High school interscholastic athletics are managed by the Maryland Public Secondary School Athletic Association (MPSSAA) as part of the Maryland State Board of Education. The MPSSAA has determined that:
- Transgender students can participate on the interscholastic athletics team of the student’s birth gender.
- Transgender students can participate on interscholastic athletics teams of the gender that the student has transitioned to. This may be supported by medical documentation (hormonal therapy, sexual reassignment surgery, counseling, etc.) confirming transition of gender.
- Transgender students may compete on the interscholastic team of the gender the student identifies with, as recognized by the local school system and established in official school system records. This may differ from the student’s gender listed in school system records.