World Athletics confirmed in 2021 that its 2019 policy remains in effect after the IOC update in 2021. Trans women must demonstrate to the satisfaction of the Expert Panel (on the balance of probabilities), that the concentration of testosterone in her serum has been less than 5 nmol/L continuously for a period of at least 12 months; and she must keep her serum testosterone concentration below 5 nmol/L for so long as she wishes to maintain her eligibility to compete in the female category of competition. Transgender men must declare their gender but can compete with men without restriction.
DOWNLOAD: World Athletics policy 2019
2023 HEALTH BILLS - updated 12/20/22
Oklahoma - HB1011 - prefiled for 2023 on 12/1/22
OK HB1011 prohibits a healthcare provider from providing gender-affirming care for anyone under the age of 21.
Oklahoma - SB129 - introduced 1/4/23
OK SB129 prohibits a healthcare provider from providing gender-affirming care for anyone under the age of 26.
South Carolina - H3551 - prefiled for 2023 on 12/15/22
SC H3551 prohibits a healthcare provider from providing gender-affirming care, including puberty blockers, to a minor under age 18. Also states that a nurse, counselor, teacher, principal, or other administrative officials at a public or private school attended by a minor is prohibited from doing either of the following:
(1)encouraging or coercing a minor to withhold from the minor's parent or legal guardian the fact that the minor's perception of the minor's gender or sex is inconsistent with the minor's sex; and
(2)withholding from a minor's parent or legal guardian information related to a minor's perception that the minor's gender or sex is inconsistent with the minor's sex.
South Carolina - S243 - prefiled for 2023 on 11/30/22
SC S243 prohibits a healthcare provider from providing gender-affirming care, including puberty blockers, to a minor.
South Carolina - S274 - prefiled for 2023 on 12/15/22
SC S274 prohibits a healthcare provider from providing gender-affirming care, including puberty blockers, to a minor under age 21. In order for a person 21 years of age or older to receive gender transition procedures, he must first obtain a referral from his primary care physician and a referral from a licensed psychiatrist who must certify that the person has been diagnosed with gender dysphoria or a similar condition by the psychiatrist and that the psychiatrist believes that gender transition procedures would be appropriate for the person.
Tennessee - HB1 - prefiled for 2023 on 11/9/22
TN HB1 prohibits a healthcare provider from performing on a minor or administering to a minor a medical procedure if the performance or administration of the procedure is for the purpose of enabling a minor to identify with, or live as, a purported identity inconsistent with the minor’s sex.
Tennessee - SB1 - prefiled for 2023 on 11/9/22
TN HB1 prohibits a healthcare provider from performing on a minor or administering to a minor a medical procedure if the performance or administration of the procedure is for the purpose of enabling a minor to identify with, or live as, a purported identity inconsistent with the minor’s sex.
Texas - HB42 - prefiled for 2023 on 11/14/22
TX HB42 would expand the definition of "child abuse" to include providing gender-affirming healthcare, including administering puberty blockers or gender-affirming hormone treatment.
Texas - HB112 - prefiled for 2023 on 11/14/22
TX HB112 would criminalize gender-affirming health care by banning healthcare providers from offering various gender-affirming procedures and treatments for children, including puberty blockers and testosterone or estrogen doses. Violations could result in a second-degree felony.
Texas - HB41 - prefiled for 2023 on 11/14/22
TX HB41 would criminalize gender-affirming health care by banning healthcare providers from offering various gender-affirming procedures and treatments for children, including puberty blockers and testosterone or estrogen doses, and would also take away professional liability insurance policy from providers who offer these treatments.
Virginia - SB791 - prefiled for 2023 on 11/29/22
VA SB791 would prohibit gender transition procedures, defined in the bill, for individuals under 18 years of age and prohibits the use of public funds for gender transition procedures for individuals under 18 years of age. The bill establishes enforcement procedures for violation of the SAFE Act. The bill states that a health benefit plan providing health care coverage in the Commonwealth is prohibited from providing coverage for gender transition procedures for individuals younger than 18 years of age and is not required to provide coverage for gender transition procedures for individuals 18 years of age or older.
FEDERAL BILL - HB9507 - INTRODUCED 12/13/22
HB9507 would amend the Child Abuse Prevention and Treatment Act to prevent State child protective services systems from removing a child from the custody of the child's parent or legal guardian due to the parent's or legal guardian's reluctance or refusal to consent to the child receiving a gender-transition intervention, and for other purposes.
Professional Disc Golf Association (12/12/22). US Rowing (12/1/22). CCES review on trans women in sport (11/10/22). US National Governing Bodies (9/8/22). USA Gymnastics (9/8/22). USA Tennis (9/1/22). World Triathlon (8/3/22). New Jersey high school policy (7/19/22). British Triathlon (7/8/22). International Rugby (7/8/22). FINA policy (6/24/22).
2022 SPORTS BILLS - updated 7/16/22
Alaska - HB230 - elementary, junior high, secondary, or postsecondary school - tabled
AK HB230 would require athletes to participate "based on the participant's biological sex" and would allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue people, schools, school districts, and institutions of higher education.
Alaska - SB140 - elementary, junior high, secondary, or postsecondary school - tabled
AK SB140 would require athletes to participate "based on the participant's biological sex" and would allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue people, schools, school districts, and institutions of higher education.
Arizona - SB1046 - interscholastic, intercollegiate, intramural or club - session ended
AZ SB1046 would require athletes to participate "based on biological sex" and would determine biological sex by examinations of:
"1. The student's internal and external reproductive anatomy.
2. The student's normal endogenously produced levels of testosterone.
3. An analysis of the student's genetic makeup."
would allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue people, schools, school districts, and institutions of higher education.
Arizona - SB1165 - signed into law 3/30/22
AZ SB1165 would ban transgender athletes from playing on teams that match their gender identity and would allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue people, schools, school districts, and institutions of higher education.
Delaware - SB227 - high school & college
DE SB227 would ban transgender athletes from playing on teams that match their gender identity and would allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue people, schools, school districts, and institutions of higher education.
Georgia - HB1084 - Signed into law 4/28/22
GA HB1084 would require Georgia State High School Association to create rules for transgender athletes.
Georgia - SB266 - high school, interscholastic or intramural
GA SB266 would ban transgender athletes from playing on teams that match their gender identity and would allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue.
Georgia - SB435 - high school, interscholastic or intramural
GA SB435 would ban transgender athletes from playing on teams that match their gender identity and would allow anyone who feels they were unfairly harmed by the participation of a trans athlete to sue.
Georgia - HB276 - session ended
GA HB276 would ban transgender athletes from playing on teams that match their gender identity and amend Georgia code.
Georgia - HB372 - session ended
GA HB372 would ban transgender athletes from playing on teams that match their gender identity and amend Georgia code.
Hawaii - HB1304 - high school - session ended
HI HB1304 is carried over from 2021: "The purpose of this Act is to prohibit biologically born males from competing in any athletic program offered by a public high school that is designated for women or girls."
Illinois - HB4082 - high school - session ended
IL HB4082 is carried over from 2021: HB4082 would require athletes to participate based on biological sex and would require a school district or nonpublic school to obtain a written statement signed by a student's parent or guardian or the student each year verifying the student's age, biological sex, and that the student has not taken performance-enhancing drugs; provides for a penalty for false or misleading statements.
Indiana - HB1041 - interscholastic athletic events, school corporations, public schools, nonpublic schools - Vetoed by Governor - veto overridden, made law
IN HB1041 would require athletes in high school sports to play on teams based on the "student's biological sex at birth in accordance with the student's genetics and reproductive biology," and would allow any person who feels they were unfairly harmed by the participation of a trans athlete to sue.
Iowa - HF2309 - withdrawn 2/21/22
IA HF2309 would ban transgender athletes from playing on teams that match their gender identity in college sports and would allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue.
Iowa - HF2416 - signed into law 3/3/22
IA HF2416 would ban transgender athletes from playing on teams that match their gender identity in high school and college sports and would allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue.
Iowa - SF2342 - high school - withdrawn 3/2/22
IA SF2342 would require transgender athletes to play on teams according to the listing on their birth certificate at or near their time of birth and would allow anyone who feels they were unfairly harmed by the participation of a trans athlete to sue.
Iowa - HF184 - high school and college - session ended
IA HF184 would determine an athlete's eligibility based on
1. The student’s internal and external reproductive anatomy.
2. The student’s normal, endogenously produced levels of testosterone.
3. An analysis of the student’s genetic makeup.
TAKE ACTION:
- NOTE: carried over from 2021, no action this year
Iowa - HF334 - high school and college - session ended
IA HF334 would determine an athlete's eligibility based on
1. The student’s internal and external reproductive anatomy.
2. The student’s normal, endogenously produced levels of testosterone.
3. An analysis of the student’s genetic makeup.
TAKE ACTION:
- NOTE: carried over from 2021, no action this year
Iowa - SB3146 - high school and college - renumbered as SF2342
IA SSB3146 would require transgender athletes to play on teams according to the listing on their birth certificate at or near their time of birth and would allow anyone who feels they were unfairly harmed by the participation of a trans athlete to sue.
Kansas - SB160 - elementary, high school and college - Vetoed by Governor 4/15/22, veto upheld 4/28/22
KS SB160 would ban transgender athletes from playing on teams that match their gender identity and would allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue.
Kansas - SB484 - high school and college - session ended
KS SB484 would ban transgender athletes from playing on teams that match their gender identity in high school and college sports and would allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue.
Kansas - SB208 - high school and college - session ended
KS SB208 would ban transgender athletes from playing on teams that match their gender identity in college sports and would allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue.
TAKE ACTION:
- NOTE: carried over from 2021, no action this year
Kentucky - HB23 - high school and college - session ended
KY HB23 would ban transgender athletes from playing on teams that match their gender identity in college sports and would allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue.
Kentucky - SB83 - Vetoed by Governor 4/6/22, veto overridden 4/13/22 (becomes law)
KY SB83 would ban transgender athletes from playing on teams that match their gender identity and would allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue people, schools, school districts, and institutions of higher education.
Louisiana - SB44 - k-12, college - Signed into law 6/6/22
LA SB44 would require transgender athletes to play sports according to the marker listed on their original birth certificate and would allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue people, schools, school districts, and institutions of higher education.
Maryland - HB757 - session ended
MD HB757 would ban transgender athletes from playing on teams that match their gender identity and allow anyone who feels they were unfairly harmed by the participation of a trans athlete to sue.
Minnesota - HF4282 - SPORTS BILL - session ended
MN HF4282 would ban transgender girls in high school from playing on teams that match their gender identity and allow anyone who feels they were unfairly harmed by the participation of a trans athlete to sue.
Minnesota - HF350 - SPORTS BILL - session ended
MN HF350 is a carryover bill from 2021 and would ban transgender girls in high school from playing on teams that match their gender identity. This bill would update Minnesota Statutes 2020, section 121A.04, subdivision 4.
Minnesota - HF352 - SPORTS BILL - session ended
MN HF352 is a carryover bill from 2021 and would ban transgender girls in high school from playing on teams that match their gender
identity. In a dispute, the student's sex is based solely on:
(1) the student's internal and external reproductive anatomy;
(2) the student's naturally occurring level of testosterone; and
(3) an analysis of the student's chromosomes.
Minnesota - HF1657 - session ended
MN HF1657 would ban transgender athletes from playing on teams that match their gender identity and allow anyone who feels they were unfairly harmed by the participation of a trans athlete to sue.
Minnesota - SF96 - session ended
MN SF96 would ban transgender athletes from playing on teams that match their gender identity and allow anyone who feels they were unfairly harmed by the participation of a trans athlete to sue.
Missouri - HB2197 - SPORTS BILL - session ended
MO HB2197 would ban transgender athletes in high school and college sports from playing on teams that match their gender identity and require them to participate based on their birth certificate at or near time of birth.
Missouri - HB2461 - SPORTS BILL - session ended
MO HB2461 would ban transgender athletes in public schools from playing on teams that match their gender identity.
Missouri - HB2734 - middle school, high school, college - session ended
MO HB2461 would ban transgender athletes in public and private middle school or high school, or public or private institutions of postsecondary education from games in the post-season or playoff season including, but not limited to, districts, conference, sectionals, state, or nationals.
Missouri - SB781 - public or private middle school, high school, or postsecondary - session ended
MO SB781 would ban transgender athletes in high school and college sports from playing on teams that match their gender identity and allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue.
New Hampshire - HB198 - session ended
NH SB198 would amend an existing nondiscrimination bill to allow the exclusion of transgender athletes in sports.
New Hampshire - HB1180 - dead 3/16/22
NH HB1180 would ban transgender athletes in sports.
North Carolina - H358 - session ended
NC H358 would determine athlete's eligibility "based solely on a person's reproductive biology and genetics at birth."
Ohio - HB61 - session ended
OH HB61 is carried over from 2021. It would ban transgender athletes in high school and college sports from playing on teams that match their gender identity and determine athlete eligibility based on
(1) The participant's internal and external reproductive anatomy;
(2) The participant's normal endogenously produced levels of testosterone;
(3) An analysis of the participant's genetic makeup.
Ohio - SB132 - k-12, college - session ended
OH SB132 is carried over from 2021. It would ban transgender athletes in high school and college sports from playing on teams that match their gender identity and determine athlete eligibility based on
(1) The participant's internal and external reproductive anatomy;
(2) The participant's normal endogenously produced levels of testosterone;
(3) An analysis of the participant's genetic makeup.
Oklahoma - SB2 - signed by Governor 3/30/22
OK SB2 is carried over from 2021. It would ban transgender athletes in high school and college sports from playing on teams that match their gender identity and allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue.
Oklahoma - SB331 - session ended
OK SB331 is carried over from 2021. It would ban transgender athletes in high school and college sports from playing on teams that match their gender identity and allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue.
Oklahoma - HB4245 - College - session ended
OK HB4245 would ban transgender athletes in college sports from playing on teams that match their gender identity and allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue.
Pennsylvania - HB972 - vetoed by Governor 7/10/22
PA HB972 is carried over from 2021 and would ban transgender girls from competing on college teams, and allow a private right to sue.
Pennsylvania - SB1191 - vetoed by Governor 7/10/22
PA SB1191 would ban transgender athletes in public schools and college sports from playing on teams that match their gender identity and allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue.
Rhode Island - S2501 - k-12, college - session ended
RI S2501 would ban transgender athletes in high school and college sports from playing on teams that match their gender identity and determine athlete eligibility based on
(1) The participant's internal and external reproductive anatomy;
(2) The participant's normal endogenously produced levels of testosterone;
(3) An analysis of the participant's genetic makeup.
It would also allow a private right to sue.
South Carolina - H4608 - Interscholastic, intercollegiate, intramural, or club athletic teams or sports that are sponsored by a public secondary school or public postsecondary institution - Signed into law 5/17/22
SC H4608 would ban transgender athletes in high school and college sports from playing on teams that match their gender identity and require them to participate based on their birth certificate at or near the time of birth. It would also allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue people, schools, school districts, and institutions of higher education.
South Carolina - S531 - Interscholastic, intercollegiate, intramural, or club athletic teams - session ended
SC S531 would ban transgender athletes in high school and college sports from playing on teams that match their gender identity and require them to participate based on their birth certificate at or near the time of birth. It would also allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue people, schools, school districts, and institutions of higher education.
South Dakota - SB46 - Signed into law 2/4/22
SD SB46 bans transgender athletes from playing on teams that match their gender identity and requires them to participate based on their birth certificate at or near time of birth. It also allows any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue people, schools, school districts, and institutions of higher education.
South Dakota - HB1006 - interscholastic, intercollegiate, intramural, or club - withdrawn 2/7/22
SD HB1006 would ban transgender athletes from playing on teams that match their gender identity and require them to participate based on their birth certificate at or near time of birth. It would also allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue people, schools, school districts, and institutions of higher education.
Tennessee - SB2153 - college - Signed into law 5/9/22
TN SB2153 would ban transgender girls in college from playing on teams that match their gender identity. It would also allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue.
Tennessee - HB2316 - high school - Signed into law 5/9/22
TN HB2316 would amend TN code to ban transgender girls from playing on teams that match their gender identity.
Tennessee - HB1895 - Signed into law 5/2/22
TN HB1895 requires the commissioner of education to withhold a portion of the state education finance funds that an LEA is otherwise eligible to receive if the LEA fails or refuses to determine a student's gender, for purposes of participation in school sports, by the student's sex at the time of birth; exempts an LEA that fails or refuses to determine a student's gender, for purposes of participation in school sports, by the student's sex at the time of birth if the LEA's failure or refusal to do so is required by a court or other legally binding order.
Tennessee - SB1861- Signed into law 5/2/22
TN SB1861 requires the commissioner of education to withhold a portion of the state education finance funds that an LEA is otherwise eligible to receive if the LEA fails or refuses to determine a student's gender, for purposes of participation in school sports, by the student's sex at the time of birth; exempts an LEA that fails or refuses to determine a student's gender, for purposes of participation in school sports, by the student's sex at the time of birth if the LEA's failure or refusal to do so is required by a court or other legally binding order.
Utah - HB0011 - interscholastic - Vetoed by Governor, veto overridden 3/25/22
UT HB0011 would ban transgender girls from playing on teams that match their gender identity unless they have completed one year of hormone therapy. The bill also has wording for trans boys.
Virginia - SB766 - elementary or secondary school - dead 3/12/22
VA SB766 would ban transgender athletes from playing on teams that match their gender identity. It would also allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue.
Washington - HB1556 - session ended
WA HB1556 would require students to provide birth certificates as a prerequisite for determining eligibility for athletic activities with separate classifications for male and female students and prohibit transgender girls from competing with and against other girls.
Wisconsin - AB195 - Failed to concur 3/15/22
WI AB195 is carried over from 2021 and would ban transgender athletes from playing on teams that match their gender identity and require them to participate based on their birth certificate at or near the time of birth. It would also allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue people, schools, school districts, and institutions of higher education.
Wisconsin - AB196 - Failed to concur 3/15/22
WI AB196 is carried over from 2021 and would require athletes to participate based on their birth certificate at or near the time of birth. It would also allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue.
Wisconsin - SB322 - Failed to concur 3/15/22
WI SB322 is carried over from 2021 and would require athletes to participate based on their birth certificate at or near the time of birth. It would also allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue.
Wisconsin - SB323 - Failed to concur 3/15/22
WI SB323 is carried over from 2021 and would require athletes to participate based on their birth certificate at or near time of birth. It would also allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue people, schools, school districts, and institutions of higher education.
Wyoming - SF0051 - dead 3/8/22
WY SF0051 would require athletes to participate based on their birth certificate at or near time of birth. It would also allow any athlete who feels they were unfairly harmed by the participation of a trans athlete to sue people, schools, school districts, and institutions of higher education.
2022 HEALTH BILLS - updated 12/7/22
Alabama - SB5 - session ended
AL SB5 would make it a felony for any health care professional to affirm a youth's gender by means of appropriate, medically recommended treatment.
Alabama - HB150 - session ended
AL SB5 would make it a felony for any health care professional to affirm a youth's gender by means of appropriate, medically recommended treatment.
Alabama - SB184 - signed into law 4/8/22
AL SB184 would ban any health care professional from affirming a youth's gender by means of appropriate, medically recommended treatment.
Alabama - HB266 - session ended
AL HB266 would ban any health care professional from affirming a youth's gender by means of appropriate, medically recommended treatment.
Arizona - SB1130 - session ended
AZ SB1130 would make it a felony for any health care professional to affirm a "child's or vulnerable adult's" gender by means of appropriate, medically recommended treatment.
Arizona - SB1138 - signed into law 3/30/22
AZ SB1138 would prevent gender affirming care for transgender youth and allow a private right to sue.
Arizona - SB1045 - session ended
AZ SB1045 would make it a felony for any nurse, counselor, teacher, Principal, or other administrative officials at a public or private school to affirm a youth's gender by means of appropriate, medically recommended treatment.
Arizona - HB2608 - session ended
AZ HB2608 would prevent gender affirming care for transgender youth and adults using Medicaid or government insurance policies.
Florida - H0211 - withdrawn 3/12/22
FL H0211 is carried over from 2021 and would make it a misdemeanor for any doctor to provide gender affirming healthcare to anyone under 18.
Georgia - HB401 - session ended
GA HB401 would ban gender-affirming care and make it a felony for any doctor to provide gender affirming healthcare to anyone under 18.
Idaho - HB675 - dead
ID HB675 would ban gender affirming care and make it a felony for any doctor to provide gender affirming healthcare to anyone under 18.
Indiana - SB0034 - session ended
IN SB0034 prohibits specified health care professionals from: (1) performing certain medical procedures on a minor; or (2) subjecting a minor to certain activities; that purposely attempt to change, reinforce, or affirm a minor's perception of the minor's own sexual attraction or sexual behavior, or attempt to change, reinforce, or affirm a minor's gender identity when the identity is inconsistent with the minor's biological sex.
Iowa - HF193 - session ended
IA HF193 is a carryover bill from 2021 that has not had movement in 2022.
Iowa - HF341 - session ended
IA HF341 is a carryover bill from 2021 that has not had movement in 2022.
Kentucky - SB84 - session ended
KY SB84 would prohibit any type of gender affirming care to anyone under age 18 and would prevent insurance and Medicaid from covering gender affirming care.
Kentucky - HB253 - session ended
KY HB253 would prohibit any type of gender affirming care to anyone under age 18 and would prevent insurance and Medicaid from covering gender affirming care.
Louisiana - HB570 - session ended
LA HB253 would prohibit any type of gender affirming care to anyone under age 18 and would prevent insurance from covering gender affirming care.
Mississippi - SB2111 - Died in committee
MS SB2111 would prohibit any type of gender affirming care for anyone under age 18 and allow a private right to sue.
Mississippi - SB2728 - Died in committee
MS SB2728 would prohibit any type of gender affirming care for anyone under age 18 and allow a private right to sue.
Missouri - HB2649 - session ended
MO HB2649 would prohibit any type of gender affirming care for anyone under age 18 and allow a private right to sue.
Missouri - SB843 - session ended
MO SB843 would prohibit any type of gender affirming care for anyone under age 18 and allow a private right to sue.
New Hampshire - HB1651 - Lay HB1651 on Table (dead) 3/12/22
NH HB68 would make it "child abuse" to treat a trans minor with gender affirming care.
New Hampshire - HB68 - session ended
NH HB1651 would make it "child abuse" to treat a trans minor with gender affirming care.
North Carolina - S514 - session ended
NC S514 is carried over from 2021 and has not had movement since April 2021.
Ohio - HB454 - removed
OH HB454 is carried over from 2021 & would prohibit any type of gender affirming care for anyone under age 18 and force teachers to tell parents if their student is presenting in a way "inconsistent with their biological sex."
Oklahoma - HB3240 - session ended
OK HB3240 would prohibit any type of gender affirming care for anyone under age 18 and allow a private right to sue.
Oklahoma - SB583 - session ended
OK SB583 would prohibit any type of gender affirming care for anyone under age 18.
Oklahoma - SB676 - session ended
OK SB676 is a carryover bill from 2021 and would prohibit any type of gender affirming care for anyone under age 18.
South Carolina - H4047 - session ended
SC H4047 is carried over from 2021 session. It would prohibit any type of gender affirming care for anyone under age 18 and allow a private right to sue.
South Carolina - S1259 - session ended
SC S1259 would prohibit any type of gender affirming care for anyone under age 18.
Tennessee - HB0578 - session ended
TN HB0578 is carried over from 2021 session and would make it a misdemeanor to treat trans youth with gender affirming care.
Tennessee - SB0657 - session ended
TN SB0657 is carried over from 2021 session and would prohibit any type of gender affirming care for anyone under age 18 and classify affirming a young person's identity as "child abuse."
Tennessee - HB2835 - session ended
TN HB2835 would prohibit any type of gender affirming care for anyone under age 18 and allow a private right to sue.
Tennessee - SB2696 - session ended
TN HB2835 would prohibit any type of gender affirming care for anyone under age 18 and allow a private right to sue.
Utah - HB0127 - not passed 3/4/22
UT HB0127 would ban gender affirming care for trans youth.
Wisconsin - SB915 - failed to pass 3/15
WI SB915 would prohibit any type of gender affirming care for anyone under age 18 and allow a private right to sue.
Wisconsin - AB977 - failed to pass 3/15
WI AB977 would prohibit any type of gender affirming care for anyone under age 18 and allow a private right to sue.
Beginning in 2019, CrossFit will allow transgender athletes to compete in its annual tournament, the CrossFit Games, starting next year, in a reversal of a policy that had subjected the global fitness brand to criticism from the LGBT community.
“This is the right thing to do,” CrossFit chair and founder Greg Glassman said. “CrossFit believes in the potential, capacity, and dignity of every athlete. We are proud of our LGBT community, including our transgender athletes, and we want you here with us.”
In the 2018 CrossFit Games, athletes must compete in the category of their sex assigned at birth.
LINK: CrossFit Games will allow transgender athletes to compete
World Triathlon (formerly ITU when policy was written) does not currently have a policy listed for transgender athletes. The previous ITU policy, written in 2019, allowed trans athletes to participate based on IOC 2015 guidelines. (NOTE: this policy was made was prior to the IOC update in 2021, so a new policy may be pending)
"An athlete who undergoes sexual reassignment and wishes to participate in any competition must meet all the current conditions and criteria established by the International Olympic Committee (IOC) and WADA prior to doing so. The request to participate in any competition further to said sexual reassignment must be made expressly by the athlete to the ITU Medical and Anti-Doping Committee at least 30 days prior to event in which he or she wishes to compete. The ITU Medical and Anti-Doping Committee shall determine whether or not the current IOC and WADA criteria have been met and provide the athlete a written and reasoned decision to that effect."
LINK: former ITU policy 2019
Association of Boxing Commissions - requires surgery
The Association of Boxing Commissions (ABC) has separate policies for transexual and transgender athletes, which are different for male-to-female and female-to-male athletes. The policies also vary depending on when transition begins - before or after adolescence (puberty). For details about the policies and the need for Therapeutic Use Exemptions, download the policy below.
World Anti-Doping Agency
The World Anti-Doping Agency (WADA) works towards a vision of a world where all athletes compete in a doping-free sporting environment. Unfortunately for transgender athletes taking testosterone, a banned substance according to WADA's rules, the policies do not always support one's ability to participate. Athletes competing in sports observing WADA or USADA rules who are using testosterone must apply for Theraputic Use Exemption (TUE).
DOWNLOAD: The 2013 WADA Prohibited List International Standard
Union Cycliste Internationale (UCI) changed its policy in March 1, 2020 (announced in Nov. 2019):
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All transgender athletes wishing to compete in the category corresponding to their new gender must make their request to the medical manager appointed by the UCI, at least six weeks before the date of the first competition.
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The athlete’s file will be passed on to a commission of three international experts independent of the UCI. The commission’s members will assess the athlete’s eligibility to compete in the new gender category and will inform the UCI’s medical officer of their conclusions.
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The athlete must prove that their serum testosterone level has been below 5 nmol/L for at least 12 months prior to the eligibility date.
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Once deemed eligible, the athlete must agree to keep their serum testosterone level below 5 nmol/L for the entire time they compete in the Women category.
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The athlete must undergo serum testosterone tests conducted using a benchmark method (mass spectrometry).
DOWNLOAD: UCI regulations on transgender athlete participation
World Out Games
The World OutGames policy for the World OutGames Miami 2017 required a self declaration method for gender identity and verification only if OutGames administrators deem it necessary to further explore for verification purposes or if the athlete's stated gender identity is challenged.
NOTE: World OutGames was canceled in 2017 and does not exist anymore.
DOWNLOAD: World OutGames policy
International Association of Athletics Federation - requires surgery
International Association of Athletic Federations (IAAF) was founded in 1912 as the world governing body for the sport of track and field Athletics. The IAAF policy differs for transmen and transwomen:
Transmen (FTM):
shall be permitted to compete in the male category of International Competitions upon production of a sex recognition certificate or other form of identification of sex confirming that he is recognized in law as a male (passport, identity card, etc.) and provided that he is otherwise eligible to compete in accordance with the Rules and Regulations.
Transwomen (MTF):
- requires documentation of surgery and notification to IAAF
- consultation with a panel of medical experts
- endocrine assessment
Model Policy for Transgender Students on High School Teams
For guidelines for creating inclusive athletic policies for high school teams and a sample model policy for high school athletics, see our Model Policy .
2022
CARHA Policy (5/10/22). GVSU policy (4/26/22). World Rowing (4/23/22). USA Swimming (2/2/22). USA Powerlifting (2/2/22). NEW US National Governing Body page (1/22/22). NCAA Policy Update (1/19/22). Powerlifting America (1/16/22). US Parachute Association (1/15/22).
NCAA policy 1/22
USA swimming 2/1/22
USA Swimming Anti-Discrimination Statement provides protection for transgender athletes. Its Code of Conduct says, “discrimination against any member or participant on the basis of gender, sexual orientation, and gender expression is prohibited (304.3.3),” meaning that trans swimmers can participate in events in the gender with which they identity.
For elite competition, USA Swimming says, "criteria (including medical criteria) will follow current USOC/IOC rules and will be clearly stated in meet information packets." However, the IOC removed its rules and defaults to the National Governing Body, which means USA Swimming has no current policy for elite competition.
LINK: USA Swimming Anti-Discrimination Policies Include Sexual Orientation and Gender Identity
DOWNLOAD: Recommended policy for USA Swimming clubs
DOWNLOAD: 2018 Transgender Task Force Information (and policy)
2021
IOC Framework (11/16/21). Ottawa College (10/21/21). Bryn Mawr College (10/21/21). Haverford College (10/21/21). Centennial Conference Policy (10/20/21). Premier Hockey Federation (10/15/21). USA Curling (10/14). High school map (8/17). USA Ultimate (6/1)
from college page:
Campus Pride gathers information about LGBT policies at colleges and universities. In the Campus Pride Trans Policy Clearinghouse, there is a page specifically dedicated to Colleges and Universities Which Have a Trans-Inclusive Intramural Athletic Policy. To head directly to that page, click here.
NEW ACTION ITEMS (4/17). NWSL pro policy (4/1), Athletes Unlimited pro policy (3/31), Take Action updates (4/4)
2020
Take Action section (3/1/20). USA Volleyball (11/24). USA Gymnastics (11/17). Rugby England (10/11/20) World Rugby (10/9/20). British Cycling (10/9/20). K-12 map (9/12/20).
2019
UC Berkeley (10/27/19). Western States Endurance Run (8/1/19). Players Sport & Social Group, 6/24/19. Australian Commission on Human Rights, 6/13/19. USA Team Handball, 5/30/19. USA Karate, 5/30/19. Knickerbocker Sailing Association, 4/3/19. NSAF policy, 3/1/19. LGBTQ recreation leagues, 2/25/19. Updated HS map, 2/24/19. Arkansas high school policy, 2/24/19. USA Weightlifting update, 2/7/19. USA Powerlifting, 2/2/19. USA Hockey, 1/23/19. Arizona High School Policy, 1/11/19.
old policy:
The Oregon School Athletic Association (OSAA) policy states:
A. A female-to-male transgender student athletes who is not taking hormone treatment may participation on a boys or girls team, but must consistently participate as that gender throughout their high school career.
B. A male-to-female transgender student athlete who is not taking hormone treamtment may only participate on a boys team.
C. A female-to-male transgender student athlete taking testosterone may only compete on a boys team.
D. A male-to-female transgender student athlete taking hormones may compete on a boys team at any time, but must complete one year of hormone treatment prior to competing on a girls team.
LINK: OSAA 2014-15 Handbook
2018
Recreation policies for Kent State, UNC, Saint Joseph's University, Sacramento State, 11/17/18. USA Baseball, 11/17/18. USA Basketball, 11/17/18. USA Climbing, 11/16/18. UPDATED: International Tennis Federation (ITF), 11/15/18. AFL (Australia) 9/2/18. Rugby Federation Union (UK) (updated) 8/30/18. CrossFit Games 8/6/18. USA Weightlifting 8/1/18. Smith College 7/28/18. Mills College 5/21/18. Kentucky High School Policy 5/20/18. Boston Marathon 4/9/18. New Zealand Cycling 4/9/18. Alberta Schools Athletic Association (Canada) 3/28/18. Framingham Public Schools (MA) high school policy 3/13/18.
2017
New Jersey updated HS policy (11/15/17). USATF update (7/20/17).
USA Wrestling (3/24/17). Model High School Policy (3/14/17). US Masters Swimming (1/25/17). US LGBT Soccer (1/25/17). Utah High School Activities Association (1/25/17). Indiana High School Athletic Association policy (1/25/17).
Manitoba State High School Association policy (Canada) (1/13/17).
2016
NWHL professional sports league policy (12/27). World Flying Disc Federation policy (12/27). Updated high school map (12/6). Georgia state high school policy (12/6). Golf Canada (12/6). USA Rugby (10/30). World Rugby (10/30).
Hockey Canada (9/7). Canadian Volleyball recreation league policy (7/15). Trans*Athlete has changed to TransAthlete.com (6/22). Update: Iowa girls policy (6/12). Nebraska high school policy (5/24). Canadian Centre for Ethics in Sport resource added (5/18). Alaska high school policy (5/15).
Update to The Football Association (UK) policy (4/21). Mississippi enacts law to allow LGBT discrimination (4/5). North Carolina enacts law to allow LGBT discrimination (3/24).
Texas passes proposal to make high school trans athletes compete according to birth certificates (2/25).
Lewis & Clark (1/23).
Update: High School Policy Map (1/22).
New IOC Policy Guidelines for Trans Inclusion (1/21).
2015
Women's Flat Track Derby Association broadens policy (11/10).
ESPN the Magazine features TransAthlete.com founder Chris Mosier in the November issue. Story and video here (10/29).
Texas considers using birth certificate for high school athletes (article here).
USA Gymnastics (9/14).
World OutGames (8/27).
UPDATED New Hampshire high school policy (8/19).
University of Central Florida (8/10).
New York State high school guidelines (8/1).
New Mexico high school policy (discriminatory) (7/16).
International Tennis Federation (6/25). Rugby Football Union (UK) (6/25). International Volleyball (6/25). US Rowing (6/25). USA Swimming (6/18). Oklahoma K-12 policy (6/10). Virginia's updated K-12 policy (4/2).
Transathlete.com mentioned in The Wall Street Journal (2/19). Great mention in BuzzFeed! (2/6).
Montana K-12 policy scrapped (2/25). K-12 state listing updated and categorized by levels of inclusivity (2/25).
NIRSA inclusive college policy (2/20).
New Hampshire and West Virginia K-12 policies (1/16). Growing support in Montana as policy is on Jan. 2015 agenda (1/16).
2014 below
Huge updates to K-12 section (12/25). Whitehorse Women's Hockey Association (Canada) (12/24). Illinois K-12 policy (12/12). Minnesota K-12 policy (12/4). Arizona K-12 participation policy (11/29).
USA Sailing (11/18). New Jersey K-12 policy in progress (11/18).
Pennsylvania K-12 policy (11/13).
Minnesota K-12 policy (in progress) (10/6). University of Houston intramural policy (10/6).
New York State discussing K-12 policy (9/25).
Janesville, WI creates K-12 policy (9/6).
Trans* Athlete mentioned in The Advocate Magazine's 40 Under 40 (8/19). USA Boxing (8/8).
Michigan K-12 policy (7/27). Missouri K-12 policy (7/27).
Catholic Independent Schools of Vancouver, Canada (7/22). New Jersey State K-12 policy (7/22). California Interscholastic Federation policy K-12 (7/22).
New England Small Colleges Athletic Conference (7/8). South Dakota K-12 policy (7/8).
USA Senior Softball organization policy (not inclusive) (7/3).
Rhode Island K-12 policy (6/27). Wheelchair Basketball Canada Recreation policy (6/27). Disability Sports Australia Organization policy (6/27).
Colorado State University Intramural Sports policy (6/21).
Vancouver (Canada) School Board K-12 policy (6/17).
Atherton High School policy, Louisville, KY (6/6). International Gay and Lesbian Football Association (6/8).
South Dakota K-12 policy (in progress) (5/25). Scottish Football Association (5/25).
Georgia K-12 policy (not inclusive) (5/8). North Carolina K-12 policy (not inclusive) (5/8). Maine K-12 policy (5/8).
United Kingdom Roller Derby Association Transgender Policy (4/25). International Quiddich Association (4/25).
Florida high school policy (4/21).