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 what care doctors are still permitted to offer.

In response to evolving federal legal and regulatory pressures, several Michigan health systems have limited or discontinued certain forms of gender-affirming medical care for minors. This includes puberty blockers and gender-affirming hormone therapy. These limitations have increased confusion among families about what care remains available.

Families are flooded with disinformation and misinformation suggesting the science on gender-affirming care has changed. It has not. But a growing gap exists between what the law permits and what families believe possible, shaping how parents make medical decisions for their children.

What the law says – and what families hear

As of May 2026, gender-affirming care for minors remains legal in 23 states, with shield laws that protect against prosecution in other states. Around 27 states have enacted laws restricting or banning gender-affirming care for transgender youth.

Regardless of legality, gender-affirming care is endorsed by every major medical........

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