¶ Maryland
Maryland has a protective legislative landscape for transgender individuals, with no anti-trans bills passed into law from 2023 to 2025. Instead, the state has enacted significant pro-trans legislation, including expansions of gender-affirming care coverage and protections for healthcare providers.
2023:
- Trans Health Equity Act (SB460/HB283): Expanded Maryland Medicaid to cover gender-affirming healthcare
- Passed House 97-39 and Senate 31-15
- Effective October 1, 2023 (coverage), January 1, 2024 (implementation)
- Trans Shield Act (HB0691): Took effect, shielding gender-affirming care as protected healthcare and blocking out-of-state prosecutions
2024:
- No anti-trans bills passed into law
2023:
- Transgender Respect, Agency, and Dignity Act (HB426/SB761): Failed to advance; aimed to protect incarcerated transgender individuals
- Budget provisions added reporting on transgender incarceration safety
2024 (3 bills tracked):
- Focused on sports and healthcare
- Required interscholastic and intramural teams to designate by biological sex
- Prohibited schools from facing penalties for female-only teams
- Allowed civil actions for violations
- No passage details provided; likely not advanced to law
2025 (6 bills tracked):
- Sports bans: Required teams designated by biological sex; prohibited male students on female teams; allowed civil suits
- Education/parental rights: Mandated county boards to create parental involvement policies, including consent for students using gender pronouns not matching biological sex
- Religious exemptions: Prohibited government from burdening religious exercise; allowed civil relief
- Healthcare: Referenced in categories, but specifics limited
- No enactment status given; likely pending or failed
| Name |
Party |
Chamber |
Key Actions |
| No specific politicians identified in search results for anti-trans bills |
|
|
|
| Date |
Event |
| 2023 |
Trans Health Equity Act passed (Medicaid expansion for gender-affirming care) |
| October 1, 2023 |
Trans Health Equity Act coverage effective |
| January 1, 2024 |
Trans Health Equity Act implementation effective |
| 2024 |
3 anti-trans bills tracked (sports, healthcare) - no passage |
| 2025 |
6 anti-trans bills tracked - no passage |
- Advance Maryland - Trans Rights Advocacy
- Trans Legislation Tracker 2024/MD
- Trans Legislation Tracker 2025/MD
- FreeState Justice - Trans Shield Act
- Maryland Legislature - HB0283
Last updated: 2026-04-02