Theme	Quotes
Recognize heterogeneity within LGBTQ+ populations	“We’re in the state of 135 Native American tribes […] I’m just fortunate enough to be a part of the Navajo tribe although there’s all this struggle of who I am, even my age, […] and being homeless” (FG 01)
Representation in primary care (e.g., hiring more providers with intersecting marginalized identities)	“I don’t recall ever seeing people of—I don’t recall ever seeing minorities in my clinic. Maybe I just don’t remember it, but my clinic seems very much a white person clinic.” (FG 01)
Encourage providers to develop capacity for critical reflection	“It’s almost like you know people just need to fundamentally understand that oppression is a real thing, feel it for themselves, have some empathy and then go into every situation like that.” (FG 02)
Education led by diverse trainers	“Hire trans people. Hire them, bring them in, that solves a lot of problems. Then they have money and opportunity but also, I don’t know I think I would just be afraid too that like situations where you’re interacting with them one-on-one is not taught by a trans person that always can get dicey” (FG 02)