Globally, it is estimated that 25 million people identify as transgender and nonbinary gender (TGNB). Approximately 1.5 million TGNB adults live in the United States. Under the Affordable Care Act Section 1557 (2011), a federal law was established that made it illegal to discriminate based on "race, color, national origin, sex, age, or disability in certain health programs and activities." Yet, on June 12, 2020, the U.S. Department of Health and Human Services published a new final rule on its interpretation of Section 1557, which remove gender identity or expression from protections included under sex nondiscrimination, thus permitting healthcare discrimination against TGNB individuals. As clinicians, we are deeply troubled by the elimination of gender identity discrimination protections in health care and ongoing violent acts against transgender people. Globally, it is estimated that 25 million people identify as transgender and nonbinary gender (TGNB; Winter et al., 2016), approximately 1.5 million of whom reside in the United States (Kaiser Health News, 2020; Meerwijk & Sevelius, 2017). Transgender is an umbrella term for people "whose gender identity is different from their sex defined at birth," whereas nonbinary refers to a gender expression that is neither male nor female (National Center for Transgender Equality, 2016). Internationally, TGNB persons face significant barriers to accessing appropriate quality health care (i.e., health insurance and limited specialist services) and experience discrimination within healthcare systems (Bakko & Kattari, 2020; Thomas et al., 2017). These barriers to care are reflected in the disproportionate burden of violence and victimization among transgender persons (Johns et al., 2019); insignificant receipt of preventive health screenings (e.g., cholesterol, cancer; Edmiston et al., 2016); and high prevalence of clinical depression, anxiety, somatization, homelessness, and suicide attempts among transgender youth and adults (Keuroghlian, Shtasel, & Bassuk, 2014; Safer et al., 2016). Given the injustices experienced in the healthcare system, discrimination protection laws are necessary to help ensure that TGNB individuals have the fullest civil rights when receiving health care.