Washington

No state law restricts puberty blockers, cross-sex hormones or surgery for minors.

Chapter 7.115 RCW (SB 5489, 2023)

From 13 Oct 2026, Washington pays for puberty blockers, cross-sex hormones and surgeries for minors with state-only money. The Health Care Authority said it will keep covering these services without federal Medicaid funds.

Washington Health Care Authority public notice, 8 Oct 2026

State-employee health plans pay for sex-change procedures with taxpayer money.

2026 Evidence of Coverage PEBB Classic Plan - (choose.kaiserpermanente.org)

No state law keeps males out of girls' sports.

No state law identified (statute review, Oct 2026)

No state law keeps males out of women's and girls' bathrooms and changing rooms.

No state law identified (statute review, Oct 2026)

No state law requires schools to tell parents if their child socially transitions at school.

No state law identified (statute review, Oct 2026)

State law requires schools to include LGBT content in the curriculum.

LGBTQ-inclusive curricular standards. See SB5462 (2024), and

No state law defines male and female by biology.

No state law identified (statute review, Oct 2026)

Birth-certificate sex changed by self-declaration; licence sex changed by self-declaration. 'X' marker offered.

Sex Designation Change on a Birth Certificate | Washington State Department of Health (doh.wa.gov)

This state shields providers and patients from out-of-state investigations and lawsuits over these procedures for minors.

Chapter 7.115 RCW (SB 5489, 2023)

No state law restricts adults or public funding for adult sex-change procedures.

No state law identified (statute review, Oct 2026)

No special right for detransitioners to sue.

No state law identified

A multidisciplinary review decides; requests for a facility matching gender identity need Deputy Secretary approval.

DOC Policy 490.700

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)

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)

No upcoming effective dates or court deadlines identified.

Review, Oct 2026