Presidential Documents

37189 

Federal Register 

Vol. 87, No. 118 

Tuesday, June 21, 2022 

Title 3— 

The President 

Executive Order 14075 of June 15, 2022 

Advancing Equality for Lesbian, Gay, Bisexual, Transgender, 

Queer, and Intersex Individuals 

By the authority vested in me as President by the Constitution and the 

laws of the United States of America, it is hereby ordered as follows: 

Section 1. Policy. Our Nation has made great strides in fulfilling the fundamental promises of freedom and equality for lesbian, gay, bisexual, 

transgender, queer, and intersex (LGBTQI+) Americans, owing to the leadership of generations of LGBTQI+ individuals. In spite of this historic progress, 

LGBTQI+ individuals and families still face systemic discrimination and 

barriers to full participation in our Nation’s economic and civic life. These 

disparities and barriers can be the greatest for transgender people and 

LGBTQI+ people of color. Today, unrelenting political and legislative attacks 

at the State level—on LGBTQI+ children and families in particular—threaten 

the civil rights gains of the last half century and put LGBTQI+ people 

at risk. These attacks defy our American values of liberty and dignity, 

corrode our democracy, and threaten basic personal safety. They echo the 

criminalization that LGBTQI+ people continue to face in some 70 countries 

around the world. The Federal Government must defend the rights and 

safety of LGBTQI+ individuals. 

It is therefore the policy of my Administration to combat unlawful discrimination and eliminate disparities that harm LGBTQI+ individuals and their 

families, defend their rights and safety, and pursue a comprehensive approach 

to delivering the full promise of equality for LGBTQI+ individuals, consistent 

with Executive Order 13988 of January 20, 2021 (Preventing and Combating 

Discrimination on the Basis of Gender Identity or Sexual Orientation). 

The Federal Government must take action to address the significant disparities that LGBTQI+ youth face in the foster care system, the misuse of 

State and local child welfare agencies to target LGBTQI+ youth and families, 

and the mental health needs of LGBTQI+ youth. My Administration must 

safeguard LGBTQI+ youth from dangerous practices like so-called ‘‘conversion therapy’’—efforts to suppress or change an individual’s sexual orientation, gender identity, or gender expression—a discredited practice that research indicates can cause significant harm, including higher rates of suiciderelated thoughts and behaviors by LGBTQI+ youth. The Federal Government 

must strengthen the supports for LGBTQI+ students in our Nation’s schools 

and other education and training programs. It must also address the discrimination and barriers that LGBTQI+ individuals and families face by expanding 

access to comprehensive health care, including reproductive health; protecting the rights of LGBTQI+ older adults; and preventing and addressing 

LGBTQI+ homelessness and housing instability. Through these actions, the 

Federal Government will help ensure that every person—regardless of who 

they are or whom they love—has the opportunity to live freely and with 

dignity. 

Sec. 2. Addressing Harmful and Discriminatory Legislative Attacks on 

LGBTQI+ Children, Youth, and Families. (a) The Secretary of Health and 

Human Services (HHS) shall, as appropriate and consistent with applicable 

law, use the Department of HHS’s authorities to protect LGBTQI+ individuals’ 

access to medically necessary care from harmful State and local laws and 

practices, and shall promote the adoption of promising policies and practices 

to support health equity, including in the area of mental health care, for 


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LGBTQI+ youth and adults. Within 200 days of the date of this order, 

the Secretary of HHS shall develop and release sample policies for States 

to safeguard and expand access to health care for LGBTQI+ individuals 

and their families, including mental health services. 

(b) The Secretary of Education shall, as appropriate and consistent with 

applicable law, use the Department of Education’s authorities to support 

LGBTQI+ students, their families, educators, and other school personnel 

targeted by harmful State and local laws and practices, and shall promote 

the adoption of promising policies and practices to support the safety, wellbeing, and rights of LGBTQI+ students. Within 200 days of the date of 

this order, the Secretary of Education shall develop and release sample 

policies for supporting LGBTQI+ students’ well-being and academic success 

in schools and educational institutions. 

Sec. 3. Addressing Exposure to So-Called Conversion Therapy. (a) The Secretary of HHS shall establish an initiative to reduce the risk of youth exposure 

to so-called conversion therapy. As part of that initiative, the Secretary 

of HHS shall, as appropriate and consistent with applicable law: 

(i) consider whether to issue guidance clarifying for HHS programs and 

services agencies that so-called conversion therapy does not meet criteria 

for use in federally funded health and human services programs; 

(ii) increase public awareness of the harms and risks associated with 

so-called conversion therapy for LGBTQI+ youth and their families; 

(iii) increase the availability of technical assistance and training to health 

care and social service providers on evidence-informed promising practices 

for supporting the health, including mental health, of LGBTQI+ youth, 

and on the dangers of so-called conversion therapy; and 

(iv) seek funding opportunities for providers of evidence-based traumainformed services to better support survivors of so-called conversion therapy. 

(b) The Federal Trade Commission is encouraged to consider whether 

so-called conversion therapy constitutes an unfair or deceptive act or practice, 

and to issue such consumer warnings or notices as may be appropriate. 

(c) To address so-called conversion therapy around the world, within 

180 days of the date of this order, the Secretary of State, in collaboration 

with the Secretary of the Treasury, the Secretary of HHS, and the Administrator of the United States Agency for International Development, shall develop an action plan to promote an end to its use around the world. In 

developing the action plan, the Secretary of State shall consider the use 

of United States foreign assistance programs and the United States voice 

and vote in multilateral development banks and international development 

institutions of which the United States is a shareholder or donor to take 

appropriate steps to prevent the use of so-called conversion therapy, as 

well as to help ensure that United States foreign assistance programs do 

not use foreign assistance funds for so-called conversion therapy. To further 

critical data collection, the Secretary of State shall instruct all United States 

Embassies and Missions worldwide to submit additional information on 

the practice and incidence of so-called conversion therapy as part of the 

Country Reports on Human Rights Practices. 

Sec. 4. Promoting Family Counseling and Support of LGBTQI+ Youth as 

a Public Health Priority of the United States. (a) ‘‘Family counseling and 

support programs’’ are defined for the purposes of this order as voluntary 

programs in which families and service providers may elect to participate 

that seek to prevent or reduce behaviors associated with family rejection 

of LGBTQI+ youth by providing developmentally appropriate support, counseling, or information to parents, families, caregivers, child welfare and 

school personnel, or health care professionals on how to support an LGBTQI+ 

youth’s safety and well-being. 

(b) The Secretary of HHS shall seek to expand the availability of family 

counseling and support programs in federally funded health, human services, 

and child welfare programs by: 


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(i) considering whether to issue guidance regarding the extent to which 

Federal funding under Title IV–B and IV–E of the Social Security Act, 

42 U.S.C. Ch. 7, may be used to provide family counseling and support 

programs; 

(ii) considering funding opportunities for programs that implement family 

counseling and support models; 

(iii) considering opportunities through the Centers for Disease Control 

and Prevention (CDC) and the National Institutes of Health to increase 

Federal research into the impacts of family rejection and family support 

on the mental health and long-term well-being of LGBTQI+ individuals; 

and 

(iv) ensuring that HHS data, investments, resources, and partnerships related to the CDC Adverse Childhood Experiences program address the 

disparities faced by LGBTQI+ children and youth. 

Sec. 5. Addressing Discrimination and Barriers Faced by LGBTQI+ Children, 

Youth, Parents, Caretakers, and Families in the Child Welfare System and 

Juvenile Justice Systems. (a) The Secretary of HHS shall consider how to 

use the Department’s authorities to strengthen non-discrimination protections 

on the basis of sex, including sexual orientation, gender identity, and sex 

characteristics, in its programs and services, consistent with Executive Order 

13988 and applicable legal requirements. 

(b) The Secretary of HHS shall direct the Assistant Secretary for Family 

Support to establish an initiative to partner with State child welfare agencies 

to help address and eliminate disparities in the child welfare system experienced by LGBTQI+ children, parents, and caregivers, including: the overrepresentation of LGBTQI+ youth in the child welfare system, including 

over-representation in congregate placements; disproportionately high rates 

of abuse, and placements in unsupportive or hostile environments faced 

by LGBTQI+ youth in foster care; disproportionately high rates of homelessness faced by LGBTQI+ youth who exit foster care; and discrimination 

faced by LGBTQI+ parents, kin, and foster and adoptive families. The initiative, as appropriate and consistent with applicable law, shall also take 

actions to: 

(i) seek funding opportunities for programs and services that improve 

outcomes for LGBTQI+ children in the child welfare system; 

(ii) provide increased training and technical assistance to State child welfare agencies and child welfare personnel on promising practices to support 

LGBTQI+ youth in foster care and LGBTQI+ parents and caregivers; 

(iii) develop sample policies for supporting LGBTQI+ children, parents, 

and caregivers in the child welfare system; 

(iv) promote equity and inclusion for LGBTQI+ foster and adoptive parents 

in their interactions with the child welfare system; 

(v) evaluate the rate of child removals from LGBTQI+ families of origin, 

in particular families that include LGBTQI+ women of color, and develop 

proposals to address any disproportionate rates of child removals faced 

by such families; 

(vi) assess and improve the responsible collection and use of data on 

sexual orientation and gender identity in the child welfare system to 

measure and address inequities faced by LGBTQI+ children, parents, and 

caregivers, while safeguarding the privacy, safety, and civil rights of 

LGBTQI+ youth; and 

(vii) advance policies that help to prevent the placement of LGBTQI+ 

youth in foster and congregate care environments that will be hostile 

to their gender identity or sexual orientation. 

(c) The Attorney General shall establish a clearinghouse within the Office 

of Juvenile Justice and Delinquency Prevention to provide effective training, 

technical assistance, and other resources for jurisdictions seeking to better 


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serve LGBTQI+ youth using a continuum-of-care framework. The clearinghouse shall include juvenile justice and delinquency prevention programs 

addressing the needs, including mental health needs, of LGBTQI+ youth. 

Sec. 6. Reviewing Eligibility Standards for Federal Benefits and Programs. 

(a) Within 180 days of the date of this order, the Secretary of HHS shall 

conduct a study on the impact that current Federal statutory and regulatory 

eligibility standards have on the ability of LGBTQI+ and other households 

as determined by the Secretary to access Federal benefits and programs 

for families, and shall produce a public report with findings and recommendations that could increase LGBTQI+ and such other households’ 

participation in and eligibility for Federal benefits and programs for families. 

(b) Within 100 days of the release of the recommendations required by 

subsection (a) of this section, the Director of the Office of Management 

and Budget (OMB) shall coordinate with executive departments and agencies 

(agencies) that administer programs that establish eligibility standards for 

participation by families to complete a review of agencies’ current eligibility 

standards for families. Such agencies shall seek opportunities, consistent 

with applicable law, to adopt more inclusive eligibility standards in line 

with the recommendations in the report produced pursuant to subsection 

(a) of this section. 

Sec. 7. Safeguarding Access to Health Care and Other Health Supports 

for LGBTQI+ Individuals. The Secretary of HHS shall establish an initiative 

to address the health disparities facing LGBTQI+ youth and adults, take 

steps to prevent LGBTQI+ suicide, and address the barriers and exclusionary 

policies that LGBTQI+ individuals and families face in accessing quality, 

affordable, comprehensive health care, including mental health care, reproductive health care, and HIV prevention and treatment. As part of that 

initiative, the Secretary of HHS shall, as appropriate and consistent with 

applicable law: 

(a) seek funding opportunities related to health, including mental health, 

for LGBTQI+ individuals, especially youth, including resources for the Nation’s suicide prevention and crisis support services to support LGBTQI+ 

individuals; 

(b) promote expanded access to comprehensive health care for LGBTQI+ 

individuals, including by working with States on expanding access to genderaffirming care; 

(c) issue guidance through the Substance Abuse and Mental Health Services 

Administration and the Office of the Assistant Secretary for Health, within 

100 days of the date of this order, on providing evidence-informed mental 

health care and substance use treatment and support services for LGBTQI+ 

youth; and 

(d) develop and issue a report, within 1 year of the date of this order, 

and after consultation with medical experts, medical associations, and individuals with lived expertise, on promising practices for advancing health 

equity for intersex individuals. 

Sec. 8. Supporting LGBTQI+ Students in our Nation’s Schools and Educational Institutions. The Secretary of Education shall establish a Working 

Group on LGBTQI+ Students and Families, which shall lead an initiative 

to address discrimination against LGBTQI+ students and strengthen supports 

for LGBTQI+ students and families. Through that Working Group, the Secretary of Education shall, as appropriate and consistent with applicable 

law: 

(a) review, revise, develop, and promote guidance, technical assistance, 

training, promising practices, and sample policies for States, school districts, 

and other educational institutions to promote safe and inclusive learning 

environments in which all LGBTQI+ students thrive and to address bullying 

of LGBTQI+ students; 

(b) identify promising practices for helping to ensure that school-based 

health services and supports, especially mental health services, are accessible 

to and supportive of LGBTQI+ students; 


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(c) seek funding opportunities for grantees and programs that will improve 

educational and health outcomes, especially mental health outcomes, for 

LGBTQI+ students and other underserved students; and 

(d) seek to strengthen supportive services for LGBTQI+ students and families experiencing homelessness, including those provided by the National 

Center for Homeless Education. 

Sec. 9. Preventing and Ending LGBTQI+ Homelessness and Housing Instability. (a) The Secretary of Housing and Urban Development (HUD) shall 

establish a Working Group on LGBTQI+ Homelessness and Housing Equity, 

which shall lead an initiative that aims to prevent and address homelessness 

and housing instability among LGBTQI+ individuals, including youth, and 

households. As part of that initiative, the Secretary of HUD shall, as appropriate and consistent with applicable law: 

(i) identify and address barriers to housing faced by LGBTQI+ individuals, 

including youth, and families that place them at high risk of housing 

instability and homelessness; 

(ii) provide guidance and technical assistance to HUD contractors, grantees, 

and programs on effectively and respectfully serving LGBTQI+ individuals, 

including youth, and families; 

(iii) develop and provide guidance, sample policies, technical assistance, 

and training to Continuums of Care, established pursuant to HUD’s Continuum of Care Program; homeless service providers; and housing providers 

to improve services and outcomes for LGBTQI+ individuals, including 

youth, and families who are experiencing or are at risk of homelessness, 

and to ensure compliance with the Fair Housing Act, 42 U.S.C. 3601 

et seq., and HUD’s 2012 and 2016 Equal Access Rules; and 

(iv) seek funding opportunities, including through the Youth Homelessness 

Demonstration Program, for culturally appropriate services that address 

barriers to housing for LGBTQI+ individuals, including youth, and families, 

and the high rates of LGBTQI+ youth homelessness. 

(b) The Secretary of HHS, through the Assistant Secretary for Family 

Support, shall, as appropriate and consistent with applicable law: 

(i) use agency guidance, training, and technical assistance to implement 

non-discrimination protections on the basis of sexual orientation and gender identity in programs established pursuant to the Runaway and Homeless Youth Act (Public Law 110–378), and ensure that such programs 

address LGBTQI+ youth homelessness; and 

(ii) coordinate with youth advisory boards funded through the Runaway 

and Homeless Youth Training and Technical Assistance Center and the 

National Runaway Safeline to seek input from LGBTQI+ youth who have 

experienced homelessness on improving federally funded services and 

programs. 

Sec. 10. Strengthening Supports for LGBTQI+ Older Adults. The Secretary 

of HHS shall address discrimination, social isolation, and health disparities 

faced by LGBTQI+ older adults, including by: 

(a) developing and publishing guidance on non-discrimination protections 

on the basis of sex, including sexual orientation, gender identity, and sex 

characteristics, and other rights of LGBTQI+ older adults in long-term care 

settings; 

(b) developing and publishing a document parallel to the guidance required 

by subsection (a) of this section in plain language, titled ‘‘Bill of Rights 

for LGBTQI+ Older Adults,’’ to support LGBTQI+ older adults and providers 

in understanding the rights of LGBTQI+ older adults in long-term care 

settings; 

(c) considering whether to issue a notice of proposed rulemaking to clarify 

that LGBTQI+ individuals are included in the definition of ‘‘greatest social 

need’’ for purposes of targeting outreach, service provision, and funding 

under the Older Americans Act, 42 U.S.C. 3001 et seq.; and 


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(d) considering ways to improve and increase appropriate data collection 

on sexual orientation and gender identity in surveys on older adults, including by providing technical assistance to States on the collection of such 

data. 

Sec. 11. Promoting Inclusive and Responsible Federal Data Collection Practices. (a) Advancing equity and full inclusion for LGBTQI+ individuals requires that the Federal Government use evidence and data to measure and 

address the disparities that LGBTQI+ individuals, families, and households 

face, while safeguarding privacy, security, and civil rights. 

(b) To advance the responsible and effective collection and use of data 

on sexual orientation, gender identity, and sex characteristics (SOGI data), 

the Co-Chairs of the Interagency Working Group on Equitable Data established 

in Executive Order 13985 of January 20, 2021 (Advancing Racial Equity 

and Support for Underserved Communities Through the Federal Government), shall, within 30 days of the date of this order, establish a subcommittee 

on SOGI data to coordinate with agencies on strengthening the Federal 

Government’s collection of SOGI data to advance equity for LGBTQI+ individuals. Within 120 days of the date of this order, the subcommittee shall, 

in coordination with the Director of OMB, develop and release a Federal 

Evidence Agenda on LGBTQI+ Equity, which shall: 

(i) describe disparities faced by LGBTQI+ individuals that could be better 

understood through Federal statistics and data collection; 

(ii) identify, in coordination with agency Statistical Officials, Chief Science 

Officers, Chief Data Officers, and Evaluation Officers, Federal data collections where improved SOGI data collection may be important for advancing 

the Federal Government’s ability to measure disparities facing LGBTQI+ 

individuals; and 

(iii) identify practices for all agencies engaging in SOGI data collection 

to follow in order to safeguard privacy, security, and civil rights, including 

with regard to appropriate and robust practices of consent for the collection 

of this data and restrictions on its use or transfer. 

(c) Within 200 days of the date of this order, the head of each agency 

that conducts relevant programs or statistical surveys related to the Federal 

Evidence Agenda on LGBTQI+ Equity shall submit to the Co-Chairs of the 

Interagency Working Group on Equitable Data a SOGI Data Action Plan, 

which shall detail how the agency plans to use SOGI data to advance 

equity for LGBTQI+ individuals and shall identify how the agency plans 

to implement the recommendations in the Federal Evidence Agenda on 

LGBTQI+ Equity. 

(d) To support implementation of agency SOGI Data Action Plans, the 

head of each agency shall include in the agency’s annual budget submission 

to the Director of OMB a request for any necessary funding increases to 

support improved SOGI data practices. 

(e) Within 180 days of the date of this order, to support agencies in 

appropriately collecting and using SOGI data, the Director of OMB, through 

the Chief Statistician of the United States, shall publish a report with recommendations for agencies on the best practices for the collection of SOGI 

data on Federal statistical surveys, including strategies to preserve data 

privacy and safety. 

(f) On an annual basis, the Director of OMB, through the Chief Statistician 

of the United States, shall evaluate the efficacy of SOGI data practices 

across agencies, and shall consider whether to update reports, guidance, 

or directives based upon the latest evidence and research as needed. 

Sec. 12. Reporting. Within 1 year of the date of this order: 

(a) The Attorney General shall submit a report to the President through 

the Assistant to the President for Domestic Policy (APDP) detailing progress 

in implementing section 5 of this order; 


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(b) The Secretary of HHS shall submit a report to the President through 

the APDP detailing progress in implementing sections 2 through 7 and 

9 through 11 of this order; 

(c) The Secretary of Education shall submit a report to the President 

through the APDP detailing progress in implementing sections 2, 8, and 

11 of this order; 

(d) The Secretary of HUD shall submit a report to the President through 

the APDP detailing progress in implementing sections 9 and 11 of this 

order; 

(e) The Secretary of State shall submit a report to the President through 

the APDP detailing progress in implementing section 3 of this order; 

(f) The Director of OMB shall submit a report to the President through 

the APDP detailing progress in implementing sections 6 and 11 of this 

order; and 

(g) The Director of OMB, through the Chief Statistician of the United 

States, shall submit a report to the President through the APDP detailing 

progress in implementing section 11 of this order. 

Sec. 13. General Provisions. (a) Nothing in this order shall be construed 

to impair or otherwise affect: 

(i) the authority granted by law to an executive department or agency, 

or the head thereof; or 

(ii) the functions of the Director of the Office of Management and Budget 

relating to budgetary, administrative, or legislative proposals. 

(b) This order shall be implemented consistent with applicable law and 

subject to the availability of appropriations. 

(c) This order is not intended to, and does not, create any right or benefit, 

substantive or procedural, enforceable at law or in equity by any party 

against the United States, its departments, agencies, or entities, its officers, 

employees, or agents, or any other person. 

THE WHITE HOUSE, 

June 15, 2022. 

[FR Doc. 2022–13391 

Filed 6–17–22; 11:15 am] 

Billing code 3395–F2–P 


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