Transition Plan for Strong Communities


The administration should enact policies that protect the rights of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) children on issues related to healthcare, anti-bullying, hate crimes, housing, and employment.

Prevent discrimination on the basis of gender identity and sexual orientation. The Health and Human Services (HHS) Administration for Children and Families (ACF) should rescind the Nov. 2019 proposed rule that seeks to revise regulations related to vital protections against discrimination in HHS programs and grants. If finalized, the regulation would have a significant negative impact on the health and wellbeing of vulnerable children and youth and impede their access to needed services. Similarly, HHS should rescind the final rule “Nondiscrimination in Health and Health Education Programs or Activities”, which reduces the number and types of entities required to comply with Section 1557 of the Affordable Care Act’s non-discrimination protections.

Prioritize research examining the health needs of transgender youth. The administration should enhance standards of care for transgender youth and assure appropriate payment for health care, including mental health care, for transgender youth considering and/or undergoing medical and surgical treatment.

Reduce bullying and harassment in schools. The administration should restore the Department of Education (DOE) and DOJ guidance from the Obama Administration clarifying that Title IX protects students who are transgender and investigate complaints about access to restrooms and locker rooms. Further, it should provide guidance to school districts on ways to promote safe environments and reduce the incidence of bullying and harassment.

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American Academy of Pediatrics