LGBTQ Rights

724,000 trans youth in America. Nearly half live in states where gender-affirming care is banned or restricted. 26 states passed care bans. 24 are currently enforced. 92% of anti-LGBTQ bills fail every year.

50 Years of Progress, Then Reversal

From Stonewall in 1969 to Bostock in 2020, every decade expanded LGBTQ protections. Then three Supreme Court rulings in 12 months narrowed them.

  1. Stonewall Police raid sparks the movement
  2. Homosexuality declassified APA removed it from diagnostic manual
  3. Lawrence v. Texas Sodomy laws struck down
  4. Obergefell Marriage equality nationwide
  5. Bostock Workplace protections for LGBTQ employees
  6. Skrmetti Care bans upheld 6-3
  7. Chiles Conversion therapy bans face strict scrutiny

: 1969 — Stonewall (Police raid sparks the movement). 1973 — Homosexuality declassified (APA removed it from diagnostic manual). 2003 — Lawrence v. Texas (Sodomy laws struck down). 2015 — Obergefell (Marriage equality nationwide). 2020 — Bostock (Workplace protections for LGBTQ employees). 2025 — Skrmetti (Care bans upheld 6-3). 2026 — Chiles (Conversion therapy bans face strict scrutiny).

Stonewall launched the movement in 1969. The APA stopped classifying homosexuality as a disorder in 1973. The Supreme Court struck down sodomy laws in 2003, legalized marriage in 2015, and extended workplace protections in 2020. Then in 2025, Skrmetti upheld care bans. In 2026, Chiles put conversion therapy protections at risk. Marriage support dropped 6 points from its 2022 peak.

"You gotta give 'em hope."

Harvey Milk, 1978. First openly gay elected official in California. Assassinated 11 months later.

26 States Passed Care Bans. 24 Are in Effect.

Whether a trans teenager can access medical care depends on where they live. 24 states currently enforce bans. Courts blocked bans in Montana and Arkansas. 15 states and DC passed shield laws protecting families who travel for care. Two more states have executive-order protections that a future governor could reverse.

Gender-Affirming Care for Minors: Banned, Protected, or Neither Hover, focus, or tap a state for details.
Care ban in effect (24 states)
Ban blocked by court (2 states)
Shield law protects access (15 + DC)
Executive order protection (2 states)
No ban, no shield law (7 states)

Sources: Movement Advancement Project, KFF, UCLA Law Center. June 2026.

Gender-Affirming Care for Minors: Banned, Protected, or Neither
State StatusDetail
Alabama Care ban in effectFelony to provide care. Up to 10 years.
Arizona Care ban in effectSurgical care banned for minors.
Florida Care ban in effectFull ban. Trans youth drive 8.5 hours further for care.
Georgia Care ban in effectSurgery and hormone therapy banned.
Iowa Care ban in effectFull ban on hormones, blockers, surgery.
Idaho Care ban in effectFull ban. Felony offense.
Indiana Care ban in effectFull ban effective 2023.
Kentucky Care ban in effectFull ban effective 2023.
Louisiana Care ban in effectFull ban effective 2024.
Mississippi Care ban in effectFull ban effective 2023.
Missouri Care ban in effectFull ban effective 2023.
Nebraska Care ban in effectBan on care for under 19.
North Carolina Care ban in effectFull ban effective 2023.
North Dakota Care ban in effectFull ban effective 2023.
New Hampshire Care ban in effectSurgical care banned for minors.
Ohio Care ban in effectFull ban effective 2024.
Oklahoma Care ban in effectFull ban effective 2023.
South Carolina Care ban in effectFull ban effective 2024.
South Dakota Care ban in effectFull ban effective 2023.
Tennessee Care ban in effectFull ban upheld by SCOTUS in Skrmetti (June 2025).
Texas Care ban in effectFull ban. AG Paxton investigated families.
Utah Care ban in effectFull ban effective 2023.
West Virginia Care ban in effectFull ban. B.P.J. case at SCOTUS.
Wyoming Care ban in effectFull ban effective 2024.
Arkansas Ban blocked by courtBan permanently enjoined by court order.
Montana Ban blocked by courtBan blocked May 2025 under state constitution.
California Shield law protects accessStatutory shield. Protects providers and families.
Colorado Shield law protects accessStatutory shield. Conversion therapy ban struck by SCOTUS March 2026.
Connecticut Shield law protects accessStatutory shield law.
District of Columbia Shield law protects accessStatutory shield law.
Delaware Shield law protects accessStatutory shield law.
Illinois Shield law protects accessStatutory shield law.
Maryland Shield law protects accessStatutory shield law.
Massachusetts Shield law protects accessStatutory shield law.
Minnesota Shield law protects accessStatutory shield law.
Nevada Shield law protects accessStatutory shield law.
New Jersey Shield law protects accessStatutory shield law.
New Mexico Shield law protects accessStatutory shield law.
New York Shield law protects accessShield law strengthened December 2025.
Oregon Shield law protects accessStatutory shield law.
Vermont Shield law protects accessStatutory shield law.
Washington Shield law protects accessStatutory shield law.
Michigan Executive order protectionExecutive order protection. Reversible by next governor.
Pennsylvania Executive order protectionExecutive order protection. Reversible by next governor.
Alaska No ban and no shield lawNo ban and no shield law.
Hawaii No ban and no shield lawNo ban and no shield law.
Kansas No ban and no shield lawBan temporarily blocked May 2026.
Maine No ban and no shield lawNo ban and no shield law.
Rhode Island No ban and no shield lawNo ban and no shield law.
Virginia No ban and no shield lawNo ban and no shield law.
Wisconsin No ban and no shield lawNo ban and no shield law.
24
states enforce care bans
2
bans blocked by courts
15 + DC
states have shield laws
2
states have EO protections

Three Rulings in 12 Months

Between June 2025 and March 2026, the Supreme Court issued three rulings that collectively weakened LGBTQ legal protections more than any 12-month period since Bowers v. Hardwick in 1986.

Three rulings shifted the legal terrain

CaseWhat it didImpact
Skrmetti (June 2025)Upheld Tennessee's ban on gender-affirming care for minors, 6-3Similar state bans are now much harder to challenge under federal constitutional claims. State courts remain the primary avenue.
Chiles v. Salazar (March 2026)Ruled Colorado's conversion therapy ban must face strict First Amendment scrutiny, 8-123 state bans on conversion therapy face potential legal challenges under the same reasoning.
Sports bans (pending June 2026)Heard arguments in Little v. Hecox and B.P.J. January 202627 states have sports bans. Court appeared likely to uphold them.

The federal government added pressure beyond the courts. The administration threatened to pull Medicare and Medicaid funding from hospitals providing gender-affirming care. At least 12 hospitals stopped offering care even in states without bans, including Baystate in Massachusetts.

An executive order signed January 20, 2025, suspended enforcement of discrimination protections for sexual orientation and gender identity. The "X" gender marker on passports was revoked. Kansas SB 244 invalidated trans and nonbinary driver's licenses overnight. Nine states now block gender marker updates on birth certificates.

State courts are now the primary battleground. Montana blocked its care ban under the state constitution in May 2025. Kansas followed in May 2026. Read our coverage of healthcare bans state by state, the conversion therapy ruling, and families relocating to shield-law states.

Five Types of Laws Shape Trans Youth Access

Care bans affect hundreds of thousands. Sports bans affect fewer than 10 NCAA athletes out of 510,000. Shield laws in 15 states protect families who travel for care.

States with each type of restriction or protection
States with each type of restriction or protection
CategoryValue
Sports bans: 27 states (ruling pending)27
Care bans: 26 passed, 24 enforced26
Shield laws: 15 states + DC16
Bathroom bans: 11 states11
Pronoun policies: 8 states8

Sources: MAP, ACLU, Williams Institute. June 2026.

What each policy restricts or protects for a young person

PolicyWhat it restricts or protectsWhat it means
Care ban (26 states)Restricts puberty blockers, hormones, surgery for minorsDelayed treatment, medical travel, or no care at all. Affirming care reduces suicidal ideation by 73%.
Sports ban (27 states)Restricts competing consistent with gender identityFewer than 10 trans athletes in NCAA sports out of 510,000. 12% of trans youth play sports vs. 68% of all youth.
Bathroom ban (11 states)Restricts using facilities matching gender identityFear of disclosure, avoidance of school bathrooms, social isolation.
Pronoun policy (8 states)Restricts teachers from using chosen nameForced misgendering at school. Pronouns that match reduce suicide attempts by 31%.
Shield law (15 states + DC)Protects providers and families from other states' bans. 2 additional states have executive-order protections.Families can access care without legal risk. But only if they can afford to travel.
73% reduction in suicidal ideation among trans youth who receive gender-affirming care. Surgery regret rate is 1%. Knee replacement regret is 17%. American Academy of Pediatrics

Claims used to justify bans vs what the research found

ClaimEvidence
Gender-affirming care is experimental73% reduction in suicidal ideation. 1% surgery regret rate. Knee replacement regret: 17%.
Trans athletes have an unfair advantageFewer than 10 in NCAA sports out of 510,000 athletes. More states have bans than athletes affected.
Kids are being pressured into transitioningAverage coming-out age dropped from 37 (Boomers) to 14 (Gen Z). That is acceptance, not pressure.
This affects a tiny number of people724,000 trans youth. 9.3% of adults identify as LGBTQ+. That is 1 in 11 Americans.

$485 Million, Four Organizations, 1,020 Bills

20% of the 1,020 bills introduced in 2025 used identical template language. Four organizations with a combined $485 million annual budget (from IRS Form 990 filings) draft the model legislation, distribute it to state legislatures, and fund $215 million in TV ad campaigns.

Anti-trans bills grew from 100 in 2019 to 793 in 2026.

Anti-trans bills introduced per year
Anti-trans bills introduced per year
CategoryValue
2019: 100 bills100
2020: 114 bills114
2021: 268 bills268
2022: 315 bills315
2023: 509 bills509
2024: 575 bills575
2025: 1,020 bills1020
2026: 793 bills (ongoing)793

Source: Trans Legislation Tracker, ACLU. 2026 data as of June.

From Strategy to Statehouse
  1. LEGAL STRATEGY Alliance Defending Freedom $104M annual budget ↓ Drafts model legislation for state lawmakers
  2. POLICY INFRASTRUCTURE Heritage Foundation $86M annual budget ↓ Distributes model bills to 43 state legislatures
  3. LOBBYING Family Research Council + American Principles Project $35M combined ↓ 1,020 bills introduced in 2025 alone
  4. MEDIA AMPLIFICATION $215M in Anti-Trans TV Ads (2024) One-third of all Republican TV ad spending

Budget data from IRS Form 990 filings via ProPublica Nonprofit Explorer. Template-language analysis from ACLU legislative tracking. Ad spending from AdImpact 2024 political advertising data.

From Strategy to Statehouse: Alliance Defending Freedom ($104M annual budget) — Drafts model legislation for state lawmakers — Heritage Foundation ($86M annual budget) — Distributes model bills to 43 state legislatures — Family Research Council + American Principles Project ($35M combined) — 1,020 bills introduced in 2025 alone — $215M in Anti-Trans TV Ads (2024) (One-third of all Republican TV ad spending)

793
anti-trans bills in 2026 (43 states)
$485M
combined budget of 4 orgs
$215M
in anti-trans TV ads (2024)
92%
of anti-LGBTQ bills defeated

92% of anti-LGBTQ bills fail every year. They have failed for 15 years running. But the 8% that pass affect real people in real states. 65% of Fortune 500 companies dropped LGBTQ equality ratings under pressure from the same organizations that fund the bills.

Read our reporting on who funds anti-trans legislation and corporate Pride rollbacks.

The Human Cost of Anti-LGBTQ Laws

Col. Bree Fram served 22 years in the Space Force as an astronautical engineer. She deployed to Iraq and Qatar. On June 6, 2026, the highest-ranking openly trans officer in the U.S. military was placed on administrative leave. Maj. Kara Corcoran, 17 years of service, two tours in Afghanistan, Ranger and Airborne school, was also forced out. A federal appeals court ruled the ban unconstitutional on June 2, calling it "arbitrary and based on animus."

In Texas, a 14-year-old named Rhyan and his mother Mia waited over a year for an out-of-state doctor appointment after SB 14 took effect. Families pay $4,500 every six months for medications insurance will not cover. Some have been investigated by state child welfare agencies for supporting their children.

The Trevor Project surveyed 16,000 LGBTQ+ youth in 2025. 36% seriously considered suicide in the past year. 1 in 10 attempted it. 44% who wanted mental health care could not get it.

"We have to be visible. We should not be ashamed of who we are. We have to show the world that we are numerous."

Sylvia Rivera, co-founder of STAR. Trans woman of color who helped lead the Stonewall uprising in 1969.
Suicide attempts in states with care bans vs without
States without bans Baseline
States with bans +72%
↑ +72%
Source: Trevor Project National Survey, 2025
Suicide attempts in states with care bans vs without
PeriodValue
States without bansBaseline
States with bans+72%
Change+72%

90% of LGBTQ youth said anti-LGBTQ laws caused them stress or anxiety.

What LGBTQ+ youth reported in the Trevor Project 2025 survey (16,000 respondents)
What LGBTQ+ youth reported in the Trevor Project 2025 survey (16,000 respondents)
CategoryValue
90%: Anti-LGBTQ laws caused stress/anxiety90%
44%: Wanted mental health care, could not get it44%
36%: Seriously considered suicide in the past year36%
40%: Of homeless youth identify as LGBTQ40%

Source: Trevor Project 2025 U.S. National Survey (16,000 respondents), National Coalition for the Homeless.

The 988 LGBTQ+ youth crisis line handled 70,000 contacts per month before it was defunded in July 2025. The Trevor Project pivoted to independent funding to keep services running.

GLAAD's ALERT Desk tracked 1,042 anti-LGBTQ hate incidents in 2025. 76 violent assaults. 22 threats of mass violence. 15 arson attempts. A 5% increase from 2024.

These assaults and threats rarely follow a direct order. The sustained rhetoric branding LGBTQ people as groomers and predators is what researchers call stochastic terrorism, language that makes violence statistically likely without anyone commanding it.

Family acceptance reduces suicide attempts by 40%. Same-sex marriage legalization was associated with 134,000 fewer adolescent suicide attempts per year.

Public Support Is Splitting

For two decades, public support for LGBTQ rights moved in one direction. That changed. Gallup's May 2026 survey found marriage equality support at 65%, down 6 points from the 71% peak in 2022. The share of Americans who say gay and lesbian relations are morally acceptable dropped to 62%, the lowest since 2016.

Support for same-sex marriage
2022 (peak) 71%
2026 65%
↓ -6 pts
Source: Gallup Values and Beliefs Survey, May 2026
Support for same-sex marriage
PeriodValue
2022 (peak)71%
202665%
Change-6 pts

The gap between "support rights" and "accept identity" is widening for the first time in a generation. 72% of Americans support nondiscrimination laws. But only 38% say changing gender is morally acceptable, down 8 points in 5 years.

The decline is concentrated among Republicans. GOP support for marriage equality dropped from 66% to 41% between 2022 and 2026.

38% of Americans say changing gender is morally acceptable. Down 8 points in 5 years. $215 million in anti-trans TV ads ran in the same period. Gallup

What LGBTQ Americans Have Built Despite Everything

Lambda Legal raised $285 million, the largest legal campaign in LGBTQ movement history. The LGBTQ Victory Fund endorsed 249 candidates for 2026 elections. Amy Heutmaker won office in Ohio, the state's first trans elected official. Seven states improved LGBTQ legal protections in 2025.

San Antonio painted rainbow crosswalks on sidewalks after the state ordered them off the streets. The United Methodist Church removed all restrictions on LGBTQ ministry.

Kentucky's Supreme Court ruled that adoption is open to all couples regardless of marriage status, securing same-sex adoption statewide. A Massachusetts judge ordered the State Department to issue passports with gender identity markers, including X designators. Montana and Kansas courts blocked care bans under state constitutions. 22 states now recognize nonbinary IDs.

9.3%
of Americans identify as LGBTQ+
72%
support nondiscrimination laws
1,334
out elected officials
9,398
affirming congregations worldwide
$1.7T annual economic contribution from 1.4 million LGBTQ-owned businesses. NGLCC

Lesbian bars rebounded from 15 to 37 since 2019. 134,000 fewer adolescent suicide attempts occur each year since marriage equality. Pride 2026 drew larger crowds than ever. When corporate sponsors pulled back, local businesses replaced them.

Read about affirming churches growing faster than ever, $1.7 trillion in economic impact, queer spaces that survived, and Amy Heutmaker winning in Ohio.

"As long as gay people don't have their rights all across America, there's no reason for celebration."

Marsha P. Johnson, trans activist central to Stonewall-era organizing. 1969.

What You Can Do

  1. Write your representative using the letter and call script below. It references the evidence on this page. Text RESIST to 50409 to send it now.
  2. Contact your state legislators about pending anti-LGBTQ bills. 793 are under consideration in 43 states. Find your state page for local bills.
  3. Support legal defense. Lambda Legal raised $285 million for the largest LGBTQ legal campaign in history. The ACLU is challenging care bans in 18 states.
  4. Read the full issue coverage at the LGBTQ Rights hub for subtopic-level analysis, related briefs, and state-specific actions.

Crisis resources. 988 Suicide and Crisis Lifeline — call or text 988 for immediate support. The LGBTQ+ youth specialization was defunded July 2025. Trevor Project — 1-866-488-7386, text START to 678678, or chat online. Now independently funded. Trans Lifeline — 877-565-8860, peer support by trans people.

Sources: Trans Legislation Tracker, Trevor Project 2025 Survey, Movement Advancement Project, GLAAD ALERT Desk, Gallup, KFF.

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