New York City plans $8.9 million in contracts for gender-affirming care for minors
A health department notice published Oct. 6 names Callen-Lorde and the Nonprofit Organization for Philanthropic Initiatives as the providers the city would negotiate with. It is a negotiated acquisition, not an open grant round; other providers may express interest by Oct. 16.
New York. The New York City Health Department intends to contract with organizations that provide gender-affirming care to patients under 18, at an estimated total value of $8,879,218, according to a notice published in The City Record on Oct. 6.
The notice names two potential vendors the department would negotiate with: Callen-Lorde, an LGBTQ+ community health center with clinics in Manhattan, Brooklyn and the Bronx, and the Nonprofit Organization for Philanthropic Initiatives, known as NOPI, a Massachusetts nonprofit that offers fiscal sponsorship to charitable projects. The notice does not say what share of the money each would receive.
What the contracts would cover
The services include the prescription and administration of puberty blockers and hormone replacement therapy to minor patients for whom they are medically necessary under prevailing standards of care. Care must be given by qualified medical providers with current New York State licenses and must follow state laws on parental consent.
The contracts would run from Feb. 1, 2027, to June 30, 2029, with one option to renew for three more years. The work falls under the department's Family and Child Health division.
How other providers can respond
The department is using a negotiated acquisition rather than an open competition. Under the city's procurement rules, it said, there is "a compelling need for gender-affirming care services that cannot be met timely by competitive sealed proposals."
Other providers that believe they can deliver the services may send an expression of interest by email to the department's contact named in the notice by 2 p.m. on Oct. 16, citing EPIN 81627N0004.
Mayor Zohran Mamdani announced a $15 million plan on June 26 that included a direct care access fund for providers of youth gender-affirming care, a call and text line, and research funding. Gothamist reported that the contracts would be the largest piece of that plan; the notice itself does not mention it.
Gothamist also reported that the notice follows agreements by two hospital systems in the city, NYU Langone and Mount Sinai, with the federal government to stop providing gender-affirming care to minors.
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