Medical care for minorsBan▾
HB 377 bans puberty blockers and cross-sex hormones for minors from 1 January 2026; HB 619 (2024) bans surgery. In force.
HB 377 (Ch. 275, 2025); HB 619 (2024)
MedicaidFederal funding ended (minors)▾
State Medicaid pays for sex-change procedures (federal money for minors ended 13 Oct 2026). 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 employeesCovers▾
State-employee health plans pay for sex-change procedures with taxpayer money.
New Hampshire state-employee health plan document (das.nh.gov)
SportsSex-based▾
Girls' sports are protected: state law keeps males out of girls' and women's teams (K-12 and higher education). The court challenge was dismissed on 8 July 2026, so the law applies to all students.
HB1205
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-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.
HB1312
CurriculumParental opt-out▾
Parents must be notified about lessons on sexual orientation or gender identity and can opt their child out.
New Hampshire HB1312
Sex definitionNo state law▾
No state law defines male and female by biology.
No state law identified (statute review, Oct 2026)
ID markersBirth-certificate process unclear (court order)▾
Birth-certificate process unclear (court order); licence sex changed by self-declaration. 'X' marker offered.
New Hampshire birth-certificate / ID rule (nh.gov)
Shield lawNone▾
No shield law.
No shield statute identified
AdultsNo state law▾
No state law restricts adults or public funding for adult sex-change procedures.
No state law identified (statute review, Oct 2026)
Detransition20 years after turning 18▾
PrisonsCase-by-case▾
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▾
Tirrell v. Edelblut: the challenge to HB 1205 (school sports) was dismissed with prejudice on 8 July 2026, so the law applies to all students.
Tirrell v. Edelblut, No. 1:24-cv-251 (D.N.H.), stipulation of dismissal (8 Jul 2026)
Key datesDate▾
1 Jan 2026: medication ban took effect.
HB377 — CHAPTERED FINAL VERSION - NH General Court (gencourt.state.nh.us)
Sources
- HB 377 (Ch. 275, 2025); HB 619 (2024)
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406)
- HB619
- New Hampshire state-employee health plan document (das.nh.gov)
- HB1205
- HB1312
- New Hampshire HB1312
- New Hampshire birth-certificate / ID rule (nh.gov)
- HB 619 (2024)
- NHDOC PPD 6.85
- LegiScan search, checked 13 Oct 2026 (adjourned legislature)
- Tirrell v. Edelblut, No. 1:24-cv-251 (D.N.H.), stipulation of dismissal (8 Jul 2026)