I
119THCONGRESS
1
STSESSION H. R. 2487
To improve access to evidence-based, lifesaving health care for transgender
people, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
MARCH31, 2025
Ms. B
ALINT(for herself, Ms. ANSARI, Ms. CROCKETT, Mr. DAVISof Illinois,
Mr. E
SPAILLAT, Mr. EVANSof Pennsylvania, Ms. JACOBS, Ms. JAYAPAL,
Mr. J
OHNSONof Georgia, Ms. JOHNSONof Texas, Mr. KHANNA, Mr.
K
RISHNAMOORTHI, Mr. LANDSMAN, Ms. LEEof Pennsylvania, Ms.
M
CCLELLAN, Mrs. MCIVER, Mr. NADLER, Ms. NORTON, Ms. OCASIO-
C
ORTEZ, Mr. POCAN, Mrs. RAMIREZ, Ms. RANDALL, Ms. SCHAKOWSKY,
Mr. T
AKANO, Mr. THANEDAR, Ms. TLAIB, Ms. TOKUDA, Mr. TONKO, Ms.
V
ELA´ZQUEZ, and Mrs. WATSONCOLEMAN) introduced the following bill;
which was referred to the Committee on Energy and Commerce
A BILL
To improve access to evidence-based, lifesaving health care
for transgender people, and for other purposes.
Be it enacted by the Senate and House of Representa-1
tives of the United States of America in Congress assembled, 2
SECTION 1. SHORT TITLE. 3
This Act may be referred to as the ‘‘Transgender 4
Health Care Access Act’’. 5
SEC. 2. TABLE OF CONTENTS. 6
The table of contents of this Act is as follows: 7
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Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. Findings.
Sec. 4. Definitions.
Sec. 5. Improving medical education curricula for gender-affirming care.
Sec. 6. Training demonstration program for gender-affirming care.
Sec. 7. Expanding capacity for gender-affirming care at community health cen-
ters.
Sec. 8. Training rural providers in gender-affirming care.
Sec. 9. Report to Congress.
SEC. 3. FINDINGS.
1
Congress finds the following: 2
(1) Receiving gender-affirming care increases 3
self-esteem and quality of life and decreases depres-4
sion, self-harm, and suicidality in transgender people 5
of all ages. 6
(2) There is a strong medical consensus about 7
the importance of health care for transgender peo-8
ple, including transgender young people. The Amer-9
ican Academy of Child and Adolescent Psychiatry, 10
American Academy of Dermatology, American Acad-11
emy of Pediatrics, American Academy of Physician 12
Assistants, American Medical Association, American 13
Nurses Association, American Association of Clinical 14
Endocrinology, American Association of Geriatric 15
Psychiatry, American College Health Association, 16
American College of Nurse-Midwives, American Col-17
lege of Obstetricians and Gynecologists, American 18
College of Physicians, American Counseling Associa-19
tion, American Heart Association, American Medical 20
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Student Association, American Psychiatric Associa-1
tion, American Psychological Association, American 2
Society for Reproductive Medicine, American 3
Urological Association, Endocrine Society, Federa-4
tion of Pediatric Organizations, GLMA: Health Pro-5
fessionals Advancing LGBTQ Equality, The Journal 6
of the American Medical Association, National Asso-7
ciation of Nurse Practitioners in Women’s Health, 8
National Association of Social Workers, Pediatric 9
Endocrine Society, Pediatrics (Journal of the Amer-10
ican Academy of Pediatrics), United States Profes-11
sional Association for Transgender Health 12
(USPATH), World Health Organization (WHO), 13
World Medical Association, and World Professional 14
Association for Transgender Health, have all issued 15
statements in support of health care for transgender 16
people. 17
(3) There is a gap in education across health 18
professions around treating transgender patients. 19
One survey of students at 10 medical schools showed 20
that approximately 80 percent of students did not 21
feel competent at treating transgender patients. 22
(4) Academic literature shows that this edu-23
cation gap is a significant barrier to appropriate 24
health care. 25
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(5) Experts in gender-affirming care and cul-1
turally competent care for transgender people are 2
improving access to gender-affirming care through 3
peer-to-peer education. 4
SEC. 4. DEFINITIONS. 5
In this Act: 6
(1) The term ‘‘gender-affirming care’’— 7
(A) means health care designed to treat 8
gender dysphoria; 9
(B) includes all supplies, care, and services 10
of a medical, behavioral health, mental health, 11
surgical, psychiatric, therapeutic, diagnostic, 12
preventative, rehabilitative, or supportive na-13
ture, including medication, relating to the treat-14
ment of gender dysphoria; and 15
(C) excludes conversion therapy. 16
(2) The term ‘‘Secretary’’ means the Secretary 17
of Health and Human Services. 18
SEC. 5. IMPROVING MEDICAL EDUCATION CURRICULA FOR 19
GENDER-AFFIRMING CARE. 20
(a) I
MPROVING THEPROVISION OFGENDER-AFFIRM-21
INGCARE.— 22
(1) I
N GENERAL.—The Secretary, acting 23
through the Administrator of the Health Resources 24
and Services Administration, shall award grants to 25
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eligible entities for the development, evaluation, and 1
implementation of model curricula, demonstration 2
projects, and training projects to improve the provi-3
sion of gender-affirming care. 4
(2) E
LIGIBLE ENTITIES.—To be eligible to re-5
ceive a grant under paragraph (1), an entity shall 6
be— 7
(A) a health care professions school; 8
(B) a health care delivery site with fellows, 9
residents, or other health care professional stu-10
dents or trainees; or 11
(C) a licensing or accreditation entity for 12
health care professions schools. 13
(b) C
URRICULA.— 14
(1) T
OPICS.—The Secretary shall ensure that 15
curricula developed pursuant to subsection (a) in-16
clude instruction on one or more of the following 17
topics: 18
(A) Gender-affirming care. 19
(B) Cultural competency in treating 20
transgender patients. 21
(2) P
EDAGOGICAL APPROACHES .—Curricula de-22
veloped pursuant to subsection (a) may employ— 23
(A) didactic education; 24
(B) clinical education; 25
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(C) simulated or standardized patient edu-1
cation; 2
(D) community-based research; and 3
(E) community-based learning. 4
(c) D
ISSEMINATION.—The Secretary, acting through 5
the Director of the National Library of Medicine and the 6
Director of the National Institutes of Health, in collabora-7
tion with medical education accrediting organizations, 8
shall disseminate model curricula developed under this 9
section. 10
(d) D
URATION OFAWARD.—The period of a grant 11
under this section shall be 3 years, subject to annual re-12
view and continuation by the Secretary. 13
(e) C
ARRYOVERFUNDS.—The Secretary shall make 14
available funds to grantees under this section on an an-15
nual basis, but may authorize a grantee to retain the 16
funds for obligation and expenditure through the end of 17
the 3-year grant period referred to in subsection (f). 18
(f) A
UTHORIZATIONS OF APPROPRIATIONS.—There 19
is authorized to be appropriated to carry out this section 20
$10,000,000 for each of fiscal years 2026 through 2030. 21
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SEC. 6. TRAINING DEMONSTRATION PROGRAM FOR GEN-1
DER-AFFIRMING CARE. 2
(a) I
NGENERAL.—The Secretary shall establish a 3
demonstration program to award grants to eligible entities 4
to support— 5
(1) training for medical residents and fellows to 6
practice gender-affirming care; 7
(2) training (including for individuals com-8
pleting clinical training requirements for licensure) 9
for nurse practitioners, physician assistants, health 10
service psychologists, clinical psychologists, coun-11
selors, nurses, and social workers to practice gender- 12
affirming care; and 13
(3) establishing, maintaining, or improving aca-14
demic programs that— 15
(A) provide training for students or fac-16
ulty, including through clinical experiences, to 17
improve their ability to provide culturally com-18
petent gender-affirming care; and 19
(B) conduct research to develop evidence- 20
based practices regarding gender-affirming 21
care, including curriculum content standards 22
for programs that provide training for students 23
or faculty as described in subparagraph (A). 24
(b) E
LIGIBLEENTITIES.— 25
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(1) TRAINING FOR RESIDENTS AND FEL -1
LOWS.—To be eligible to receive a grant under sub-2
section (a)(1), an entity shall be— 3
(A) a consortium consisting of— 4
(i) at least one teaching health center; 5
and 6
(ii) the sponsoring institution (or par-7
ent institution of the sponsoring institu-8
tion) of— 9
(I) a residency program in pri-10
mary care, internal medicine, family 11
medicine, pediatric medicine, gyne-12
cology, endocrinology, or surgery that 13
is accredited by the Accreditation 14
Council for Graduate Medical Edu-15
cation; or 16
(II) a fellowship program in a 17
field identified in subclause (I); or 18
(B) an institution described in subpara-19
graph (A)(ii) that provides opportunities for 20
residents or fellows to train in community-based 21
settings that provide health care to transgender 22
populations. 23
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(2) TRAINING FOR OTHER PROVIDERS .—To be 1
eligible to receive a grant under subsection (a)(2), 2
an entity shall be— 3
(A) a teaching health center (as defined in 4
section 749A(f)(3) of the Public Health Service 5
Act (42 U.S.C. 293l–1(f)(3))); 6
(B) a Federally-qualified health center (as 7
defined in section 1905(l)(2)(B) of the Social 8
Security Act (42 U.S.C. 1396d(l)(2)(B))); 9
(C) a community mental health center (as 10
defined in section 1861(ff)(3)(B) of the Social 11
Security Act (42 U.S.C. 1395x(ff)(3)(B))); 12
(D) a rural health clinic (as defined in sec-13
tion 1861(aa)(2) of the Social Security Act (42 14
U.S.C. 1395x(aa)(2))); 15
(E) a health center operated by the Indian 16
Health Service, an Indian Tribe, a Tribal orga-17
nization, or an Urban Indian organization (as 18
defined in section 4 of the Indian Health Care 19
Improvement Act (25 U.S.C. 1603)); or 20
(F) an entity with a demonstrated record 21
of success in providing training for nurse prac-22
titioners, physician assistants, health service 23
psychologists, counselors, nurses, or social 24
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workers, including such entities that serve pedi-1
atric populations. 2
(3) A
CADEMIC UNITS OR PROGRAMS .—To be el-3
igible to receive a grant under subsection (a)(3), an 4
entity shall be— 5
(A) a school of medicine or osteopathic 6
medicine; 7
(B) a school of nursing; 8
(C) a physician assistant training program; 9
(D) a school of pharmacy; 10
(E) a school of social work; 11
(F) an accredited public or nonprofit pri-12
vate hospital; 13
(G) an accredited medical residency pro-14
gram; or 15
(H) a public or nonprofit private entity 16
that the Secretary determines is capable of car-17
rying out such a grant because of prior experi-18
ence providing education on the provision of 19
health care to transgender people. 20
(c) U
SE OFFUNDS.— 21
(1) T
RAINING GRANTS.—A recipient of a grant 22
under subsection (a)(1) or (a)(2)— 23
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(A) shall use the grant funds to plan, de-1
velop, and operate a training program for resi-2
dents and fellows; and 3
(B) may use the grant funds to— 4
(i) support the administration of a 5
program described in subparagraph (A); 6
(ii) support professional development 7
for faculty of a program described in sub-8
paragraph (A); or 9
(iii) establish, maintain, or improve 10
departments, divisions, or other units nec-11
essary to implement a program described 12
in subparagraph (A). 13
(2) G
RANTS TO ACADEMIC UNITS OR PRO -14
GRAMS.—A recipient of a grant under subsection 15
(a)(3) shall enter into a partnership with education 16
accrediting organizations or similar organizations to 17
carry out activities under subsection (a)(3). 18
(d) P
RIORITY.—In making awards under this section, 19
the Secretary shall give priority to eligible entities that— 20
(1) have a history of providing health care to 21
transgender people; or 22
(2) serve areas where access to gender-affirm-23
ing care is limited. 24
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(e) MINIMUMPERIOD OFGRANTS.—The period of a 1
grant under this section shall be not less than 5 years. 2
(f) A
UTHORIZATION OF APPROPRIATIONS.—There is 3
authorized to be appropriated to carry out this section 4
$15,000,000 for each of fiscal years 2026 through 2030. 5
SEC. 7. EXPANDING CAPACITY FOR GENDER-AFFIRMING 6
CARE AT COMMUNITY HEALTH CENTERS. 7
(a) I
NGENERAL.—The Secretary, acting through the 8
Administrator of the Health Resources and Services Ad-9
ministration, shall award grants or cooperative agree-10
ments to eligible entities to promote the capacity of com-11
munity health centers to provide gender-affirming care to 12
transgender populations. 13
(b) E
LIGIBLEENTITIES.—To be eligible to receive a 14
grant under subsection (a), an entity shall be— 15
(1) a teaching health center (as defined in sec-16
tion 749A(f)(3) of the Public Health Service Act (42 17
U.S.C. 293l–1(f)(3))); 18
(2) a Federally-qualified health center (as de-19
fined in section 1905(l)(2)(B) of the Social Security 20
Act (42 U.S.C. 1396d(l)(2)(B))); 21
(3) a community mental health center (as de-22
fined in section 1861(ff)(3)(B) of the Social Security 23
Act (42 U.S.C. 1395x(ff)(3)(B))); 24
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(4) a rural health clinic (as defined in section 1
1861(aa)(2) of the Social Security Act (42 U.S.C. 2
1395x(aa)(2))); 3
(5) a health center operated by the Indian 4
Health Service, an Indian Tribe, a Tribal organiza-5
tion, or an Urban Indian organization (as defined in 6
section 4 of the Indian Health Care Improvement 7
Act (25 U.S.C. 1603)); or 8
(6) a State or local entity, such as a State of-9
fice of rural health. 10
(c) U
SE OFFUNDS.—A grant under subsection (a) 11
shall be used to promote the capacity of community health 12
centers to provide gender-affirming care, which may in-13
clude— 14
(1) education and training, including profes-15
sional development and training on nondiscrimina-16
tion regulations, for health care professionals and 17
other staff of health care providers; 18
(2) establishing or sustaining a community re-19
view board; 20
(3) updating electronic health records; and 21
(4) administrative, operational, or technical 22
costs related to the effective provision of gender-af-23
firming care. 24
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(d) MINIMUMPERIOD OFGRANTS.—The period of 1
a grant under this section shall be not less than 3 years. 2
(e) A
UTHORIZATION OF APPROPRIATIONS.—There is 3
authorized to be appropriated to carry out this section 4
$15,000,000 for each of fiscal years 2026 through 2030. 5
SEC. 8. TRAINING RURAL PROVIDERS IN GENDER-AFFIRM-6
ING CARE. 7
(a) I
NGENERAL.—The Secretary shall award grants 8
or cooperative agreements to eligible entities to establish 9
collaborative networks to improve the quality of gender- 10
affirming care. 11
(b) E
LIGIBLEENTITIES.—To be eligible for a grant 12
under subsection (a), an entity shall be— 13
(1) a public or nonprofit private health care 14
provider, such as a critical access hospital or health 15
clinic; 16
(2) a Federally-qualified health center (as de-17
fined in section 1905(l)(2)(B) of the Social Security 18
Act (42 U.S.C. 1396d(l)(2)(B))); 19
(3) a health care professions school; 20
(4) a health care delivery site that has fellows, 21
residents, or other health care professional students 22
or trainees; and 23
(5) a licensing or accreditation entity for health 24
care professions schools. 25
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(c) ALLOWABLEACTIVITIES.—In establishing a col-1
laborative network as described in subsection (a), a grant-2
ee may, with respect to gender-affirming care, use grant 3
funds— 4
(1) to assist rural health care providers in the 5
network to conduct or pursue additional training; 6
(2) to perform provider-to-provider education 7
and outreach to rural health care providers; and 8
(3) to perform patient education. 9
(d) D
EFINITION.—In this section, the term ‘‘rural 10
health care provider’’ means a health care provider serving 11
an area that is not designated by the United States Cen-12
sus Bureau as an urbanized area or urban cluster. 13
(e) A
UTHORIZATION OF APPROPRIATIONS.—There is 14
authorized to be appropriated to carry out this section 15
$5,000,000 for each of fiscal years 2026 through 2030. 16
SEC. 9. REPORT TO CONGRESS. 17
(a) S
UBMISSION.—Not later than 2 years after the 18
date of enactment of this Act the Secretary shall submit 19
a report to the Congress on the programs and activities 20
under this Act. 21
(b) C
ONTENT.—Reports submitted under subsection 22
(a) shall include— 23
(1) a description of— 24
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(A) progress made in implementing pro-1
grams and activities under this Act; and 2
(B) the extent to which such programs and 3
activities have improved health equity for 4
transgender populations; and 5
(2) recommendations for workforce development 6
to improve access to, and the quality of, gender-af-7
firming care for transgender populations. 8
Æ
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