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An open letter to Open Door’s board

Give us one hour.

Open Door’s board: hear from the community. Care for our trans kids.

An open letter to the Open Door board

Give us one hour.

You are our neighbors. You volunteered to govern a community clinic, and we think most of you found out about this decision the way the rest of us did.

We are not asking you to break a law. We are asking you to sit in a room with real patients of Open Door and hear how this affects them.

Whatever you have been told the law requires, you have the power to ask for more. Ask for the citation. Ask what it would take to bring this care back. Ask us.

Then decide. That is all a governing board is for.

The letter asks the board to

  • Hold a community listening session
  • Make a plan to restore access
  • Keep this care at Open Door
  • Put the promise to current patients in writing

Sign by Oct 16.

What Open Door told patients

Due to restrictions for health centers that receive federal funding, Open Door is not able to prescribe gender affirming medications for patients under age 19.

Open Door flyer · July 13, 2026

So where do our kids go?

Their flyer gives only two phone numbers. One won’t see anyone under 16. Every kid deserves a pathway to care.

What Open Door calls a referral

Same kid. Same insurance. Different year.

Open Door stopped prescribing patients under 19 gender-affirming medication and referred them elsewhere. This is what that costs our kids.

Before — at your clinic
After — “a referral”
Your own doctor, who knows you
A phone number
Refills where you already go
Telehealth, or a drive
Help with your first injection
You do it at home, alone
Labs in the same building
Labs you arrange yourself
Part of one visit
A separate system you assemble
Covered like your other care
Check if they take your plan

Our kids shouldn’t have to figure this out alone.

This was a decision, not a law. Open Door can make a different one.

What Open Door still will not say

It wasn’t a law. It was a choice.

Open Door stopped starting patients under 19 on gender-affirming medication and blamed federal restrictions. It has never named one.

California

The state says this care is legal, medically necessary, and covered by Medi-Cal.

The courts

A federal judge already barred the government from pulling funding because a clinic treats patients under 19.

The rules

The federal restrictions being pointed at are proposals. They are not final law.

What Open Door still won’t say

  • Which rule
  • Who decided
  • What happens to current patients
  • What would bring it back

What we’re asking Open Door to do

Publish the pathway.
Hear the community.
Bring the care back.

A pathway for every kid.

This was a decision, not a law. Open Door can make a different one.

Give us one hour

Hold a community listening session with the families this decision affects, with confidential options for anyone who can’t speak publicly.

Keep the care in the building.

If the problem is the funding, then fix the funding. Don’t move the kid.

If they won’t take care of our kids, we will.

The board can give us one hour. Add your name to the open letter asking them to.

humboldtdsa.org  ·  @humboldtdsa