Neocolonial US right-wing actors have targeted sexual and reproductive health and rights and sexual and gender minority rights in Kenya, influencing support for the Family Protection Bill, which is currently sitting in the Kenyan parliament and, if enacted, would further criminalize sexual and gender minority persons. We focus on how sexual and gender minority persons assigned female sex at birth in Kenya are at the intersection of these assaults on sexual and reproductive health and sexual and gender minority rights and already experience negative health outcomes because of discrimination, barriers to sexual and reproductive health care, and other effects owing to criminalization. (Am J Public Health. 2025;115(8):1264-1270. https://doi.org/10.2105/AJPH.2025.308099).