HR2487-119

What This Bill Does

The Transgender Health Care Access Act builds a federal workforce and provider-capacity strategy for gender-affirming care. HRSA must award three-year grants to health professions schools, clinical training sites, and licensing or accreditation entities to develop model curricula on gender-affirming care and cultural competency, with NIH and the National Library of Medicine helping disseminate curricula. HHS must also create a training demonstration program for residents, fellows, nurse practitioners, physician assistants, psychologists, counselors, nurses, and social workers, giving priority to entities with experience serving transgender people or areas with limited access. Separate grants expand community health center capacity, fund rural collaborative networks, and support education, electronic health record updates, community review boards, and patient education. Authorizations total $10 million annually for curricula, $15 million annually for training, $15 million annually for community health centers, and $5 million annually for rural networks for fiscal years 2026 through 2030.

Who Benefits and How

Transgender patients benefit from a larger workforce trained in culturally competent gender-affirming care and from expanded community and rural clinic capacity. Health professions schools benefit from federal funding to build model curricula, demonstration projects, and training projects. Community health centers benefit from grants for staff training, nondiscrimination training, electronic health records, community review boards, and operational support. Rural health clinics benefit from collaborative networks, provider-to-provider education, and patient education for gender-affirming care.

Who Bears the Burden and How

HRSA grant administrators must run multiple new grant and cooperative-agreement programs, review continuation, prioritize underserved areas, and report to Congress. Grant recipients must design curricula, run training programs, partner with accrediting organizations, support clinical education, and document outcomes. Federal taxpayers bear authorized spending of $45 million per year for fiscal years 2026 through 2030 across the four main program areas. Institutions opposing gender-affirming care policy face federal funding and curriculum models that push medical education in the opposite direction.

Key Provisions

• Authorizes $10 million annually for fiscal years 2026 through 2030 for model curricula and training projects on gender-affirming care.
• Creates a $15 million annual demonstration program for resident, fellow, nursing, physician assistant, psychology, counseling, and social-work training.
• Provides $15 million annually for community health center capacity to deliver gender-affirming care.
• Provides $5 million annually for rural collaborative networks and requires a two-year congressional report on implementation and health equity.