Inside the fight to add gender-affirming care to university health insurance plans

Black immigrant women are serving as informal "health connectors" in their communities, using shared language and cultural understanding to help immigrants navigate the U.S. health care system. These unpaid navigators guide people through insurance applications, connect them to doctors, host community events and distribute multilingual information to break down barriers to health care.

Tuttleman Counseling Services and the Merakey Mental Health Walk-In Clinic at Temple University offer a variety of mental health services for students on campus, from counseling to yoga and substance use support, serving 30,000 students across the campus.

The Fitness Trans Formed program provides a safe space for trans people and members of the LGBTQ+ community to exercise and participate in fitness training from trans professionals. Training is available in a tiered pricing structure, including an option to pay nothing, and about 50 individuals have completed a Fitness Trans Formed training program since its inception. The group is also working on plans to provide informed training to other fitness professionals to make their gyms and workout spaces more inclusive.

Genderdoc-M (GDM) partners with a local lawyer to offer legal support to members of the LGBTQ+ community in an effort to promote human rights and continue to work toward a more inclusive society. Every year, about 40 people seek legal advice from GDM on matters ranging from workplace discrimination to physical abuse.

Several community organizations and municipalities like the Office of Transgender Initiatives (OTI) have come together to decrease homelessness rates among the transgender population. OTI formed a Trans Advisory Committee which focused on budget and policy advocacy based on input from the transgender community to address homelessness and partnered with efforts like the Transgender District. All in all, these combined efforts have decreased transgender homelessness by 15% since 2019.

LGBTQ+ youth centers, like The Ruth Ellis Center, are working to provide a sense of community and access to necessary services to uplift local LGBTQ+ youth. The Ruth Ellis Center offers shelter to LGBTQ+ youth facing homelessness and serves about 1,200 people each year. Along with shelter, the Center also works to bridge the healthcare gap in the LGBTQ+ community by partnering with Henry Ford Health to provide general wellness visits, STI/HIV screening, contraceptives and gender-affirming care.

The Michigan LGBTQ+ Elders Network (MiGen) works to provide aging LGBTQ+ adults with necessary healthcare, like long-term care facilities. The Network also offers culturally responsive training for adult care providers.

The João W. Nery Outpatient Clinic provides medical and transition-related care for the area’s trans community. The Clinic provides patients access to social workers, psychologists, endocrinologists, nurses, and general practitioners who help patients get prescriptions for hormones, referrals for gender-affirming surgery, and advice on legally changing their names, all of which are offered for free.

Trans Houses are community shelters created by and for trans women in Bolivia that offer comprehensive health services, psychological support, legal assistance, and entrepreneurship opportunities, evolving from basic assistance spaces into collective emancipation platforms that have served over 2,500 people across four cities and are expanding as a replicable model of social transformation. This story is available in Spanish here: https://solu.news/1qka

Nour Sarah is a collaboration between two non-profits — Spectrum and LebMASH — that aims to help LGBTQ+ people in the North African and West Asian region understand their mental health issues and receive support services. Nour Sarah aims to provide safe care to those who need it in spaces where it’s historically hard to find. The group hosts educational sessions and connects people with counselors trained to provide care to LGBTQ+ people who are drastically under-supported when it comes to accessing mental health care.