THE POLICY LANDSCAPE
Rights, restrictions & the places between.
State
North Carolina
The current record for North Carolina in each policy area of the atlas.
| Policy area | Policy reported | Rating (Transitics) | Captured |
|---|---|---|---|
| Birth certificates | Conditions / barriers Allowed; Requires Certification of Gender Identity, Updated Passport, or Updated NC Driver's License | Rating: Highly Progressive | Captured: |
| Driver’s licenses | Conditions / barriers Allowed; Requires Certification of Gender Identity, Updated Passport, Amended Birth Certificate, or Court Order | Rating: Highly Progressive | Captured: |
| Nonbinary recognition | Restriction reported Bans Recognition | Rating: Most Restrictive | Captured: |
| Bathrooms & facilities | No restriction reported No Restrictions | Rating: Neutral | Captured: |
| Youth gender-affirming care | Restriction reported Total Ban | Rating: Most Restrictive | Captured: |
| Medicaid coverage | Conditions / barriers Explicit Exclusion For Minors; No Explicit Coverage or Exclusion For Adults | Rating: Restrictive | Captured: |
| Sports participation | Restriction reported Total Ban | Rating: Most Restrictive | Captured: |
| Care in prisons | Restriction reported Denies Gender-Affirming Care | Rating: Most Restrictive | Captured: |
| Prison housing | Restriction reported Placement Determined Case-By-Case (De Facto Placement According To Biological Sex) | Rating: Most Restrictive | Captured: |
| Legal sex definitions | Restriction reported Statute defines sex by reproductive biology for all state and local rules, regulations and policies | Captured: |
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.
Dated records
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Statute defines sex by reproductive biology for all state and local rules, regulations and policies
N.C. Gen. Stat. § 12-3.3 (2025 N.C. Sess. Laws 2025-84, § 1(a), H.B. 805)
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Allowed; Requires Certification of Gender Identity, Updated Passport, or Updated NC Driver's License
Date explicitly reported in Transitics’ Since column. The description is the source’s captured wording; this entry does not establish prior policy or uninterrupted enforcement.
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No Restrictions
Date explicitly reported in Transitics’ Since column. The description is the source’s captured wording; this entry does not establish prior policy or uninterrupted enforcement.
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Allowed; Requires Certification of Gender Identity, Updated Passport, Amended Birth Certificate, or Court Order
Date explicitly reported in Transitics’ Since column. The description is the source’s captured wording; this entry does not establish prior policy or uninterrupted enforcement.
All dated records for North Carolina
Legislation
The atlas tracks 24 bills for North Carolina. See the list.