It’s a bill recently passed by the U.S. House of Representatives that would ban the use of Medicaid and CHIP to cover gender-affirming care, such as hormone therapy, puberty blockers, and surgeries, for people of any age. It has not yet become law and still needs to be passed by the Senate.

No. If you are receiving care through our practice in Washington State, nothing has changed at this time. Your care continues uninterrupted, and Washington has legal protections in place that support access to gender-affirming services.

Possibly, but not directly at this time. This bill specifically targets Medicaid and CHIP coverage. However, it reflects a broader trend of proposed anti-trans legislation, which can create emotional distress even if it doesn’t immediately impact your insurance or care.

We are:

• Closely monitoring federal and state legislation

• Advocating for transgender rights and inclusive healthcare

• Educating our team on how to support you during this time

• Creating safe spaces for you to process any fear, grief, or uncertainty

• We offer a weekly process group on concerns related to our political climate

Absolutely. Your therapist is here to support you. We understand that political developments can deeply impact mental health, especially for transgender clients and communities.

We recommend:

• Talking with your therapist about any concerns

• Staying informed through reputable sources (like the ACLU, NCTE, or GLMA)

• Reaching out to local LGBTQ+ organizations for legal and health resources

• Keeping copies of your medical records and letters of support, if applicable

Many clients find empowerment in advocacy. You can:

• Contact your U.S. Senators and express your opposition to the bill

• Attend community events or rallies

• Support organizations that defend trans rights

If you'd like help finding resources or local advocacy groups, let us know.

Yes. Our commitment to providing affirming, inclusive, and evidence-based care is unwavering. We will continue to support our trans clients and their right to access healthcare.​