SB 338 (BECKER) Mobile Health for Rural Communities Pilot Program – Support

April 16th, 2025

The Honorable Caroline Menjivar 
Chair, Senate Health Committee 
1021 O Street, Room 3310
Sacramento, CA 95814

RE: Support for Senate Bill 338 (Becker)

Dear Chair Menjivar,   

Mental Health America of California (MHAC), the California Youth Empowerment Network (CAYEN) and LGBTQ+ Inclusivity, Visibility, and Empowerment (LIVE) are pleased to support Senate Bill 338 (Becker), legislation that would establish the Mobile Health for Rural Communities Pilot Program with the goal of increasing access to health services, including mental health, for rural communities.

MHAC, CAYEN, and LIVE are dedicated to advancing mental health, wellness, and equity through community-led advocacy, education, and empowerment. By centering the voices of those with lived experience, including youth, LGBTQ+ individuals, and people living with mental health and substance use challenges, we aim to reduce stigma, influence public policy, and create inclusive environments where everyone has access to vital community-based culturally responsive mental health and substance use supports and services.

Access to these services is extremely challenging for individuals in the rural communities, especially youth and the LGBTQ+ community. People often travel for hours for in-person services. Additionally, rural communities lack the appropriate internet infrastructure to support telehealth or virtual services. Senate Bill 338 (Becker) invests in mobile health, bringing services directly to communities in need, reducing barriers to access in-person and virtual health services.

It is for these reasons MHAC, CAYEN, and LIVE support SB 338 (Becker) and respectfully ask for your “Aye” vote. If you have any questions or need further assistance, please do not hesitate to contact MHAC’s Director of Public Policy, Karen Vicari, at kvicari@mhaofca.org, CAYEN’s Public Policy Coordinator Danny Thirakul at dthirakul@mhac.org, or LIVE’s Project Manager Anthony Garibay-Mena at agaribaymena@mhac.org.

In Community,   

Heidi L. Strunk   
President & CEO 


Danny Thirakul 
California Youth Empowerment Network 
Public Policy Coordinator 

Anthony Garibay-Mena 
LGBTQ+ Inclusivity, Visibility, and Empowerment 
Project Manager 

AB 678 (LEE) LGBTQ+ Safe and Inclusive Housing – Support

April 17, 2025

The Honorable Matt Haney
Assembly Housing and Community Development Committee
1020 N Street, Room 156
Sacramento, CA 95814

Re: LIVE Support for Assembly Bill 678 (Lee)

Dear Chair Haney, 

LGBTQ+ Inclusivity, Visibility, and Empowerment (LIVE) is pleased to support AB 678 (Lee), legislation that would require the California Interagency Council on Homelessness to coordinate with LGBTQ+ housing providers, nonprofits, advocates, and researchers to recommend policies and best practices for improving services for LGBTQ+ people experiencing homelessness.

LIVE is a program of changemakers that celebrates LGBTQ+ diversity and creates a more inclusive world where LGBTQ+ community members can live authentically. LIVE creates positive change by uplifting and empowering individuals to raise their voices in policymaking, stigma reduction and unifying community. LIVE is committed to advocating for the health, wellness, and rights of the LGBTQ+ community, ensuring that all individuals can thrive without facing discrimination or barriers to their livelihood.   

Affordability, discrimination, race, and ethnicity are some of the primary challenges the LGBTQ+ community faces attempting to secure stable and safe housing. LGBTQ+ individuals are twice as likely as non-LGBTQ people to be unhoused.[1] To better support the LGBTQ+ community and address these challenges, California must collaborate with and center the lived experience of the community in the delivery of education, training, resources, and collect data to prevent discrimination, harassment, and violence.

This bill will include LGBTQ+ serving organizations, individuals, and advocates in the creation of best practices and culturally competent services. It is for these reasons that LIVE supports AB 678 (Lee) and asks for your “Aye” vote. If you have any questions, or if LIVE can provide assistance on this bill or any other legislation, please do not hesitate to contact me at agaribaymena@mhac.org or our Public Policy Coordinator, Danny Thirakul, at dthirakul@mhac.org.

In Community,  

Anthony Garibay-Mena 
LGBTQ+ Inclusivity, Visibility, and Empowerment 
Program Manager 


[1] thisisloyal.com, L. |. (2024, October 31). Housing is an LGBTQ issue. Williams Institute.

AB 554 (GONZALEZ) HIV Prevention – Support

April 22, 2025

The Honorable Mia Bonta
Chair, Assembly health Committee
1020 N Street, Room 390
Sacramento, CA 95814

Re: LIVE Support for Assembly Bill 554 (González)

Dear Chair Bonta, 

LGBTQ+ Inclusivity, Visibility, and Empowerment (LIVE) is pleased to support AB 554 (González), legislation that would prohibit health plans from requiring prior authorization, step therapy, or any other protocol designed to delay treatment for HIV/AIDS prevention drugs, devices, and products.

LIVE is a program of changemakers that celebrates LGBTQ+ diversity and creates a more inclusive world where LGBTQ+ community members can live authentically. LIVE creates positive change by uplifting and empowering individuals to bolster their voices in policy, stigma reduction and unifying community. LIVE is committed to advocating for the health, wellness, and rights of the LGBTQ+ community, ensuring that all individuals can thrive without facing discrimination or barriers to their livelihood.   

The California Department of Public Health recorded in their 2022 HIV Surveillance Report that 142,772 people were living with HIV.[1] Men who have sex with men (MSM) were identified as a category of people at high risk of transmission of HIV. Access to HIV prevention drugs, devices, and other products is essential to reducing transmission and improving public health and safety for all. This bill ensures health plans cannot delay access to these vital prevention services and supports.

By reducing barriers to timely access, people living with HIV will be able to receive care in a timely manner. It is for these reasons that LIVE supports AB 554 (González) and asks for your “Aye” vote. If you have any questions, or if LIVE can provide assistance on this bill or any other legislation, please do not hesitate to contact me at agaribaymena@mhac.org or our Public Policy Coordinator, Danny Thirakul, at dthirakul@mhac.org.  

In Community,  

Anthony Garibay-Mena 
LGBTQ+ Inclusivity, Visibility, and Empowerment 
Program Manager 


[1] California HIV Surveillance Report – 2022. California Department of Public Health . (n.d.).

SB 497 (WEINER) Protecting Gender Affirming Care – Support

April 22nd, 2025

The Honorable Jesse Arreguín
Senate Public Safety Committee
1020 N Street, Room 545
Sacramento, CA 95814

Re: Support for Senate Bill 497 (Weiner)

Dear Chair Arreguín, 

LGBTQ+ Inclusivity, Visibility, and Empowerment (LIVE) is pleased to support SB 497 (Weiner), legislation that protects an individual’s rights to gender-affirming care by:

1) prohibiting the disclosure of information related to an individual’s gender-affirming care to out-of-state entities, and

2) limiting the sharing of data from the Controlled Substances Utilization Review and Evaluation System (CURES), as it may be used to identify individuals receiving gender-affirming care.

LIVE is a program of changemakers that celebrates LGBTQ+ diversity and creates a more inclusive world where LGBTQ+ community members can live authentically. LIVE creates positive change by uplifting and empowering individuals to bolster their voices in policy, stigma reduction and unifying community. LIVE is committed to advocating for the health, wellness, and rights of the LGBTQ+ community, ensuring that all individuals can thrive without facing discrimination or barriers to their livelihood.   

Anti-transgender laws continue to rise across the nation, prohibiting the utilization of essential services, facilities, and healthcare aligned with people’s gender identity. These laws are aimed at erasing the transgender community, denying their entire existence. California is a sanctuary state for the LGBTQ+ community, protecting them from discriminatory policies and ensuring access to care. This bill further strengthens California as a sanctuary for the LGBTQ+ community by protecting people who come from out of state to seek gender-affirming care. By ceasing coordination with out of state entities and prohibiting data sharing related to gender affirming care, this bill ensures individuals can seek care without fear of civil or criminal prosecution.

It is for these reasons that LIVE supports SB 497 (Weiner) and asks for your “Aye” vote. If you have any questions, or if LIVE can provide assistance on this bill or any other legislation, please do not hesitate to contact me at agaribaymena@mhac.org or our Public Policy Coordinator, Danny Thirakul, at dthirakul@mhac.org.  

In Community,  

Anthony Garibay-Mena 
LGBTQ+ Inclusivity, Visibility, and Empowerment 
Program Manager 

AB 932 (IRWIN) Sex and Gender Inclusion in Community Youth Athletics Programs – Support

April 22nd, 2025

The Honorable Ash Kalra
Assembly Judiciary Committee
1020 N Street, Room 104
Sacramento, CA 95814

Re: LIVE Support for Assembly Bill 932 (Irwin)

Dear Chair Kalra, 

LGBTQ+ Inclusivity, Visibility, and Empowerment (LIVE) is pleased to support AB 932 (Irwin), legislation that would prohibit schools, cities, and other municipalities from discriminating against a person based on sex or gender in their access to parks, schools, and recreation facilities and resources.

LIVE is a program of changemakers that celebrates LGBTQ+ diversity and creates a more inclusive world where LGBTQ+ community members can live authentically. LIVE creates positive change by uplifting and empowering individuals to bolster their voices in policy, stigma reduction and unifying community. LIVE is committed to advocating for the health, wellness, and rights of the LGBTQ+ community, ensuring that all individuals can thrive without facing discrimination or barriers to their livelihood.

The transgender community faces discrimination in a variety of ways such as but not limited to access to healthcare, housing, and other essential services. They can also face daily scrutiny and discrimination when attempting to use public facilities such as athletic courts, gymnasiums, recreational rooms, and most commonly restrooms. This bill prohibits municipalities from discriminating against people based on sex or gender, ensuring equal access to facilities and resources.  

People have a right to recreation and education in which sex and gender are not barriers to access. It is for these reasons that LIVE supports AB 932 (Irwin) and asks for your “Aye” vote. If you have any questions, or if LIVE can provide assistance on this bill or any other legislation, please do not hesitate to contact me at agaribaymena@mhac.org or our Public Policy Coordinator, Danny Thirakul, at dthirakul@mhac.org.  

In Community,  

Anthony Garibay-Mena 
LGBTQ+ Inclusivity, Visibility, and Empowerment 
Program Manager 

AB 727 (GONZÁLEZ) Pupil Identification Cards – Support

March 24th, 2025 

The Honorable Al Muratsuchi 
Chair, Assembly Education Committee    
1020 N Street, Room 159   
Sacramento, CA 95814  

Re: LIVE Support for AB 727 (González)

Dear Chair,

LGBTQ+ Inclusivity, Visibility, and Empowerment (LIVE) is pleased to support Assembly Bill 727 (González), legislation that would require schools and institutions of higher education to provide the Trevor Project’s suicide hotline and text line on their students’ identification cards. This bill also provides statewide resources if youth and their families have faced school-based discrimination, harassment, intimidation, or bullying.

LIVE is a program of changemakers that celebrates LGBTQ+ diversity and creates a more inclusive world where LGBTQ+ community members can live authentically. LIVE creates positive change by uplifting and empowering individuals to bolster their voices in policy, stigma reduction and unifying community. LIVE is committed to advocating for the health, wellness, and rights of the LGBTQ+ community, ensuring that all individuals can thrive without facing discrimination or barriers to their livelihood. 

Suicide among transgender youth increased by 72% between 2018 and 2022, according to a Trevor Project report. This alarming rise is linked to the enactment of anti-transgender laws in 19 states, which have restricted access to gender-affirming medical care, bathroom use, and participation in school activities.[1] As trans lives continue to be lost and at risk, California must step up to provide access to immediate support to trans youth.

AB 727 provides readily accessible suicide prevention support and holds California accountable for providing resources to LGBTQ+ youth and families facing discrimination. It is for these reasons that LIVE supports AB 727 (González) and asks for your “Aye” vote. If you have any questions, or if LIVE can provide assistance on this bill or any other legislation, please do not hesitate to contact me at agaribaymena@mhac.org or our Public Policy Coordinator, Danny Thirakul, at dthirakul@mhac.org.

In Community,

Anthony Garibay-Mena
LGBTQ+ Inclusivity, Visibility, and Empowerment
Project Manager


[1] News, T. (2025, February 11). Anti-transgender laws cause up to 72% increase in suicide attempts among transgender and nonbinary youth, study shows. The Trevor Project.  

AB 309 (ZBUR) Hypodermic Needles and Syringes – Support

March 24th, 2025

The Honorable Mia Bonta 
Assembly Health Committee
1020 N Street, Room 390
Sacramento, CA 95814

Re: LIVE Support for Assembly Bill 309 (Zbur)

Dear Chair, 

LGBTQ+ Inclusivity, Visibility, and Empowerment (LIVE) is pleased to support AB 309 (Zbur), legislation that would allow a physician or pharmacist to continue providing clean and safe hypodermic needles and syringes to individuals 18 years or older without a prescription or permit.

LIVE is a program of changemakers that celebrates LGBTQ+ diversity and creates a more inclusive world where LGBTQ+ community members can live authentically. LIVE creates positive change by uplifting and empowering individuals to bolster their voices in policy, stigma reduction and unifying community. LIVE is committed to advocating for the health, wellness, and rights of the LGBTQ+ community, ensuring that all individuals can thrive without facing discrimination or barriers to their livelihood.   

The Addiction Center reports that 20 to 30% of the LGBTQ+ community struggles with substance misuse, a significantly higher rate than the 9% seen in the general population. Among the most misused substances is heroin, which ranks among the top five.[1] Recovering from a substance use disorder is a journey, often nonlinear, with progress and setbacks. Individuals who use substances requiring hypodermic needles face numerous challenges and should not be further harmed while working towards recovery. Access to clean syringes is a proven harm reduction strategy that prevents the transmission of HIV, viral hepatitis, and other bloodborne diseases, ultimately improving public health and safety.[2]  The distribution of safe and clean needles and syringes ensures that if individuals experience a setback in their recovery the harm done to them is minimized.

This bill is a critical step toward reducing preventable harm and protecting community health. It is for these reasons that LIVE supports AB 309 (Zbur) and asks for your “Aye” vote. If you have any questions, or if LIVE can provide assistance on this bill or any other legislation, please do not hesitate to contact me at agaribaymena@mhac.org or our Public Policy Coordinator, Danny Thirakul, at dthirakul@mhac.org.  

In Community,  

Anthony Garibay-Mena 
LGBTQ+ Inclusivity, Visibility, and Empowerment 
Program Manager 


[1] Pottle, Z. (2025, February 24). LGBTQ+ and addiction. Addiction Center.

[2] Centers for Disease Control and Prevention. (n.d.-b). Syringe Services Programs. Centers for Disease Control and Prevention.

AB 1084 (ZBUR) Change of Name, Gender, and Sex Identifier – Support

March 14th, 2025

The Honorable Mia Bonta
Chair, Assembly Health Committee
1020 N Street, Room 390
Sacramento, CA 95814

Re: Support for Assembly Bill 1084 (Zbur)

Dear Chair,

LGBTQ+ Inclusivity, Visibility, and Empowerment (LIVE) strongly supports Assembly Bill 1084 (Zbur), legislation that would streamline court proceedings so that individuals can petition for name change and gender markers to align with their gender identity.

LIVE is a program of changemakers, that celebrates LGBTQ+ diversity and creates a more inclusive world where LGBTQ+ community members can live authentically. LIVE creates positive change by uplifting and empowering individuals to bolster their voices in policy, stigma reduction and unifying community. The transgender community has a right to exist as they are, yet legal documents using their deadname and non-affirming gender markers, exposes them to potential discrimination.

Transgender individuals often face significant barriers when applying for essential services due to discrepancies between their gender identity and the name and gender marker on their identification documents.[1] Without proper documentation, they may experience discrimination, stigma, and harassment when seeking housing, employment, or education, as well as inadequate access to healthcare. The ability to present identification with a name and gender marker that align with one’s gender identity reduces the risk of discrimination and harassment while also allowing individuals to fully live as their authentic selves.

This bill establishes a streamlined process for updating name and gender markers on identification documents, making it more efficient for transgender individuals to obtain necessary documentation and access essential services and resources more quickly. It is for these reasons that LIVE supports Assembly Bill 1084 (Zbur) and asks for your “Aye” vote. If you have any questions, or if LIVE can provide assistance on this bill or any other LGBTQ+ legislation, please do not hesitate to contact me at agaribaymena@mhac.org.

In Community,

Anthony Garibay-Mena
LGBTQ+ Inclusivity, Visibility, and Empowerment
Program Manager


[1] Understanding the transgender community. Human Rights Campaign. (n.d.)

AB 0908 (SOLACHE) LGBT+ Inclusion in LCAP – Oppose

March 14, 2025

The Honorable Al Muratsuchi
Chair, Assembly Education Committee
California State Assembly
1020 N Street, Room 159
Sacramento, CA 95814

RE: Opposition to Assembly Bill 908 (Solache)

Dear Chair,

LGBTQ+ Inclusivity, Visibility, and Empowerment (LIVE) is pleased to support Assembly Bill 908 (Solache), a bill that would ensure school districts prioritize the education and well-being of LGBTQ+ pupils by requiring a state priority in their local control and accountability plans (LCAP) that describes the school district’s implementation of supportive policies and initiatives for LGBTQ+ pupils.

LIVE is a program of changemakers, that celebrates LGBTQ+ diversity and creates a more inclusive world where LGBTQ+ community members can live authentically. LIVE creates positive change by uplifting and empowering individuals to bolster their voices in policy, stigma reduction and unifying community.  

Schools are essential public institutions that support youth in their social and emotional learning. However, disparities in school connectedness pose a significant risk factor for developing mental health and substance use challenges. [1] A recent study by UCLA’s Williams Institiute also found that hat 10% of public middle and high school students identify as LGBTQ+ in California. These students reported lower levels of school connectedness compared to their non-LGBTQ+ peers.[2]  This bill provides a path forward to ensure school are held accountable in addressing the educational and health needs of LGBTQ youth.

It is for those reasons that LIVE supports AB 908 (Solache). If you have any questions, or if LIVE can provide assistance on this bill or any other legislation, please do not hesitate to contact me at agaribaymena@mhac.org or our Public Policy Coordinator, Danny Thirakul, at dthirakul@mhac.org.

In Community,

Anthony Garibay-Mena
LGBTQ+ Inclusivity, Visibility, and Empowerment
Program Manager


[1] Centers for Disease Control and Prevention. (2024). Substance use among youth. Centers for Disease Control and Prevention.

[2] Choi, S.K. Baams, L., & Wilson, B.D.M.  (2017). LGBTQ Youth in California’s Public Schools: Differences across the State. Los Angeles: The Williams Institute

AB 0089 (SANCHEZ) Gender Equity in Sports – Oppose

March 14th, 2025

The Honorable Christopher M. Ward
Chair, Assembly Committee on Arts, Entertainment, Sports, & Tourism
1020 N Street, Suite 152
Sacramento, CA 95814

RE: Opposition to Assembly Bill 89 (Sanchez)

Dear Chair,

LGBTQ+ Inclusivity, Visibility, and Empowerment (LIVE) respectfully opposes Assembly Bill 89 (Sanchez), a bill that would ban trans woman from competing in interscholastic sports team. This bill discriminates against and exposes the trans and cis-gendered community to inhumane and unfair treatment.

LIVE is a program of changemakers, that celebrates LGBTQ+ diversity and creates a more inclusive world where LGBTQ+ community members can live authentically. LIVE creates positive change by uplifting and empowering individuals to bolster their voices in policy, stigma reduction and unifying community. LIVE is committed to advocating for the health, wellness, and rights of the LGBTQ+ community, ensuring that all individuals can thrive without facing discrimination or barriers to their livelihood.

Assembly Bill 89 (Sanchez) poses an existential threat to the transgender community by denying their participation in sports. This bill not only prevents transgender individuals from participating but also deprives them of the benefits that come from sports involvement, such as developing leadership skills, team-building, improved academic outcomes, and a sense of community.

In addition, this bill poses many concerns around implementation. According to the Human Rights Campaign (HRC)[1], a trans ban could potentially force the trans and cisgendered youth to undergo invasive, traumatic, expensive, and age-inappropriate testing to examine internal or external genitalia. This could include but is not limited to DNA testing, bloodwork for hormone levels, and other unscientific tests for gender. Anyone accused or stereotyped could also be subjected to testing and or be forced to relay sensitive and protected health information. Furthermore, testing alone would subject individuals to potential harassment or bullying regardless of the outcomes of testing.  

Participation in school sports offers numerous academic, social, physical, mental, and behavioral benefits. Transgender youth should not be excluded from these opportunities, which are critical for their development and well-being. It is for those reasons that LIVE must oppose Assembly Bill 89 (Sanchez) and ask for your “no” vote. If you have any questions, or if LIVE can provide assistance on this bill or any other legislation, please do not hesitate to contact me at agaribaymena@mhac.org or our Public Policy Coordinator, Danny Thirakul, at dthirakul@mhac.org.

In Community,

Anthony Garibay-Mena
LGBTQ+ Inclusivity, Visibility, and Empowerment
Program Manager


[1] Human Rights Campaign (2025)