for such activities. LGBTQI people often receive much of their health care through reproductive health clinics, and organizations that cannot comply with the policy are forced to discontinue work on United States-supported global health projects that are frequently used by LGBTQI populations, including HIV prevention and treatment, stigma reduction, and research. (10) Because LGBTQI individuals face tremendous discrimination in the formal labor sector, many become sex workers. Many sex-worker-led programs and clinics serve the LGBTQI community with safe, non-stigmatizing, medical and social care. The anti-prostitution loyalty oath that health care providers receiving United States assistance must take isolates sex-worker-led and serving groups from health care programs and reinforces stigma, undermining both the global AIDS response and human rights. A 2013 Supreme Court opinion held this requirement to be unconstitutional as it applies to United States nongovernmental organizations. (11) According to the Trans Murder Monitoring Project, which monitors homicides of transgender individuals worldwide, there were at least 327 cases of reported killings of trans and gender-diverse people between October 1, 2021, and September 30, 2022. (12) In many countries, intersex individuals experience prejudice and discrimination because their bodies do not conform to general expectations about sex and gender. Because of these expectations, medically unnecessary interventions are often performed in infancy without the consent or approval of intersex individuals, in violation of international human rights standards. (13) Asylum and refugee protection are critical last-resort protections for LGBTQI individuals, but those who seek such protections can face ostracization and abuse in refugee camps and detention facilities. They are frequently targeted for violence, including sexual assault, in refugee camps and in immigration detention. LGBTQI individuals may be segregated against their will for long periods in solitary