DetransitionExtended limitations period▾
PrisonsCase-by-case (committee)▾
Transgender Accommodation Review Committees decide placement, including transfers.
DAC Policy, Evaluation and Management of Transgender Offenders
Pending billsProposed bills▾
S516 / H791, the Women's Safety and Protection Act; H1000, the Detransitioners Bill of Rights; and H502, a bill protecting access to transition procedures, have all been in Rules committees since 2025.
S516, H791, H1000, H502 (2025-26) — LegiScan search, checked 13 Oct 2026
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
- North Carolina General Assembly (H808)
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406)
- H574/S631
- SB49
- North Carolina Session Law 2023-106
- H 805
- Birth Certificate Modification Application (vitalrecords.nc.gov)
- DAC Policy, Evaluation and Management of Transgender Offenders
- S516, H791, H1000, H502 (2025-26) — LegiScan search, checked 13 Oct 2026