On March 2, 2022, the Children’s Bureau released a new Information Memorandum (IM), Guidance for Title IV-B and IV-E Agencies When Serving LGBTQI+ Children and Youth.

The IM states: “The Department of Health and Human Services and all leading national medical and pediatric associations confirm that providing gender-affirming medical care is in the best interest of children and youth who need it… As such, each title IV-B and IV-E agency should consider how best to provide services and supports to each LGBTQI+ child and youth who is at risk of entering or is in foster care. These services and supports should be tailored to their individual needs, including those related to their sexual orientation, gender identity, or gender expression.”