North Dakota Gov. Burgum signed HB 1254, a felony ban on gender-affirming care for minors
On April 19, 2023, North Dakota Governor Doug Burgum signed House Bill 1254, enacting a ban on gender-affirming medical care for transgender minors. The law makes it a class B felony for providers to perform gender-affirming surgery on minors and a class A misdemeanor to prescribe puberty blockers or hormone therapy for that purpose. It contains an exception for minors with a medically verifiable intersex condition but none for transgender minors.