Hawaii has a protective legislative landscape for transgender individuals, with pro-trans measures in place and no anti-trans bills enacted to date. While anti-trans proposals have been introduced in 2023 and 2025, none have passed into law. The state has instead pursued protective legislation, including the 2022 Gender Affirming Treatment Act and a proposed 2026 bill to shield gender-affirming care providers.
2022:
- Gender Affirming Treatment Act (Act 39): Mandates insurance coverage for gender-affirming care as medically necessary, countering insurer denials
2026 (Proposed):
- HB1875: Shield bill to protect gender-affirming care providers and patients from out-of-state prosecutions (introduced in 2026)
2023 (6 bills tracked):
- Sports: Requirements for sex-specific school sports teams to promote gender equality
- Education: Bans on instruction related to sexual orientation and gender identity in public schools; parental rights over health services and records; rights to sue schools for non-compliance (e.g., SB1428)
- Healthcare: Prohibitions on gender reassignment surgeries for minors, classifying violations as Class A felony (e.g., HB891)
- Birth Certificates: Various restrictions
Status: Legislature adjourned in 2023 without passing these or four related education bills targeting LGBTQ+ students
2024:
- No specific anti-trans bills detailed in available tracking data
2025 (5 bills tracked):
- Sports: Sex-specific school sports teams
- Birth Certificates: Sex-specific designations based on genitalia; adult amendments requiring physician confirmation and marking of amended certificates
- Education, Other Areas: Bills spanning multiple categories
- Status: No passage status specified; latest action January 21, 2025
Māhū Recognition:
- Native Hawaiian cultural recognition of māhū (third gender) underscores tensions with anti-trans proposals
- Historical acceptance of gender diversity contrasts with modern legislative attacks
| Name |
Party |
Chamber |
Key Bills |
| No specific politicians identified in search results for anti-trans bills |
|
|
|
| Date |
Event |
| 2022 |
Gender Affirming Treatment Act (Act 39) enacted |
| 2023 |
6 anti-trans bills tracked; none passed |
| 2023 |
Legislature adjourned without passing anti-LGBTQ+ bills |
| 2025 |
5 anti-trans bills tracked; no passage status specified |
| 2026 |
HB1875 proposed to shield gender-affirming care providers |
- Trans Legislation Tracker 2023/HI
- ACLU Hawaii - Trans Community Barriers
- Trans Legislation Tracker 2025/HI
- Seattle University Law Review
- Trans Legislation Tracker - SB1428
- Hawaii Public Radio - Shield Bill
- TrackBill - HB891
- Point Foundation - Anti-LGBTQ Laws
Last updated: 2026-04-02