Are you American Indian or Alaska Native and finding it difficult to access gender affirming care? Are you in a ban state? It may be possible for you to start or continue gender affirming care at tribal or IHS clinic in your state or a neighboring state.
Tribal and IHS clinics are protected from state law. If you are in a state with a gender affirming care ban in effect, tribal and IHS clinics may still be able to provide care.
IHS Pharmacy Formulary
- allows for testosterone in injectable, patch, and gel formulations
- estradiol in oral, injectable, and patch formulations
- leuprolide depot, Histrelin, Eligard
- spironolactone
- bicalutamide
- progesterone
- finasteride, dutasteride
- minoxidil
- sildenafil/tadalafil
Accessing Care at Tribal or IHS Clinics
To access tribal healthcare facilities, you must meet eligibility guidelines. Call the registration office to learn about eligibility requirements.
To access IHS clinics, you must be enrolled in a federally recognized tribe or be a descendant of an enrolled member.
Need help determining your eligibility or local clinic?
Contact Paths (Re)membered at pathsremembered@npaihb.org
About Paths (Re)membered (https://www.pathsremembered.org/about-us/ is undergoing maintenance 4/2025)
The Paths (Re)Membered Project centers the Two Spirit and LGBTQ+ community–its strengths, resiliencies, and histories—in our movement toward health equity. They offer mental health services to Two Spirit and Indigiqueer 2SLGBTQ+ persons aged 15 and older in thirty-two states.
Paths (Re)membered is a project of the Northwest Portland Area Indian Health Board. More information on their Two Spirit, Indigiqueer, and 2SLGBTQ+ programs can be found here.
This blog’s information comes from Paths (Re)membered Guide for Trans Minors in Ban States Seeking to Access Gender-Affirming Care in IHS or Tribal Sites and other resources developed and published by Paths (Re)membered. We thank them for their work.
