United States HR 2487: Transgender Health Care Access Act

Bill Text

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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-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