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Executive Reports

Executive Report 2014 -2015

Chancellor's Advisory Committee on Gender Identity and Sexual Orientation Issues (GISOI) EXECUTIVE REPORT July 1, 2014 to June 30, 2015

Presented by:

Jennifer Burney, PH.D., Assistant Professor School of Global Policy and Strategy

Arpi Minassian, Ph.D., Clinical Professor, Department of Psychiatry

Submitted November 16, 2015

 

Dr. Pradeep Khosla Chancellor

 

Dear Chancellor Khosla:

On behalf of your Advisory Committee on Gender Identity and Sexual Orientation Issues (CAC GISOI), we would like to provide you with a brief summary of our activities covering the academic year 2014-2015.   This past year, we focused on the recommendations of the UC LGBT Task Force that was created by President Yudof in 2012, and subsequently endorsed and addressed by the UC President Napolitano’s Advisory Council on LGBT Students, Faculty and Staff.  Our committee formed eight workgroups to align with the 8 recommendations of the Task Force, as described in our website: http://gisoi.ucsd.edu/our-work/task-force-recs.html

A few highlights of the accomplishments of these workgroups include:

1):  Gender-Inclusive restrooms:  UC San Diego is currently in a strong position to meet the UCOP gender-inclusive restrooms timeline in part due to the work of our committee. By finding allies across campus, members helped initiate the campus audit of facilities and motivated several units on campus to make these changes at their own cost well ahead of the release of the UCOP timeline.

Implementing the gender-inclusive restroom requirements at the Health Systems campus may be more of a challenge. With the support of the Vice Chancellor for Equity, Diversity and Inclusion Dr. Petitt, we have been in communication with the Health Systems leadership about the new Jacobs Medical Center, where California Building Code requirements must also be reconciled.

 

  • Collection of Data on Sexual Orientation, Gender Identity and Gender Expression: In the spring of 2015, President Napolitano announced that the University of California would begin collecting data from undergraduate applicants regarding sexual orientation, gender identity and gender   These data will assist us in better understanding the access, retention, GPA and graduation rates of our student who are part of the LGBT community.  We are in communication with Vice Chancellor Petitt’s office to obtain reports of undergraduate applicants for the Fall of 2016.  This information would help better inform programming, counseling, housing, and other student needs.

 

  • Preferred Name Project: The Task Force has also recommended modification of campus student record systems to enable students to self-identify with their preferred name and to have this information propagate through all associated systems that disclose student The CAC GISOI has long been in conversation with the UC San Diego Registrar’s office about this issue. As different units on campus begin to address this issue on their own, our workgroup is staying closely

apprised of the different solutions springing up on campus so as to be best able to advise the Registrar’s Office about a centralized, comprehensive solution.

In addition, we had a hard-working subcommittee that created and launched our new and improved website, http://gisoi.ucsd.edu/index.html, which we hope will be informative to the UC San Diego community and beyond about the mission, scope, and accomplishments of the committee.

 Finally, Vice Chancellor Petitt attended our summer 2015 meeting and remains aware and supportive of the activities of the CAC GISOI. We would like you to meet with our committee in the summer of 2016 so that we can appraise you of the progress of this committee and discuss future initiatives. We will be in touch with your office to schedule a time on your calendar.

Thank you for the support of your CAC GISOI.  Please do not hesitate to contact either of us, and we look forward to meeting with you next year.

With Appreciation,

Jennifer Burney, Ph.D., Assistant Professor, School of Global Policy and Strategy Arpi Minassian, Ph.D., Clinical Professor, Department of Psychiatry

Co-Chairs, Chancellor’s Advisory Committee on Gender Identity and Sexual Orientation Issues

 

CC:      Dr. Becky Petitt, Vice Chancellor for Equity, Diversity and Inclusion

            Clare Kristofco, Chancellor’s Office Chief of Staff

            Frank Silva, Chief of Staff for Vice Chancellor of Equity, Diversity and Inclusion

            Glynda Davis, Senior Diversity Officer

Executive Report 2013-2014

Chancellor’s Advisory Committee on Gender Identity and Sexual Orientation Issues (GISOI) EXECUTIVE REPORT July 1, 2013 to June 30, 2014

Presented by:
Amy Adler, MA Co-Chair
Joselyn Harris, RN Co-Chair
Arpi Minassian, Ph.D. Co-Chair Elect
Submitted February 13, 2015

Introduction

Over the last year, the Chancellor’s Advisory Committee on Gender Identity and Sexual Orientation Issues (CAC GISOI) has addressed a number of key areas relating to the UCSD campus and the UC system as a whole. This report reviews the committee’s work, highlighting where significant progress has been made, as well as where there is still work to be done.

Review of scope of the Committee

CAC GISOI serves the Chancellor’s office by gathering information about lesbian, gay, bisexual, and transgender (LGBT) issues and concerns from multiple constituents on campus, informing the UC San Diego community and public through advising the Chancellor with written recommendations and supporting educational events. CAC GISOI members participate in quarterly meetings and in small work-groups focusing on specific topics, such as housing, Queer/LGBT/Gender and Sexuality Studies, and health systems issues within UCSD. The committee is co-chaired by two people, traditionally one faculty member and one other campus constituent (staff member, graduate student, or undergraduate student).

2013-14

Leadership – Joselyn Harris, RN and Amy Adler, Ph.D., Associate Professor of Visual Arts served as co-chairs.  In July 2014, Arpi Minassian, Ph.D., Clinical Professor of Psychiatry, was elected as co-chair to replace Dr. Adler.

Meetings – The committee held quarterly meetings: July 24, 2013, October 23, 2013, January 22, 2014, and April 30, 2014. Member attendance throughout the year was strong.

Membership – CAC GISOI continued with the current membership roster, with representatives from diverse sections of campus and including students, staff and faculty at different levels of leadership.

Highlights

Recommendations of the Health Sciences Working Group and Meeting with Health Sciences/Health Systems leadership

The Health Sciences working group was reactivated with the mission of reviewing previous (2002-2003) recommendations to UCSD Healthcare on increasing cultural competency with respect to LGBTQ issues. Of the 10 recommendations that were outlined in the 2002-2003 report, this working group determined that only three had been at least minimally or partially implemented. The CAC GISOI distributed the standing 10 recommendations as well as 4 new recommendations (all described in Addendum 2) to Health Sciences, Health Systems, and Medical Education leadership. These entities responded (see Addendum 2), and on 5/22/2014 a meeting was convened with administrators, members of the CACGISOI working group, and interim Vice Chancellor of EDI Carol Padden.

As a result of this meeting, some progress was made on advancing important recommendations such as:

  1. launching a website that provides resources for LGBTQ health issues for faculty and staff;
  2. incorporating LGBTQ health issues in continuing medical education; and
  3. initiating discussions about the opening of an LGBTQ clinic.

Re: Item 1, with the support of Dean Brenner, a working group has been formed that is tasked with identifying content and coordinating launch of the website.

Re: Item 2, ongoing projects spearheaded by the leadership of CAC GISOI are developing continuing education curricula for medical residents and staff (see below).

Re: Item 3, the Health Systems leadership expressed verbal interest in an LGBTQ clinic, potentially housed in Family Medicine at Fourth and Lewis. The primary recommendation of the working group, creation of and support for an FTE position devoted to LGBTQ issues in Health Sciences, was discussed at length.

Although it remains the belief of the CAC GISOI that having an FTE dedicated to the UC San Diego Health enterprise would substantially accelerate our education, training, and clinical missions with respect to cultural competency in the LGBTQ sphere, the Health Sciences/Health Systems leadership is not prepared to support such a position at present.

Development of LGBTQ module for Continuing Education for Medical Residents

Members of the CAC GISOI were invited to submit a proposal to the American Medical Association (AMA) to revise their online Cultural Competency module in the Introduction to the Practice of Medicine series, with a focus on LGBTQ health. This module is available to medical residency programs nationwide. A working group was formed which also includes clinicians from the VA San Diego Health Care system with expertise in LGBTQ health. The current version of the module is an approximately 45-minute presentation via PowerPoint and video vignettes and covers the following topics:

  • importance of cultural competence in the delivery of clinical care;
  • definition of concepts related to sex, gender identity, and gender expression,
  • health care disparities among LGBTQ people; and
  • culturally competent screening and intervention in LGBTQ patient populations.

The AMA marketing group will travel to San Diego in February 2015 to manage audiovisual production of the module.

Health Systems LGBTQ project

The LGBTQ Project was created to better connect UC San Diego Health System with the LGBTQ community on healthcare issues. We developed an interdisciplinary team to identify these issues, and develop policies and procedures through advocacy, outreach, and education, in order to diminish any negative effects these issues may have on the LGBTQ community. The team became active in February of 2014.

Since that time, we have completed our outreach goals to connect with LGBTQ organizations, and partnered with most events that promote UC San Diego Health System in being LGBTQ- welcoming and friendly. We have also partnered with other healthcare institutions, such as: Skilled Nursing Facilities, Assisted Living Facilities, as well as acute-care institutions, developing culturally-responsive educational programs. We have helped implement a gender- preferred name place on our electronic information system (EPIC). This will aid in communication and understanding with our Transgender patients and clients. This is significant because it came about through one of our community events held on the Hillcrest Medical Center campus.

Our biggest challenges for the past year have been (and continue to be) communication system-wide, as well as education system-wide, on cultural responsiveness education for the entire system. We plan to continue these efforts in 2015, and have more success. We have been involved in developing Transgender lectures and presentations on cultural issues and medical problems of the Transgender community. These have been well-received, and are projected to be expanded. Please see Addendum 3 for a report we submitted to the UC San Office of Equal Opportunity / Staff Affirmative Action that details the activities of the LGBTQ project.

Support for Rainbow Graduation

Every year the CAC GISOI supports the UCSD Rainbow Graduation with funding either through its fund or through donations from its members. The UCSD Rainbow Graduation honors graduating seniors and strives to build a community of supportive individuals with student and faculty speakers and student run entertainment. The Rainbow Graduation is attended by a large swath of the UCSD community, including the Chancellor.

Support for Harvey Milk Breakfast

Every year the CAC GISOI is represented at the San Diego Harvey Milk Breakfast. The breakfast is attended by more than 1,000 people, businesses, elected officials and organizations annually, including UCSD Campus and UCSD Health Sciences. It is the largest Harvey Milk celebration in the state of California. It is a place for “all San Diegans who support equality and justice to celebrate the memory of influential civil rights activist Harvey Milk” It is attended by the chairs and other members of the CAC GISOI. This year we were pleased to have the Chancellor sponsor a table at the breakfast.

Major Challenges

Health Sciences/Health Systems support for an FTE position

As above, the CAC GISOI continues to lobby for an FTE position that would serve both the Health Sciences and Health Systems and would oversee and coordinate education, training, community outreach, and other functions that we believe are vital to the climate of patient care and education/training of UC San Diego faculty, staff, and students. To date the UC San Diego Healthcare enterprise has not offered support for this position.

CAC GISOI website

The CAC GISOI does not have an online presence. We continue to attempt to work with the Chancellor’s office to launch a website that describes the mission and scope of this committee. After repeated requests and multiple conversations with the Chancellor’s Office we have had no success in moving forward.

Commitment from Vice Chancellor of Student Affairs to address campus issues

Interim Vice Chancellor Alan Houston attended the CAC GISOI quarterly meeting on April 30, 2014. This was the first meeting of the VCSA and the CAC GISOI in the past decade. The intention of the meeting was to begin to examine the points of policy and practice that need to be addressed regarding gender identity and sexual orientation issues in Student Affairs. Some of the topics discussed at this meeting included intercollegiate athletics, intramurals and club sports; registrar, name changes, gender changes and preferred names; colleges, LGBT Interest Housing and Gender Inclusive Housing. Please see Addendum 4 for the Best Practices that were submitted to the Vice Chancellor.

A follow up meeting was held on June 5, 2014 with the office of the VCSA, again with interim Vice Chancellor Houston. Continued concerns were expressed regarding transgender support across all VCSA units. Given the interim status of the Vice Chancellor, the recommendation was to continue the conversation with the permanent Vice Chancellor when he or she was selected.

Goals

The CAC GISOI’s goals for the next academic year include making forward progress with the above challenges. An additional major focus will be to review the UC-wide LGBT Task Force Recommendations and investigate their implementation at UC San Diego. Finally, the committee plans to review the university’s existing Stop the Clock policy and assess its scope and relevance to major life transitions such as coming out and transitioning.

Read the full Executive Report (PDF), including the complete addendums.

Executive Report 2011-2013

Chancellor’s Advisory Committee on Gender Identity and Sexual Orientation Issues (GISOI) EXECUTIVE REPORT July 1, 2011 - June 30, 2013 

Presented by:
Amy Adler, Co-Chair
Joselyn Harris, RN Co-Chair
Davey Smith Immediate Past Co-Chair
Submitted 2013

Introduction

Over the last year, the Chancellor’s Advisory Committee on Gender Identity and Sexual Orientation Issues (CAC GISOI) has addressed a number of key areas relating to the UCSD campus and the UC system as a whole. This report reviews the committee’s work, highlighting where significant progress has been made, as well as where there is still work to be done.

Review of scope of the Committee

CAC GISOI serves the Chancellor’s office by gathering information about lesbian, gay, bisexual, and transgender (LGBT) issues from multiple constituents on campus, informing the UC San Diego community and public through sponsoring/co-sponsoring educational events and advising the Chancellor with written recommendations as necessary. CAC GISOI members participate in quarterly meetings and in small workgroups focusing on specific topics, such as housing, Queer/LGBT/Gender and Sexuality Studies, and medical issues within UCSD. The committee is co-chaired by two people, traditionally one faculty member and one other campus constituent (staff member, graduate student, or undergraduate student), although this year a permanent co-chair was not available.

2011 – 2012

Leadership — Davey Smith MD, Associate Professor of Medicine IR, was in his second year as co-chair.
Meetings – The committee held quarterly meetings: January 24, April 20, and July 26.
Membership – CAC GISOI continued with the current membership roster, with representatives from diverse sections of campus and including students, staff and faculty.

2012 – 2013

Leadership — Davey Smith MD, Associate Professor of Medicine IR, was in his third year as co- chair, and Amy Adler, PhD, Associate Professor of Visual Arts was elected as co-chair. Joselyn Harris, RN was elected to replace Dr. Smith
Meetings – The committee held quarterly meetings: January 30, April 24, and July 24.
Membership –CAC GISOI continued with the current membership roster, with representatives from diverse sections of campus and including students, staff and faculty.

Highlights

Grossing up wages for domestic partners because of imputed income challenges

Dr. Smith met with Chancellor Fox in April 2012 to review possible avenues to address the issue of imputed income within the UC system as a whole and at UCSD locally. Specific recommendations were made and Chancellor Fox said she would bring the issue to the UC Chancellor Meeting in May 2012. No progress was made. Dr. Smith then met also with the Academic Senate Diversity committee August 2012 and the Diversity Council February 2013. To facilitate more grass roots support, the CAC GISOI then started hosting ‘Lunch and Learn’ talks led by Dr. Travers in March 2013. These have been well received and will be continued.

UCSD School of Medicine Safe List Campaign

After the media spotlight on bullying in the LGBT community made this issue more prominent, the CAC GISOI committee began work on creating a 'safe list' for students to consult for advice and guidance on gender identity and sexual orientation issues, including homophobia. This work began at the School of Medicine and the Medical Center in response to medical student concerns who reported issues during their clerkships. This work was spearheaded by Dr. Scott Vanderberg, a member of the CAC GISOI and Professor in the Department of Pathology. Regarding longer term goals, safe lists for other schools and graduate programs at UCSD may be implemented. In the future, the CAC GISOI may ask for help with a “top-­-down” approach is getting 'buy in' with other schools and programs.

Leadership designation for the Health Equality Index by Human Rights Campaign

In collaboration with the UCSD Health Sciences Diversity Council, the CAC GISOI pushed for UCSD Health Sciences to file for “Leadership” designation on the Health Equality Index by Human Rights Campaign in 2011. “The Healthcare Equality Index (HEI) is a unique and invaluable resource for healthcare organizations seeking to provide equitable, inclusive care to LGBT Americans—and for LGBT Americans seeking health care organizations with a demonstrated commitment to their care.” Zachary Schlagel was invited to present the progress to the CAC GISOI, where he and his team received a number of substantive comments for improvement. Through work with the Diversity Council and CAC GISOI Members and the UCSD Health Sciences team, led by Zachary Schlagel, UC San Diego Health System was recognized as a “Leader in LGBT Healthcare Equality” in the Healthcare Equality Index 2012 report, earning top marks for commitment to “equitable, inclusive care for lesbian, gay, bisexual and transgender (LGBT) patients and their families, who can face challenges in accessing adequate health care”.

Integrating LGBT issues into the medical and pharmacy school curriculum and establishing LGBT Medical Fellowship

After a report in the Journal of American Medical Association in 2012 that US medical students receive little education on LGBT health issues. The CAC GISOI asked UCSD School of Medicine Leadership, Deans Maria Savoia and Jess Mandel to present the outline of LGBT medical education to the CAC GISOI. In Febuary 2012, Drs. Mandel and Scioilla presented to the CAC GISOI the outline of medical education concerning LGBT medical issues. It was found that metric for outcome assessments will be based on questionnaires as well as performance based assessment where actors pose as patients with LGBT issues.

The first set of data will be available 2014, and it is planned for CAC GISOI members to review these data and actively be involved in LGBT medical education at the undergraduate and post-­graduate levels. Furthermore, Dr. Davey Smith (Associate Professor of Medicine, IR) has been working with the UCSD Development Office and School of Medicine and UCSD Health Sciences to establish an LGBT Medical Fellowship specifically designed to provide education in the unique needs of LGBT patients. Funding for this fellowship is still being pursued.

UCSD Pride Fellowship

Mission: To train leaders in the medical care of lesbian, gay, bisexual and transgender (LGBT) individuals.

The Problem: Even though there are board certified fellowships in many medical sub-specialties, Cardiology, Endocrinology, Infectious Diseases, etc., there is no structured clinical training in gender identity and sexual orientation issues. LGBT individuals are disproportionately affected by a variety of medical issues. For example:

  • LGBT adolescents are 2 to 3 times more likely to attempt suicide and more likely to be homeless than other adolescents.
  • Lesbians are less likely to get preventive services for breast and ovarian cancer than heterosexual women
  • Lesbians and bisexual females are more likely to be overweight or obese.
  • Gay men, especially gay men of color, have an increased risk of HIV and anal cancer than heterosexual men.
  • Transgender individuals have a higher prevalence of HIV, depression, suicide than cis-gender individuals.
  • Transgender individuals are also less likely to have health insurance than cis-gender individuals.
  • Elderly LGBT individuals face additional barriers to healthcare service because of lack of culturally competent social services and providers.
  • LGBT individuals have the highest rates of tobacco, alcohol, and other drug use.

Solution: To tackle these disparities, the UCSD Department of Medicine and the Owen Clinic will develop a two-year post-graduate fellowship in LGBT medicine. Highly qualified candidates who have completed their residency in Internal Medicine will be eligible for this opportunity. The structured curriculum will include women’s, adolescent, sexual and mental health, and specific training in transgender hormone treatment and HIV care. There will also be a significant focus on public health and health policy research concerning LGBT heath. The ultimate outcome of this fellowship will be to train the next leaders in LGBT medicine and health research and to supply the healthcare system with clinicians who are clinically and culturally competent in LGBT medical care.

Transgender health care for UCSD students through Student Health Services

It has been a long goal of the CAC GISOI to ensure the best possible transgender health care for UCSD students. This process has involved a comprehensive education campaign, spearheaded by Drs. Davey Smith (Associate Professor of Medicine, IR) and Winston Tilghman (Assistant Professor of Medicine). Both of these medical providers work in the Tuesday and Thursday Night Clinics, which provide specialized healthcare to transgender individuals. Furthermore, Dr. Smith has provided routine consultations for UCSD Health Service providers in the care of transgender students since 2010. These clinicians provided medical educational services to UCSD Student Health Service providers every year 2010 - 2013, and Dr. Regina Fleming of UCSD Health Services reported to CAC GISOI on the success of these educational efforts October 2012.

Gender Neutral Housing

Although LGBT Interest Housing was implemented in the '09-'10 year, the committee continued to discuss the need for gender neutral housing. Removing gender as an organizing factor in housing placement begins to address the needs of some transgender residents in powerful and unique ways. Other UC campuses have explored limited options for gender neutral housing with some success.

Campus climate and Critical Gender Studies Program

In the current era of budget cuts, significant reductions in funding for the Critical Gender Studies Program were made. This raised concerns from the CAC GISOI, and a letter was sent to the Chancellor’s office in May 2011 to outline the issues that such cuts could have on the campus climate. This was again reiterated in January 2012 through Chancellor representation on the CACGISOI. Since Critical Gender Studies is a program and not a standalone department, it has little ability to advocate for itself. The CAC GISOI continues to feel strongly that Critical Gender Studies is a vital endeavor to improve campus climate concerning issues of diversity

Expanded CAC GISOI membership

In August 2011, the CAC GISOI placed a campus wide call for applications for the committee. These applications were reviewed by committee leadership and membership selection was made at the Fall 2011 meeting, and the membership was expanded with broad representation across UCSD, including faculty, staff, undergraduate, graduate and post-graduate students. Since this time committee representation has been stable at 38-44 participants and 50-62% attendance rate for quarterly meetings.

Support for Rainbow Graduation

Every year the CAC GISOI supports the UCSD Rainbow Graduation with funding either through its fund or through donations from its member. In 2012, Dr. Dan Lee, Associate Clinical Professor of Medicine, a member of the CAC GISOI sponsored the entire event personally. The UCSD Rainbow Graduation honors graduating seniors and strives to build a community of supportive individuals with student and faculty speakers and student run entertainment. The Rainbow Graduation is attended by a large swath of the UCSD community, including the Chancellor.

Support for Harvey Milk Breakfast

Every year the CAC GISOI supports the San Diego Harvey Milk Breakfast. The breakfast is attended by more than 1,000 people, businesses, elected officials and organizations annually, including UCSD Campus and UCSD Health Sciences. It is the largest Harvey Milk celebration in the state of California. It is a place for “all San Diegans who support equality and justice to celebrate the memory of influential civil rights activist Harvey Milk” It is attended by the chairs and other members of the CACGISOI.

Introduction of Chancellor Khosla to the San Diego LGBT community at the LGBT Center Community Breakfast

In February 2013 Chancellor Khosla attended the LGBT breakfast meeting at the LGBT Center along with UCSD Health Systems CEO Paul Vivano to meet several elected officials and members of the LGBT community. The Chancellor was quoted as saying, “We need to bring UC San Diego to the community and the community to UC San Diego. Life is culturally rich and we need to reflect that.” He went on to say “As we go through the strategic planning process it is important that the LGBT community is at the table to tell us your aspirations, and how we build upon and attain them.”

Major Challenges

Grossing up wage issue for imputed income for domestic partners

Federal tax law considers the UC contribution for medical and dental coverage for domestic partners as income to the UC employee or retiree, unlike benefits received for opposite-gender married couples. This inequity can be corrected by ‘grossing up’ the wages of employees who have domestic partners receiving UC benefits, similar to the processes used for employees who have University cell phones, although it is troubling to have to compare the issue of compensation for cell phones with the rights of domestic partners. If in the happy event that federal law corrects this unfairness in the tax code, then imputed income changes would no longer be needed. Despite multiple recommendations from the CAC GISOI for the past three years, the issue of “grossing up” has yet to be implemented by UCSD or UC as a whole.

Specifically, the CACGISOI recommends:

  1. The Chancellor to discuss with both UCOP Vice President Dwaine Duckett and the Committee of UC Chancellors “grossing up” for Domestic Partner and Same-Gender Benefits within the UC System.
  2. Direct the UCSD Office of Human Resources to calculate the current imputed income tax burden of UCSD employees and retirees, in order to understand the real cost implications.
  3. Advocate if UCSD can act unilaterally ‘to do what is right’ to resolve this issue locally.

On this last point, we feel that this unfair practice continues because it hides behind the UC-wide bureaucracy.

Transgender Health Benefits for Transgender UCSD employees

Accessing information regarding benefits available to employees who are considering transition/transitioning/continuing hormones post transition from each of the available health insurance plans is very difficult. Neither individual employees nor Health Care Facilitators receive consistent or accurate information from the health plan representatives. Additionally, referring UC physicians who have contacted health plan representatives for transgender employees regarding pre-uthorizations have been given inaccurate and conflicting information, even when two employees are on the exact same UC health plan. Despite explicit statement of transgender health benefits provided by UCSD, there remains no current UC sponsored health plan or process that adequately provides this coverage.

To address these issues doctors Smith and Travers met with VC Tom Leet in November 2012 to assist transgender employees in understanding their options, and potential issues that may occur between employees and their healthcare providers/insurance plans. The UCOP then provided a document which outlined the options available for employees, retirees and their family members who may be considering transitioning or seeking services related to transgender health, the services covered by which health plans, and the coverage limits. We strongly feel that this document should be updated each year when the health plans change, and in advance of Open Enrollment.

Read the full, submitted Executive Report (PDF).

Archived Reports