,,iii #aaith ,,congress #b;d ,session ,s4 ,,res4 #fjd ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,february #aa1 #bjbf,mr4 ,markey 7for himself1 ,mr4 ,merkley1 ,ms4 ,warren1 ,ms4 ,hirono1 ,mr4 ,wyden1 ,mr4 ,heinrich1 ,mr4 ,padilla1 ,mr4 ,sanders1 and ,mr4 ,welch7 submitted the following resolution2 which was referred to the ,committee on the ,judiciary ,,resolution ,recognizing that it is the duty of the ,federal ,government to develop and implement a ,transgender ,bill of ,rights to protect and codify the rights of transgender and nonbinary people under the law and ensure their access to medical care1 shelter1 safety1 and economic security4 ,whereas an estimated #a1fjj1jjj transgender adults live in the ,united ,states2 ,whereas title ,,vii of the ,civil ,rights ,act of #aifd 7#db ,u4,s4,c4 #bjjj;e et seq47 requires equal treatment under the law regardless of sex2 ,whereas the ,supreme ,court of the ,united ,states affirmed in ,bostock v4 ,clayton ,county1 #adj ,s4 ,ct4 #agca 7#bjbj7 that ,federal protection against discrimination on the basis of sex includes protection from discrimination on the basis of sexual orientation and gender identity2 ,whereas several ,federal courts have correctly concluded that discrimination against transgender people because of their sex and gender identity violates title ,,ix of the ,education ,amendments of #aigb 7#bj ,u4,s4,c4 #afha et seq471 section #aeeg of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahaaf71 and the ,fourteenth ,amendment to the ,constitution of the ,united ,states2 ,whereas1 despite the protections against discrimination on the basis of sexual orientation and gender identity1 transgender people still experience discrimination in-- 7#a7 medical care2 7#b7 employment2 7#c7 housing2 7#d7 education2 7#e7 lending2 and 7#f7 other basic necessities2 ,whereas ,president ,trump has issued several ,executive orders that attempt to unlawfully discriminate against transgender people2 ,whereas anti-trans individuals strive to deprive transgender and nonbinary people of access to gender affirming care1 despite the overwhelming consensus of the medical community that gender-affirming care is essential1 safe1 and life-saving health care2 ,whereas the provision of best-practice1 age-appropriate1 gender-affirming health care is endorsed by major medical associations such as the ,american ,academy of ,child and ,adolescent ,psychiatry1 the ,american ,academy of ,family ,physicians1 the ,american ,academy of ,nursing1 the ,american ,academy of ,pediatrics1 the ,american ,college of ,obstetricians and ,gynecologists1 the ,american ,college of ,physicians1 the ,american ,counseling ,association1 the ,american ,heart ,association1 the ,american ,medical ,association1 the ,american ,nurses ,association1 the ,american ,osteopathic ,association1 the ,american ,psychiatric ,association1 the ,american ,psychological ,association1 the ,american ,public ,health ,association1 the ,endocrine ,society1 the ,national ,association of ,nurse ,practitioners in ,women's ,health1 the ,pediatric ,endocrine ,society1 the ,society for ,adolescent ,health and ,medicine1 the ,world ,medical ,association1 and the ,world ,professional ,association for ,transgender ,health2 ,whereas transgender and nonbinary people-- 7#a7 face significant barriers to legal recognition of their truest selves on government-issued documentation and identification that reflects their gender2 7#b7 experience disproportionately high rates of poverty1 homelessness1 violence1 and suicide due to discrimination and persecution2 and 7#c7 are especially vulnerable to violence and abuse and are often deprived of gender-affirming resources and health care while detained in jails1 prisons1 and immigration detention centers2 and ,whereas transgender and nonbinary people-- 7#a7 make unique1 valuable contributions to ,american society and culture worth honoring and celebrating2 7#b7 have existed throughout history across the globe1 demonstrating resilience1 bravery1 and authenticity2 and 7#c7 are parents1 siblings1 children1 chosen family1 and friends deserving of human dignity and support3 ,now1 therefore1 be it ,that it is the sense of the ,senate that-- 7#a7 the ,federal ,government has a duty to protect the rights of transgender and nonbinary people by implementing a ,transgender ,bill of ,rights that includes-- 7,a7 ensuring that transgender and nonbinary people have equal access to services and public accommodations that align with their gender identity by-- 7i7 amending the ,civil ,rights ,act of #aifd 7#db ,u4,s4,c4 #bjjj;a et seq47 to prohibit discrimination on the basis of sex1 including gender identity and sex characteristics1 in public accommodations and federally funded programs and activities2 7ii7 expanding the definition of public accommodation to address the full range of places and services that members of the general public utilize2 7iii7 explicitly clarifying that it is illegal to discriminate on the basis of sex1 including gender identity or sex characteristics1 in public accommodations and services on religious grounds2 and 7iv7 amending ,federal law to ensure that it protects students from discrimination based on sex1 including gender identity and sex characteristics1 thus guaranteeing the right of students to participate1 free from discrimination1 including harassment and sexual violence1 in all areas of school life1 including in classes1 extracurriculars 7including athletics71 access to facilities1 and other school activities2 7,b7 clarifying and reaffirming the right to bodily autonomy and health care for transgender and nonbinary people by-- 7i7 enforcing prohibitions against discrimination in the provision of health care on the basis of sex1 including on the basis of actual or perceived gender identity or sex characteristics2 7ii7 eliminating unnecessary governmental restrictions on the provision of1 and access to1 gender-affirming medical care and counseling for transgender and nonbinary adults and adolescents2 7iii7 ensuring that health care providers that follow recognized standards of care for transgender and nonbinary people are not targeted for criminal or civil penalties1 or for professional discipline2 7iv7 protecting children against forceful removal from supportive homes2 7v7 protecting providers of gender-affirming care1 reproductive health care1 and abortion health care from threats and acts of violence related to their work2 7vi7 expanding access to competent health care providers serving transgender and nonbinary patients1 including by recruiting and training more health care providers to provide appropriate care2 7vii7 expanding telehealth access to provide patients in rural and other underserved locations better access to health care services2 7viii7 codifying the right to abortion and reproductive health care1 such as contraceptives and assistive reproductive technology1 for everyone1 including transgender and nonbinary people2 7ix7 banning the performing of nonconsensual surgeries that violate medical ethics and the human rights of intersex children and infants2 7x7 banning conversion practices and other abusive and torturous pseudo-medical treatments that are overwhelmingly rejected by every major medical organization as lacking efficacy and carrying significant risks of harm2 7xi7 protecting providers of gender-affirming care from specious consumer and medical fraud accusations based on their provision of medically necessary care2 and 7xii7 ensuring that the ,sexual ,gender ,minority ,research ,office of the ,national ,institutes of ,health is re-opened and remains operational2 7,c7 ensuring transgender and nonbinary people can care for themselves and their families by fully codifying the judgment of the ,supreme ,court in ,bostock v4 ,clayton ,county1 #adj ,s4 ,ct4 #agca 7#bjbj7 by-- 7i7 eliminating hiring and employment discrimination and workforce exclusion by amending title ,,vii of the ,civil ,rights ,act of #aifd 7#db ,u4,s4,c4 #bjjj;e et seq47 to explicitly clarify that employers may not discriminate on the basis of actual or perceived gender identity or sex characteristics2 7ii7 amending the ,fair ,housing ,act 7#db ,u4,s4,c4 #cfja et seq47 to explicitly clarify that it prohibits all forms of sex discrimination1 including on the basis of gender identity or sex characteristics2 and 7iii7 amending the ,equal ,credit ,opportunity ,act 7#ae ,u4,s4,c4 #afia et seq47 to explicitly clarify that it prohibits all forms of sex discrimination1 including on the basis of gender identity or sex characteristics2 7,d7 providing accessible avenues for legal recognition of transgender and nonbinary identities and guaranteeing full participation in civil life by-- 7i7 eliminating ,federal gender identification requirements on government documents that are unnecessary to determine the identity of the holder or are otherwise irrelevant to the purpose of the document2 7ii7 eliminating burdensome barriers to1 or prohibitions on1 updating sex and names on passports1 ,social ,security cards1 and other forms of ,federal ,government identification and records1 permitting1 where possible1 changes on self-attestation alone2 7iii7 requiring that an ,x marker be available on ,federal ,government identification and records that require gender2 7iv7 requiring ,states to permit voters to update their name and gender on their voter registration and vote on the same day of ,federal elections2 7v7 making explicit that existing ,federal statutes prohibiting sex discrimination in jury service also prohibit discrimination based on gender identity and sex characteristics2 7vi7 eliminating anti-trans bias in the immigration system1 including the asylum process1 by requiring culturally competent training for adjudicators and ensuring that gender identity and sex characteristics are not used to the detriment of individuals in immigration proceedings2 7vii7 ensuring that dedicated and capable transgender and nonbinary servicemembers can continue to serve proudly and openly in the ,armed ,forces2 7viii7 requiring the ,,tricare program 7as defined in section #ajgb of title #aj1 ,united ,states ,code7 and the ,department of ,veterans ,affairs to pay for gender-affirming health care2 and 7ix7 requiring a review of military discharges for transgender and nonbinary veterans1 and reclassification of discharge status and code1 to ensure the patriotism and sacrifices of transgender and nonbinary servicemembers is respected above partisan politics2 7,e7 strengthening the safety of transgender and nonbinary people by-- 7i7 investing in community services to prevent intimate partner1 family1 and community violence against transgender and nonbinary people and expand services for transgender and nonbinary survivors2 7ii7 investing in mental health services and suicide prevention programs designed for transgender and nonbinary people2 7iii7 ensuring robust regulations and procedures that affirm that claims for immigration relief or asylum based on persecution related to gender1 sexual orientation1 gender identity1 and sex characteristics are protected grounds in the context of asylum adjudications2 7iv7 ensuring housing assignments for transgender and nonbinary people in government custody are based on their safety needs and providing individual housing determinations that incorporate assessments by qualified caseworkers and the assessment of the individual of their safety needs2 7v7 prohibiting involuntary solitary or administrative confinement of a transgender or nonbinary individual because of their gender identity2 and 7vi7 exploring policies and practices that improve the safety of transgender and nonbinary individuals incarcerated in jails1 prisons1 and immigration detention facilities and ensuring that those populations of transgender and nonbinary individuals have access to gender-affirming care1 appropriate services1 and commissary items consistent with their gender identity2 and 7,f7 actively enforcing the civil rights of transgender and nonbinary people by all government agencies including by-- 7i7 requiring the ,attorney ,general to designate a liaison within the ,civil ,rights ,division of the ,department of ,justice whose job is dedicated to advising on and overseeing enforcement of the civil rights of transgender and nonbinary people2 and 7ii7 appropriating the funds necessary to fully staff and support the enforcement of these rights across agencies2 7#b7 to carry out the goals in this resolution1 ,federal agencies must collect gender identity and sex characteristics information on a voluntary1 confidential basis solely for equity and public health purposes in key ,federal surveys2 7#c7 the ,federal ,government must make an ongoing commitment to the rights of transgender and nonbinary people2 7#d7 policies concerning transgender rights must be led and informed by transgender communities1 in particular ,black and ,indigenous women who face heightened risk of violence1 poverty1 discrimination1 and other harm due to their intersecting identities2 and 7#e7 the actions listed in this resolution are only the first steps toward transgender equality4