This legislation, referred to as the Transgender Health Care Access Act, seeks to enhance access to evidence-based gender-affirming care for transgender people across all ages. It is based on findings that gender-affirming care significantly improves self-esteem and quality of life while reducing depression and suicidality, and that there is a strong medical consensus supporting its importance. The bill also identifies a critical gap in education and training among healthcare professionals regarding the treatment of transgender patients. To address these issues, the bill authorizes the Secretary of Health and Human Services to award grants for several key initiatives. One program focuses on improving medical education curricula by funding the development, evaluation, and implementation of model curricula and training projects in gender-affirming care and cultural competency for healthcare professions schools and delivery sites. This includes instruction on topics like gender-affirming care and cultural competency in treating transgender patients, utilizing various pedagogical approaches. Another significant provision establishes a demonstration program to provide grants for training medical residents, fellows, nurse practitioners, physician assistants, psychologists, counselors, nurses, and social workers in gender-affirming care. These grants also support academic programs in developing culturally competent care and conducting research into evidence-based practices. Priority for these grants is given to entities with a history of providing care to transgender people or serving areas with limited access. Furthermore, the bill aims to expand the capacity of community health centers to provide gender-affirming care through grants or cooperative agreements. These funds can be used for professional development, training on nondiscrimination regulations, updating electronic health records, and covering administrative costs. A separate initiative focuses on training rural providers by establishing collaborative networks to improve the quality of gender-affirming care, including assisting rural healthcare providers with additional training and patient education. The legislation authorizes appropriations totaling $45,000,000 annually for fiscal years 2026 through 2030 across these programs. Finally, it mandates that the Secretary submit a report to Congress within two years of enactment, detailing the progress, impact on health equity for transgender populations, and recommendations for workforce development to further improve access and quality of gender-affirming care.