THE POLICY LANDSCAPE
Rights, restrictions & the places between. Sources retrieved Sep 22, 2026
Trans Policy Atlas data: Transitics' CATPALM (built by Aleksandra Vaca, a member of the Trans Data Initiative team) and the team's own research.
Identity documents
Changing a birth-certificate gender marker 50 states + D.C. Jurisdiction of birth; requirements may differ for minors.
Alabama: Allowed; Requires Name Change, Court Order, & Proof of Surgery Alaska: Allowed; Requires Some Medical Treatment or Court Order Arizona: Allowed; Requires Court Order or Proof of Surgery Arkansas: Allowed; Requires Name Change, Court Order, & Proof of Surgery California: Allowed; No Requirements; Issues Court Orders for Residents Born Elsewhere Colorado: Allowed; No Requirements Connecticut: Allowed; Requires Some Medical Treatment; Issues Court Orders for Residents Born Elsewhere Delaware: Allowed; Requires Some Medical Treatment District of Columbia: Allowed; Requires Some Medical Treatment Florida: Banned Georgia: Allowed; Requires Name Change, Court Order, & Proof of Surgery Hawaii: Allowed; Requires Some Medical Treatment Idaho: Banned Illinois: Allowed; No Requirements; Issues Court Orders for Residents Born Elsewhere Indiana: Banned Iowa: Banned Kansas: Banned Kentucky: Allowed; Requires Name Change & Proof of Surgery Louisiana: Allowed; Requires Court Order & Proof of Surgery Maine: Allowed; No Requirements Maryland: Allowed; Requires Some Medical Treatment Massachusetts: Allowed; No Requirements Michigan: Allowed; No Requirements Minnesota: Allowed; Requires Some Medical Treatment or Court Order Mississippi: Allowed; Requires Court Order Missouri: Allowed; Requires Name Change, Court Order, & Proof of Surgery Montana: Allowed; No Requirements Nebraska: Allowed; Requires Name Change & Proof of Surgery Nevada: Allowed; Requires Medical Records or a Statement of Corroboration New Hampshire: Allowed; Requires Court Order New Jersey: Allowed; No Requirements; Issues Court Orders for Residents Born Elsewhere New Mexico: Allowed; No Requirements New York: Allowed; No Requirements North Carolina: Allowed; Requires Certification of Gender Identity, Updated Passport, or Updated NC Driver's License North Dakota: Allowed; Requires Proof of Surgery Ohio: Allowed; Requires Court Order Oklahoma: Banned Oregon: Allowed; No Requirements Pennsylvania: Allowed; Requires Some Medical Treatment Rhode Island: Allowed; No Requirements South Carolina: Allowed; Requires Court Order South Dakota: Banned Tennessee: Banned Texas: Banned Utah: Allowed; Requires Court Order Vermont: Allowed; No Requirements Virginia: Allowed; Requires Some Medical Treatment Washington: Allowed; No Requirements West Virginia: Allowed; Requires Certification of Gender Identity Wisconsin: Allowed; Requires Court Order & Proof of Surgery Wyoming: Banned AL AK AZ CO FL GA IN KS ME MN NC ND OK PA SD TX WY MO WV IL NM AR CA HI IA KY MI MS MT NH NY OH OR TN UT VA WA WI NE SC ID NV VT LA MA RI CT NJ DE MD DC Select a state to inspect its policy and sources.
Access / protection recognized 14
Conditions / barriers 27
Restriction reported 10
A record is what a source reported on the date it was captured, not a legal effective date. An unobserved record is not a finding that no restrictions exist.