Medical care for minorsBan▾
HB2007 (2023) then SB299 (2025) removed remaining exceptions. In force.
West Virginia Legislature (SB299)
MedicaidFederal funding ended (minors)▾
State Medicaid pays for sex-change procedures (federal money for minors ended 13 Oct 2026). 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 employeesNo explicit policy▾
State-employee plans have no explicit rule on sex-change procedures.
PEIA Summary Plan Description 2026 ABD (peia.wv.gov)
SportsSex-based▾
Girls' sports are protected: state law keeps males out of girls' and women's teams (secondary and higher education). The U.S. Supreme Court upheld this law on 30 June 2026.
HB3293; upheld in West Virginia v. B.P.J., No. 24-43 (U.S. 30 Jun 2026)
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.
West Virginia SB456
Pronouns and parent noticeParent notice required▾
Schools must tell parents if their child asks to be treated as the opposite sex. No secret transitions.
SB 154
CurriculumRestricted▾
Schools may not teach gender ideology or sexual orientation to young children (see statute).
West Virginia SB154
Sex definitionDefined by biology▾
ID markersBirth-certificate sex changed with clinician statement▾
Birth-certificate sex changed with clinician statement; licence sex change needs a provider form.
West Virginia HB4233
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▾
Case-by-case facility assignment. The copy is hosted by the WV Center on Budget & Policy; the DCR does not post it.
DCR Policy Directive 411.00
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)
LitigationResolved/ongoing▾
West Virginia v. B.P.J.: U.S. Supreme Court upheld the sports law on 30 June 2026.
West Virginia v. B.P.J., No. 24-43 (U.S. 30 Jun 2026)
Key datesNone upcoming▾
No upcoming effective dates or court deadlines identified.
Review, Oct 2026
Sources
- West Virginia Legislature (SB299)
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406)
- HB200
- PEIA Summary Plan Description 2026 ABD (peia.wv.gov)
- HB3293; upheld in West Virginia v. B.P.J., No. 24-43 (U.S. 30 Jun 2026)
- Sports — court opinion
- West Virginia SB456
- SB 154
- West Virginia HB4233
- DCR Policy Directive 411.00
- LegiScan search, checked 13 Oct 2026 (adjourned legislature)