Healthcare 2 min read

Transgender youth and their families struggle to find gender-affirming care – even in states where it’s still legal

May 22, 2026

Imagine this scenario: In late 2025, a social worker sits down with a transgender teenager and his parents. The family is trying to decide whether, and when, to begin gender-affirming hormone treatment. No one in the family was questioning this young person’s gender identity. The teen had been living as a boy for years. By all accounts, he was thriving: emotionally, academically and socially. He felt ready for this next step, and so did his parents – at first. What gave them pause was not a wavering in the parents’ support of their child’s identity, or a change in the teen’s needs. Instead, they felt unsure whether starting hormone therapy was still legal – or even safe. As a clinical social worker who works extensively with children and families navigating gender‑affirming care – and as someone whose trans child is now an adult – I have encountered several families facing similar questions about their options. These concerns have grown in recent years, especially as more states have moved to restrict gender-affirming care for minors. In states like Michigan, gender-affirming care for minors remains legal as of May 2026. Yet news coverage and political rhetoric have left many families uncertain about…

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