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New Hampshire Enacts First New England Ban on Gender-Affirming Care for Minors

Legal advocates plan constitutional challenges, parental rights suits ahead of the ban’s January 1, 2026 effective date.

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Overview

  • Gov. Kelly Ayotte signed House Bills 377 and 712 prohibiting puberty blockers, hormone therapy and gender-affirming chest surgeries for patients under 18.
  • The statutes include an exception allowing youths already receiving gender-affirming treatments to continue them after the ban takes effect.
  • Narrow medical exceptions permit breast surgeries for malignancy, injury, infection or malformation and related reconstructive procedures.
  • Violations will be reviewed by the New Hampshire Board of Medicine, with providers facing disciplinary action and minors granted a private right to sue.
  • New Hampshire is the lone New England state to restrict transgender healthcare in a wider Republican-led push following the Supreme Court’s upholding of Tennessee’s ban.