Large language models (LLMs) exhibit biases against LGBTQ+ populations. While safety training may reduce explicit bias, implicit stereotype-driven associations often persist. In this work, we examine implicit bias toward transgender people in two main scenarios. First, we adapt word association tests to measure whether LLMs disproportionately pair negative concepts with "transgender" and positive concepts with "cisgender". Second, given the systemic challenges transgender people face in healthcare, we design a healthcare appointment allocation task where models act as scheduling agents choosing between cisgender and transgender candidates across stereotype-prone specialties. We evaluate seven LLMs in English and Spanish. Our results show consistent bias in categories such as appearance, risk, and veracity, indicating stronger negative associations with transgender individuals. In the allocation task, transgender candidates are favored for STI and mental health services, while cisgender candidates are preferred in gynecology and breast care. Notably, this bias is reduced when patient symptoms accompany demographic information. These findings underscore the need for research that address subtle stereotype-driven biases in LLMs to ensure equitable treatment of transgender people in healthcare applications.

Reliable multilingual evaluation is difficult, and culturally appropriate evaluation is even harder to achieve.A common practice to fill this gap is to machine-translate English evaluation sets. However, translation introduces language bias and carries over cultural and regional assumptions from the original questions – often testing knowledge irrelevant to the target audience. In this work, we highlight the extent and impact of these biases and present a multilingual evaluation framework that aims to mitigate them through improved translations and annotation practices.Through a large-scale study involving professional and community translators and annotators, we show that state-of-the-art models excel primarily by learning Western-centric concepts. Notably, we find that model rankings on the full MMLU change when evaluated on a subset of questions explicitly marked as culturally sensitive.We release Global MMLU, a multilingual extension of MMLU across 42 languages, featuring improved translation quality, expanded language coverage, and designated subsets labeled as culturally sensitive and culturally agnostic to enable a more comprehensive and equitable benchmark for evaluating language models across diverse linguistic and cultural contexts.