In 2022, Utah banned transgender girls from playing girls school sports. A judge has temporarily blocked enforcement of the ban and scheduled a trial for this spring. In 2023, the state banned gender-affirming medical care for transgender youth. And last year, Cox signed the bathroom ban into law.

Utah lawmakers gave final approval to a bill limiting where transgender students can reside in dorm rooms at public universities Monday, after online backlash against a transgender resident assistant at Utah State University.