Maryland
Md. could become next state to pass trans sanctuary law
Senate Finance Committee heard bill on Thursday
BY ERIN REED | On Thursday, Maryland’s Senate Finance Committee heard Senate Bill 119, a bill that would make Maryland a sanctuary state for transgender individuals and providers fleeing other states.
The bill would add gender-affirming care to a law passed last year that shields abortion patients and providers from out-of-state prosecution and investigations. Many more individuals testified in favor of the bill than against it, including Maryland state government officials who remarked on its necessity.
If passed, the law would make Maryland the 12th state, not counting D.C., to do so.
The bill includes several protections for trans individuals. It would block the enforcement of out-of-state subpoenas for medical records and information on trans patients who seek care within Maryland’s jurisdiction.
It would also prevent foreign financial judgments from other states attempting to sue Maryland providers. It would prohibit liability insurers from taking adverse action against healthcare providers for providing gender affirming care.
Additionally, it would block the extradition of individuals who have received gender-affirming care in Maryland. Lastly, it specifies that the state cannot use state funds to provide “information, spend time or money, or use state facilities, state property, state equipment, state personnel or other state resource” in aiding investigations around gender affirming care — a virtually total barring of any enforcement of anti-trans laws in the state.
The state joined several others in providing protections for patients and providers when Gov. Wes Moore signed an executive order in June to enact many of these policies. Heather Forsyth spoke on behalf of the office of the Maryland Attorney General in favor of the bill at the hearing, stating that this bill would go farther than that executive order: “It’s both critical and urgent … The executive order provided some protections, but it couldn’t offer many of the protections this legislation would provide.”

Among the things she stated this bill would do beyond Moore’s executive order:
- It would prevent liability insurance from taking adverse action on providers for providing gender affirming care.
- It would ensure license and regulatory boards could not take adverse actions for providing gender affirming care.
- It would place limits on subpoenas, wire tapping, ex parte and foreign judgments that target care provided within the state of Maryland
- It would go into law and protect transgender people regardless of who holds the governor’s office.
Forsyth was not the only one to speak on behalf of the bill from the Maryland executive branch. Ryan Moran, representing the Maryland Department of Health, also testified to the importance of the bill, emphasizing that “Maryland remains a leader in supporting trans people’s rights to equitable healthcare and safety.” Moran highlighted the growing list of Republican states banning gender-affirming care as a reason for the bill’s necessity: “These list of states are growing … the states include criminal penalties against health officials providing gender-affirming care.”
The hearing also saw testimony from representatives of large hospitals and medical associations. Michael Huber, representing Johns Hopkins University and School of Medicine, asserted that gender-affirming care is “medically necessary, lifesaving, evidence-based and age-appropriate healthcare.”
Pam Kasemeyer, testifying on behalf of the state medical society, the Academy of Pediatrics, the Mid-Atlantic Community Health Centers, and the American College of Obstetricians and Gynecologists, stated that the bill was needed due to “legal challenges and fear” from out-of-state actors targeting care in the state.
These challenges and investigations are indeed unfolding. Recently, Attorney General Ken Paxton made national headlines by subpoenaing the medical records of patients who traveled from Texas to Seattle Children’s Hospital for gender-affirming care. Similar subpoenas have been issued to gender-affirming care clinics in other states.
Meanwhile, 19 Republican state attorneys general have signed a letter asserting their right to medical information from other states, indicating that this tactic may be employed against both transgender individuals and those seeking and providing abortions moving forward.
Only a three people testified against the bill — one concerned citizen, a representative from the Maryland Family Institute, a religious organization, and Health Choice Maryland, an anti-vax organization.
The bill will need to pass a committee vote before moving to the full Senate floor in the coming days.
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Erin Reed is a transgender woman (she/her pronouns) and researcher who tracks anti-LGBTQ+ legislation around the world and helps people become better advocates for their queer family, friends, colleagues and community. Reed also is a social media consultant and public speaker.
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The preceding article was first published at Erin In The Morning and is republished with permission.
Maryland
Md. Legislative LGBTQ+ Caucus outlines 2026 priorities
Expanded PrEP access among objectives
Maryland’s Legislative LGBTQ+ Caucus outlined legislative priorities for the remainder of the General Assembly’s 2026 term during a press conference on March 5.
State Del. Kris Fair (D-Fredrick County) led the press conference. State Del. Ashanti Martinez (D-Prince George’s County) and other caucus members also spoke.
Caucus members are sponsoring 12 bills and supporting four others.
Martinez is sponsoring House Bill 1114, which would expand PrEP access in Maryland.
“PrEP is 99 percent effective in preventing HIV transmission,” he explained, noting PrEP’s cost often turns away potential users.
The bill aims to extend insurance coverage and expand pharmacists’ ability to prescribe PrEP along with other HIV treatments and testing. Martinez is working with state Sen. Clarence Lam (D-Anne Arundel and Howard Counties) and FreeState Justice on the bill.
The House Health Committee had a hearing last week that included HB1114.
“Ending the HIV epidemic is about expanding access and providing these life-saving tools to all persons in Maryland,” Martinez said.
Several other pieces of legislation were highlighted during the press conferences. They included measures focused on youth and education, birth certificate markers, so-called conversion therapy, and hormone medications.
State Sen. Cheryl Kagan (D-Montgomery County) is cosponsoring Senate Bill 950, which would update and strengthen conversion therapy laws. State Del. Bonnie Cullison (D-Montgomery County) has introduced an identical bill that would extend the statute of limitations on individuals who facilitate conversion therapy.
Kagan explained the bill would allow conversion therapy victims to come to terms with their experience undergoing the widely discredited practice that “creates shame and it silences survivors.”
When questioned, Fair explained the press conference happened late into the legislative session because “we [the caucus] are constantly having to respond in real time to what’s happening in Washington” while drafting and considering pieces of legislation.
The Frederick County Democrat described this session’s bills as the “most ambitious list of priorities to date.” Fair also described the caucus’s goals.
“It’s decency, it’s dignity, and its humanity,” he said.
Maryland
Md. Commission on LGBTQIA+ Affairs released updated student recommendations
LGBTQ students report higher rates of bullying, suicide
The Maryland Commission on LGBTQIA+ Affairs has released updated recommendations on how the state’s schools can support LGBTQ students.
The updated 16-page document outlines eight “actionable recommendations” for Maryland schools, supplemented with data and links to additional resources. The recommendations are:
- Developing and passing a uniform statewide and comprehensive policy aimed at protecting “transgender, nonbinary, and gender expansive students” against discrimination. The recommendation lists minimum requirements for the policy to address: name, pronoun usage, and restroom access.
- Requiring all educators to receive training about the specific needs of LGBTQ students, by trained facilitators. The training’s “core competencies” include instruction on terminology, data, and support for students.
- Implementing LGBTQ-inclusive curricula and preventing book bans. The report highlights a “comprehensive sexual education curriculum” as specifically important in the overall education curriculum. It also states the curriculum will “provide all students with life-saving information about how to protect themselves and others in sexual and romantic situations.”
- Establishing Gender Sexuality Alliances “at all schools and in all grade levels.” This recommendation includes measures on how to adequately establish effective GSAs, such as campaign advertising, and official state resources that outline how to establish and maintain a GSA.
- Providing resources to students’ family members and supporters. This recommendation proposes partnering with local education agencies to provide “culturally responsive, LGBTQIA+ affirming family engagement initiatives.”
- Collecting statewide data on LGBTQ youth. The data on Maryland’s LGBTQ youth population is sparse and non-exhaustive, and this recommendation seeks to collect information to inform policy and programming across the state for LGBTQ youth.
- Hiring a full-time team at the Maryland Department of Education that focuses on LGBTQ student achievement. These employees would have specific duties that include “advising on local and state, and federal policy” as well as developing the LGBTQ curriculum, and organizing the data and family resources.
- Promoting and ensuring awareness of the 2024 guidelines to support LGBTQ students.
The commission has 21 members, with elections every year, and open volunteer positions. It was created in 2021 and amended in 2023 to add more members.
The Governor’s Office of Communication says the commission’s goal is “to serve LGBTQIA+ Marylanders by galvanizing community voices, researching and addressing challenges, and advocating for policies to advance equity and inclusion.”
The commission is tasked with coming up with yearly recommendations. This year’s aim “to ensure that every child can learn in a safe, inclusive, and supportive environment.”
The Human Rights Campaign’s most recent report on LGBTQ youth revealed that 46.1 percent of LGBTQ youth felt unsafe in some school settings. Those numbers are higher for transgender students, with 54.9 percent of them saying they feel unsafe in school.
Maryland’s High School Youth Risk Behavior Survey reveals a disparity in mental health issues and concerns among students who identify as LGBTQ, compared to those who are heterosexual. LGBTQ students report higher rates of bullying, feelings of hopelessness, and suicidal thoughts. Nearly 36 percent of LGBTQ students report they have a suicide plan, and 26.7 percent of respondents say they have attempted to die by suicide.
The commission’s recommendations seek to combat the mental health crisis among the state’s LGBTQ students. They are also a call for local and state governments to work towards implementing them.
Maryland
4th Circuit dismisses lawsuit against Montgomery County schools’ pronoun policy
Substitute teacher Kimberly Polk challenged regulation in 2024
A federal appeals court has ruled Montgomery County Public Schools did not violate a substitute teacher’s constitutional rights when it required her to use students’ preferred pronouns in the classroom.
The 4th U.S. Circuit Court of Appeals in a 2-1 decision it released on Jan. 28 ruled against Kimberly Polk.
The policy states that “all students have the right to be referred to by their identified name and/or pronoun.”
“School staff members should address students by the name and pronoun corresponding to the gender identity that is consistently asserted at school,” it reads. “Students are not required to change their permanent student records as described in the next section (e.g., obtain a court-ordered name and/or new birth certificate) as a prerequisite to being addressed by the name and pronoun that corresponds to their identified name. To the extent possible, and consistent with these guidelines, school personnel will make efforts to maintain the confidentiality of the student’s transgender status.”
The Washington Post reported Polk, who became a substitute teacher in Montgomery County in 2021, in November 2022 requested a “religious accommodation, claiming that the policy went against her ‘sincerely held religious beliefs,’ which are ‘based on her understanding of her Christian religion and the Holy Bible.’”
U.S. District Judge Deborah Boardman in January 2025 dismissed Polk’s lawsuit that she filed in federal court in Beltsville. Polk appealed the decision to the 4th Circuit.
