To eliminate the use of puberty blockers for any minor under the age of 18

HB 2466 prohibits physicians in West Virginia from prescribing puberty-blocking medications (referred to as "pubertal modulating and hormonal therapy") to minors under 18 for the purpose of gender transition. The bill directly affects transgender and gender-diverse minors seeking medical care for gender dysphoria, banning a common treatment option. Exceptions allow such therapy only in very specific medical circumstances: for diagnosed disorders of sex development, to treat complications from prior gender transition procedures, or for severe gender dysphoria with strict requirements (e.g., two specialized medical opinions, written consent, and dosage limits). The bill does not ban all hormone therapy but restricts puberty blockers specifically for gender transition in minors, with narrow medical exceptions.