Just halfway through the year, 2023 broke the record for the number of anti-trans bills introduced nationwide. More than 70 have passed, while hundreds more remain active. At the federal level, 23 pieces of legislation are being discussed. Many of these bills focus on health care—particularly banning gender-affirming care and criminalizing this type of health care for the medical professionals who provide it and the legal guardians who permit it. For example, a bill introduced in Oklahoma proposes felony charges for providing gender-affirming care to people under 26 years old.
There have also been significant victories for gender-affirming care in 2023. In January, Colorado, which used to be dubbed the "Hate State," passed legislation protecting gender-affirming medical care as essential health care, becoming the first state to do so. Colorado's legal protections also apply to recipients of gender-affirming care from out of state, as well as medical providers both in and outside of Colorado. Four other states—Illinois, Maryland, New Mexico, and Minnesota—have passed similar legislation protecting transgender health care.