West Virginia Legislates on Youth Gender Care
Charleston, WV – West Virginia has enacted House Bill 2007, legislation that regulates access to gender-affirming medical care for individuals under 18. Signed into law in March 2023, the bill prohibits gender-affirming surgeries for minors. However, it allows minors diagnosed with severe gender dysphoria by two physicians (including a qualified mental health professional) and with informed parental consent to access puberty blockers and hormone therapy. Supporters state the law aims to protect minors from potentially irreversible medical interventions before they reach adulthood.
Arguments Supporting the Restrictions

Proponents argue that minors may lack the capacity to fully understand and consent to procedures with potentially irreversible effects. They cite concerns about the adequacy of long-term research on health outcomes and raise issues regarding social influences on gender identity development. A key rationale presented by supporters is the need to safeguard children from making life-altering decisions they might regret later.
Key Provisions of HB 2007
HB 2007 specifically prohibits physicians from performing gender-affirming surgeries on minors. Access to puberty blockers and cross-sex hormones requires a formal diagnosis of severe gender dysphoria from two physicians (one being a psychiatrist or psychologist experienced in the field) and explicit written parental consent. Physicians found violating these prohibitions face potential medical license revocation or other disciplinary measures. A grandfather clause permits minors who began treatment before the law's effective date to continue their care.
Diverse Reactions to the Law
The passage of HB 2007 has drawn strong reactions. Supporters commend it as a crucial step for child protection and the affirmation of parental rights. Conversely, opponents, including major medical organizations and LGBTQ+ advocacy groups, contend that the law interferes with medically necessary, evidence-based care, discriminates against transgender youth, and could harm their mental and physical well-being. They often highlight that such care follows established standards and involves extensive assessment.
National Context and Legal Landscape

West Virginia joins a number of U.S. states that have recently enacted laws restricting or banning certain forms of gender-affirming care for minors. These legislative actions are central to a contentious national debate involving medical ethics, patient autonomy for minors, parental rights, and the scope of government regulation in healthcare. Many of these state laws are currently facing legal challenges, and the outcomes of these lawsuits may significantly impact access to care across the country.
Engage and Stay Informed

Citizens interested in this complex issue are encouraged to learn more about the legislation and its impacts. Contacting state representatives allows individuals to express their views on this and similar policy matters. Staying informed about ongoing developments and discussions surrounding healthcare access for transgender minors is vital for constructive dialogue.