Democratic nominee for New York City mayor Zohran Mamdani has unveiled a plan to devote $65 million of city funds to gender-affirming health care should he win November’s election. The proposal would cover puberty blockers, hormone therapy and gender-transition surgeries for both adults and minors, positioning New York as one of the most expansive municipal providers of such care in the United States. Under Mamdani’s blueprint, about $57 million would be directed to public hospitals, community health centers, federally qualified clinics and nonprofit providers. The remaining $8 million would pay for expanded services, including mental-health support and care-navigation programs. The candidate says he would finance the package by raising taxes on high-income residents and large corporations, and he has pledged to levy penalties on hospitals that decline to offer gender-affirming treatments. Mamdani casts the initiative as a direct response to Trump-era federal policies that have curtailed access to transgender health services. His proposal far exceeds the $13.725 million for LGBTQ programs that the City Council and Mayor Eric Adams included in the recently approved $115.9 billion fiscal-year 2026 budget, setting up a clear policy contrast as the mayoral race moves into its final stretch.