1 Jack L. Turban is with the Division of Child and Adolescent Psychiatry, The Gender Psychiatry Program, and the Philip R. Lee Institute for Health Policy Studies at The University of California, San Francisco (UCSF). Chase T. M. Anderson is with the Division of Child and Adolescent Psychiatry, The MUSES Clinic, and The Gender Psychiatry Program at UCSF. Joanne Spetz is with the Philip R. Lee Institute for Health Policy Studies and the Department of Family and Community Medicine at UCSF.