In May 2023, the American Civil Liberties Union and the ACLU of Nebraska filed a lawsuit on behalf of Nebraska abortion providers and their patients challenging a state law that bans physicians from providing abortion after 12 weeks of pregnancy and that, as of October 2023, will restrict health care available to trans youth. The ACLU has asked a state court in Nebraska to enter an emergency order blocking the law’s enforcement. The Court ruled that the two halves of L.B. 574 fall within the single subject of regulating health care, and thus the Court held that L.B. 574 does not violate the single-subject rule. Consequently, the abortion ban and gender-affirming care restrictions in L.B. 574 remain in effect. However, the Court did reject the state’s argument that the single-subject is a nonjusticiable political question.

Two businesses owners in Tennessee are challenging a new, first-of-its-kind Tennessee law that would require businesses and other entities that open their facilities to the public and allow transgender people to use the restroom that matches their gender to post a government-prescribed warning sign. The ACLU and the ACLU of Tennessee filed the lawsuit in federal court and claim it violates the First Amendment rights of the business owners.

The American Civil Liberties Union of Iowa filed a complaint with the Iowa Civil Rights Commission against The Iowa Department of Corrections for denying a nurse at the facility use of the restrooms and locker rooms that align with his gender identity and necessary medical treatment because he is transgender. The complaint was co-filed with the ACLU and cooperating attorney Melissa Hasso with the Sherinian & Hasso Law Firm in West Des Moines.

The Walker family and the White family have raised their children, H.W. and C.W. in Alabama. A new Alabama law may force them to leave the state because providing gender-affirming care — which doctors says is medically necessary for H.W. and C.W. — is now a felony offense.