Native American tribes across several U.S. states are asserting their sovereign rights to provide gender-affirming healthcare, even as federal and state governments roll back such protections. By exercising tribal governance, these communities are preserving services for transgender and non-binary individuals who face increasing legal obstacles elsewhere.
Health clinics within tribal lands have begun offering inclusive care options, partnering with advocacy groups and medical institutions. These initiatives are rooted in cultural values of dignity and holistic well-being. Elders and tribal councils have framed the efforts as an extension of their traditional healing responsibilities.
The actions are being hailed as a model of resistance and self-determination. As healthcare access becomes increasingly politicized, tribal nations are proving how sovereignty can be a powerful tool to protect marginalized groups.