House Democrats released an agenda Thursday that includes a vow to codify a right to so-called gender-affirming care—transgender surgeries, hormones, and puberty blockers.

The promise came within the Congressional Progressive Caucus’ agenda, which House Democrats first shared with NBC News. That agenda includes a slew of left-wing interests, including promises of a higher minimum wage and stronger antitrust laws.

“If the progressive base is not excited and enthusiastic—and if they don’t feel like we are trying to earn their votes and that they are important—then I think the horrific idea of a second Donald Trump presidency could become reality,” Rep. Pramila Jayapal, D-Wash., who chairs the progressive caucus, told NBC News in an interview. “We cannot afford to let that happen. And we won’t.”

Although NBC claims that the agenda goes “lighter on cultural issues,” under the category “advancing justice,” it promises to “codify the rights of transgender, nonbinary and intersex people, including gender-affirming care and health care.”

Jayapal did not respond to requests for comment for this article explaining what, exactly, codifying a right to “gender-affirming care” would entail.

In March 2023, she joined with other Democrats in introducing a “Trans Bill of Rights,” citing the rise in parental rights laws, laws protecting kids from gender transitions, and laws prohibiting boys from participating in girls and women’s sports.

“Day after day, we see a constant onslaught of anti-trans rhetoric and legislation coming from elected officials. Today, we say enough is enough,” Jayapal said at the time.  “Our Trans Bill of Rights says clearly to the trans community across the country that we see you, and we will stand with you, to ensure you are protected and given the dignity and respect that every person should have.”

That legislation would amend the Civil Rights Act of 1964 to include gender identity as “protected characteristics.” It would also amend federal education laws to say that they protect kids from being discriminated against based on gender identity.

The Trans Bill of Rights also called for ensuring that “every child has the right to grow up in a supportive environment by having their authentic identity respected in the classroom, ensuring they can participate in school sports with their peers, and ensuring access to an inclusive curriculum.”

It further called for “expanding access” to trans surgeries, hormones, and puberty blockers and codifying rights to abortion and contraception.

Jayapal told NBC News that progressive Democrats assume “this is an agenda for a Democratic president with a Democratic Senate and a Democratic House.”

She added: “We have to excite our base. We have to show them what the path forward is—not just say, ‘This is the most important election of your life, and we expect you to vote.’ I don’t think that’s going to turn people out. And so, I think this agenda, really, speaks to the needs of poor people, working people, progressives across the country who want us to make that case to them.”

“We are not seeing the momentum that we would like to see,” she told NBC. We’re going to have a tough election. … We know we’re going to have to put together that progressive coalition. And I think this is the thing that allows us to say, “‘Look, here’s what we’re fighting for.’”