Supporting Gender Diverse Older Adults in Health, Social Service, and Legal Systems

Across the United States, policies are increasingly restricting the ability of transgender and gender diverse people to update identification documents such as driver’s licenses, state IDs, birth certificates, and passports. This forces many individuals to carry IDs that reflect a name or gender that does not align with who they are or leads to someone having a variety of documents with misaligned gender or sex designations.

For gender diverse older adults, this can create daily stress, safety concerns, and barriers to accessing services. This guide is intended to support caregivers, providers, and support staff navigating restrictive ID policies with awareness, respect, and affirmation.