| 1 | 1 | | I |
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| 2 | 2 | | 119THCONGRESS |
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| 3 | 3 | | 1 |
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| 4 | 4 | | STSESSION H. R. 2487 |
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| 5 | 5 | | To improve access to evidence-based, lifesaving health care for transgender |
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| 6 | 6 | | people, and for other purposes. |
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| 7 | 7 | | IN THE HOUSE OF REPRESENTATIVES |
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| 8 | 8 | | MARCH31, 2025 |
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| 9 | 9 | | Ms. B |
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| 10 | 10 | | ALINT(for herself, Ms. ANSARI, Ms. CROCKETT, Mr. DAVISof Illinois, |
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| 11 | 11 | | Mr. E |
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| 12 | 12 | | SPAILLAT, Mr. EVANSof Pennsylvania, Ms. JACOBS, Ms. JAYAPAL, |
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| 13 | 13 | | Mr. J |
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| 14 | 14 | | OHNSONof Georgia, Ms. JOHNSONof Texas, Mr. KHANNA, Mr. |
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| 15 | 15 | | K |
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| 16 | 16 | | RISHNAMOORTHI, Mr. LANDSMAN, Ms. LEEof Pennsylvania, Ms. |
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| 17 | 17 | | M |
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| 18 | 18 | | CCLELLAN, Mrs. MCIVER, Mr. NADLER, Ms. NORTON, Ms. OCASIO- |
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| 19 | 19 | | C |
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| 20 | 20 | | ORTEZ, Mr. POCAN, Mrs. RAMIREZ, Ms. RANDALL, Ms. SCHAKOWSKY, |
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| 21 | 21 | | Mr. T |
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| 22 | 22 | | AKANO, Mr. THANEDAR, Ms. TLAIB, Ms. TOKUDA, Mr. TONKO, Ms. |
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| 23 | 23 | | V |
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| 24 | 24 | | ELA´ZQUEZ, and Mrs. WATSONCOLEMAN) introduced the following bill; |
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| 25 | 25 | | which was referred to the Committee on Energy and Commerce |
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| 26 | 26 | | A BILL |
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| 27 | 27 | | To improve access to evidence-based, lifesaving health care |
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| 28 | 28 | | for transgender people, and for other purposes. |
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| 29 | 29 | | Be it enacted by the Senate and House of Representa-1 |
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| 30 | 30 | | tives of the United States of America in Congress assembled, 2 |
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| 31 | 31 | | SECTION 1. SHORT TITLE. 3 |
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| 32 | 32 | | This Act may be referred to as the ‘‘Transgender 4 |
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| 33 | 33 | | Health Care Access Act’’. 5 |
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| 34 | 34 | | SEC. 2. TABLE OF CONTENTS. 6 |
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| 35 | 35 | | The table of contents of this Act is as follows: 7 |
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| 39 | 39 | | Sec. 1. Short title. |
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| 40 | 40 | | Sec. 2. Table of contents. |
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| 41 | 41 | | Sec. 3. Findings. |
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| 42 | 42 | | Sec. 4. Definitions. |
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| 43 | 43 | | Sec. 5. Improving medical education curricula for gender-affirming care. |
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| 44 | 44 | | Sec. 6. Training demonstration program for gender-affirming care. |
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| 45 | 45 | | Sec. 7. Expanding capacity for gender-affirming care at community health cen- |
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| 46 | 46 | | ters. |
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| 47 | 47 | | Sec. 8. Training rural providers in gender-affirming care. |
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| 48 | 48 | | Sec. 9. Report to Congress. |
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| 49 | 49 | | SEC. 3. FINDINGS. |
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| 50 | 50 | | 1 |
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| 51 | 51 | | Congress finds the following: 2 |
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| 52 | 52 | | (1) Receiving gender-affirming care increases 3 |
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| 53 | 53 | | self-esteem and quality of life and decreases depres-4 |
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| 54 | 54 | | sion, self-harm, and suicidality in transgender people 5 |
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| 55 | 55 | | of all ages. 6 |
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| 56 | 56 | | (2) There is a strong medical consensus about 7 |
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| 57 | 57 | | the importance of health care for transgender peo-8 |
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| 58 | 58 | | ple, including transgender young people. The Amer-9 |
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| 59 | 59 | | ican Academy of Child and Adolescent Psychiatry, 10 |
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| 60 | 60 | | American Academy of Dermatology, American Acad-11 |
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| 61 | 61 | | emy of Pediatrics, American Academy of Physician 12 |
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| 62 | 62 | | Assistants, American Medical Association, American 13 |
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| 63 | 63 | | Nurses Association, American Association of Clinical 14 |
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| 64 | 64 | | Endocrinology, American Association of Geriatric 15 |
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| 65 | 65 | | Psychiatry, American College Health Association, 16 |
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| 66 | 66 | | American College of Nurse-Midwives, American Col-17 |
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| 67 | 67 | | lege of Obstetricians and Gynecologists, American 18 |
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| 68 | 68 | | College of Physicians, American Counseling Associa-19 |
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| 69 | 69 | | tion, American Heart Association, American Medical 20 |
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| 73 | 73 | | Student Association, American Psychiatric Associa-1 |
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| 74 | 74 | | tion, American Psychological Association, American 2 |
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| 75 | 75 | | Society for Reproductive Medicine, American 3 |
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| 76 | 76 | | Urological Association, Endocrine Society, Federa-4 |
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| 77 | 77 | | tion of Pediatric Organizations, GLMA: Health Pro-5 |
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| 78 | 78 | | fessionals Advancing LGBTQ Equality, The Journal 6 |
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| 79 | 79 | | of the American Medical Association, National Asso-7 |
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| 80 | 80 | | ciation of Nurse Practitioners in Women’s Health, 8 |
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| 81 | 81 | | National Association of Social Workers, Pediatric 9 |
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| 82 | 82 | | Endocrine Society, Pediatrics (Journal of the Amer-10 |
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| 83 | 83 | | ican Academy of Pediatrics), United States Profes-11 |
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| 84 | 84 | | sional Association for Transgender Health 12 |
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| 85 | 85 | | (USPATH), World Health Organization (WHO), 13 |
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| 86 | 86 | | World Medical Association, and World Professional 14 |
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| 87 | 87 | | Association for Transgender Health, have all issued 15 |
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| 88 | 88 | | statements in support of health care for transgender 16 |
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| 89 | 89 | | people. 17 |
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| 90 | 90 | | (3) There is a gap in education across health 18 |
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| 91 | 91 | | professions around treating transgender patients. 19 |
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| 92 | 92 | | One survey of students at 10 medical schools showed 20 |
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| 93 | 93 | | that approximately 80 percent of students did not 21 |
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| 94 | 94 | | feel competent at treating transgender patients. 22 |
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| 95 | 95 | | (4) Academic literature shows that this edu-23 |
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| 96 | 96 | | cation gap is a significant barrier to appropriate 24 |
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| 97 | 97 | | health care. 25 |
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| 101 | 101 | | (5) Experts in gender-affirming care and cul-1 |
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| 102 | 102 | | turally competent care for transgender people are 2 |
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| 103 | 103 | | improving access to gender-affirming care through 3 |
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| 104 | 104 | | peer-to-peer education. 4 |
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| 105 | 105 | | SEC. 4. DEFINITIONS. 5 |
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| 106 | 106 | | In this Act: 6 |
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| 107 | 107 | | (1) The term ‘‘gender-affirming care’’— 7 |
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| 108 | 108 | | (A) means health care designed to treat 8 |
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| 109 | 109 | | gender dysphoria; 9 |
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| 110 | 110 | | (B) includes all supplies, care, and services 10 |
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| 111 | 111 | | of a medical, behavioral health, mental health, 11 |
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| 112 | 112 | | surgical, psychiatric, therapeutic, diagnostic, 12 |
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| 113 | 113 | | preventative, rehabilitative, or supportive na-13 |
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| 114 | 114 | | ture, including medication, relating to the treat-14 |
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| 115 | 115 | | ment of gender dysphoria; and 15 |
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| 116 | 116 | | (C) excludes conversion therapy. 16 |
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| 117 | 117 | | (2) The term ‘‘Secretary’’ means the Secretary 17 |
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| 118 | 118 | | of Health and Human Services. 18 |
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| 119 | 119 | | SEC. 5. IMPROVING MEDICAL EDUCATION CURRICULA FOR 19 |
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| 120 | 120 | | GENDER-AFFIRMING CARE. 20 |
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| 121 | 121 | | (a) I |
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| 122 | 122 | | MPROVING THEPROVISION OFGENDER-AFFIRM-21 |
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| 123 | 123 | | INGCARE.— 22 |
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| 124 | 124 | | (1) I |
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| 125 | 125 | | N GENERAL.—The Secretary, acting 23 |
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| 126 | 126 | | through the Administrator of the Health Resources 24 |
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| 127 | 127 | | and Services Administration, shall award grants to 25 |
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| 131 | 131 | | eligible entities for the development, evaluation, and 1 |
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| 132 | 132 | | implementation of model curricula, demonstration 2 |
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| 133 | 133 | | projects, and training projects to improve the provi-3 |
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| 134 | 134 | | sion of gender-affirming care. 4 |
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| 135 | 135 | | (2) E |
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| 136 | 136 | | LIGIBLE ENTITIES.—To be eligible to re-5 |
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| 137 | 137 | | ceive a grant under paragraph (1), an entity shall 6 |
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| 138 | 138 | | be— 7 |
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| 139 | 139 | | (A) a health care professions school; 8 |
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| 140 | 140 | | (B) a health care delivery site with fellows, 9 |
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| 141 | 141 | | residents, or other health care professional stu-10 |
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| 142 | 142 | | dents or trainees; or 11 |
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| 143 | 143 | | (C) a licensing or accreditation entity for 12 |
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| 144 | 144 | | health care professions schools. 13 |
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| 145 | 145 | | (b) C |
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| 146 | 146 | | URRICULA.— 14 |
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| 147 | 147 | | (1) T |
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| 148 | 148 | | OPICS.—The Secretary shall ensure that 15 |
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| 149 | 149 | | curricula developed pursuant to subsection (a) in-16 |
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| 150 | 150 | | clude instruction on one or more of the following 17 |
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| 151 | 151 | | topics: 18 |
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| 152 | 152 | | (A) Gender-affirming care. 19 |
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| 153 | 153 | | (B) Cultural competency in treating 20 |
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| 154 | 154 | | transgender patients. 21 |
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| 155 | 155 | | (2) P |
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| 156 | 156 | | EDAGOGICAL APPROACHES .—Curricula de-22 |
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| 157 | 157 | | veloped pursuant to subsection (a) may employ— 23 |
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| 158 | 158 | | (A) didactic education; 24 |
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| 159 | 159 | | (B) clinical education; 25 |
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| 163 | 163 | | (C) simulated or standardized patient edu-1 |
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| 164 | 164 | | cation; 2 |
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| 165 | 165 | | (D) community-based research; and 3 |
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| 166 | 166 | | (E) community-based learning. 4 |
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| 167 | 167 | | (c) D |
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| 168 | 168 | | ISSEMINATION.—The Secretary, acting through 5 |
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| 169 | 169 | | the Director of the National Library of Medicine and the 6 |
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| 170 | 170 | | Director of the National Institutes of Health, in collabora-7 |
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| 171 | 171 | | tion with medical education accrediting organizations, 8 |
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| 172 | 172 | | shall disseminate model curricula developed under this 9 |
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| 173 | 173 | | section. 10 |
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| 174 | 174 | | (d) D |
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| 175 | 175 | | URATION OFAWARD.—The period of a grant 11 |
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| 176 | 176 | | under this section shall be 3 years, subject to annual re-12 |
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| 177 | 177 | | view and continuation by the Secretary. 13 |
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| 178 | 178 | | (e) C |
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| 179 | 179 | | ARRYOVERFUNDS.—The Secretary shall make 14 |
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| 180 | 180 | | available funds to grantees under this section on an an-15 |
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| 181 | 181 | | nual basis, but may authorize a grantee to retain the 16 |
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| 182 | 182 | | funds for obligation and expenditure through the end of 17 |
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| 183 | 183 | | the 3-year grant period referred to in subsection (f). 18 |
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| 184 | 184 | | (f) A |
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| 185 | 185 | | UTHORIZATIONS OF APPROPRIATIONS.—There 19 |
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| 186 | 186 | | is authorized to be appropriated to carry out this section 20 |
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| 187 | 187 | | $10,000,000 for each of fiscal years 2026 through 2030. 21 |
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| 191 | 191 | | SEC. 6. TRAINING DEMONSTRATION PROGRAM FOR GEN-1 |
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| 192 | 192 | | DER-AFFIRMING CARE. 2 |
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| 193 | 193 | | (a) I |
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| 194 | 194 | | NGENERAL.—The Secretary shall establish a 3 |
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| 195 | 195 | | demonstration program to award grants to eligible entities 4 |
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| 196 | 196 | | to support— 5 |
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| 197 | 197 | | (1) training for medical residents and fellows to 6 |
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| 198 | 198 | | practice gender-affirming care; 7 |
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| 199 | 199 | | (2) training (including for individuals com-8 |
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| 200 | 200 | | pleting clinical training requirements for licensure) 9 |
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| 201 | 201 | | for nurse practitioners, physician assistants, health 10 |
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| 202 | 202 | | service psychologists, clinical psychologists, coun-11 |
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| 203 | 203 | | selors, nurses, and social workers to practice gender- 12 |
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| 204 | 204 | | affirming care; and 13 |
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| 205 | 205 | | (3) establishing, maintaining, or improving aca-14 |
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| 206 | 206 | | demic programs that— 15 |
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| 207 | 207 | | (A) provide training for students or fac-16 |
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| 208 | 208 | | ulty, including through clinical experiences, to 17 |
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| 209 | 209 | | improve their ability to provide culturally com-18 |
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| 210 | 210 | | petent gender-affirming care; and 19 |
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| 211 | 211 | | (B) conduct research to develop evidence- 20 |
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| 212 | 212 | | based practices regarding gender-affirming 21 |
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| 213 | 213 | | care, including curriculum content standards 22 |
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| 214 | 214 | | for programs that provide training for students 23 |
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| 215 | 215 | | or faculty as described in subparagraph (A). 24 |
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| 216 | 216 | | (b) E |
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| 217 | 217 | | LIGIBLEENTITIES.— 25 |
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| 221 | 221 | | (1) TRAINING FOR RESIDENTS AND FEL -1 |
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| 222 | 222 | | LOWS.—To be eligible to receive a grant under sub-2 |
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| 223 | 223 | | section (a)(1), an entity shall be— 3 |
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| 224 | 224 | | (A) a consortium consisting of— 4 |
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| 225 | 225 | | (i) at least one teaching health center; 5 |
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| 226 | 226 | | and 6 |
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| 227 | 227 | | (ii) the sponsoring institution (or par-7 |
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| 228 | 228 | | ent institution of the sponsoring institu-8 |
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| 229 | 229 | | tion) of— 9 |
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| 230 | 230 | | (I) a residency program in pri-10 |
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| 231 | 231 | | mary care, internal medicine, family 11 |
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| 232 | 232 | | medicine, pediatric medicine, gyne-12 |
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| 233 | 233 | | cology, endocrinology, or surgery that 13 |
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| 234 | 234 | | is accredited by the Accreditation 14 |
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| 235 | 235 | | Council for Graduate Medical Edu-15 |
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| 236 | 236 | | cation; or 16 |
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| 237 | 237 | | (II) a fellowship program in a 17 |
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| 238 | 238 | | field identified in subclause (I); or 18 |
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| 239 | 239 | | (B) an institution described in subpara-19 |
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| 240 | 240 | | graph (A)(ii) that provides opportunities for 20 |
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| 241 | 241 | | residents or fellows to train in community-based 21 |
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| 242 | 242 | | settings that provide health care to transgender 22 |
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| 243 | 243 | | populations. 23 |
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| 247 | 247 | | (2) TRAINING FOR OTHER PROVIDERS .—To be 1 |
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| 248 | 248 | | eligible to receive a grant under subsection (a)(2), 2 |
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| 249 | 249 | | an entity shall be— 3 |
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| 250 | 250 | | (A) a teaching health center (as defined in 4 |
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| 251 | 251 | | section 749A(f)(3) of the Public Health Service 5 |
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| 252 | 252 | | Act (42 U.S.C. 293l–1(f)(3))); 6 |
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| 253 | 253 | | (B) a Federally-qualified health center (as 7 |
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| 254 | 254 | | defined in section 1905(l)(2)(B) of the Social 8 |
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| 255 | 255 | | Security Act (42 U.S.C. 1396d(l)(2)(B))); 9 |
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| 256 | 256 | | (C) a community mental health center (as 10 |
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| 257 | 257 | | defined in section 1861(ff)(3)(B) of the Social 11 |
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| 258 | 258 | | Security Act (42 U.S.C. 1395x(ff)(3)(B))); 12 |
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| 259 | 259 | | (D) a rural health clinic (as defined in sec-13 |
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| 260 | 260 | | tion 1861(aa)(2) of the Social Security Act (42 14 |
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| 261 | 261 | | U.S.C. 1395x(aa)(2))); 15 |
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| 262 | 262 | | (E) a health center operated by the Indian 16 |
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| 263 | 263 | | Health Service, an Indian Tribe, a Tribal orga-17 |
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| 264 | 264 | | nization, or an Urban Indian organization (as 18 |
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| 265 | 265 | | defined in section 4 of the Indian Health Care 19 |
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| 266 | 266 | | Improvement Act (25 U.S.C. 1603)); or 20 |
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| 267 | 267 | | (F) an entity with a demonstrated record 21 |
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| 268 | 268 | | of success in providing training for nurse prac-22 |
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| 269 | 269 | | titioners, physician assistants, health service 23 |
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| 270 | 270 | | psychologists, counselors, nurses, or social 24 |
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| 274 | 274 | | workers, including such entities that serve pedi-1 |
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| 275 | 275 | | atric populations. 2 |
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| 276 | 276 | | (3) A |
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| 277 | 277 | | CADEMIC UNITS OR PROGRAMS .—To be el-3 |
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| 278 | 278 | | igible to receive a grant under subsection (a)(3), an 4 |
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| 279 | 279 | | entity shall be— 5 |
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| 280 | 280 | | (A) a school of medicine or osteopathic 6 |
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| 281 | 281 | | medicine; 7 |
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| 282 | 282 | | (B) a school of nursing; 8 |
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| 283 | 283 | | (C) a physician assistant training program; 9 |
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| 284 | 284 | | (D) a school of pharmacy; 10 |
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| 285 | 285 | | (E) a school of social work; 11 |
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| 286 | 286 | | (F) an accredited public or nonprofit pri-12 |
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| 287 | 287 | | vate hospital; 13 |
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| 288 | 288 | | (G) an accredited medical residency pro-14 |
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| 289 | 289 | | gram; or 15 |
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| 290 | 290 | | (H) a public or nonprofit private entity 16 |
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| 291 | 291 | | that the Secretary determines is capable of car-17 |
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| 292 | 292 | | rying out such a grant because of prior experi-18 |
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| 293 | 293 | | ence providing education on the provision of 19 |
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| 294 | 294 | | health care to transgender people. 20 |
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| 295 | 295 | | (c) U |
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| 296 | 296 | | SE OFFUNDS.— 21 |
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| 297 | 297 | | (1) T |
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| 298 | 298 | | RAINING GRANTS.—A recipient of a grant 22 |
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| 299 | 299 | | under subsection (a)(1) or (a)(2)— 23 |
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| 303 | 303 | | (A) shall use the grant funds to plan, de-1 |
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| 304 | 304 | | velop, and operate a training program for resi-2 |
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| 305 | 305 | | dents and fellows; and 3 |
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| 306 | 306 | | (B) may use the grant funds to— 4 |
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| 307 | 307 | | (i) support the administration of a 5 |
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| 308 | 308 | | program described in subparagraph (A); 6 |
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| 309 | 309 | | (ii) support professional development 7 |
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| 310 | 310 | | for faculty of a program described in sub-8 |
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| 311 | 311 | | paragraph (A); or 9 |
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| 312 | 312 | | (iii) establish, maintain, or improve 10 |
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| 313 | 313 | | departments, divisions, or other units nec-11 |
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| 314 | 314 | | essary to implement a program described 12 |
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| 315 | 315 | | in subparagraph (A). 13 |
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| 316 | 316 | | (2) G |
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| 317 | 317 | | RANTS TO ACADEMIC UNITS OR PRO -14 |
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| 318 | 318 | | GRAMS.—A recipient of a grant under subsection 15 |
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| 319 | 319 | | (a)(3) shall enter into a partnership with education 16 |
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| 320 | 320 | | accrediting organizations or similar organizations to 17 |
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| 321 | 321 | | carry out activities under subsection (a)(3). 18 |
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| 322 | 322 | | (d) P |
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| 323 | 323 | | RIORITY.—In making awards under this section, 19 |
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| 324 | 324 | | the Secretary shall give priority to eligible entities that— 20 |
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| 325 | 325 | | (1) have a history of providing health care to 21 |
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| 326 | 326 | | transgender people; or 22 |
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| 327 | 327 | | (2) serve areas where access to gender-affirm-23 |
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| 328 | 328 | | ing care is limited. 24 |
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| 332 | 332 | | (e) MINIMUMPERIOD OFGRANTS.—The period of a 1 |
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| 333 | 333 | | grant under this section shall be not less than 5 years. 2 |
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| 334 | 334 | | (f) A |
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| 335 | 335 | | UTHORIZATION OF APPROPRIATIONS.—There is 3 |
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| 336 | 336 | | authorized to be appropriated to carry out this section 4 |
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| 337 | 337 | | $15,000,000 for each of fiscal years 2026 through 2030. 5 |
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| 338 | 338 | | SEC. 7. EXPANDING CAPACITY FOR GENDER-AFFIRMING 6 |
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| 339 | 339 | | CARE AT COMMUNITY HEALTH CENTERS. 7 |
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| 340 | 340 | | (a) I |
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| 341 | 341 | | NGENERAL.—The Secretary, acting through the 8 |
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| 342 | 342 | | Administrator of the Health Resources and Services Ad-9 |
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| 343 | 343 | | ministration, shall award grants or cooperative agree-10 |
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| 344 | 344 | | ments to eligible entities to promote the capacity of com-11 |
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| 345 | 345 | | munity health centers to provide gender-affirming care to 12 |
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| 346 | 346 | | transgender populations. 13 |
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| 347 | 347 | | (b) E |
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| 348 | 348 | | LIGIBLEENTITIES.—To be eligible to receive a 14 |
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| 349 | 349 | | grant under subsection (a), an entity shall be— 15 |
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| 350 | 350 | | (1) a teaching health center (as defined in sec-16 |
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| 351 | 351 | | tion 749A(f)(3) of the Public Health Service Act (42 17 |
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| 352 | 352 | | U.S.C. 293l–1(f)(3))); 18 |
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| 353 | 353 | | (2) a Federally-qualified health center (as de-19 |
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| 354 | 354 | | fined in section 1905(l)(2)(B) of the Social Security 20 |
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| 355 | 355 | | Act (42 U.S.C. 1396d(l)(2)(B))); 21 |
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| 356 | 356 | | (3) a community mental health center (as de-22 |
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| 357 | 357 | | fined in section 1861(ff)(3)(B) of the Social Security 23 |
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| 358 | 358 | | Act (42 U.S.C. 1395x(ff)(3)(B))); 24 |
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| 362 | 362 | | (4) a rural health clinic (as defined in section 1 |
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| 363 | 363 | | 1861(aa)(2) of the Social Security Act (42 U.S.C. 2 |
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| 364 | 364 | | 1395x(aa)(2))); 3 |
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| 365 | 365 | | (5) a health center operated by the Indian 4 |
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| 366 | 366 | | Health Service, an Indian Tribe, a Tribal organiza-5 |
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| 367 | 367 | | tion, or an Urban Indian organization (as defined in 6 |
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| 368 | 368 | | section 4 of the Indian Health Care Improvement 7 |
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| 369 | 369 | | Act (25 U.S.C. 1603)); or 8 |
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| 370 | 370 | | (6) a State or local entity, such as a State of-9 |
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| 371 | 371 | | fice of rural health. 10 |
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| 372 | 372 | | (c) U |
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| 373 | 373 | | SE OFFUNDS.—A grant under subsection (a) 11 |
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| 374 | 374 | | shall be used to promote the capacity of community health 12 |
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| 375 | 375 | | centers to provide gender-affirming care, which may in-13 |
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| 376 | 376 | | clude— 14 |
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| 377 | 377 | | (1) education and training, including profes-15 |
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| 378 | 378 | | sional development and training on nondiscrimina-16 |
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| 379 | 379 | | tion regulations, for health care professionals and 17 |
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| 380 | 380 | | other staff of health care providers; 18 |
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| 381 | 381 | | (2) establishing or sustaining a community re-19 |
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| 382 | 382 | | view board; 20 |
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| 383 | 383 | | (3) updating electronic health records; and 21 |
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| 384 | 384 | | (4) administrative, operational, or technical 22 |
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| 385 | 385 | | costs related to the effective provision of gender-af-23 |
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| 386 | 386 | | firming care. 24 |
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| 390 | 390 | | (d) MINIMUMPERIOD OFGRANTS.—The period of 1 |
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| 391 | 391 | | a grant under this section shall be not less than 3 years. 2 |
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| 392 | 392 | | (e) A |
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| 393 | 393 | | UTHORIZATION OF APPROPRIATIONS.—There is 3 |
|---|
| 394 | 394 | | authorized to be appropriated to carry out this section 4 |
|---|
| 395 | 395 | | $15,000,000 for each of fiscal years 2026 through 2030. 5 |
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| 396 | 396 | | SEC. 8. TRAINING RURAL PROVIDERS IN GENDER-AFFIRM-6 |
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| 397 | 397 | | ING CARE. 7 |
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| 398 | 398 | | (a) I |
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| 399 | 399 | | NGENERAL.—The Secretary shall award grants 8 |
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| 400 | 400 | | or cooperative agreements to eligible entities to establish 9 |
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| 401 | 401 | | collaborative networks to improve the quality of gender- 10 |
|---|
| 402 | 402 | | affirming care. 11 |
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| 403 | 403 | | (b) E |
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| 404 | 404 | | LIGIBLEENTITIES.—To be eligible for a grant 12 |
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| 405 | 405 | | under subsection (a), an entity shall be— 13 |
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| 406 | 406 | | (1) a public or nonprofit private health care 14 |
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| 407 | 407 | | provider, such as a critical access hospital or health 15 |
|---|
| 408 | 408 | | clinic; 16 |
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| 409 | 409 | | (2) a Federally-qualified health center (as de-17 |
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| 410 | 410 | | fined in section 1905(l)(2)(B) of the Social Security 18 |
|---|
| 411 | 411 | | Act (42 U.S.C. 1396d(l)(2)(B))); 19 |
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| 412 | 412 | | (3) a health care professions school; 20 |
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| 413 | 413 | | (4) a health care delivery site that has fellows, 21 |
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| 414 | 414 | | residents, or other health care professional students 22 |
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| 415 | 415 | | or trainees; and 23 |
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| 416 | 416 | | (5) a licensing or accreditation entity for health 24 |
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| 417 | 417 | | care professions schools. 25 |
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| 421 | 421 | | (c) ALLOWABLEACTIVITIES.—In establishing a col-1 |
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| 422 | 422 | | laborative network as described in subsection (a), a grant-2 |
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| 423 | 423 | | ee may, with respect to gender-affirming care, use grant 3 |
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| 424 | 424 | | funds— 4 |
|---|
| 425 | 425 | | (1) to assist rural health care providers in the 5 |
|---|
| 426 | 426 | | network to conduct or pursue additional training; 6 |
|---|
| 427 | 427 | | (2) to perform provider-to-provider education 7 |
|---|
| 428 | 428 | | and outreach to rural health care providers; and 8 |
|---|
| 429 | 429 | | (3) to perform patient education. 9 |
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| 430 | 430 | | (d) D |
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| 431 | 431 | | EFINITION.—In this section, the term ‘‘rural 10 |
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| 432 | 432 | | health care provider’’ means a health care provider serving 11 |
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| 433 | 433 | | an area that is not designated by the United States Cen-12 |
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| 434 | 434 | | sus Bureau as an urbanized area or urban cluster. 13 |
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| 435 | 435 | | (e) A |
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| 436 | 436 | | UTHORIZATION OF APPROPRIATIONS.—There is 14 |
|---|
| 437 | 437 | | authorized to be appropriated to carry out this section 15 |
|---|
| 438 | 438 | | $5,000,000 for each of fiscal years 2026 through 2030. 16 |
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| 439 | 439 | | SEC. 9. REPORT TO CONGRESS. 17 |
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| 440 | 440 | | (a) S |
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| 441 | 441 | | UBMISSION.—Not later than 2 years after the 18 |
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| 442 | 442 | | date of enactment of this Act the Secretary shall submit 19 |
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| 443 | 443 | | a report to the Congress on the programs and activities 20 |
|---|
| 444 | 444 | | under this Act. 21 |
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| 445 | 445 | | (b) C |
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| 446 | 446 | | ONTENT.—Reports submitted under subsection 22 |
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| 447 | 447 | | (a) shall include— 23 |
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| 448 | 448 | | (1) a description of— 24 |
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| 452 | 452 | | (A) progress made in implementing pro-1 |
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| 453 | 453 | | grams and activities under this Act; and 2 |
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| 454 | 454 | | (B) the extent to which such programs and 3 |
|---|
| 455 | 455 | | activities have improved health equity for 4 |
|---|
| 456 | 456 | | transgender populations; and 5 |
|---|
| 457 | 457 | | (2) recommendations for workforce development 6 |
|---|
| 458 | 458 | | to improve access to, and the quality of, gender-af-7 |
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| 459 | 459 | | firming care for transgender populations. 8 |
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| 460 | 460 | | Æ |
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