Tennessee Republicans Advance Controversial Anti-Trans Bill Creating Public Registry

March 20, 2026

Tennessee lawmakers have moved forward with a highly controversial bill targeting transgender residents, as Republicans in the state legislature voted unanimously to advance House Bill 754, which would establish a public registry of transgender individuals living in Tennessee.

What the Bill Proposes


Under HB 754, medical providers would be required to report information about patients who receive gender-affirming care to the state. The legislation would then make this information part of a public record, effectively creating a list of transgender residents accessible to the public.


Supporters of the bill argue it is intended to protect minors and regulate medical practices, while opponents say it is a direct violation of privacy and civil rights, exposing transgender individuals to harassment and discrimination.

Criticism and Concerns


Civil rights organizations and LGBTQ+ advocacy groups have condemned the bill, warning that a public registry could put people at risk of violence or targeted harassment. Critics also note that the measure could deter transgender residents from seeking essential medical care, particularly for young people or those in rural areas.


Legal experts have raised questions about whether the bill could withstand constitutional challenges, citing potential violations of privacy rights and protections under federal law.

Political Context


The advancement of HB 754 comes amid a wave of legislation in several U.S. states aimed at regulating or restricting access to gender-affirming care. Tennessee Republicans, who hold majorities in both legislative chambers, have framed the bill as a protective measure, despite mounting opposition from national advocacy groups and some local officials.

Next Steps


With the bill now advanced, it will proceed to further committee review and eventual votes in the full House and Senate. If passed into law, Tennessee would become one of the few states with legislation requiring a public record of transgender residents, a step opponents say is unprecedented and deeply concerning.

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