BISMARCK, ND (KXNET) - A Burleigh County District Court judge has upheld a state law that prohibits gender-affirming medical care for transgender youth on October 8, 2025, marking a significant legal development in the case T.D. v. Wrigley.

The ruling affirms House Bill 1254, which was passed by the North Dakota Legislative Assembly in 2023 and enacted as Chapter 12.1-36.1 of the North Dakota Century Code. The law bans healthcare providers from performing surgeries or prescribing medications intended to alter or affirm a minor’s gender identity when it differs from their biological sex at birth.

Under the statute, procedures such as puberty blockers, hormone therapy, and gender-related surgeries are prohibited for individuals under 18, including emancipated minors. Violations carry crimi

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