HR2487119th CongressWALLET

Transgender Health Care Access Act

Sponsored By: Representative Balint, Becca [D-VT-At Large]

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.

Show full summary

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, Becca [D-VT-At Large]

VT • D

Cosponsors

Rep. Ansari, Yassamin [D-AZ-3]
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
Rep. Evans, Dwight [D-PA-3]
PA • D
Sponsored 3/31/2025
Rep. Jacobs, Sara [D-CA-51]
CA • D
Sponsored 3/31/2025
Rep. Jayapal, Pramila [D-WA-7]
WA • D
Sponsored 3/31/2025
Johnson (GA)
GA • D
Sponsored 3/31/2025
Rep. Johnson, Julie [D-TX-32]
TX • D
Sponsored 3/31/2025
Khanna
CA • D
Sponsored 3/31/2025
Rep. Krishnamoorthi, Raja [D-IL-8]
IL • D
Sponsored 3/31/2025
Rep. Landsman, Greg [D-OH-1]
OH • D
Sponsored 3/31/2025
Rep. Lee, Summer L. [D-PA-12]
PA • D
Sponsored 3/31/2025
McClellan
VA • D
Sponsored 3/31/2025
Rep. McIver, LaMonica [D-NJ-10]
NJ • D
Sponsored 3/31/2025
Rep. Nadler, Jerrold [D-NY-12]
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
Rep. Pocan, Mark [D-WI-2]
WI • D
Sponsored 3/31/2025
Rep. Ramirez, Delia C. [D-IL-3]
IL • D
Sponsored 3/31/2025
Randall
WA • D
Sponsored 3/31/2025
Schakowsky
IL • D
Sponsored 3/31/2025
Rep. Takano, Mark [D-CA-39]
CA • D
Sponsored 3/31/2025
Rep. Thanedar, Shri [D-MI-13]
MI • D
Sponsored 3/31/2025
Rep. Tlaib, Rashida [D-MI-12]
MI • D
Sponsored 3/31/2025
Rep. Tokuda, Jill N. [D-HI-2]
HI • D
Sponsored 3/31/2025
Rep. Tonko, Paul [D-NY-20]
NY • D
Sponsored 3/31/2025
Rep. Velázquez, Nydia M. [D-NY-7]
NY • D
Sponsored 3/31/2025
Rep. Watson Coleman, Bonnie [D-NJ-12]
NJ • D
Sponsored 3/31/2025
McCollum
MN • D
Sponsored 4/1/2025
Soto
FL • D
Sponsored 4/1/2025
Rep. Omar, Ilhan [D-MN-5]
MN • D
Sponsored 4/1/2025
Mullin
CA • D
Sponsored 4/2/2025
Rep. Waters, Maxine [D-CA-43]
CA • D
Sponsored 4/7/2025
Rep. García, Jesús G. "Chuy" [D-IL-4]
IL • D
Sponsored 4/7/2025
Rep. Brownley, Julia [D-CA-26]
CA • D
Sponsored 4/9/2025
Rep. Frost, Maxwell [D-FL-10]
FL • D
Sponsored 4/9/2025
Rep. Magaziner, Seth [D-RI-2]
RI • D
Sponsored 4/28/2025
Rep. Dexter, Maxine [D-OR-3]
OR • D
Sponsored 5/14/2025
Rep. Morelle, Joseph D. [D-NY-25]
NY • D
Sponsored 8/26/2025
Simon
CA • D
Sponsored 11/7/2025
Rep. Sherman, Brad [D-CA-32]
CA • D
Sponsored 11/25/2025
Rep. Harder, Josh [D-CA-9]
CA • D
Sponsored 12/3/2025
Rep. Garcia, Robert [D-CA-42]
CA • D
Sponsored 12/3/2025
Rep. Carter, Troy A. [D-LA-2]
LA • D
Sponsored 12/3/2025
Lofgren
CA • D
Sponsored 12/3/2025
Rep. Foushee, Valerie P. [D-NC-4]
NC • D
Sponsored 12/3/2025
Rep. Latimer, George [D-NY-16]
NY • D
Sponsored 12/3/2025
Rep. Goldman, Daniel S. [D-NY-10]
NY • D
Sponsored 12/5/2025
Rep. DeSaulnier, Mark [D-CA-10]
CA • D
Sponsored 12/9/2025
Rep. Cleaver, Emanuel [D-MO-5]
MO • D
Sponsored 12/9/2025
Rep. Kamlager-Dove, Sydney [D-CA-37]
CA • D
Sponsored 1/8/2026
Rep. Matsui, Doris O. [D-CA-7]
CA • D
Sponsored 1/8/2026
Trahan
MA • D
Sponsored 1/12/2026
Rep. Raskin, Jamie [D-MD-8]
MD • D
Sponsored 1/16/2026
Rep. Beatty, Joyce [D-OH-3]
OH • D
Sponsored 1/20/2026
Rep. Ruiz, Raul [D-CA-25]
CA • D
Sponsored 1/30/2026
Rep. Tran, Derek [D-CA-45]
CA • D
Sponsored 1/30/2026
Cohen
TN • D
Sponsored 2/4/2026
Rep. Walkinshaw, James R. [D-VA-11]
VA • D
Sponsored 2/10/2026
Rep. Pressley, Ayanna [D-MA-7]
MA • D
Sponsored 2/11/2026
Rep. Menendez, Robert [D-NJ-8]
NJ • D
Sponsored 2/17/2026
Rep. Scanlon, Mary Gay [D-PA-5]
PA • D
Sponsored 3/16/2026
McBride
DE • D
Sponsored 3/16/2026
Escobar
TX • D
Sponsored 4/20/2026
Grijalva
AZ • D
Sponsored 4/22/2026
Rep. Williams, Nikema [D-GA-5]
GA • D
Sponsored 4/23/2026
Rep. Sykes, Emilia Strong [D-OH-13]
OH • D
Sponsored 4/28/2026
Rep. Menefee, Christian D. [D-TX-18]
TX • D
Sponsored 4/28/2026
DelBene
WA • D
Sponsored 4/29/2026
Rep. Amo, Gabe [D-RI-1]
RI • D
Sponsored 5/11/2026

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov

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Summary

How does this bill affect your finances?

Bill Overview

Analyzed Economic Effects

Medium Impact

Defines what gender affirming care covers

Low Impact

Help community clinics offer gender-affirming care

Help rural providers offer gender-affirming care

More training for gender-affirming care providers

Sponsors & CoSponsors

Sponsor

Cosponsors

Roll Call Votes

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