SF Board of Supervisors Reaffirms City’s Commitment to Trans Rights and Gender-Affirming Care
San Francisco City Hall lit up in trans flag colors on Feb. 2, following the passage of the resolution. Image credit: C Storm
SF Supervisor Connie Chan has introduced a resolution affirming healthcare for LGBTQIA+ youth, rejecting federal attacks and calling on hospitals and insurers to deliver consistent and equitable care to trans youth.
Updated Feb 6, 2026
Rainbow Families Action, in partnership with the San Francisco Labor Council and the Harvey Milk Democratic Club, and as part of the Patients Before Politics campaign, announces the Board Resolution introduced by Supervisor Connie Chan to reaffirm the legal right to gender-affirming healthcare for all city residents, employees, and their families.
This resolution specifically calls out attempts by the current U.S. Department of Health and Human Services to change Medicaid/Medicare funding eligibility in order to deny lifesaving healthcare to trans and gender-expansive youth. Additionally, with this resolution the San Francisco Board of Supervisors insists that hospitals, healthcare providers, and insurers do not precomply with these federal proposals: they are counter to California’s current nondiscrimination laws; they are currently only proposed rules changes, not laws; and as the Resolution demonstrates, they will be challenged and defeated in the nation’s courts.
The Resolution’s summary reads:
Resolution reaffirming San Francisco's commitment to the right of its transgender, gender-nonconforming, intersex and two-spirit (TGNCl2S) residents and employees to obtain gender-affirming care without discrimination; and demanding healthcare providers and insurance carriers operating within the city to adhere to state and local laws mandating access to medically necessary healthcare, including gender-affirming care.
Supervisor Chan’s Resolution reaffirms Resolution 344-24, establishing the City as a sanctuary city and a place of safety for transgender, gender-nonconforming, intersex and two-spirit people (TGNCl2S), regardless of age, and providers of gender-affirming care. Additionally, the Resolution condemns healthcare providers preemptively stopping, delaying or impeding patients’ access to state-protected, medically necessary gender-affirming care.
This Board Resolution was introduced on January 27 and was passed at the Board meeting starting at 2pm on Tuesday, February 3, at City Hall. A rally and celebration on City Hall steps followed — see video below.
For interviews or statements, please contact press@rainbowfamiliesaction.org