South Dakota Gov. Noem signed HB1080, banning gender-affirming care for transgender minors
On February 13, 2023, South Dakota Gov. Kristi Noem signed HB 1080, the "Help Not Harm" Act, barring health care professionals from providing puberty blockers, hormone therapy, or surgical interventions to transgender minors for the purpose of gender transition. Providers already treating trans minors were required to taper them off medication by December 31, 2023, and violators face license revocation and civil liability. South Dakota became one of the first states in 2023 to enact such a ban.