Saint Louis University Journal of Health Law & Policy

Document Type



A growing population of transgender, nonbinary, and other gender non-conforming Americans experience the burden of multiple physical and mental health inequities. Largely rooted in discrimination and stigma, these disparities are compounded by barriers to respectful, appropriate healthcare.

A range of new policies, including state laws attempting to limit access to gender-affirming care for minors, may further compound health disparities. However, in some states and at the federal level, protective laws seek to prohibit discrimination and support access to care. Meanwhile, the constitutional status of gender identity under the Equal Protection Clause, and the legality of certain federal protections challenged on various grounds, remain undecided. This Article offers a snapshot of this rapidly evolving legal landscape, as well as the challenges and opportunities it offers for the health of transgender, nonbinary, and other gender non-conforming people.