South Carolina has a restrictive legislative landscape for transgender individuals, with numerous anti-trans bills introduced and some enacted. In 2023, 27 anti-trans bills were tracked, and in 2025, 33-34 bills were tracked. Key enacted legislation includes H.4624 (R219), banning gender transition procedures for minors.
2023-2024 Session:
- H.4624 (R219): "South Carolina Vulnerable Child Compassion and Protection Act"
- Bans gender transition procedures for minors under 18
- Prohibits public funds for such procedures
- Adds penalties for violations
- Advanced in 2023-2024 session, enacted
2023 (27 bills tracked):
- Healthcare bans:
- "South Carolina Vulnerable Child Compassion and Protection Act" (prohibits medical procedures to alter a minor's gender or delay puberty)
- "Millstone Act of 2023" (bans gender-transition procedures/services for under-26s, public funding, criminal penalties)
- Parental rights: Parental Bill of Rights, Families' Rights and Responsibilities Act
- Affirm parental control over child's upbringing/education/healthcare
- Require school parental involvement policies
- Mandate notifying parents of gender perception
- Other: "Live And Let Live Act" (protects beliefs on marriage/sex from state discrimination), bans public funds for drag shows, constitutional amendment defining biological sex at birth
2024 (Part of 2023-2024 session):
- H.274 (prohibits gender transition for under-21s, no public funds, schools notify parents/teach against transitions)
- Broader trackers note adult care restrictions (e.g., under-21/26 bans, referrals required)
2025 (33-34 bills tracked):
- Birth certificates: Prohibits changes to gender on original certificates
- Child welfare/foster: "South Carolina Parental Rights to Affirm Biological Sex"
- Requires courts/agencies consider biological sex
- Sex-specific foster facilities per birth certificate
- Other recurring: "Live And Let Live Act" reintroduced
- Impacts expanded to child abuse, bathroom, marriage
| Name |
Party |
Chamber |
Key Actions |
| No specific politicians identified in search results for anti-trans bills |
|
|
|
| Date |
Event |
| 2023 |
27 anti-trans bills tracked |
| 2023-2024 |
H.4624 enacted (bans gender transition procedures for minors) |
| 2024 |
H.274 advanced (prohibits gender transition for under-21s) |
| 2025 |
33-34 anti-trans bills tracked |
- Trans Legislation Tracker 2023/SC
- SC Legislature - H.4624
- 19th News - Trans Health Care Bills 2023
- Trans Legislation Tracker 2025/SC
- SC Legislature - H.274
- Trans Legislation Tracker 2023
- ACLU Legislative Attacks 2023
Last updated: 2026-04-02