On Oct. 4, Councilmember David Grosso, chairperson of the Committee on Education, and Councilmember Brianne K. Nadeau, chairperson of the Committee on Human Services, sent a letter to the Child and Family Services Agency (CFSA) seeking clarification of its policies regarding the provision of medical services to transgender youth in the agency’s care.

“The governor of California recently signed legislation in that state…setting the appropriate care for youth in foster care to receive gender-affirming health care, including mental health care. Media outlets praised the state as being the first to ensure these rights for transgender youth,” the two councilmembers wrote. “However, it is our belief that this should have already been policy in the District of Columbia based on the provisions of our Human Rights Act and its interpretation, particularly with regards to the Mayor’s Order from February 27, 2014 prohibiting discrimination in health insurance based on gender identity or expression.”

CFSA Director Brenda Donald responded to Grosso and Nadeau on Oct. 19, reaffirming its commitment to provide youth in its care with all appropriate medical and mental health services, including related to maters of sexual orientation and gender identity.

“In the District of Columbia, youth in the care of CFSA have a right to be provided with timely, adequate, and appropriate medical and mental health services from health care professionals, which includes medical care, behavioral health care, and counseling,” Donald wrote.

“CFSA’s practice is to support and ensure that transgender youth obtain and have access to gender-affirming healthcare, gender affirming mental healthcare, and any other support and services they might need. Should a youth express an interest in undergoing gender reassignment surgery with their social worker, health care professional, or foster parent, CFSA would treat such request as we would any medical request. The agency will refer the youth to the appropriate medical and mental health services, establish what is medically covered, and determine the best way forward to ensure that all medical needs are met. If a youth requests reassignment surgery, CFSA must ensure that the youth receives the appropriate mental health support. The Department of Health Care Finance (DHCF) will cover sex reassignment procedures for beneficiaries with an established diagnosis of gender dysphoria.”

Read the full letter to CFSA, and their response to Councilmembers Grosso and Nadeau, below.