Training demonstration program for gender-affirming care

(a) In general The Secretary shall establish a demonstration program to award grants to eligible entities to support— (1) training for medical residents and fellows to practice gender-affirming care; (2) training (including for individuals completing clinical training requirements for licensure) for nurse practitioners, physician assistants, health service psychologists, clinical psychologists, counselors, nurses, and social workers to practice gender-affirming care; and (3) establishing, maintaining, or improving academic programs that— (A) provide training for students or faculty, including through clinical experiences, to improve their ability to provide culturally competent gender-affirming care; and (B) conduct research to develop evidence-based practices regarding gender-affirming care, including curriculum content standards for programs that provide training for students or faculty as described in subparagraph (A). (b) Eligible entities (1) Training for residents and fellows To be eligible to receive a grant under subsection (a)(1), an entity shall be— (A) a consortium consisting of— (i) at least one teaching health center; and (ii) the sponsoring institution (or parent institution of the sponsoring institution) of— (I) a residency program in primary care, internal medicine, family medicine, pediatric medicine, gynecology, endocrinology, or surgery that is accredited by the Accreditation Council for Graduate Medical Education; or (II) a fellowship program in a field identified in subclause (I); or (B) an institution described in subparagraph (A)(ii) that provides opportunities for residents or fellows to train in community-based settings that provide health care to transgender populations. (2) Training for other providers To be eligible to receive a grant under subsection (a)(2), an entity shall be— (A) a teaching health center (as defined in section 749A(f)(3) of the Public Health Service Act (42 U.S.C. 293l–1(f)(3))); (B) a Federally-qualified health center (as defined in section 1905(l)(2)(B) of the Social Security Act (42 U.S.C. 1396d(l)(2)(B))); (C) a community mental health center (as defined in section 1861(ff)(3)(B) of the Social Security Act (42 U.S.C. 1395x(ff)(3)(B))); (D) a rural health clinic (as defined in section 1861(aa)(2) of the Social Security Act (42 U.S.C. 1395x(aa)(2))); (E) a health center operated by the Indian Health Service, an Indian Tribe, a Tribal organization, or an Urban Indian organization (as defined in section 4 of the Indian Health Care Improvement Act (25 U.S.C. 1603)); or (F) an entity with a demonstrated record of success in providing training for nurse practitioners, physician assistants, health service psychologists, counselors, nurses, or social workers, including such entities that serve pediatric populations. (3) Academic units or programs To be eligible to receive a grant under subsection (a)(3), an entity shall be— (A) a school of medicine or osteopathic medicine; (B) a school of nursing; (C) a physician assistant training program; (D) a school of pharmacy; (E) a school of social work; (F) an accredited public or nonprofit private hospital; (G) an accredited medical residency program; or (H) a public or nonprofit private entity that the Secretary determines is capable of carrying out such a grant because of prior experience providing education on the provision of health care to transgender people. (c) Use of funds (1) Training grants A recipient of a grant under subsection (a)(1) or (a)(2)— (A) shall use the grant funds to plan, develop, and operate a training program for residents and fellows; and (B) may use the grant funds to— (i) support the administration of a program described in subparagraph (A); (ii) support professional development for faculty of a program described in subparagraph (A); or (iii) establish, maintain, or improve departments, divisions, or other units necessary to implement a program described in subparagraph (A). (2) Grants to academic units or programs A recipient of a grant under subsection (a)(3) shall enter into a partnership with education accrediting organizations or similar organizations to carry out activities under subsection (a)(3). (d) Priority In making awards under this section, the Secretary shall give priority to eligible entities that— (1) have a history of providing health care to transgender people; or (2) serve areas where access to gender-affirming care is limited. (e) Minimum period of grants The period of a grant under this section shall be not less than 5 years. (f) Authorization of appropriations There is authorized to be appropriated to carry out this section $15,000,000 for each of fiscal years 2026 through 2030.