CALIFORNIA LEGISLATURE 20252026 REGULAR SESSION Assembly Bill No. 1487Introduced by Assembly Member AddisFebruary 21, 2025 An act to amend Section 150900 of the Health and Safety Code, relating to public health. LEGISLATIVE COUNSEL'S DIGESTAB 1487, as introduced, Addis. Public health: the Two-Spirit, Transgender, Gender Nonconforming, and Intersex Wellness and Equity Fund.Existing law establishes the Transgender, Gender Nonconforming, and Intersex Wellness and Equity Fund under the administration of the State Department of Public Healths Office of Health Equity, for purposes of funding grants, upon appropriation by the Legislature, to create programs, or funding existing programs, focused on coordinating trans-inclusive health care for individuals who identify as transgender, gender nonconforming, or intersex (TGI). Existing law makes the grants available to TGI-serving organizations, as specified. Existing law defines terms, including health care and gender nonconforming, for purposes of these provisions.This bill would rename the fund as the Two-Spirit, Transgender, Gender Nonconforming, and Intersex (2TGI) Wellness and Equity Fund. The bill would expand the availability of grant funds to 2TGI-serving organizations for purposes of providing workforce development training for 2TGI individuals, resettlement and social integration programs for 2TGI asylees and immigrants, and diversion programs for, and outreach to, transitional-age 2TGI youth. The bill would revise the definition of health care to include mental health services and define Two-Spirit for purposes of these provisions.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 150900 of the Health and Safety Code is amended to read:150900. (a) The Two-Spirit, Transgender, Gender Nonconforming, and Intersex (TGI) (2TGI) Wellness and Equity Fund is established in the State Treasury.(b) The State Department of Public Healths Office of Health Equity shall administer the TGI 2TGI Wellness and Equity Fund for purposes of funding grants to create programs, or funding existing programs, focused on coordinating trans-inclusive health care for individuals who identify as Two-Spirit, transgender, gender nonconforming, or intersex.(c) Upon appropriation by the Legislature, moneys in the TGI 2TGI Wellness and Equity Fund may be used to fund grants for the following purposes:(1) The grants shall be available to TGI-serving 2TGI-serving organizations for the purpose of increasing the capacity of health care professionals to effectively provide TGI 2TGI health care and institute TGI-inclusive 2TGI-inclusive best practices. This includes cultural competency training, the creation of educational materials or materials, and the facilitation of capacity-building trainings.(2) The grants shall be available to TGI-serving 2TGI-serving organizations for the purpose of facilitating therapeutic arts programs, such as dancing, painting, or writing.(3) The grants shall be available to TGI-serving 2TGI-serving organizations for purposes of assisting, identifying, and referring TGI 2TGI people to access supportive housing. This includes case management opportunities, financial assistance, and assisting TGI 2TGI people in receiving and utilizing housing vouchers. If a TGI-serving 2TGI-serving organization has already implemented a TGI-specific 2TGI-specific housing program, funding may be utilized to maintain or expand existing housing programs.(4) The grants shall be available to a hospital, health care clinic, or other medical provider that currently provides gender-affirming health care services, such as hormone therapy or gender reassignment surgery, to continue providing those services, or to a hospital, health care clinic, or other medical provider that will establish a program that offers gender-affirming health care services and has an established relationship with a TGI-serving 2TGI-serving organization that will lead in establishing the program.(5) The grants shall be available to 2TGI-serving organizations for the purpose of providing workforce development training for 2TGI individuals.(6) The grants shall be available to 2TGI-serving organizations for the purpose of providing resettlement and social integration programs for 2TGI asylees and immigrants.(7) The grants shall be available to 2TGI-serving organizations for the purpose of providing diversion programs for, and outreach to, transitional-age 2TGI youth.(d) A hospital, health care clinic, or other medical provider that applies for a grant must apply in partnership with a TGI-serving 2TGI-serving organization and consult with the TGI-serving 2TGI-serving organization throughout the process of creating and implementing its trans-inclusive health care program.(e) This section does not limit or impact payer coverage requirements of health care or other social services.(f) For purposes of this section, the following definitions apply:(1) Health care means all of the following:(A) Medical, behavioral, and spiritual care, which includes, but is not limited to, guided meditation and nondenominational therapy.(B) Therapeutic arts programs, which includes, but is not limited to, dancing, painting, and writing classes.(C) Services related to substance use disorder or substance abuse.(D) Supportive housing as a mechanism to support TGI-identified 2TGI-identified individuals in accessing other social services.(E) Mental health services.(2) A TGI-serving 2TGI-serving organization means either of the following:(A) A public or nonprofit organization with a mission statement that centers around serving Two-Spirit, transgender, gender nonconforming, and intersex people, and where at least 65 percent of the clients of the organization are TGI 2TGI.(B) A nonprofit that serves as the fiscal agent or sponsor for an organization described in subparagraph (A). A nonprofit that is serving as a fiscal agent or sponsor shall pass all funding to the organization, but may charge a reasonable or industry standard fee for administrative costs of not more than 16 percent.(3) Transgender is broad and inclusive of all gender identities different from the gender a person was assigned at birth.(4) Gender nonconforming is an inclusive term used to describe individuals who may experience a gender that is neither exclusively male nor female or is in between or beyond both of those genders, including, but not limited to, nonbinary, gender fluid, agender or without gender, third gender, genderqueer, gender variant, Two-Spirit, Hijra, Kathoey, Mak nyah, Muxe, Waria, Mh, and Faafafine.(5) Intersex is an umbrella term referring to people whose anatomy, hormones, or chromosomes fall outside the strict male and female binary.(6) Two-Spirit is a term referring to unique indigenous cultural roles that intersect with diverse sexual orientations and gender embodiments. CALIFORNIA LEGISLATURE 20252026 REGULAR SESSION Assembly Bill No. 1487Introduced by Assembly Member AddisFebruary 21, 2025 An act to amend Section 150900 of the Health and Safety Code, relating to public health. LEGISLATIVE COUNSEL'S DIGESTAB 1487, as introduced, Addis. Public health: the Two-Spirit, Transgender, Gender Nonconforming, and Intersex Wellness and Equity Fund.Existing law establishes the Transgender, Gender Nonconforming, and Intersex Wellness and Equity Fund under the administration of the State Department of Public Healths Office of Health Equity, for purposes of funding grants, upon appropriation by the Legislature, to create programs, or funding existing programs, focused on coordinating trans-inclusive health care for individuals who identify as transgender, gender nonconforming, or intersex (TGI). Existing law makes the grants available to TGI-serving organizations, as specified. Existing law defines terms, including health care and gender nonconforming, for purposes of these provisions.This bill would rename the fund as the Two-Spirit, Transgender, Gender Nonconforming, and Intersex (2TGI) Wellness and Equity Fund. The bill would expand the availability of grant funds to 2TGI-serving organizations for purposes of providing workforce development training for 2TGI individuals, resettlement and social integration programs for 2TGI asylees and immigrants, and diversion programs for, and outreach to, transitional-age 2TGI youth. The bill would revise the definition of health care to include mental health services and define Two-Spirit for purposes of these provisions.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO CALIFORNIA LEGISLATURE 20252026 REGULAR SESSION Assembly Bill No. 1487 Introduced by Assembly Member AddisFebruary 21, 2025 Introduced by Assembly Member Addis February 21, 2025 An act to amend Section 150900 of the Health and Safety Code, relating to public health. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 1487, as introduced, Addis. Public health: the Two-Spirit, Transgender, Gender Nonconforming, and Intersex Wellness and Equity Fund. Existing law establishes the Transgender, Gender Nonconforming, and Intersex Wellness and Equity Fund under the administration of the State Department of Public Healths Office of Health Equity, for purposes of funding grants, upon appropriation by the Legislature, to create programs, or funding existing programs, focused on coordinating trans-inclusive health care for individuals who identify as transgender, gender nonconforming, or intersex (TGI). Existing law makes the grants available to TGI-serving organizations, as specified. Existing law defines terms, including health care and gender nonconforming, for purposes of these provisions.This bill would rename the fund as the Two-Spirit, Transgender, Gender Nonconforming, and Intersex (2TGI) Wellness and Equity Fund. The bill would expand the availability of grant funds to 2TGI-serving organizations for purposes of providing workforce development training for 2TGI individuals, resettlement and social integration programs for 2TGI asylees and immigrants, and diversion programs for, and outreach to, transitional-age 2TGI youth. The bill would revise the definition of health care to include mental health services and define Two-Spirit for purposes of these provisions. Existing law establishes the Transgender, Gender Nonconforming, and Intersex Wellness and Equity Fund under the administration of the State Department of Public Healths Office of Health Equity, for purposes of funding grants, upon appropriation by the Legislature, to create programs, or funding existing programs, focused on coordinating trans-inclusive health care for individuals who identify as transgender, gender nonconforming, or intersex (TGI). Existing law makes the grants available to TGI-serving organizations, as specified. Existing law defines terms, including health care and gender nonconforming, for purposes of these provisions. This bill would rename the fund as the Two-Spirit, Transgender, Gender Nonconforming, and Intersex (2TGI) Wellness and Equity Fund. The bill would expand the availability of grant funds to 2TGI-serving organizations for purposes of providing workforce development training for 2TGI individuals, resettlement and social integration programs for 2TGI asylees and immigrants, and diversion programs for, and outreach to, transitional-age 2TGI youth. The bill would revise the definition of health care to include mental health services and define Two-Spirit for purposes of these provisions. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. Section 150900 of the Health and Safety Code is amended to read:150900. (a) The Two-Spirit, Transgender, Gender Nonconforming, and Intersex (TGI) (2TGI) Wellness and Equity Fund is established in the State Treasury.(b) The State Department of Public Healths Office of Health Equity shall administer the TGI 2TGI Wellness and Equity Fund for purposes of funding grants to create programs, or funding existing programs, focused on coordinating trans-inclusive health care for individuals who identify as Two-Spirit, transgender, gender nonconforming, or intersex.(c) Upon appropriation by the Legislature, moneys in the TGI 2TGI Wellness and Equity Fund may be used to fund grants for the following purposes:(1) The grants shall be available to TGI-serving 2TGI-serving organizations for the purpose of increasing the capacity of health care professionals to effectively provide TGI 2TGI health care and institute TGI-inclusive 2TGI-inclusive best practices. This includes cultural competency training, the creation of educational materials or materials, and the facilitation of capacity-building trainings.(2) The grants shall be available to TGI-serving 2TGI-serving organizations for the purpose of facilitating therapeutic arts programs, such as dancing, painting, or writing.(3) The grants shall be available to TGI-serving 2TGI-serving organizations for purposes of assisting, identifying, and referring TGI 2TGI people to access supportive housing. This includes case management opportunities, financial assistance, and assisting TGI 2TGI people in receiving and utilizing housing vouchers. If a TGI-serving 2TGI-serving organization has already implemented a TGI-specific 2TGI-specific housing program, funding may be utilized to maintain or expand existing housing programs.(4) The grants shall be available to a hospital, health care clinic, or other medical provider that currently provides gender-affirming health care services, such as hormone therapy or gender reassignment surgery, to continue providing those services, or to a hospital, health care clinic, or other medical provider that will establish a program that offers gender-affirming health care services and has an established relationship with a TGI-serving 2TGI-serving organization that will lead in establishing the program.(5) The grants shall be available to 2TGI-serving organizations for the purpose of providing workforce development training for 2TGI individuals.(6) The grants shall be available to 2TGI-serving organizations for the purpose of providing resettlement and social integration programs for 2TGI asylees and immigrants.(7) The grants shall be available to 2TGI-serving organizations for the purpose of providing diversion programs for, and outreach to, transitional-age 2TGI youth.(d) A hospital, health care clinic, or other medical provider that applies for a grant must apply in partnership with a TGI-serving 2TGI-serving organization and consult with the TGI-serving 2TGI-serving organization throughout the process of creating and implementing its trans-inclusive health care program.(e) This section does not limit or impact payer coverage requirements of health care or other social services.(f) For purposes of this section, the following definitions apply:(1) Health care means all of the following:(A) Medical, behavioral, and spiritual care, which includes, but is not limited to, guided meditation and nondenominational therapy.(B) Therapeutic arts programs, which includes, but is not limited to, dancing, painting, and writing classes.(C) Services related to substance use disorder or substance abuse.(D) Supportive housing as a mechanism to support TGI-identified 2TGI-identified individuals in accessing other social services.(E) Mental health services.(2) A TGI-serving 2TGI-serving organization means either of the following:(A) A public or nonprofit organization with a mission statement that centers around serving Two-Spirit, transgender, gender nonconforming, and intersex people, and where at least 65 percent of the clients of the organization are TGI 2TGI.(B) A nonprofit that serves as the fiscal agent or sponsor for an organization described in subparagraph (A). A nonprofit that is serving as a fiscal agent or sponsor shall pass all funding to the organization, but may charge a reasonable or industry standard fee for administrative costs of not more than 16 percent.(3) Transgender is broad and inclusive of all gender identities different from the gender a person was assigned at birth.(4) Gender nonconforming is an inclusive term used to describe individuals who may experience a gender that is neither exclusively male nor female or is in between or beyond both of those genders, including, but not limited to, nonbinary, gender fluid, agender or without gender, third gender, genderqueer, gender variant, Two-Spirit, Hijra, Kathoey, Mak nyah, Muxe, Waria, Mh, and Faafafine.(5) Intersex is an umbrella term referring to people whose anatomy, hormones, or chromosomes fall outside the strict male and female binary.(6) Two-Spirit is a term referring to unique indigenous cultural roles that intersect with diverse sexual orientations and gender embodiments. The people of the State of California do enact as follows: ## The people of the State of California do enact as follows: SECTION 1. Section 150900 of the Health and Safety Code is amended to read:150900. (a) The Two-Spirit, Transgender, Gender Nonconforming, and Intersex (TGI) (2TGI) Wellness and Equity Fund is established in the State Treasury.(b) The State Department of Public Healths Office of Health Equity shall administer the TGI 2TGI Wellness and Equity Fund for purposes of funding grants to create programs, or funding existing programs, focused on coordinating trans-inclusive health care for individuals who identify as Two-Spirit, transgender, gender nonconforming, or intersex.(c) Upon appropriation by the Legislature, moneys in the TGI 2TGI Wellness and Equity Fund may be used to fund grants for the following purposes:(1) The grants shall be available to TGI-serving 2TGI-serving organizations for the purpose of increasing the capacity of health care professionals to effectively provide TGI 2TGI health care and institute TGI-inclusive 2TGI-inclusive best practices. This includes cultural competency training, the creation of educational materials or materials, and the facilitation of capacity-building trainings.(2) The grants shall be available to TGI-serving 2TGI-serving organizations for the purpose of facilitating therapeutic arts programs, such as dancing, painting, or writing.(3) The grants shall be available to TGI-serving 2TGI-serving organizations for purposes of assisting, identifying, and referring TGI 2TGI people to access supportive housing. This includes case management opportunities, financial assistance, and assisting TGI 2TGI people in receiving and utilizing housing vouchers. If a TGI-serving 2TGI-serving organization has already implemented a TGI-specific 2TGI-specific housing program, funding may be utilized to maintain or expand existing housing programs.(4) The grants shall be available to a hospital, health care clinic, or other medical provider that currently provides gender-affirming health care services, such as hormone therapy or gender reassignment surgery, to continue providing those services, or to a hospital, health care clinic, or other medical provider that will establish a program that offers gender-affirming health care services and has an established relationship with a TGI-serving 2TGI-serving organization that will lead in establishing the program.(5) The grants shall be available to 2TGI-serving organizations for the purpose of providing workforce development training for 2TGI individuals.(6) The grants shall be available to 2TGI-serving organizations for the purpose of providing resettlement and social integration programs for 2TGI asylees and immigrants.(7) The grants shall be available to 2TGI-serving organizations for the purpose of providing diversion programs for, and outreach to, transitional-age 2TGI youth.(d) A hospital, health care clinic, or other medical provider that applies for a grant must apply in partnership with a TGI-serving 2TGI-serving organization and consult with the TGI-serving 2TGI-serving organization throughout the process of creating and implementing its trans-inclusive health care program.(e) This section does not limit or impact payer coverage requirements of health care or other social services.(f) For purposes of this section, the following definitions apply:(1) Health care means all of the following:(A) Medical, behavioral, and spiritual care, which includes, but is not limited to, guided meditation and nondenominational therapy.(B) Therapeutic arts programs, which includes, but is not limited to, dancing, painting, and writing classes.(C) Services related to substance use disorder or substance abuse.(D) Supportive housing as a mechanism to support TGI-identified 2TGI-identified individuals in accessing other social services.(E) Mental health services.(2) A TGI-serving 2TGI-serving organization means either of the following:(A) A public or nonprofit organization with a mission statement that centers around serving Two-Spirit, transgender, gender nonconforming, and intersex people, and where at least 65 percent of the clients of the organization are TGI 2TGI.(B) A nonprofit that serves as the fiscal agent or sponsor for an organization described in subparagraph (A). A nonprofit that is serving as a fiscal agent or sponsor shall pass all funding to the organization, but may charge a reasonable or industry standard fee for administrative costs of not more than 16 percent.(3) Transgender is broad and inclusive of all gender identities different from the gender a person was assigned at birth.(4) Gender nonconforming is an inclusive term used to describe individuals who may experience a gender that is neither exclusively male nor female or is in between or beyond both of those genders, including, but not limited to, nonbinary, gender fluid, agender or without gender, third gender, genderqueer, gender variant, Two-Spirit, Hijra, Kathoey, Mak nyah, Muxe, Waria, Mh, and Faafafine.(5) Intersex is an umbrella term referring to people whose anatomy, hormones, or chromosomes fall outside the strict male and female binary.(6) Two-Spirit is a term referring to unique indigenous cultural roles that intersect with diverse sexual orientations and gender embodiments. SECTION 1. Section 150900 of the Health and Safety Code is amended to read: ### SECTION 1. 150900. (a) The Two-Spirit, Transgender, Gender Nonconforming, and Intersex (TGI) (2TGI) Wellness and Equity Fund is established in the State Treasury.(b) The State Department of Public Healths Office of Health Equity shall administer the TGI 2TGI Wellness and Equity Fund for purposes of funding grants to create programs, or funding existing programs, focused on coordinating trans-inclusive health care for individuals who identify as Two-Spirit, transgender, gender nonconforming, or intersex.(c) Upon appropriation by the Legislature, moneys in the TGI 2TGI Wellness and Equity Fund may be used to fund grants for the following purposes:(1) The grants shall be available to TGI-serving 2TGI-serving organizations for the purpose of increasing the capacity of health care professionals to effectively provide TGI 2TGI health care and institute TGI-inclusive 2TGI-inclusive best practices. This includes cultural competency training, the creation of educational materials or materials, and the facilitation of capacity-building trainings.(2) The grants shall be available to TGI-serving 2TGI-serving organizations for the purpose of facilitating therapeutic arts programs, such as dancing, painting, or writing.(3) The grants shall be available to TGI-serving 2TGI-serving organizations for purposes of assisting, identifying, and referring TGI 2TGI people to access supportive housing. This includes case management opportunities, financial assistance, and assisting TGI 2TGI people in receiving and utilizing housing vouchers. If a TGI-serving 2TGI-serving organization has already implemented a TGI-specific 2TGI-specific housing program, funding may be utilized to maintain or expand existing housing programs.(4) The grants shall be available to a hospital, health care clinic, or other medical provider that currently provides gender-affirming health care services, such as hormone therapy or gender reassignment surgery, to continue providing those services, or to a hospital, health care clinic, or other medical provider that will establish a program that offers gender-affirming health care services and has an established relationship with a TGI-serving 2TGI-serving organization that will lead in establishing the program.(5) The grants shall be available to 2TGI-serving organizations for the purpose of providing workforce development training for 2TGI individuals.(6) The grants shall be available to 2TGI-serving organizations for the purpose of providing resettlement and social integration programs for 2TGI asylees and immigrants.(7) The grants shall be available to 2TGI-serving organizations for the purpose of providing diversion programs for, and outreach to, transitional-age 2TGI youth.(d) A hospital, health care clinic, or other medical provider that applies for a grant must apply in partnership with a TGI-serving 2TGI-serving organization and consult with the TGI-serving 2TGI-serving organization throughout the process of creating and implementing its trans-inclusive health care program.(e) This section does not limit or impact payer coverage requirements of health care or other social services.(f) For purposes of this section, the following definitions apply:(1) Health care means all of the following:(A) Medical, behavioral, and spiritual care, which includes, but is not limited to, guided meditation and nondenominational therapy.(B) Therapeutic arts programs, which includes, but is not limited to, dancing, painting, and writing classes.(C) Services related to substance use disorder or substance abuse.(D) Supportive housing as a mechanism to support TGI-identified 2TGI-identified individuals in accessing other social services.(E) Mental health services.(2) A TGI-serving 2TGI-serving organization means either of the following:(A) A public or nonprofit organization with a mission statement that centers around serving Two-Spirit, transgender, gender nonconforming, and intersex people, and where at least 65 percent of the clients of the organization are TGI 2TGI.(B) A nonprofit that serves as the fiscal agent or sponsor for an organization described in subparagraph (A). A nonprofit that is serving as a fiscal agent or sponsor shall pass all funding to the organization, but may charge a reasonable or industry standard fee for administrative costs of not more than 16 percent.(3) Transgender is broad and inclusive of all gender identities different from the gender a person was assigned at birth.(4) Gender nonconforming is an inclusive term used to describe individuals who may experience a gender that is neither exclusively male nor female or is in between or beyond both of those genders, including, but not limited to, nonbinary, gender fluid, agender or without gender, third gender, genderqueer, gender variant, Two-Spirit, Hijra, Kathoey, Mak nyah, Muxe, Waria, Mh, and Faafafine.(5) Intersex is an umbrella term referring to people whose anatomy, hormones, or chromosomes fall outside the strict male and female binary.(6) Two-Spirit is a term referring to unique indigenous cultural roles that intersect with diverse sexual orientations and gender embodiments. 150900. (a) The Two-Spirit, Transgender, Gender Nonconforming, and Intersex (TGI) (2TGI) Wellness and Equity Fund is established in the State Treasury.(b) The State Department of Public Healths Office of Health Equity shall administer the TGI 2TGI Wellness and Equity Fund for purposes of funding grants to create programs, or funding existing programs, focused on coordinating trans-inclusive health care for individuals who identify as Two-Spirit, transgender, gender nonconforming, or intersex.(c) Upon appropriation by the Legislature, moneys in the TGI 2TGI Wellness and Equity Fund may be used to fund grants for the following purposes:(1) The grants shall be available to TGI-serving 2TGI-serving organizations for the purpose of increasing the capacity of health care professionals to effectively provide TGI 2TGI health care and institute TGI-inclusive 2TGI-inclusive best practices. This includes cultural competency training, the creation of educational materials or materials, and the facilitation of capacity-building trainings.(2) The grants shall be available to TGI-serving 2TGI-serving organizations for the purpose of facilitating therapeutic arts programs, such as dancing, painting, or writing.(3) The grants shall be available to TGI-serving 2TGI-serving organizations for purposes of assisting, identifying, and referring TGI 2TGI people to access supportive housing. This includes case management opportunities, financial assistance, and assisting TGI 2TGI people in receiving and utilizing housing vouchers. If a TGI-serving 2TGI-serving organization has already implemented a TGI-specific 2TGI-specific housing program, funding may be utilized to maintain or expand existing housing programs.(4) The grants shall be available to a hospital, health care clinic, or other medical provider that currently provides gender-affirming health care services, such as hormone therapy or gender reassignment surgery, to continue providing those services, or to a hospital, health care clinic, or other medical provider that will establish a program that offers gender-affirming health care services and has an established relationship with a TGI-serving 2TGI-serving organization that will lead in establishing the program.(5) The grants shall be available to 2TGI-serving organizations for the purpose of providing workforce development training for 2TGI individuals.(6) The grants shall be available to 2TGI-serving organizations for the purpose of providing resettlement and social integration programs for 2TGI asylees and immigrants.(7) The grants shall be available to 2TGI-serving organizations for the purpose of providing diversion programs for, and outreach to, transitional-age 2TGI youth.(d) A hospital, health care clinic, or other medical provider that applies for a grant must apply in partnership with a TGI-serving 2TGI-serving organization and consult with the TGI-serving 2TGI-serving organization throughout the process of creating and implementing its trans-inclusive health care program.(e) This section does not limit or impact payer coverage requirements of health care or other social services.(f) For purposes of this section, the following definitions apply:(1) Health care means all of the following:(A) Medical, behavioral, and spiritual care, which includes, but is not limited to, guided meditation and nondenominational therapy.(B) Therapeutic arts programs, which includes, but is not limited to, dancing, painting, and writing classes.(C) Services related to substance use disorder or substance abuse.(D) Supportive housing as a mechanism to support TGI-identified 2TGI-identified individuals in accessing other social services.(E) Mental health services.(2) A TGI-serving 2TGI-serving organization means either of the following:(A) A public or nonprofit organization with a mission statement that centers around serving Two-Spirit, transgender, gender nonconforming, and intersex people, and where at least 65 percent of the clients of the organization are TGI 2TGI.(B) A nonprofit that serves as the fiscal agent or sponsor for an organization described in subparagraph (A). A nonprofit that is serving as a fiscal agent or sponsor shall pass all funding to the organization, but may charge a reasonable or industry standard fee for administrative costs of not more than 16 percent.(3) Transgender is broad and inclusive of all gender identities different from the gender a person was assigned at birth.(4) Gender nonconforming is an inclusive term used to describe individuals who may experience a gender that is neither exclusively male nor female or is in between or beyond both of those genders, including, but not limited to, nonbinary, gender fluid, agender or without gender, third gender, genderqueer, gender variant, Two-Spirit, Hijra, Kathoey, Mak nyah, Muxe, Waria, Mh, and Faafafine.(5) Intersex is an umbrella term referring to people whose anatomy, hormones, or chromosomes fall outside the strict male and female binary.(6) Two-Spirit is a term referring to unique indigenous cultural roles that intersect with diverse sexual orientations and gender embodiments. 150900. (a) The Two-Spirit, Transgender, Gender Nonconforming, and Intersex (TGI) (2TGI) Wellness and Equity Fund is established in the State Treasury.(b) The State Department of Public Healths Office of Health Equity shall administer the TGI 2TGI Wellness and Equity Fund for purposes of funding grants to create programs, or funding existing programs, focused on coordinating trans-inclusive health care for individuals who identify as Two-Spirit, transgender, gender nonconforming, or intersex.(c) Upon appropriation by the Legislature, moneys in the TGI 2TGI Wellness and Equity Fund may be used to fund grants for the following purposes:(1) The grants shall be available to TGI-serving 2TGI-serving organizations for the purpose of increasing the capacity of health care professionals to effectively provide TGI 2TGI health care and institute TGI-inclusive 2TGI-inclusive best practices. This includes cultural competency training, the creation of educational materials or materials, and the facilitation of capacity-building trainings.(2) The grants shall be available to TGI-serving 2TGI-serving organizations for the purpose of facilitating therapeutic arts programs, such as dancing, painting, or writing.(3) The grants shall be available to TGI-serving 2TGI-serving organizations for purposes of assisting, identifying, and referring TGI 2TGI people to access supportive housing. This includes case management opportunities, financial assistance, and assisting TGI 2TGI people in receiving and utilizing housing vouchers. If a TGI-serving 2TGI-serving organization has already implemented a TGI-specific 2TGI-specific housing program, funding may be utilized to maintain or expand existing housing programs.(4) The grants shall be available to a hospital, health care clinic, or other medical provider that currently provides gender-affirming health care services, such as hormone therapy or gender reassignment surgery, to continue providing those services, or to a hospital, health care clinic, or other medical provider that will establish a program that offers gender-affirming health care services and has an established relationship with a TGI-serving 2TGI-serving organization that will lead in establishing the program.(5) The grants shall be available to 2TGI-serving organizations for the purpose of providing workforce development training for 2TGI individuals.(6) The grants shall be available to 2TGI-serving organizations for the purpose of providing resettlement and social integration programs for 2TGI asylees and immigrants.(7) The grants shall be available to 2TGI-serving organizations for the purpose of providing diversion programs for, and outreach to, transitional-age 2TGI youth.(d) A hospital, health care clinic, or other medical provider that applies for a grant must apply in partnership with a TGI-serving 2TGI-serving organization and consult with the TGI-serving 2TGI-serving organization throughout the process of creating and implementing its trans-inclusive health care program.(e) This section does not limit or impact payer coverage requirements of health care or other social services.(f) For purposes of this section, the following definitions apply:(1) Health care means all of the following:(A) Medical, behavioral, and spiritual care, which includes, but is not limited to, guided meditation and nondenominational therapy.(B) Therapeutic arts programs, which includes, but is not limited to, dancing, painting, and writing classes.(C) Services related to substance use disorder or substance abuse.(D) Supportive housing as a mechanism to support TGI-identified 2TGI-identified individuals in accessing other social services.(E) Mental health services.(2) A TGI-serving 2TGI-serving organization means either of the following:(A) A public or nonprofit organization with a mission statement that centers around serving Two-Spirit, transgender, gender nonconforming, and intersex people, and where at least 65 percent of the clients of the organization are TGI 2TGI.(B) A nonprofit that serves as the fiscal agent or sponsor for an organization described in subparagraph (A). A nonprofit that is serving as a fiscal agent or sponsor shall pass all funding to the organization, but may charge a reasonable or industry standard fee for administrative costs of not more than 16 percent.(3) Transgender is broad and inclusive of all gender identities different from the gender a person was assigned at birth.(4) Gender nonconforming is an inclusive term used to describe individuals who may experience a gender that is neither exclusively male nor female or is in between or beyond both of those genders, including, but not limited to, nonbinary, gender fluid, agender or without gender, third gender, genderqueer, gender variant, Two-Spirit, Hijra, Kathoey, Mak nyah, Muxe, Waria, Mh, and Faafafine.(5) Intersex is an umbrella term referring to people whose anatomy, hormones, or chromosomes fall outside the strict male and female binary.(6) Two-Spirit is a term referring to unique indigenous cultural roles that intersect with diverse sexual orientations and gender embodiments. 150900. (a) The Two-Spirit, Transgender, Gender Nonconforming, and Intersex (TGI) (2TGI) Wellness and Equity Fund is established in the State Treasury. (b) The State Department of Public Healths Office of Health Equity shall administer the TGI 2TGI Wellness and Equity Fund for purposes of funding grants to create programs, or funding existing programs, focused on coordinating trans-inclusive health care for individuals who identify as Two-Spirit, transgender, gender nonconforming, or intersex. (c) Upon appropriation by the Legislature, moneys in the TGI 2TGI Wellness and Equity Fund may be used to fund grants for the following purposes: (1) The grants shall be available to TGI-serving 2TGI-serving organizations for the purpose of increasing the capacity of health care professionals to effectively provide TGI 2TGI health care and institute TGI-inclusive 2TGI-inclusive best practices. This includes cultural competency training, the creation of educational materials or materials, and the facilitation of capacity-building trainings. (2) The grants shall be available to TGI-serving 2TGI-serving organizations for the purpose of facilitating therapeutic arts programs, such as dancing, painting, or writing. (3) The grants shall be available to TGI-serving 2TGI-serving organizations for purposes of assisting, identifying, and referring TGI 2TGI people to access supportive housing. This includes case management opportunities, financial assistance, and assisting TGI 2TGI people in receiving and utilizing housing vouchers. If a TGI-serving 2TGI-serving organization has already implemented a TGI-specific 2TGI-specific housing program, funding may be utilized to maintain or expand existing housing programs. (4) The grants shall be available to a hospital, health care clinic, or other medical provider that currently provides gender-affirming health care services, such as hormone therapy or gender reassignment surgery, to continue providing those services, or to a hospital, health care clinic, or other medical provider that will establish a program that offers gender-affirming health care services and has an established relationship with a TGI-serving 2TGI-serving organization that will lead in establishing the program. (5) The grants shall be available to 2TGI-serving organizations for the purpose of providing workforce development training for 2TGI individuals. (6) The grants shall be available to 2TGI-serving organizations for the purpose of providing resettlement and social integration programs for 2TGI asylees and immigrants. (7) The grants shall be available to 2TGI-serving organizations for the purpose of providing diversion programs for, and outreach to, transitional-age 2TGI youth. (d) A hospital, health care clinic, or other medical provider that applies for a grant must apply in partnership with a TGI-serving 2TGI-serving organization and consult with the TGI-serving 2TGI-serving organization throughout the process of creating and implementing its trans-inclusive health care program. (e) This section does not limit or impact payer coverage requirements of health care or other social services. (f) For purposes of this section, the following definitions apply: (1) Health care means all of the following: (A) Medical, behavioral, and spiritual care, which includes, but is not limited to, guided meditation and nondenominational therapy. (B) Therapeutic arts programs, which includes, but is not limited to, dancing, painting, and writing classes. (C) Services related to substance use disorder or substance abuse. (D) Supportive housing as a mechanism to support TGI-identified 2TGI-identified individuals in accessing other social services. (E) Mental health services. (2) A TGI-serving 2TGI-serving organization means either of the following: (A) A public or nonprofit organization with a mission statement that centers around serving Two-Spirit, transgender, gender nonconforming, and intersex people, and where at least 65 percent of the clients of the organization are TGI 2TGI. (B) A nonprofit that serves as the fiscal agent or sponsor for an organization described in subparagraph (A). A nonprofit that is serving as a fiscal agent or sponsor shall pass all funding to the organization, but may charge a reasonable or industry standard fee for administrative costs of not more than 16 percent. (3) Transgender is broad and inclusive of all gender identities different from the gender a person was assigned at birth. (4) Gender nonconforming is an inclusive term used to describe individuals who may experience a gender that is neither exclusively male nor female or is in between or beyond both of those genders, including, but not limited to, nonbinary, gender fluid, agender or without gender, third gender, genderqueer, gender variant, Two-Spirit, Hijra, Kathoey, Mak nyah, Muxe, Waria, Mh, and Faafafine. (5) Intersex is an umbrella term referring to people whose anatomy, hormones, or chromosomes fall outside the strict male and female binary. (6) Two-Spirit is a term referring to unique indigenous cultural roles that intersect with diverse sexual orientations and gender embodiments.