These laws are likely unconstitutional and require that State officials refuse to cooperate with officials in a child’s home state. They may also require that the parent’s insurance be billed for procedures without prior approval or notification. • Law/policy in place: Arizona, California, Colorado, Connecticut, District of Columbia, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Mexico, New York, Oregon, Rhode Island, Vermont, Washington • Law/policy rejected: Nevada

Most states allow this (and insurance plans issued under the Affordable Care Act, aka Obamacare, require it). Some states have gone further to require any insurance plan offered in their state to provide such care. Once trusted organizations, including the ACLU, GLAAD, National Center for Lesbian Rights, and Lambda Legal, are suing states to force them to allow experimental medical procedures to be performed on minors, most of whom are same-sex attracted and many of whom are suffering from autism, ADHD, trauma, and/or abuse, and those especially vulnerable to social media influence. • Law/policy in place: California, Colorado, Connecticut, District of Columbia, Maine, Massachusetts, Michigan (legislation to restrict pending), Minnesota (lawsuit to restrict pending), Montana (lawsuit to restrict pending), Nevada, New Jersey, New Mexico, New York, Pennsylvania, Vermont, Virginia | Law/policy to restrict proposed but failed to pass or overturned via lawsuit: Alaska, Arizona, Arkansas, Delaware, Hawaii, Illinois, Kansas, Maryland, New Hampshire, Oregon, Rhode Island, Washington, Wisconsin • Law/policy rejected (or law to restrict passed): Iowa, Mississippi, Nebraska, South Carolina, South Dakota, Utah, West Virginia, Wyoming | Law/policy rejected (or law to restrict passed) AND lawsuit to overturn in progress: Alabama, Florida, Georgia, Idaho, Indiana, Kentucky, Louisiana, Missouri, North Carolina, North Dakota, Ohio, Oklahoma, Tennessee, Texas

Most school policies are decided at the local level. The Supreme Court declared in Washington v. Glucksberg, 521 U.S. 702 (1997), that the Constitution, and specifically the Due Process Clause of the Fourteenth Amendment, protects the fundamental right of parents to direct the care, upbringing, and education of their children. Parents advocating for schools to share information sometimes rely on this ruling to request that schools be transparent about any changes to their children’s mental health. • Law/policy in place: California • Law/policy rejected (or disclosure law enacted): Alabama, Florida, Idaho, Indiana, Iowa, Kentucky, Montana, New Hampshire, North Carolina, North Dakota, Oklahoma, South Carolina, Tennessee, Utah,Wyoming • Law/policy to require disclosure proposed but failed to pass: Alaska, Arizona, Colorado, Georgia, Hawaii, Minnesota, Mississippi, Missouri, New Mexico, Texas, Washington, West Virginia, Wisconsin