Medical care for minorsProposed bill▾
HB 1033 would ban puberty blockers, cross-sex hormones, and surgeries for minors. It is not law yet. There is no statewide shield statute. The governor — not the Commonwealth as such — joined the CMS funding suit.
Pennsylvania General Assembly (HB 1033)
MedicaidState money (Medicaid minors)▾
Pennsylvania will use state dollars to keep covering puberty blockers and cross-sex hormones for minors on Medicaid. Gov. Shapiro's office said state law bars state money for CHIP.
Philadelphia Inquirer, 15 Oct 2026, quoting Gov. Josh Shapiro's office
State employeesCovers▾
State-employee health plans pay for sex-change procedures with taxpayer money.
PEBTF.org (pebtf.org)
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.
Pennsylvania birth-certificate / ID rule (pa.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)
DetransitionNo state law▾
No special right for detransitioners to sue.
No state law identified
PrisonsCase-by-case (committee)▾
A PREA Accommodation Committee decides housing; transfers by gender identity are considered.
DOC Policy DC-ADM 008 (PREA)
Pending billsProposed bills▾
HB 1033 (ban on medical transition for minors), SB 213 (recognizes two sexes, male and female) and HB 158 (school and college sports designated by sex) are all in committee.
HB 1033, SB 213, HB 158 (2025-26) — LegiScan search, checked 13 Oct 2026
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 datesDate▾
30 Nov 2026: session ends; HB 1033 dies if not passed.
See sections above
Sources
- Pennsylvania General Assembly (HB 1033)
- Philadelphia Inquirer, 15 Oct 2026, quoting Gov. Josh Shapiro's office
- PEBTF.org (pebtf.org)
- Pennsylvania birth-certificate / ID rule (pa.gov)
- DOC Policy DC-ADM 008 (PREA)
- HB 1033, SB 213, HB 158 (2025-26) — LegiScan search, checked 13 Oct 2026
- Complaint, Illinois v. HHS, No. 1:26-cv (D. Mass., filed 2 Sep 2026)