Public health: the Two-Spirit, Transgender, Gender Nonconforming, and Intersex Wellness and Equity Fund.

Assembly Member Addis proposes expanding California's existing Transgender, Gender Nonconforming, and Intersex Wellness and Equity Fund to include Two-Spirit individuals and broaden its grant-making authority. The fund, administered by the State Department of Public Health's Office of Health Equity, would be renamed the Two-Spirit, Transgender, Gender Nonconforming, and Intersex (2TGI) Wellness and Equity Fund.

The legislation adds three new categories of grant funding: workforce development training for 2TGI individuals, resettlement and social integration programs for 2TGI asylees and immigrants, and diversion programs targeting transitional-age 2TGI youth. These complement existing grant categories covering health care provider training, therapeutic arts programs, housing assistance, and gender-affirming medical services. The bill also expands the definition of health care to include mental health services and adds a formal definition of "Two-Spirit" as referring to unique indigenous cultural roles that intersect with diverse sexual orientations and gender embodiments.

Under the bill's provisions, medical providers seeking grants must partner with 2TGI-serving organizations - defined as public or nonprofit entities whose mission centers on serving 2TGI communities and where at least 65% of clients identify as 2TGI. Organizations acting as fiscal sponsors for grantees may charge up to 16% in administrative fees. The legislation maintains the requirement that grant funding remains subject to legislative appropriation, while preserving existing payer coverage requirements for health care and social services.