South Carolina Attorney General Alan Wilson joined 23 other states on Apr. 2 in a friend-of-the-court brief supporting the right of states to regulate medical procedures, especially within correctional institutions. The action responds to a case involving an Alaska prisoner who is seeking taxpayer-funded sex-change surgery, a procedure currently illegal in Alaska and several other states.
The filing addresses the ongoing debate over whether inmates can demand certain medical treatments at public expense. The Eighth Amendment requires that prisons address serious medical needs but does not guarantee access to any treatment an inmate requests.
“Prisoners cannot require taxpayers to foot the bill for controversial, risky, and medically unnecessary procedures,” Wilson said. “The decision of protecting public health and safety rests with each state’s legislature.” The brief cites various court decisions regarding the use of sex-change procedures as treatment for gender dysphoria and emphasizes constitutional grounds for state control over such policies.
Wilson is supported by attorneys general from Alabama, Arkansas, Florida, Georgia, Kansas, Louisiana, Mississippi, Missouri, Montana, Nebraska, North Dakota, Ohio, Oklahoma, South Dakota, Tennessee, Texas, Utah, West Virginia as well as Iowa and Indiana which led the filing. The Arizona Legislature also joined the effort.
The South Carolina Attorney General serves as the state’s primary legal advocate and enforcer across all regions of South Carolina according to the official website. The office supports victims through advocacy programs while working with law enforcement agencies on criminal prosecutions according to its official website. In addition to handling criminal matters and regulations concerning securities or consumer protection as reported by its official site, Alan Wilson has served as head of this office according to its official website.
Looking ahead, supporters say this multi-state legal effort could influence how courts interpret prisoners’ rights versus legislative authority in setting healthcare policy.

