Advocates for women and girls in sports support trans-inclusive policies and oppose efforts to exclude transgender students from participating in sports. This includes the National Women’s Law Center, the Women’s Sports Foundation, Women Leaders in College Sports, and others — including prominent female athletes like Billie Jean King, Megan Rapinoe, and Cheryl Reeve. That’s because while there are real issues facing women’s sports, including a lack of resources devoted to supporting them, transgender participation in athletics is not one of them. And nearly 550 college athletes have stood up to anti-transgender legislation by demanding the NCAA pull championships from states that have enacted anti-trans sports laws.

Gender-affirming care is age-appropriate care that is medically necessary for the well-being of many transgender and non-binary people who experience symptoms of gender dysphoria, or distress that results from having one’s gender identity not match their sex assigned at birth. Gender-affirming care is the integration of medical, mental health and social services. For transgender children, transition is an entirely social process which may include a new name or pronouns, wearing different clothes or styling one’s hair differently. At puberty, doctors may — in consultation with and having the informed consent of the transgender youth and their parents — prescribe reversible medication known as puberty-blockers, which allow a young person to safely reach an age in which they’re truly able to consent to further treatment.

Human Rights Campaign State Legislative Director and Senior Counsel Cathryn Oakley released the following statement:

“These bills represent a two-pronged approach to targeting trans youth and eliminating their stories, their perspectives, and their right to a happy, healthy childhood. SB 49 tosses aside decades of scientific research and guidance from every major medical and mental health organization, representing over 1.3 million American doctors, in favor of the discriminatory whims of politicians in Jefferson City. Every kid in Missouri deserves a life that’s safe, stable, and offers them the opportunity to flourish — and banning gender-affirming care is antithetical to that goal. By banning this medically necessary care, out-of-touch politicians have prevented parents from doing right by their kids and creating the conditions for them to thrive. We will continue to fight for transgender kids and their ability to access best-practice, age-appropriate health care.

“By denying students the freedom to participate in school sports in signing SB 39, Governor Parson is denying kids the camaraderie, comfort, and transferable lessons that come from youth sports. Jefferson City has consistently shown that their priorities as a state government are to bully transgender kids rather than ensuring every kid in Missouri is safe, cared for, and supported at their schools. We reject this legislation, acknowledge the harm that it will cause, and will continue fighting tooth and nail against this law and others like it."

Earlier this year the Biden Administration issued proposed rules affirming that Title IX protects transgender students from discrimination in athletics and that state laws banning participation of transgender athletes are violations of federal law.

THE FACTS: Gender-Affirming Care

Every credible medical organization – representing over 1.3 million doctors in the United States – calls for age-appropriate gender-affirming care for transgender and non-binary people. “Transition-related” or “gender-affirming” care looks different for every transgender and non-binary person. Parents, their kids, and doctors make decisions together, and no medical interventions with permanent consequences happen until a transgender person is old enough to give truly informed consent.

This is why majorities of Americans oppose criminalizing or banning gender affirming care. Two recent national surveys report that majorities of Americans oppose “criminalizing” or “banning” gender transition-related medical care for minors: 54% oppose (NPR/Marist on 3/20-23, 2023); 53% oppose (Grinnell College National Survey on 3/14-19, 2023). Democrats and Independents drive opposition to such legislation, suggesting that support for such bans carries risk in a general election context.

Gender transition is a personal process that can include changing clothes, names, and hairstyles to fit a person’s gender identity. Some people take medication, and some do not; some adults have surgeries, and others do not. How someone transitions is their choice, to be made with their family and their doctor. Therapists, parents and health care providers work together to determine which changes to make at a given time that are in the best interest of the child. In most young children, this care can be entirely social. This means:

• New name

• New hairstyle

• New clothing

• None of this care is irreversible.

Being transgender is not new. Some say it can feel like being transgender is very new – but that’s because the media has been covering it more in recent months and years. But transgender people have always existed and will continue to exist regardless of the bills we pass. And very few transgender people change their mind.

ALL gender-affirming care is age-appropriate, medically necessary, supported by all major medical organizations, made in consultation with medical and mental health professionals AND parents. And in many cases, this care is lifesaving: A recent study from the Trevor Project provides data supporting this — transgender youth with access to gender-affirming hormone therapy have lower rates of depression and are at a lower risk for suicide.

For more information, please visit hrc.org/transgender as well as these resources:

• HRC’s Get the Facts About Gender Affirming Care

• HRC’s Transgender and Non-Binary People FAQ

• HRC’s Brief Guide to Getting Transgender Coverage Right

THE FACTS: Anti-Transgender Sports Bans

A majority of Americans oppose discriminatory bills seeking to ban transgender and non-binary youth from participation in sports. A PBS/NPR/Marist poll states that 67% of Americans, including 66% of Republicans, oppose the anti-transgender sports ban legislation proliferating across 30 states. And a poll conducted by the Human Rights Campaign & Hart Research Group revealed that, with respect to transgender youth participation in sports, the public’s strong inclination is on the side of fairness and equality for transgender student athletes. 73% of voters agree that “sports are important in young people’s lives. Young transgender people should be allowed opportunities to participate in a way that is safe and comfortable for them.”

Advocates for women and girls in sports support trans-inclusive policies and oppose efforts to exclude transgender students from participating in sports. This includes the National Women’s Law Center, the Women’s Sports Foundation, Women Leaders in College Sports, and others — including prominent female athletes like Billie Jean King, Megan Rapinoe, and Cheryl Reeve. That’s because while there are real issues facing women’s sports, including a lack of resources devoted to supporting them, transgender participation in athletics is not one of them. And nearly 550 college athletes have stood up to anti-transgender legislation by demanding the NCAA pull championships from states that have enacted anti-trans sports laws.

The nation’s leading child health and welfare groups oppose sports bans. Groups representing more than 7 million youth-serving professionals and more than 1,000 child welfare organizations released an open letter calling for lawmakers in states across the country to oppose dozens of bills that target LGBTQ+ people, and transgender children in particular.

In 2022, lawmakers introduced 80 bills aimed to prevent transgender youth from playing school sports consistent with their gender identity. By the end of the 2022 legislative session, a record 17 bills attacking transgender and non-binary children passed into law. 19 states exclude transgender athletes in school sports.

For more information, please access the following resources on HRC’s website:

• The facts about transgender and non-binary athletes

• Meet the girl who lawmakers want to ban from playing sports

THE FACTS: 2023 Becoming Worst Year On Record for Anti-LGBTQ+ Legislation

So far in 2023, HRC is opposing more than 530 anti-LGBTQ+ bills that have been introduced in statehouses across the country. A total of 74 pieces of legislation have been enacted into law this year. More than 225 of those bills would specifically restrict the rights of transgender people, the highest number of bills targeting transgender people in a single year to date. This year, HRC is tracking:

• More than 125 gender-affirming care bans — bills that would prevent transgender youth from being able to access age-appropriate, medically-necessary, best-practice health care; this year, 16 have already become law in Arkansas, Tennessee, Mississippi, South Dakota, Utah, Iowa, Idaho, Indiana, Georgia, Kentucky, West Virginia, North Dakota, Montana, Oklahoma, Florida, and Nebraska

• More than 30 anti-transgender bathroom bills filed;

• More than 100 anti-LGBTQ+ curriculum censorship bills, and;

• 45 anti-LGBTQ+ drag performance ban bills.

Americans believe the amount of anti-LGBTQ+ legislation is excessive, agreeing it is “political theater.” Likely voters across all political parties look at GOP efforts to flood state legislatures with anti-LGBTQ+ legislation as political theater. Recent polling indicates that 64% of all likely voters, including 72% of Democrats, 65% of Independents, and 55% of Republicans think that there is “too much legislation” aimed at “limiting the rights of transgender and gay people in America” (Data For Progress survey of 1,220 likely voters, 3/24-26, 2023).

By comparison, last year in 2022 politicians in statehouses across the country introduced 315 anti-LGBTQ+ bills, 29 of which were enacted into law. These efforts — the result of a coordinated push led by national anti-LGBTQ+ groups, which deployed vintage discriminatory tropes seeking to slander, malign, and stigmatize LGBTQ+ people — only yielded a less than 10% success rate, as more than 90% of anti-LGBTQ+ bills were defeated. The majority of the discriminatory bills – 149 bills – targeted the transgender and non-binary community, with the majority targeting children. By the end of the 2022 state legislative season, a record 17 bills attacking transgender and non-binary children were enacted into law.

More than 300 major U.S. corporations have stood up and spoken out to oppose anti-LGBTQ+ legislation being proposed in states across the country. Major employers in tech, manufacturing, hospitality, health care, retail, and other sectors are joining with a unified voice to say discrimination is bad for business and to call on lawmakers to abandon these efforts. Four of the largest U.S. food companies also condemned “dangerous, discriminatory legislation that serves as an attack on LGBTQ+ individuals, particularly transgender and nonbinary people,” and the Walton Family Foundation issued a statement expressing “alarm” at the trend of anti-transgender legislation that recently became law in Arkansas.

The Human Rights Campaign is America’s largest civil rights organization working to achieve equality for lesbian, gay, bisexual, transgender and queer people. HRC envisions a world where LGBTQ+ people are embraced as full members of society at home, at work and in every community.