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New Hampshire Legislature Sends Gender-Affirming Care Ban Bills to Governor

Governor Kelly Ayotte’s pending decision will determine whether New Hampshire imposes the region’s first ban on puberty blockers, cross-sex hormones, gender-affirming surgeries for transgender minors.

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Overview

  • State lawmakers approved House Bill 377 and House Bill 712 this week in largely party-line votes with two Democratic defectors joining Republicans in the House.
  • House Bill 377 would prohibit puberty blockers and cross-sex hormones for minors starting in 2026 and includes a grandfather clause plus a private right of action against providers.
  • House Bill 712 would expand existing restrictions by banning chest reconstruction, facial feminization or masculinization and reproductive organ procedures for individuals under 18.
  • If signed, New Hampshire would be the first New England state to outlaw gender-affirming medical treatments and surgeries for transgender youth, joining more than 25 states with similar measures.
  • Supporters cite last week’s Supreme Court ruling upholding Tennessee’s ban to justify state regulation while medical groups warn the measures undermine clinical authority and parental rights.