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The link between mental health and affirming care is well-established. Gender-based minority stressors—discrimination, victimization, and social rejection—are positively associated with mental health problems.

The modern LGBTQ rights movement began in the 1950s and 1960s, with the Stonewall riots in 1969 being a pivotal moment in the fight for LGBTQ rights. The transgender community has been an integral part of this movement, with pioneers like Marsha P. Johnson and Sylvia Rivera playing key roles in the Stonewall uprising.

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Within two years of Stonewall, gay rights groups existed in every major American city, as well as in Canada, Australia, and Western Europe. On June 28, 1970, the first Pride marches were held in New York, Los Angeles, and Chicago—direct responses to the police raid exactly one year earlier. Pride Month, celebrated each June, is a living legacy of that night of resistance.

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Families are facing costs up to $4,500 every six months for medications and travel expenses as insurance often denies out-of-state treatment. The transgender community has been an integral part

During the assimilationist pushes of the 1970s, 1980s, and 1990s, mainstream gay rights organizations occasionally sidelined or explicitly excluded transgender individuals. The goal was often to appear more palatable to conservative lawmakers, a strategy that left trans people vulnerable and erased their contributions to the movement.

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