As of September 18, 2023, the ban on gender-affirming care for minors in Iowa is in effect. This means minors in Iowa receiving or wanting to receive gender-affirming care will no longer be able to in the state. While this law is devastating for LGBTQ youth and their families, One Iowa is here as a resource to guide folks through this transition.

If You’re Already Getting Care:

  • Using gender-affirming care in Iowa isn’t illegal; only prescribing it is.
  • You can still use hormones from out of state or a prescribed implant.
  • Talk to your doctor and therapist for referrals to providers outside Iowa.
    • These referrals may take time, as many affirming providers will receive similar calls from other families
    • Ask your provider for medical records to be shared with new providers.
    • Providers in Iowa can still draw labs and coordinate care with out-of-state providers; they cannot prescribe HRT or perform surgeries themselves.
  • Providers in Iowa can’t prescribe hormones or perform surgeries but can help coordinate care.

Dealing with Insurance:

  • Contact your insurance to understand their new policies.
  • Ask if they cover gender-affirming care outside of Iowa.
    • Guide on navigating insurance in Iowa

If You Haven’t Started Gender-Affirming Care Yet:

Can’t Leave the State? 

  • If you’re currently taking hormones, talk to your healthcare provider about how to taper off them.
  • Follow their guidance; don’t stop medication without consulting them.
  • Focus on joyful activities and affirm your gender non-medically (e.g., binders, clothing, makeup, voice therapy, exploring affirming names and pronouns, etc.).

Mental Health Resources:

Coping Strategies: