Overview: During the recent Tarrant County Commissioners Court meeting, a resolution recognizing the Health Center for LGBTQ+ Health became a focal point of discussion. The resolution, which sought to honor the Center’s 31 years of contributions, particularly in the areas of HIV prevention and care, was introduced by one commissioner. It highlighted the Center’s efforts in preventing approximately 200 new HIV infections annually, translating to significant savings in medical costs without taxpayer funding. Despite these contributions, the resolution was met with opposition from some court members, especially regarding its perceived association with gender-affirming care . . .