Access to equitable health care, including gender-affirming medical care (eg, pubertal blockers, sex hormones), continues to be a struggle for transgender and nonbinary youth, especially those who are in racial and ethnic minority groups.1,2 Barriers to accessing comprehensive health care may contribute to the many health disparities transgender and nonbinary youth face, such as higher rates of substance misuse, burden of sexually transmitted infections, bullying, being bullied, anxiety, depression, suicidal ideation, and suicidal behaviors compared with their aged-matched cisgender peers.3 Looking at 1 disparity, mental health, there is clear evidence that access to pubertal suppression and gender-affirming hormones can be lifesaving.4,5 Yet, barriers to this care continue to exist, and many transgender and nonbinary people avoid accessing health care because of experiences of discrimination and/or fear of breaches in confidentiality.2