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Pennsylvania

ID documents
Mixed
Care
Protective
Shield lawA state law that protects patients and providers of gender-affirming care from investigations, subpoenas, or extradition attempts by states that ban that care.
No

Pennsylvania is a mixed state for ID documents and a generally protective one for care.

More about Pennsylvania

The driver's license is easy to update: you choose M, F, or X on PennDOT form DL-32 with no doctor's letter. A name change goes through the county Court of Common Pleas and still involves fingerprints, a hearing, judgment searches, and newspaper publication (the court can waive publication and seal the file if publishing would put you in danger). A birth certificate change to M or F needs a physician's letter but no surgery. Gender-affirming care is legal for adults and minors, Medical Assistance (Medicaid) has covered it since 2016, and state insurance guidance bars blanket exclusions. There is no shield law.

This state’s pages are drafts written from official sources and not yet checked by a person. What this means

Your documents, in order

Most people go in this order, because each office checks the one before it. On every document, updating your name and changing your gender marker are separate questions with separate answers.

  1. Legal name changeState court
    Name
    LimitedNewspaper notice sometimes, court hearing required
  2. Social SecurityFederal, same in every state
    Name
    YesAfter your legal name change
    Gender marker
    NoCannot be changed right now
  3. Driver's license / state IDPennsylvania DMV
    Name
    YesAfter your legal name change
    Gender marker
    YesM, F, or X with your own signed form
  4. US passportFederal, same in every state
    Name
    YesAfter your legal name change
    Gender marker
    NoCannot be changed right now
  5. Birth certificateOnly if born in Pennsylvania
    Name
    Limited
    Gender marker
    LimitedM or F with a letter from a doctor

Born somewhere other than Pennsylvania? Your birth certificate follows the state where you were born. Choose your birth state

Gender-affirming care

Adults
Allowed
Under 18
Allowed
Gender-affirming care is legal in Pennsylvania for adults and minors.Find clinics, health centers, telehealth, and ways to pay

Local help

Statewide organizations

  • Community Legal Services of Philadelphia, Identity Documents[5]

    Free help for low-income Philadelphians getting ID: applying for birth certificates, Social Security cards, and PennDOT IDs, advocacy with those agencies, and referrals for legal name changes. Phone intake 215-981-3700 (Mondays and Wednesdays 9 am to noon); walk-in at 1410 W. Erie Ave on Tuesdays and Thursdays 9 am to noon.

    • Free
    215-981-37001410 W. Erie Ave, Philadelphia, PA 19140
  • SisTers PGH, Name Change Project[6]

    Pittsburgh trans-led organization that guides trans, nonbinary, and gender-nonconforming Allegheny County residents through the name change process. Join the waiting list through their website.

    412-297-0548213 Smithfield Street, Pittsburgh, PA 15222
  • Trans Lifeline[7]

    Peer-support hotline run by and for trans people, 877-565-8860.

    • Free
Sources for this page (7)

Sources

7 sources. Numbers in the text, like [1], point here.

  1. Pennsylvania state profileMovement Advancement Project, Organization. accessed
    “"Shield" Laws Protecting Access to Transgender Health Care: 0/1”
  2. Gender Designation OptionsPennDOT Driver and Vehicle Services, Official page. accessed
    “Does a doctor or social worker need to sign off on my request? No, they do not.”
  3. 54 Pa.C.S. Chapter 7, Judicial Change of NamePennsylvania General Assembly, Law. accessed
  4. Medical Assistance Bulletin 99-16-11, coverage of services related to gender transition (July 18, 2016)Pennsylvania Department of Human Services (copy hosted by A4TE), Official page. accessed
    “These categorical payment prohibitions in Pennsylvania's current MA regulations are inconsistent with the Federal Final Rule and will no longer be applied.”
  5. Identity DocumentsCommunity Legal Services of Philadelphia, Organization. accessed
  6. The Name Change ProjectSisTers PGH, Organization. accessed
  7. Trans LifelineOrganization. accessed