Relates to establishing a gender-affirming care access program

The definition of 'gender-affirming care' was changed to explicitly include care an individual provides to themselves, broadening the types of services covered.

A new exclusion was added stating that surgical interventions on minors with sex characteristic variations that are not sought or initiated by the patient are not considered gender-affirming care.

The mechanism changed from a specific 'gender affirming care fund' to a 'gender-affirming care access program' established by the Commissioner, with funding subject to appropriation.

New requirements were added to ensure confidentiality, prohibiting the disclosure of specific patient and provider identifying information and mandating adherence to state and federal privacy laws.

The bill now explicitly allows grant funds to cover the costs of medical malpractice and general liability insurance for healthcare providers.

The list of eligible recipients was expanded to include non-profit organizations that facilitate access to care, rather than just those receiving or previously receiving federal funding.