Harvard Medical School students will administer LGBTQIA+ care for people “from infants to older adults,” thanks to a clinical course run by an LGBT activist.

The course is called “Caring for Patients with Diverse Sexual Orientations, Gender Identities, and Sex Development.” A four-week elective course held mainly at Massachusetts General Hospital, it is available full-time every month. The two directors of the course are affiliated with Mass General, and one of those directors is an activist pushing transgender surgeries for minors.

“This elective is a four-week multidisciplinary clinical-and-scholarly experience that trains students to provide high-quality, culturally responsive care for patients with diverse sexual orientations, gender identities, and sex development,” the course description reads. “Many of these patients identify as lesbian, gay, bisexual, transgender, queer, intersex or asexual (LGBTQIA+). Clinical exposure and education will focus on serving gender and sexual minority people across the lifespan, from infants to older adults.”

“Students will work with multidisciplinary teams in a variety of clinical settings and specialties, including but not limited to Adolescent Medicine, Endocrinology, Family Practice, Infectious Disease, OBGYN, Pediatrics, Psychiatry, Psychology, Primary Medical Care, and Plastic Surgery,” it adds. “They will be immersed in clinical practices committed to promoting health and resiliency for gender and sexual minority communities.”

In addition to Massachusetts General and Harvard Medical School, the course also offers “partnerships and clinical experiences” at Boston Children’s Hospital, which has reportedly offered various trans “affirming” care for minors.

A doctor at BCH claimed in a video put out by the hospital that some transgender patients know their gender identity “as early as seemingly from the womb.”

“They will usually express their gender identity as very young children, some as soon as they can talk, they might say phrases such as ‘I’m a girl’ or ‘I’m a boy’ or ‘I’m going to be a woman’ or ‘I’m going to be a mom,’” Dr. Kerry McGregor, a psychologist at BCH’s Gender Multispecialty Service clinic, said in the video. “Kids know very, very early.” McGregor also said that the clinic serves patients as young as age 2 or 3.

Besides BCH, the course allows students to work at the Cambridge Health Alliance, the Harvard-affiliated Fenway Health Center, Boston Health Care for the Homeless, and other health-care organizations that serve the LGBT community.

According to a report from The College Fix, the directors of the course, Alex Keuroghlian and Alberto Puig, work for Massachusetts General. Keuroghlian is also a psychiatrist at the Fenway Health Center. He is also a radical LGBT activist who pushed “gender-affirming” health care on children. He published research in 2021 that claimed gender-affirming care led to better mental health outcomes among transgender children, and attacked Texas Governor Greg Abbott last year for trying to prevent the practice.

The course also pushes transgender research on students who take it. “At the beginning of the elective, each medical student will receive an updated packet of foundational and current peer-reviewed articles in the area of gender and sexual minority health, to ground their clinical experience in relevant basic science and evidence-based practice,” the course description reads.

The course is part of Harvard Medical School’s Sexual and Gender Minority Health Equity Initiative, which seeks to “foster excellence caring for patients with diverse sexual orientations, gender identities, and sex development.”

California Governor Gavin Newsom announced Tuesday that he plans to reduce billions of dollars in investments initially slated for climate change programs and delay other funding for major programs amid a $22.5 billion state budget deficit.

Newsom unveiled the state’s $297 billion budget plan for the fiscal year 2023-24, in which the Democrat governor reportedly said he carefully preserved California’s reserves, cautioning against a nationwide recession.

“That makes us very mindful of the uncertainty of this next calendar year — and as a consequence of that — we’re not touching the reserves because we have a wait-and-see approach to this budget,” Newsom said, according to The Los Angeles Times.

Budget cuts include about $6 billion pulled away from programs designed to boost zero-emission vehicles in low-income neighborhoods and replace greenhouse gas vehicles like delivery trucks, airplanes, rail lines, and others, KCRA reported.

Politico noted the governor has also proposed to delay spending billions of dollars on public universities, transit, behavioral health, building decarbonization, and watersheds.

The California Republican Party told KCRA that Newsom has failed to handle issues like homelessness and wildfires despite record spending.

“Now with a massive budget shortfall projected, it’s time for Gavin Newsom to finally get serious about smarter spending to resolve the many issues that are plaguing our state and driving long-time residents away,” party Chairwoman Jessica Millan Patterson said in a statement.

The Los Angeles Times reported that Newsom and his administration blamed the drop in the state’s revenue on high inflation, an unpredictable stock market, and interest rate increases sparked by the Federal Reserve.

The governor said, however, that he felt confident California would be in a better place “than most other states to weather what’s to come, to weather a recession.”

California projected a deficit after holding onto a budget surplus for the past several years.

The Legislative Analyst’s Office published a report toward the end of last year emphasizing the projected $25 billion deficit, which they say is primarily due to “lower revenue estimates.”

Fox News reported that analyst officials said the state faces the projected deficit mainly because tax revenues are about $41 billion lower than expected.

“Spurred by pandemic-related federal stimulus, the U.S. economy entered a period of rapid expansion in the summer of 2020 that extended through 2021,” the LAO wrote. “Over the last year, however, evidence has mounted that this rapid economic expansion was unsustainable.”

The state’s last budget was $308 billion with a $97 billion surplus; the year before that, the budget was $263 billion with a $76 billion surplus. The state currently has $35.6 billion in reserves.

Officials noted that if the state’s reserves aren’t enough to solve the deficit, the legislature will need to cut spending, boost revenues, and possibly move costs around, adding that the challenging economic environment is harming revenues.

The office noted that their revenue estimates “represent the weakest performance the state has experienced since the Great Recession.”

“It’s not insignificant, but it’s also manageable,” Legislative Analyst Gabriel Petek said. “We don’t think of this as a budget crisis.”

Newsom’s administration reportedly said the deficit was “realistic and reasonable.”

Charlotte Pence Bond contributed to this report.