I 
119TH CONGRESS 
1ST SESSION H. R. 2487 
To improve access to evidence-based, lifesaving health care for transgender 
people, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 31, 2025 
Ms. BALINT (for herself, Ms. ANSARI, Ms. CROCKETT, Mr. DAVIS of Illinois, 
Mr. ESPAILLAT, Mr. EVANS of Pennsylvania, Ms. JACOBS, Ms. JAYAPAL, 
Mr. JOHNSON of Georgia, Ms. JOHNSON of Texas, Mr. KHANNA, Mr. 
KRISHNAMOORTHI, Mr. LANDSMAN, Ms. LEE of Pennsylvania, Ms. 
MCCLELLAN, Mrs. MCIVER, Mr. NADLER, Ms. NORTON, Ms. OCASIO- 
CORTEZ, Mr. POCAN, Mrs. RAMIREZ, Ms. RANDALL, Ms. SCHAKOWSKY, 
Mr. TAKANO, Mr. THANEDAR, Ms. TLAIB, Ms. TOKUDA, Mr. TONKO, Ms. 
VELA´ZQUEZ, and Mrs. WATSON COLEMAN) 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-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be referred to as the ‘‘Transgender 
Health Care Access Act’’. 
SEC. 2. TABLE OF CONTENTS. 
The table of contents of this Act is as follows: 
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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. 
Congress finds the following: 
(1) Receiving gender-affirming care increases 
self-esteem and quality of life and decreases depres-
sion, self-harm, and suicidality in transgender people 
of all ages. 
(2) There is a strong medical consensus about 
the importance of health care for transgender peo-
ple, including transgender young people. The Amer-
ican Academy of Child and Adolescent Psychiatry, 
American Academy of Dermatology, American Acad-
emy of Pediatrics, American Academy of Physician 
Assistants, American Medical Association, American 
Nurses Association, American Association of Clinical 
Endocrinology, American Association of Geriatric 
Psychiatry, American College Health Association, 
American College of Nurse-Midwives, American Col-
lege of Obstetricians and Gynecologists, American 
College of Physicians, American Counseling Associa-
tion, American Heart Association, American Medical 
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Student Association, American Psychiatric Associa-
tion, American Psychological Association, American 
Society 
for 
Reproductive 
Medicine, 
American 
Urological Association, Endocrine Society, Federa-
tion of Pediatric Organizations, GLMA: Health Pro-
fessionals Advancing LGBTQ Equality, The Journal 
of the American Medical Association, National Asso-
ciation of Nurse Practitioners in Women’s Health, 
National Association of Social Workers, Pediatric 
Endocrine Society, Pediatrics (Journal of the Amer-
ican Academy of Pediatrics), United States Profes-
sional 
Association 
for 
Transgender 
Health 
(USPATH), World Health Organization (WHO), 
World Medical Association, and World Professional 
Association for Transgender Health, have all issued 
statements in support of health care for transgender 
people. 
(3) There is a gap in education across health 
professions around treating transgender patients. 
One survey of students at 10 medical schools showed 
that approximately 80 percent of students did not 
feel competent at treating transgender patients. 
(4) Academic literature shows that this edu-
cation gap is a significant barrier to appropriate 
health care. 
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(5) Experts in gender-affirming care and cul-
turally competent care for transgender people are 
improving access to gender-affirming care through 
peer-to-peer education. 
SEC. 4. DEFINITIONS. 
In this Act: 
(1) The term ‘‘gender-affirming care’’— 
(A) means health care designed to treat 
gender dysphoria; 
(B) includes all supplies, care, and services 
of a medical, behavioral health, mental health, 
surgical, psychiatric, therapeutic, diagnostic, 
preventative, rehabilitative, or supportive na-
ture, including medication, relating to the treat-
ment of gender dysphoria; and 
(C) excludes conversion therapy. 
(2) The term ‘‘Secretary’’ means the Secretary 
of Health and Human Services. 
SEC. 5. IMPROVING MEDICAL EDUCATION CURRICULA FOR 
GENDER-AFFIRMING CARE. 
(a) IMPROVING THE PROVISION OF GENDER-AFFIRM-
ING CARE.— 
(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Administrator of the Health Resources 
and Services Administration, shall award grants to 
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eligible entities for the development, evaluation, and 
implementation of model curricula, demonstration 
projects, and training projects to improve the provi-
sion of gender-affirming care. 
(2) ELIGIBLE ENTITIES.—To be eligible to re-
ceive a grant under paragraph (1), an entity shall 
be— 
(A) a health care professions school; 
(B) a health care delivery site with fellows, 
residents, or other health care professional stu-
dents or trainees; or 
(C) a licensing or accreditation entity for 
health care professions schools. 
(b) CURRICULA.— 
(1) TOPICS.—The Secretary shall ensure that 
curricula developed pursuant to subsection (a) in-
clude instruction on one or more of the following 
topics: 
(A) Gender-affirming care. 
(B) 
Cultural 
competency 
in 
treating 
transgender patients. 
(2) PEDAGOGICAL APPROACHES.—Curricula de-
veloped pursuant to subsection (a) may employ— 
(A) didactic education; 
(B) clinical education; 
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(C) simulated or standardized patient edu-
cation; 
(D) community-based research; and 
(E) community-based learning. 
(c) DISSEMINATION.—The Secretary, acting through 
the Director of the National Library of Medicine and the 
Director of the National Institutes of Health, in collabora-
tion with medical education accrediting organizations, 
shall disseminate model curricula developed under this 
section. 
(d) DURATION OF AWARD.—The period of a grant 
under this section shall be 3 years, subject to annual re-
view and continuation by the Secretary. 
(e) CARRYOVER FUNDS.—The Secretary shall make 
available funds to grantees under this section on an an-
nual basis, but may authorize a grantee to retain the 
funds for obligation and expenditure through the end of 
the 3-year grant period referred to in subsection (f). 
(f) AUTHORIZATIONS OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$10,000,000 for each of fiscal years 2026 through 2030. 
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SEC. 6. TRAINING DEMONSTRATION PROGRAM FOR GEN-
DER-AFFIRMING CARE. 
(a) IN GENERAL.—The Secretary shall establish a 
demonstration program to award grants to eligible entities 
to support— 
(1) training for medical residents and fellows to 
practice gender-affirming care; 
(2) training (including for individuals com-
pleting clinical training requirements for licensure) 
for nurse practitioners, physician assistants, health 
service psychologists, clinical psychologists, coun-
selors, nurses, and social workers to practice gender- 
affirming care; and 
(3) establishing, maintaining, or improving aca-
demic programs that— 
(A) provide training for students or fac-
ulty, including through clinical experiences, to 
improve their ability to provide culturally com-
petent gender-affirming care; and 
(B) conduct research to develop evidence- 
based 
practices 
regarding 
gender-affirming 
care, including curriculum content standards 
for programs that provide training for students 
or faculty as described in subparagraph (A). 
(b) ELIGIBLE ENTITIES.— 
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(1) TRAINING
FOR
RESIDENTS
AND
FEL-
LOWS.—To be eligible to receive a grant under sub-
section (a)(1), an entity shall be— 
(A) a consortium consisting of— 
(i) at least one teaching health center; 
and 
(ii) the sponsoring institution (or par-
ent institution of the sponsoring institu-
tion) of— 
(I) a residency program in pri-
mary care, internal medicine, family 
medicine, pediatric medicine, gyne-
cology, endocrinology, or surgery that 
is accredited by the Accreditation 
Council for Graduate Medical Edu-
cation; or 
(II) a fellowship program in a 
field identified in subclause (I); or 
(B) an institution described in subpara-
graph (A)(ii) that provides opportunities for 
residents or fellows to train in community-based 
settings that provide health care to transgender 
populations. 
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(2) TRAINING FOR OTHER PROVIDERS.—To be 
eligible to receive a grant under subsection (a)(2), 
an entity shall be— 
(A) a teaching health center (as defined in 
section 749A(f)(3) of the Public Health Service 
Act (42 U.S.C. 293l–1(f)(3))); 
(B) a Federally-qualified health center (as 
defined in section 1905(l)(2)(B) of the Social 
Security Act (42 U.S.C. 1396d(l)(2)(B))); 
(C) a community mental health center (as 
defined in section 1861(ff)(3)(B) of the Social 
Security Act (42 U.S.C. 1395x(ff)(3)(B))); 
(D) a rural health clinic (as defined in sec-
tion 1861(aa)(2) of the Social Security Act (42 
U.S.C. 1395x(aa)(2))); 
(E) a health center operated by the Indian 
Health Service, an Indian Tribe, a Tribal orga-
nization, or an Urban Indian organization (as 
defined in section 4 of the Indian Health Care 
Improvement Act (25 U.S.C. 1603)); or 
(F) an entity with a demonstrated record 
of success in providing training for nurse prac-
titioners, physician assistants, health service 
psychologists, counselors, nurses, or social 
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workers, including such entities that serve pedi-
atric populations. 
(3) ACADEMIC UNITS OR PROGRAMS.—To be el-
igible to receive a grant under subsection (a)(3), an 
entity shall be— 
(A) a school of medicine or osteopathic 
medicine; 
(B) a school of nursing; 
(C) a physician assistant training program; 
(D) a school of pharmacy; 
(E) a school of social work; 
(F) an accredited public or nonprofit pri-
vate hospital; 
(G) an accredited medical residency pro-
gram; or 
(H) a public or nonprofit private entity 
that the Secretary determines is capable of car-
rying out such a grant because of prior experi-
ence providing education on the provision of 
health care to transgender people. 
(c) USE OF FUNDS.— 
(1) TRAINING GRANTS.—A recipient of a grant 
under subsection (a)(1) or (a)(2)— 
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(A) shall use the grant funds to plan, de-
velop, and operate a training program for resi-
dents and fellows; and 
(B) may use the grant funds to— 
(i) support the administration of a 
program described in subparagraph (A); 
(ii) support professional development 
for faculty of a program described in sub-
paragraph (A); or 
(iii) establish, maintain, or improve 
departments, divisions, or other units nec-
essary to implement a program described 
in subparagraph (A). 
(2) GRANTS
TO
ACADEMIC
UNITS
OR
PRO-
GRAMS.—A recipient of a grant under subsection 
(a)(3) shall enter into a partnership with education 
accrediting organizations or similar organizations to 
carry out activities under subsection (a)(3). 
(d) PRIORITY.—In making awards under this section, 
the Secretary shall give priority to eligible entities that— 
(1) have a history of providing health care to 
transgender people; or 
(2) serve areas where access to gender-affirm-
ing care is limited. 
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(e) MINIMUM PERIOD OF GRANTS.—The period of a 
grant under this section shall be not less than 5 years. 
(f) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$15,000,000 for each of fiscal years 2026 through 2030. 
SEC. 7. EXPANDING CAPACITY FOR GENDER-AFFIRMING 
CARE AT COMMUNITY HEALTH CENTERS. 
(a) IN GENERAL.—The Secretary, acting through the 
Administrator of the Health Resources and Services Ad-
ministration, shall award grants or cooperative agree-
ments to eligible entities to promote the capacity of com-
munity health centers to provide gender-affirming care to 
transgender populations. 
(b) ELIGIBLE ENTITIES.—To be eligible to receive a 
grant under subsection (a), an entity shall be— 
(1) a teaching health center (as defined in sec-
tion 749A(f)(3) of the Public Health Service Act (42 
U.S.C. 293l–1(f)(3))); 
(2) a Federally-qualified health center (as de-
fined in section 1905(l)(2)(B) of the Social Security 
Act (42 U.S.C. 1396d(l)(2)(B))); 
(3) a community mental health center (as de-
fined in section 1861(ff)(3)(B) of the Social Security 
Act (42 U.S.C. 1395x(ff)(3)(B))); 
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(4) a rural health clinic (as defined in section 
1861(aa)(2) of the Social Security Act (42 U.S.C. 
1395x(aa)(2))); 
(5) a health center operated by the Indian 
Health Service, an Indian Tribe, a Tribal organiza-
tion, or an Urban Indian organization (as defined in 
section 4 of the Indian Health Care Improvement 
Act (25 U.S.C. 1603)); or 
(6) a State or local entity, such as a State of-
fice of rural health. 
(c) USE OF FUNDS.—A grant under subsection (a) 
shall be used to promote the capacity of community health 
centers to provide gender-affirming care, which may in-
clude— 
(1) education and training, including profes-
sional development and training on nondiscrimina-
tion regulations, for health care professionals and 
other staff of health care providers; 
(2) establishing or sustaining a community re-
view board; 
(3) updating electronic health records; and 
(4) administrative, operational, or technical 
costs related to the effective provision of gender-af-
firming care. 
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(d) MINIMUM PERIOD OF GRANTS.—The period of 
a grant under this section shall be not less than 3 years. 
(e) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$15,000,000 for each of fiscal years 2026 through 2030. 
SEC. 8. TRAINING RURAL PROVIDERS IN GENDER-AFFIRM-
ING CARE. 
(a) IN GENERAL.—The Secretary shall award grants 
or cooperative agreements to eligible entities to establish 
collaborative networks to improve the quality of gender- 
affirming care. 
(b) ELIGIBLE ENTITIES.—To be eligible for a grant 
under subsection (a), an entity shall be— 
(1) a public or nonprofit private health care 
provider, such as a critical access hospital or health 
clinic; 
(2) a Federally-qualified health center (as de-
fined in section 1905(l)(2)(B) of the Social Security 
Act (42 U.S.C. 1396d(l)(2)(B))); 
(3) a health care professions school; 
(4) a health care delivery site that has fellows, 
residents, or other health care professional students 
or trainees; and 
(5) a licensing or accreditation entity for health 
care professions schools. 
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(c) ALLOWABLE ACTIVITIES.—In establishing a col-
laborative network as described in subsection (a), a grant-
ee may, with respect to gender-affirming care, use grant 
funds— 
(1) to assist rural health care providers in the 
network to conduct or pursue additional training; 
(2) to perform provider-to-provider education 
and outreach to rural health care providers; and 
(3) to perform patient education. 
(d) DEFINITION.—In this section, the term ‘‘rural 
health care provider’’ means a health care provider serving 
an area that is not designated by the United States Cen-
sus Bureau as an urbanized area or urban cluster. 
(e) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$5,000,000 for each of fiscal years 2026 through 2030. 
SEC. 9. REPORT TO CONGRESS. 
(a) SUBMISSION.—Not later than 2 years after the 
date of enactment of this Act the Secretary shall submit 
a report to the Congress on the programs and activities 
under this Act. 
(b) CONTENT.—Reports submitted under subsection 
(a) shall include— 
(1) a description of— 
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(A) progress made in implementing pro-
grams and activities under this Act; and 
(B) the extent to which such programs and 
activities have improved health equity for 
transgender populations; and 
(2) recommendations for workforce development 
to improve access to, and the quality of, gender-af-
firming care for transgender populations. 
Æ 
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