Since Trump took office for his second term, his administration's attacks on hospitals that provide gender-affirming care for transgender youth have significantly disrupted that care. In response, advocates have pushed blue states that claim to support transgender people to step in and fund care directly. That has been especially true in New York, where advocates spent the legislative session pushing for a dedicated gender-affirming care fund - an access program designed to help outpatient providers absorb the patients pushed out of hospitals that abandoned care.