Medical care for minorsNo ban▾
No state law restricts puberty blockers, cross-sex hormones or surgery for minors.
No statute identified (Code of Virginia review, Oct 2026)
MedicaidCoverage ended (minors)▾
Virginia Medicaid (under 18) and CHIP (under 19) stopped paying for puberty blockers, cross-sex hormones and surgery from 13 Oct 2026. Counseling stays covered.
Virginia DMAS bulletin, changes to coverage from 13 Oct 2026
State employeesNo explicit policy▾
State-employee plans have no explicit rule on sex-change procedures.
Active Employees (dhrm.virginia.gov)
SportsSex-based (athletic association rule)▾
VHSL rules bar males from girls' high-school teams. No state statute. A Youngkin-era Board of Health rule to require this statewide was withdrawn by the Spanberger administration on 30 Jul 2026.
VHSL handbook
Virginia Regulatory Town Hall, action 6905
State sourceFacilitiesSex-based (state model policy)▾
VDOE's 2023 model policies, still in effect, call for K-12 restrooms and locker rooms to be used by sex; school boards must adopt consistent policies under § 22.1-23.3(B), though some divisions have not complied.
VDOE 2023 model policies
Pronouns and parent noticeParent notice (state guidance)▾
Virginia's 2023 model school policies still require schools to keep parents informed and get consent for name and pronoun changes. Not rescinded as of Oct 2026.
VDOE 2023 Model Policies
CurriculumOpt-out▾
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.
Form for Changing Sex Designation (vdh.virginia.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▾
Individualized housing decisions. The bed-assignment procedure (OP 425.4) is restricted and not public.
VADOC Operating Procedure 038.3 (PREA)
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)
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 Jul 2026: Spanberger administration withdraws Youngkin-era Board of Health rulemaking on sex-separated sports and spaces (12 VAC 5-660). 13 Oct 2026: Medicaid/CHIP cutoff; hormone taper funding ends up to six months later.
Virginia Regulatory Town Hall, action 6905
Virginia DMAS bulletin, changes to coverage from 13 Oct 2026
State sourceSources
- Virginia DMAS bulletin, changes to coverage from 13 Oct 2026
- Active Employees (dhrm.virginia.gov)
- VHSL handbook
- Virginia Regulatory Town Hall, action 6905
- VDOE 2023 model policies
- VDOE 2023 Model Policies
- Va. Code § 22.1-207.2
- Form for Changing Sex Designation (vdh.virginia.gov)
- VADOC Operating Procedure 038.3 (PREA)
- LegiScan search, checked 13 Oct 2026 (adjourned legislature)
- Complaint, Illinois v. HHS, No. 1:26-cv (D. Mass., filed 2 Sep 2026)