The last few years have brought about significant political and legal changes that have affected access to gender-affirming and reproductive health care across the United States. This panel will explore and discuss legal developments that have diminished access to care to these necessary forms of health care as well as the various victories, defeats, obstacles, and opportunities that transgender and gender nonconforming people, including pregnant people and people of color, face. We will address developments in privacy, liberty, and personal autonomy jurisprudence affecting these forms of care, including the Supreme Court’s decisions in Dobbs v. Jackson Women’s Health Organization and Whole Woman’s Health v. Jackson. We will discuss the litigation and other efforts to eliminate barriers to coverage as well as regulatory changes that have taken place since the Biden administration came into office. Finally, we will discuss the intersections of the advocacy and litigation surrounding these forms of essential health care.