New legislation in California mandates comprehensive cultural competency training for healthcare providers, insurers, and Medi-Cal managed care entities. This initiative aims to foster a more inclusive environment for transgender, gender-diverse, and intersex (TGI) patients. The law emphasizes the importance of respectful communication, addressing health disparities, and ensuring that all staff who interact with patients are adequately trained.

The training requirements extend to frontline personnel such as call center representatives, nurses, and other patient-facing staff. Specialized plans offering only dental or vision services and Medicare Advantage plans are exempt from this mandate. Training must be completed by February 14, 2025, for full-service healthcare service plans, while other regulated entities have until March 1, 2025. Additionally, ongoing refresher courses will be required every two years to maintain competency. Newly hired staff must complete the training within 45 days of starting their roles. Regulators may impose sanctions or penalties for noncompliance, underscoring the importance of adherence.

By March 1, 2025, health plans, insurers, and Medi-Cal managed care plans must update their provider directories to identify in-network providers who offer gender-affirming services. These services can include hormone therapy, gender-confirming surgeries, gynecological care, and voice therapy. Since 2006, continuing medical education (CME) courses in California have included cultural and linguistic competency. SB 923 further amends CME curricula to incorporate TGI health needs, including the use of correct names, pronouns, and gender-neutral language, avoiding assumptions about gender or sexual orientation, and understanding implicit bias.

SB 923 marks a significant step toward ensuring that TGI patients receive respectful and informed healthcare. As healthcare organizations implement these new mandates, they contribute to a more inclusive and equitable healthcare system. The law reflects a commitment to improving health outcomes for marginalized communities and fostering an environment where all patients feel respected and valued. By adhering to these requirements, healthcare providers can enhance patient trust and provide better, more compassionate care, ultimately leading to improved health outcomes for everyone.