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

Earlier that day, Pelosi visited the San Francisco VA Medical Center to assess improvements in the healthcare system, ongoing research projects, and—based on a press release from her team—the risk of House Republicans potentially cutting essential services for veterans.

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

“This is an issue I’m advocating for at the national scale, and we are striving for gender-affirming care for our transgender children,” Pelosi stated. “It’s unfortunate for us… I’m uncertain about the impact we can make nationally with the current situation in the White House and Congress.”

She described the situation as “truly unfortunate” and noted that a transgender pride flag—featuring five horizontal light blue, pink, and white stripes—hangs outside her office.

Pelosi also said several colleagues display the same flag.

She acknowledged that many Republicans on Capitol Hill oppose medical transition for transgender youth.

Still, she is not alone in her stance on sex changes for kids.

Earlier this month, over a dozen officials from Democratic-led states filed a lawsuit to stop the Trump administration from blocking access to sex change procedures and treatments for people under the age of 19.

The complaint, which was filed in the US District Court for the District of Massachusetts, argues that the Trump administration wants to impose a nationwide ban on sex change procedures by threatening providers with “baseless criminal charges” and investigations.

The lawsuit names President Donald Trump, Attorney General Pam Bondi and the Justice Department as defendants.

It challenges Trump’s Jan. 28 executive order barring government support for sex change operations and treatments and two memos by Bondi and Assistant Attorney General Brett Shumate. 

Pelosi’s office told Fox News Digital the Democrat was referring to this lawsuit when she spoke about supporting sex changes for children.

Bondi’s memo directs the Department of Justice (DOJ) to investigate and prosecute those who offer sex-change treatments to minors.

Shumate’s memo directs prosecutors to prioritize investigations against doctors, hospitals and pharmaceutical companies that perform such procedures. 

In July, Kaiser Permanente announced that it would pause sex change surgeries for patients under 19 beginning Aug. 29 in response to the Trump administration’s efforts on the matter.

The same month, Children’s Hospital Los Angeles shuttered its Center for Trans Youth Health and Development, one of the nation’s largest clinics for transgender young people.

The Children’s National Hospital in Washington, DC, also announced that it will no longer provide gender transition-related medical interventions. 

Many states have laws restricting or banning sex change surgeries for children.

The states named in the lawsuit – California, Connecticut, Delaware, Hawaii, Illinois, Maryland, Massachusetts, Michigan, Nevada, New Jersey, New Mexico, New York, Pennsylvania, Rhode Island, Washington DC, and Wisconsin. – allow such procedures.