Transgender Health Care Access Act
Sponsored By: Representative Balint
Introduced
Summary
Expand access to gender-affirming care through federal grants and training. This bill would create multi-year grant programs to build curricula, train clinicians, boost community health center capacity, and connect rural providers while excluding conversion therapy from covered services.
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- Transgender people and families: Would broaden access to medical, mental health, surgical, and supportive services by funding provider education and prioritizing areas with limited access. Grants favor organizations with a record of serving transgender populations.
- Health workforce and educators: Would fund model curricula and demonstration training for residents, fellows, nurse practitioners, physician assistants, behavioral health providers, and other clinicians. Section 5 authorizes $10 million per year for curricula and Section 6 authorizes $15 million per year for training grants.
- Community and rural providers: Would fund community health centers, rural clinics, and collaborative networks to expand services, update electronic health records, run nondcrimination training, and support patient and provider education. Sections 7 and 8 authorize $15 million and $5 million per year respectively.
*Authorizes about $45 million per year from 2026–2030 for these grant programs, increasing federal spending over that period.*
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 4 benefits, 0 costs, 0 mixed.
Defines what gender affirming care covers
If enacted, the bill would set a federal definition of gender-affirming care. It would include medical, mental health, surgical, and supportive services to treat gender dysphoria, including medicines. It would make clear that conversion therapy is not gender-affirming care. This definition would guide what the bill’s programs can cover and support.
Help community clinics offer gender-affirming care
If enacted, HRSA would fund clinics to expand gender-affirming care. Eligible grantees include community health centers, rural clinics, tribal health centers, and similar providers. Money could pay for staff training, nondiscrimination training, updating electronic health records, and related costs. Grants must last at least 3 years. The bill authorizes $15 million each year for 2026–2030.
Help rural providers offer gender-affirming care
If enacted, HHS would fund networks to improve gender-affirming care in rural areas. Grants could pay for provider training, provider-to-provider outreach, and patient education. Rural means areas the Census does not label urban. The bill authorizes $5 million each year for 2026–2030.
More training for gender-affirming care providers
If enacted, HHS would fund multi-year grants to train doctors, nurses, and other providers in gender-affirming care. Training would include residents, fellows, nurse practitioners, physician assistants, psychologists, counselors, nurses, and social workers. Grants must last at least 5 years, with priority for areas with limited access. The bill authorizes $15 million each year for 2026–2030.
Sponsors & CoSponsors
Sponsor
Balint
VT • D
Cosponsors
Ansari
AZ • D
Sponsored 3/31/2025
Crockett
TX • D
Sponsored 3/31/2025
Davis (IL)
IL • D
Sponsored 3/31/2025
Espaillat
NY • D
Sponsored 3/31/2025
Evans (PA)
PA • D
Sponsored 3/31/2025
Jacobs
CA • D
Sponsored 3/31/2025
Jayapal
WA • D
Sponsored 3/31/2025
Johnson (GA)
GA • D
Sponsored 3/31/2025
Johnson (TX)
TX • D
Sponsored 3/31/2025
Khanna
CA • D
Sponsored 3/31/2025
Krishnamoorthi
IL • D
Sponsored 3/31/2025
Landsman
OH • D
Sponsored 3/31/2025
Lee (PA)
PA • D
Sponsored 3/31/2025
McClellan
VA • D
Sponsored 3/31/2025
McIver
NJ • D
Sponsored 3/31/2025
Nadler
NY • D
Sponsored 3/31/2025
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 3/31/2025
Ocasio-Cortez
NY • D
Sponsored 3/31/2025
Pocan
WI • D
Sponsored 3/31/2025
Ramirez
IL • D
Sponsored 3/31/2025
Randall
WA • D
Sponsored 3/31/2025
Schakowsky
IL • D
Sponsored 3/31/2025
Takano
CA • D
Sponsored 3/31/2025
Thanedar
MI • D
Sponsored 3/31/2025
Tlaib
MI • D
Sponsored 3/31/2025
Tokuda
HI • D
Sponsored 3/31/2025
Tonko
NY • D
Sponsored 3/31/2025
Velazquez
NY • D
Sponsored 3/31/2025
Watson Coleman
NJ • D
Sponsored 3/31/2025
McCollum
MN • D
Sponsored 4/1/2025
Soto
FL • D
Sponsored 4/1/2025
Omar
MN • D
Sponsored 4/1/2025
Mullin
CA • D
Sponsored 4/2/2025
Waters
CA • D
Sponsored 4/7/2025
Garcia (IL)
IL • D
Sponsored 4/7/2025
Brownley
CA • D
Sponsored 4/9/2025
Frost
FL • D
Sponsored 4/9/2025
Magaziner
RI • D
Sponsored 4/28/2025
Dexter
OR • D
Sponsored 5/14/2025
Morelle
NY • D
Sponsored 8/26/2025
Simon
CA • D
Sponsored 11/7/2025
Sherman
CA • D
Sponsored 11/25/2025
Harder (CA)
CA • D
Sponsored 12/3/2025
Garcia (CA)
CA • D
Sponsored 12/3/2025
Carter (LA)
LA • D
Sponsored 12/3/2025
Lofgren
CA • D
Sponsored 12/3/2025
Foushee
NC • D
Sponsored 12/3/2025
Latimer
NY • D
Sponsored 12/3/2025
Goldman (NY)
NY • D
Sponsored 12/5/2025
DeSaulnier
CA • D
Sponsored 12/9/2025
Cleaver
MO • D
Sponsored 12/9/2025
Kamlager-Dove
CA • D
Sponsored 1/8/2026
Matsui
CA • D
Sponsored 1/8/2026
Trahan
MA • D
Sponsored 1/12/2026
Raskin
MD • D
Sponsored 1/16/2026
Beatty
OH • D
Sponsored 1/20/2026
Ruiz
CA • D
Sponsored 1/30/2026
Tran
CA • D
Sponsored 1/30/2026
Cohen
TN • D
Sponsored 2/4/2026
Walkinshaw
VA • D
Sponsored 2/10/2026
Pressley
MA • D
Sponsored 2/11/2026
Menendez
NJ • D
Sponsored 2/17/2026
Scanlon
PA • D
Sponsored 3/16/2026
McBride
DE • D
Sponsored 3/16/2026
Roll Call Votes
No roll call votes available for this bill.
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