McKesson scored a 100 out of 100 on the 2023-2024 Corporate Equality Index (CEI) from the Human Rights Campaign (HRC), a political stakeholder group. By complying with the HRC’s controversial demands, McKesson increases the risk of dividing employees, alienating customers and harming shareholders. The company provides a benefits package for employees which covers transgender medical procedures for covered employees and dependents, including children. It also uses sex and gender ideology criteria in employee recruitment, vendor selection, marketing, and philanthropic support. McKesson forces employees to undergo multiple ideological trainings and uses its reputation, corporate funds, and political influence to support controversial sex and gender ideologies, organizations, and legislation. McKesson was sued by a former employee who alleged that she was fired for refusing the coronavirus vaccine on religious grounds, but the company denies this allegation. The company supports the Equality Act. McKesson’s public affairs team monitors legislation in conjunction with LGBTQ and ally employees "that could significantly impact the LGBT community". Senate Democrats sent a letter to McKesson and other top pharmaceutical companies asking them to clarify or share plans surrounding the dispensement of mifepristone, an FDA-approved abortion pill. McKesson has not clarified its position. CEO Brian Tyler is a member of the Business Roundtable and signed its 2019 Statement on the Purpose of Corporation, which promotes stakeholder capitalism over traditional obligations to shareholders and customers. McKesson has frequently used its website to promote LGBTQ as one's "true identity". The company opposed various state and local legislation intended to protect parental rights, girls’ sports, bathroom facilities, and gendered spaces. McKesson's CEO, Brian S. Tyler, signed the CEO Action for Diversity & Inclusion pledge, which includes a commitment to promote DEI through bias education training in the workplace. The company developed a curriculum that “confronts impact of unconscious bias and mitigate it”. McKesson is a copper sponsor of Out & Equal and is a sponsor of Dallas Pride. For these reasons, McKesson receives a High Risk rating.