Tribal Leaders Defend Gender-Affirming Care Rights
Protecting Two-Spirit and LGBTQ+ Voices
In recent months, Native American tribal leaders have stepped forward to defend the rights of LGBTQ+ and Two-Spirit citizens. As state and federal governments attempt to roll back gender-affirming care, tribes are affirming their sovereignty and cultural traditions of inclusivity.

Understanding “Two-Spirit” and LGBTQ+
While “Two-Spirit” is often mentioned alongside LGBTQ+, it holds a distinct cultural meaning within Indigenous communities. The term, coined in 1990, reflects traditional Native beliefs honoring individuals who embody both masculine and feminine spirits — often seen as healers or bridge-builders in their tribes.
Unlike the global LGBTQ+ identity framework, which centers on gender and sexual diversity in modern society, Two-Spirit identity connects deeply to tribal culture, spirituality, and sovereignty. Recognizing this distinction helps honor the cultural roots and self-determination of Indigenous peoples in today’s broader equality movements.
🌈 A Stand for Sovereignty and Care
At the Two Spirit Conference in Elko, Nevada, leaders emphasized that protecting health care access is both a human rights issue and a continuation of cultural values. The National Indian Health Board passed a historic resolution to safeguard care for LGBTQ+ and Two-Spirit people, ensuring communities remain supported and respected.
🌿 Reclaiming Cultural Roots of Identity
Long before Western norms, many Indigenous nations honored Two-Spirit people as healers, teachers, and spiritual leaders. Today’s defense of gender-affirming care continues that legacy — restoring ancestral values of balance, respect, and belonging.
🔥 Challenges and Hope Ahead
Though access to affirming care remains limited by funding gaps and jurisdictional issues, tribes and advocates are leading change. Their efforts show how sovereignty can empower compassion, health equity, and justice for all.
This story shows how Native communities are standing strong for inclusion and justice, ensuring every member’s identity is honored. It is a reminder that sovereignty also means protecting the dignity and health of future generations.
To support the tribes actively defending the health and dignity of their Two-Spirit, learn more and contribute to Native-led advocacy groups today.