Former House Speaker Nancy Pelosi said Thursday that sex changes for transgender children is something she’s working for “at the national level.”

Earlier in the day, Pelosi toured the San Francisco VA Medical Center to review health-system upgrades, research initiatives and—according to a press release from her staff—the threat that House Republicans might slash core veterans’ services.

While speaking with reporters, she was asked how her office was responding to pauses to “gender-affirming care” in California.

“That is something I’m working for at the national level, and we are hoping we can have gender-affirming care for our trans kids,” Pelosi said. “It’s a sad thing for us… I don’t know what effect we can have nationally with what we have going on in the White House and in Congress.

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