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Q&A

CM Cabán on gender-affirming care investment gap and mental health

New York City Council · Jun 5, 2026 · starts 1:36:12 · 2 min 56 sec

Cabán notes the LGBTQIA+ caucus secured $13.25M last year and advocates want more. Martin acknowledges the gap between the mayor's campaign commitment and current exec budget, saying more is to come. Cabán also asks about mental health services for anti-trans violence impacts.

Lynn C. Schulman

I will say that...

Lynn C. Schulman

The investments for just on the trans-equity front, we want to see them higher, right?

Lynn C. Schulman

Last year, the LGBTQIA plus caucus, along with community advocates, like shout out to the Trans-Equity Coalition, who did incredible work, were able to secure in initiative funding

Lynn C. Schulman

a historic investment, almost $13.25 million for gender-affirming care.

Lynn C. Schulman

And there is a greater need today than there was even last year.

Lynn C. Schulman

And I know that the advocates are asking for a bigger investment from the administration.

Lynn C. Schulman

I know it's something that the mayor ran on when he was running for office.

Lynn C. Schulman

And so, like, you know, while we see that investment there, it is there's a lot of room between.

Lynn C. Schulman

That commitment that was made and what we see right now in the exec budget.

Lynn C. Schulman

So do you anticipate us seeing differences when it comes to the adopted or what are we looking at there?

Dr. Alistair Martin

Yeah, we see you, we hear you, we're on the exact same page and we can't get in front of

Dr. Alistair Martin

City Hall or OMB on this, but there's much more to come on this exact issue.

Lynn C. Schulman

We want to be partners in this.

Lynn C. Schulman

So whatever we can do to help on this.

Lynn C. Schulman

That front is a big deal.

Lynn C. Schulman

And then before I pass it,

Lynn C. Schulman

Oh, okay.

Lynn C. Schulman

Before I pass it over to Chair Shulman, I have one more question for you.

Lynn C. Schulman

Gender identity discrimination complaints, five-year high, right, while transgender New Yorkers are obviously continuing to face harassment and violence and barriers to care.

Lynn C. Schulman

What investments particularly...

Lynn C. Schulman

Are being made to address mental health impacts of discrimination and anti-trans violence?

Lynn C. Schulman

Like how much is being specifically earmarked to culturally competent mental health services for transgender, gender non-conforming, and non-binary New Yorkers?

Lynn C. Schulman

I realize that question, like it could be in public health, it could be in the DOHMH portion, but I'm just going to ask it now.

Dr. Alistair Martin

Yeah, well, I'll start the conversation and then we can continue with some of our...

Dr. Alistair Martin

experts.

Dr. Alistair Martin

Yeah, look, you know, from our standpoint on our mental health side, our services are available to all New Yorkers, including LGBTQIA plus New Yorkers.

Dr. Alistair Martin

Now, that being said, there are specific allotments and carve outs that help to allow us to do our work even more focused in that community.

Dr. Alistair Martin

And so I want to not

Dr. Alistair Martin

you know, jump out ahead of our mental hygiene team who can give you a little bit more specifics in that.

Dr. Alistair Martin

But yeah, absolutely, we do see an opportunity, not just for the LGBTQIA community writ large with regard to mental health, but also the youth.

Dr. Alistair Martin

component is incredibly important that we get that right.

Lynn C. Schulman

Right.

Lynn C. Schulman

Thank you.

Lynn C. Schulman

Pass it to you, Chair.

Lynn C. Schulman

Thanks.

Lynn C. Schulman

Thank you.

Lynn C. Schulman

Thank you.

Lynn C. Schulman

Councilmember Ressler?