In a coordinated push led by national anti-LGBTQ+ groups, legislators across the country have overridden the recommendations of the American medical establishment and introduced hundreds of bills that target transgender and non-binary youth’s access to age-appropriate, medically-necessary care. The attack on gender affirming care is relentless and changing every day. Here, the Human Rights Campaign provides a real-time snapshot of the assault against trans youth’s access to age-appropriate and medically necessary gender affirming care in the United States.