Tribal leaders defend health care access for two-spirit citizens amid federal restrictions

Tribal leaders and public health advocates are asserting sovereignty over gender-affirming care in response to federal rollbacks, according to KFF Health News. At the Two Spirit Conference in Elko, Nevada, in June, organizers and attendees called attention to the challenges faced by two-spirit and LGBTQ+ Native Americans seeking health care. Myk Mendez, a citizen of the Fort Hall Shoshone-Bannock Tribes, said he organized the event to preserve two-spirit traditions and educate the community.

Shortly after taking office in January, Trump signed an executive order recognizing only two sexes. In March, the National Indian Health Board passed a resolution affirming tribal authority over health issues, including gender-affirming care. Organizers and health consultants said tribal citizens are experiencing delays or denials in hormone treatment, even in areas where such care remains legal. The Indian Health Service has faced criticism for limiting access, and advocates warn that recent federal policy changes may further endanger Native LGBTQ+ and two-spirit communities