Governor Noem Signs Bill Restricting Minor Gender Transition Treatments

PIERRE, SD – Governor Kristi Noem has signed into law a bill prohibiting specific medical interventions, including surgeries, puberty blockers, and hormone therapies, for minors seeking gender transition in South Dakota. The Governor stated the action aims to protect children from medical procedures with potentially long-term consequences before they reach the age of majority.
Legislative Rationale and Debate
Supporters argue the legislation is necessary because minors may lack the capacity to fully understand and consent to treatments with lasting effects, emphasizing parental rights and the need for caution. Governor Noem stated, 'South Dakota will always protect our kids. This bill ensures that irreversible medical procedures are not performed on children who are not old enough to make these decisions for themselves.' However, opponents, including major medical organizations, argue that such care is medically necessary for some youth, follows established standards of care, and that banning it can cause significant harm.
Key Provisions of the Law

- Prohibits surgeries intended to affirm a gender identity different from biological sex for individuals under 18.
- Restricts prescribing puberty-blocking medication and cross-sex hormones to minors for the purpose of gender transition.
- Includes exceptions for minors born with medically verifiable disorders/differences of sex development (DSD) or conditions like precocious puberty requiring specific medical treatment.
Reactions from Supporters and Opponents
The law's enactment has drawn strong responses. Supporters, including some parental rights groups and conservative organizations, view it as essential protection for children. Opponents, such as major medical associations (like the American Academy of Pediatrics), LGBTQ+ advocacy groups, and civil rights organizations, condemn the law, arguing it interferes with evidence-based medical care, parental decisions regarding healthcare, and negatively impacts the well-being of transgender youth. Some opponents described the restrictions as denying 'necessary, life-saving care' to a vulnerable population.
Implementation and Future Outlook
The South Dakota Department of Health is tasked with overseeing the implementation and enforcement of the new regulations. Detailed guidelines are anticipated in the near future. The long-term impact of this legislation on transgender youth, healthcare providers, and families in South Dakota will be closely monitored.
Further Information

For official details regarding the legislation and its implementation, consult the following state resources.