Are hospitals safe for trans people anymore?

I (35f) am trans, and I am diagnosed with bipolar 1 as well as PTSD, ADHD, and anxiety. I take my meds as directed, but I still suffer from some intense mood swings, and especially really bad depression and occasional hypomania. I often have really bad ideation. I am also disabled and suffer from chronic nerve pain.

I’ve always included the hospital in my crisis care plans. I’ve been before and had an okayish experience, and it’s always just kinda been there as a final resort in case things get really bad. However, with the new administration I’m sorta scared of going to the hospital and being basically just kept there forever and denied my hormones and pain meds and forced to live in pain as I gradually detransition (for context I’ve been out and on hormones for like 8 years and I’ve had multiple major surgeries, detransitioning would be hell not just because of the dysphoria but I’d basically be forced to go through menopause and then pumped full of testosterone so I’d guess I’d then have to go through like puberty again. Idk. It would be awful, especially with my bipolar).

Anyway, my point is, I was wondering if anyone knew of any good community alternatives to the hospital. I live on the east coast and could probably travel to most places along there. I want to update my crisis care plan though with some sort of alternative to the hospital. My therapist hasn’t really had any helpful suggestions.

Edit to say I’m in the US. On the east coast. In a major city. Sorta in a blue area I guess (but kinda changing).