Nancy Pelosi is advocating for the restoration of gender-affirming care for trans youth at the national level. She expressed concern over the current limitations in several US states, describing the situation as sad. In her remarks made at a medical center in San Francisco, she indicated hope for improving access to care for trans kids. The Human Rights Campaign reported that over 40% of trans youth are affected by bans on gender-affirming care in their states. There are ongoing political challenges affecting this issue.
That is something I'm working for at the national level, and we are hoping we can have gender-affirming care for our trans kids.
It's a sad thing for us... I don't know what effect we can have nationally with what we have going on in the White House and in Congress.
Nancy Pelosi has long been an LGBTQ+ ally, claiming she lost friends because of her support for queer people at the height of the HIV/Aids pandemic.
As of July 2025, 40.1% of trans youth aged 13 to 17 in the US, or 120,400 young people, are living in states that have passed bans on gender-affirming care.
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