Medical care for minorsBan▾
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)
State employeesExcludes▾
State-employee health plans don't pay for sex-change procedures.
Insurance Benefits Serving those who serve South Carolina (peba.sc.gov)
SportsSex-based▾
Girls' sports are protected: state law keeps males out of girls' and women's teams (K-12 and higher education).
H4608
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.
South Carolina S 4756
Pronouns and parent noticeParent notice required▾
Schools must tell parents if their child asks to be treated as the opposite sex. No secret transitions.
H 4624
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 process unclear (court order)▾
Birth-certificate process unclear (court order); licence sex change needs surgery, court order or amended birth certificate.
S.C. Code Regs. 61-19 §1110, Amendments by Court Order; DPH birth-certificate page
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).
), and HB4624 (2024) prohibiting this
DetransitionNo state law▾
No special right for detransitioners to sue.
No state law identified
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)
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
- South Carolina Legislature (H.4624)
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406)
- Insurance Benefits Serving those who serve South Carolina (peba.sc.gov)
- H4608
- South Carolina S 4756
- S.C. Code Regs. 61-19 §1110, Amendments by Court Order; DPH birth-certificate page
- SCDC Policy GA-06.09
- LegiScan search, checked 13 Oct 2026 (adjourned legislature)