Two overlapping silhouettes with gender symbols Since 2017, several federal courts have found that blanket exclusions for gender-affirming care violate federal law. (Credit: PlutusART/Shutterstock)

In recent years, courts have ruled upon a growing number of cases arising from delivery of and payment for gender-affirming care. At the same time, state legislatures have passed a variety of laws aimed at such services. Some states enacted affirmative legal protections for patients and providers (e.g., Colorado, Illinois and Minnesota) while others sought to restrict or prohibit services available in their states (e.g., Alabama, Arkansas and Florida).

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