Content Warning: Trans Politics in the USA

I was not going to make another post ideally before 1 year, but the political landscape changed much quicker than I expected. Sorry to the people I doubted when they said it would take shorter than the (already short) 2 year timeframe I listed.

Please read this when in a state of mind that can handle it. If you need resources, just skip to the end.

Sections;

Background

If you didn’t get to see, a while back I made a post called Trans America, it was made back in Late November 2024. This post was to inform about trans politics, and concerns for the upcoming presidency. In this I listed concerns regarding homelessness, access to HRT and surgeries, among other things. As I have scrubbed this account due to concerns for safety and wellness, those prior posts I had made no longer exist.

Already during that time period, before 2025 even began, we received a monumental influx of people needing resources from our transgender center. Enough so that the center reached out to basically all former volunteers to get any help possible.

Trans/LGBT Federally

To recap a few things that I mentioned when speaking on HR 1, Social Security is no longer updating gender markers and some people have reported that getting information such as ones social security card or even just by working in a job government aligned, that their gender marker has been reverted to whatever the first recorded gender on it is. Similarly, passports are still an ongoing issue due to the same reasons currently there is a block so if one doesn’t have an updated passport my center has been recommending getting an expedited one by all means possible. Lambda Legal has more information on it available. There will be a section after this on passports and concerns.

One of the biggest issues currently is, the federal erasure of LGBT+ (heavy on the T) public health data (UCLA, HealthLGBTQ, NPR) so even when cases of mistreatment or violence happen, the statistics either will be not recorded or will be inaccurate. Working with trans people for so long, these past few months I have seen and heard more cases of injustice and abuse against trans people than the prior ~6-7 years combined. Sure, that’s anecdotal evidence, but when places like the Bureau of Statistics and other federal facilities are removing mentions of gender identity especially regarding trans people from victim statistics— unless a case gains prominence or traction it will be swept under the rug as most minority cases unfortunately are. This doesn’t get into the massive anti-trans legislation issues that are ongoing and put trans people at real threats for safety & wellbeing.

One of the other biggest concerns currently which everyone should be aware of is;

“Ending Crime and Disorder on American Streets,” which is an Executive Order (EO) that is aiming to indefinitely force treatment and/or institutionalize people deemed “Mentally unwell.” This is a concern especially for trans people, since Gender Dysphoria/etc is a diagnosis often necessary for treatment, and with this order if it goes through, would lead to trans people being able to be forcibly institutionalized.

This also heavily impacts homeless people (but does not impact only homeless people, which is a misconception I’ve heard frequently), which keep in mind, 1 in 4 trans youth experience homelessness and 1 in 3 trans people experience homelessness with 60-80% of homeless trans people being completely unsheltered. This should also be considered a further concern considering the ongoing attempt of making Trump Derangement Syndrome considered an actual mental illness. Meaning in short, those who do not align with Trump or are against him may be labeled as mentally unwell.

Another concern regarding this is the fact that ICE has been given access to Medicaid recipients’ personal data, which includes obviously personal diagnosis, identity, addresses, and more.

Important to everyone:

Regarding work benefits (Healthcare, FMLA, PTO, Holidays, sick leave, lunch breaks, etc) are also at risk. We are seeing with H.R. 1319, which is an attempt to reclassify employees as “independent contractors.” This would strip people from getting benefits. This has only recently been introduced, but people’s eyes need to be on it.

Another important facet is what’s happening in Puerto Rico, which may end up spreading to other states. This is a criminalization of any gender affirming care under 21, even with consenting parents. Offenders can be put in prison for 15 years, and face a 50,000$ fine. In fact, Mississippi is known to also face similar issues.

To look at both state and federal impacts regarding trans laws you can check here for all status of laws.

Passport Concerns

There are extremely reasonable concerns currently. As aforementioned, Social Security has a level of blocking for changing gender markers, and while passports as of 9/21/2025 still have a block in place to allow changes for gender markers, there is a concern that if the block was reversed or stopped that passports would be held or worse. On Friday, 9/19/2025 has been brought up again and is likely going to come with further legislation on the topic to change that. In a positive lens, LambdaLegal has been actively fighting against it and has had a few wins.

Another large concern is the risk of trans people being labelled as Nihilistic Violent Extremists (NVE). It is a call to label all trans people as threatening. This would effectively be the next manner to restrict trans passports. NVE’s are labelled by the FBI as;

“Individuals who engage in criminal conduct within the United States and abroad, in furtherance of political, social, or religious goals that derive primarily from a hatred of society at large and a desire to bring about its collapse by sowing indiscriminate chaos, destruction, and social instability. NVEs work individually or as part of a network with these goals of destroying civilized society through the corruption and exploitation of vulnerable populations, which often includes minors.”

Why is this listed under passport concerns?

This is because recently, there’s been ongoing attempts to revoke passports including U.S. citizens through H.R. 5300. This would be if someone is listed as an extremist/terrorist, or showing “terrorism support.” This also includes donations to anyone who is palestinian, and potentially anyone who is LGBT+ and including any material support to what Marco Rubio considers a “terrorist organization.” This would be able to be done without due process entirely. While currently there’s a decent chance this will not yet apply to the U.S. Citizens, it’s been made clear that the goal would be to eventually make that the case.

If you can, you should prioritize getting an expedited passport.

Trans Healthcare

Recently what passed is Kennedy v. Bravewood Management inc. which gave additional powers to Health and Human Services, to change committee members of what is known as the US Preventative Services Task Force (USPSTF) without congressional oversight. USPSTF is a group that covers and protects HIV prevention, AIDS treatment, cancer screenings, and more. There’s been reports that RFK jr. has plans to completely [fire and replace](https://www.reuters.com/business/health…

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9 Months in Trans America [Final Post]