Oklahoma: puberty blocker, cross-sex hormone and surgery laws for minors (verified Oct 2026)

Medical care for minorsBan

SB613. In force.

Oklahoma Legislature (SB613)

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)

Source

State policy: Excludes (all ages)

Official source: oklahoma.gov

State source

State employeesExcludes

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

SB904

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SportsSex-based

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

Oklahoma sports rule (oklegislature.gov)

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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.

SB418 (2025)

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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)

CurriculumSex-ed limits

Sex-education law limits how homosexuality is presented in class.

HB1476 (April 1987) and Okla. Stat. tit. 70, § 11-103.3(D) .

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Sex definitionDefined by biology

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

Oklahoma Executive Order 2023-20 (2079)

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ID markersBirth-certificate sex cannot be

Birth-certificate sex cannot be changed; licence sex cannot be changed.

Executive Order 2021-24

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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).

Clay Bullard | Chief Executive Officer J. Kevin Stitt | Governor (oklahoma.gov)

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DetransitionNo state law

No special right for detransitioners to sue. HB 2177 (2023) would have allowed claims until age 27 but died in the Senate.

HB 2177 (2023), engrossed; not enacted

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PrisonsBy sex (statute)

SB 418 (2025), effective November 1, 2025, requires DOC to designate restrooms, changing areas and sleeping quarters exclusively for male or female inmates by biological sex (57 O.S. § 509.7).

57 O.S. § 509.7 (SB 418, 2025)

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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)

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LitigationResolved/ongoing

Poe v. Drummond: 10th Circuit upheld SB 613 (2025).

Poe v. Drummond, No. 23-5110 (10th Cir. 6 Aug 2025)

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Key datesNone upcoming

No upcoming effective dates or court deadlines identified.

Review, Oct 2026

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