On September 26, 2016, the mother of a transgender teenaged boy who was admitted into Rady Children’s Hospital-San Diego (RCHSD) for inpatient care filed a lawsuit against the hospital for discrimination against her son, Kyler. One day into his 72-hour stay, and after several failed attempts by his mother to correct the discrimination by the hospital, the hospital’s psychiatrist determined that despite his serious mental health issues, Kyler should be discharged early. About five weeks later, Kyler died by suicide.

NCLR, along with other national LGBTQ organizations, is part of a State Policy Working Group that addresses proposed state legislation affecting LGBTQ people across the country. The group works to support local advocates in advancing bills to protect LGBTQ people from discrimination in employment, housing, public accommodations, healthcare, and other areas, and to allow transgender and nonbinary people to obtain gender marker changes on identity documents.

The group also works to stop the dozens of hostile anti-LGBTQ bills introduced in state legislatures every year. Among the proposed laws that have been successfully defeated are bills that would permit discrimination against same-sex couples who marry, create broad religious exemptions to existing civil rights protections, allow religiously-affiliated child welfare agencies to refuse to place children with same-sex couples, prohibit transgender people from using restrooms and other facilities based on their gender identity, and deprive transgender youth of access to gender-affirming medical care and participation in school sports based on their gender identity.

NCLR and Ceres Policy Research partner with the Center for Juvenile Justice Reform at Georgetown University to present an annual certificate program, “Supporting the Well-Being of Systems Involved LGBTQ Youth.” Multidisciplinary teams from jurisdictions across the country participate in a week-long intensive program designed to provide participants with the knowledge and skills to implement a Capstone Project in their communities to improve outcomes for LGBTQ youth.

NCLR is a partner in the getREAL (Recognize. Engage. Affirm. Love.) project, a national initiative sponsored by the Center for the Study of Social Policy. The getREAL collaborative works to transform child welfare policy nationally to promote the healthy development of LGBTQ and gender expansive youth through working intensively with sites, supporting a national professional network and developing research-based knowledge in the child welfare field.

NCLR is a partner in getREAL (Recognize. Engage. Affirm. Love) California, a collaboration with the Center on the Study of Social Policy, Family Builders by Adoption, and the RISE Initiative of the Los Angeles LGBTQ Center. The focus of the work is to integrate sexual orientation, gender identity and gender expression (SOGIE) into the state’s Continuum of Care Reform and the state law requiring child welfare agencies to collect SOGIE data.

NCLR is working with the Office of LGBTQ Affairs in Santa Clara County, California to implement “Support OUT,” a multi-year initiative designed to promote the health and well-being of the LGBTQ youth living in the county. This public health initiative seeks to address the risk factors that jeopardize LGBTQ youth – especially low-income LGBTQ youth of color – and contribute to their overrepresentation among homeless youth and in child welfare and juvenile justice systems. The vision of the initiative is that all LGBTQ and gender nonconforming children and youth in the county thrive in their homes, schools, and communities, and successfully transition to adulthood.

NCLR co-sponsored AB 2119, a bill to give California foster youth the right to access gender affirming health and behavioral health care. The legislation, which amended the Foster Care Bill of Rights, was the first of its kind in the nation and ensures that transgender youth receive health care consistent with national standards of care. Governor Brown signed the bill in September 2018, and the California Department of Social Services issued guidance in May 2019.