Randomized trial examines school bathroom policies impacting transgender adolescents, suggesting significant legal implications.
On May 15, 2026, Governor Henry McMaster signed House Bill 4756, the South Carolina Student Physical Privacy Act, after House and Senate passage by tallies of 96-19, 33-2, and a final concurrence of 77-31. The statute reorganizes restrooms, locker rooms, changing facilities, and overnight sleeping quarters in every public K-12 school and every public institution of higher learning by sex observed or clinically verified at birth, as defined in Section 59-23-510 of the South Carolina Code. The penalty for noncompliance is the withholding of twenty-five percent of state operating funds, directed by the State Board of Education for districts and by the Commission on Higher Education for colleges. The statute creates a private cause of action for declaratory and injunctive relief, plus attorney fees, against any school that permits a student of the “opposite sex” into a restroom or changing facility, or that fails to take “reasonable steps” to prevent such entry. A Senate amendment retained in the enrolled act lets schools satisfy the single-occupancy accommodation requirement with a temporary outdoor facility, the language that advocacy groups including the ACLU of South Carolina and the Campaign for Southern Equality have read as a statutory invitation to outdoor portable toilets for transgender students. This paper places the South Carolina statute inside three frames: legal, empirical, and pastoral. The legal frame includes United States v. Skrmetti, 605 U.S. ___ (2025), in which the Supreme Court upheld Tennessee’s ban on gender-affirming care for minors under rational-basis review; the resulting tilt of post-Bostock equal-protection doctrine away from heightened scrutiny for transgender claimants; and the split among circuits in Grimm v. Gloucester County School Board, Adams v. School Board of St. Johns County, and A.C. v. Metropolitan School District of Martinsville. The empirical frame draws on Murchison and colleagues (2019) in Pediatrics, Wernick and colleagues (2017) in the Journal of Youth and Adolescence, Tordoff and colleagues (2022) in JAMA Network Open, Russell and colleagues (2018) in the Journal of Adolescent Health, the Trevor Project’s 2024 U.S. National Survey, and the 2024 National School Climate Survey from GLSEN/Glisten. The pastoral frame surveys USCCB doctrinal notes, the ELCA’s 2009 social statement, and the United Methodist Church’s May 2, 2024 removal of the “incompatible with Christian teaching” language. The paper argues that the statute’s “privacy” rhetoric inverts the function privacy law usually performs, that the empirical case for harm to transgender adolescents is unambiguous, that the comparative-state map suggests two to four copycat statutes are plausible in 2026-2027, and that the religious case against the law is stronger than the religious case for it. Keywords: transgender adolescents, school bathroom policy, Title IX, United States v. Skrmetti, South Carolina
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Grace Ann Hansen (2026) studied this question.
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