In the spring of 2023, Texas became the largest state in the country to ban gender-affirming care for transgender youth after Governor Greg Abbott signed SB 14. In July 2023, a lawsuit was filed on behalf of five Texas families, three medical professionals, and two organizations representing hundreds of families and health professionals across the state. The five Texas families challenging this law come from diverse backgrounds across the state with transgender children and teenagers. The bill’s passage alone resulted in families splitting up or planning to leave Texas to continue treatment for their children. The families are suing pseudonymously to protect themselves and their children, who are transgender Texans between the ages of 9 and 16.

The ACLU has joined a lawsuit defending the interests of trans student athletes in Connecticut.

Luc Esquivel is a 15-year-old sophomore at Farragut High School in Knoxville, TN who has been looking forward to trying out for the boys’ golf team. That aspiration was derailed when the Tennessee legislature passed and Tennessee Gov. Bill Lee signed into law SB 228, which bans transgender middle and high school students from participating on interscholastic sports teams that match their gender. Luc and his family have sued the state of Tennessee.

On February 15, 2024, the ACLU and ACLU of Montana filed an amicus brief urging the U.S. Court of Appeals for the Ninth Circuit to leave in place an injunction against enforcement of a Montana law that infringes minors’ First Amendment rights by restricting their ability to attend drag performances.