Local
Will health reform make AIDS groups obsolete?
HIV clinics face new competition as clients obtain insurance by 2014
‘Health care reform has been a real motivator around us improving the quality of what we do because we know we’re going to have to get better,’ said Don Blanchon, executive director of Whitman-Walker Clinic. (Washington Blade photo by Michael Key)
When the AIDS epidemic burst on the scene in the 1980s, a cadre of volunteers –many from the LGBT community — emerged to provide compassionate and dedicated care for the sick and dying, services that government agencies and existing charitable groups were not providing.
Since that time, the mostly volunteer-driven, community-based AIDS clinics and advocacy groups created back then have evolved into professionally run facilities receiving millions of dollars in state and federal funds. Like the Whitman-Walker Clinic in D.C., many of the clinics and advocacy groups provide a vast array of services for people with HIV and AIDS, most of whom can’t afford private health insurance.
But in March, Congress approved and President Obama signed into law a sweeping health care reform measure called the Patient Protection and Affordable Care Act. Obama administration officials say it will result in more than 94 percent of all Americans being covered by some form of private or public health insurance by 2014.
Although most AIDS activists and officials with local and national AIDS organizations have hailed the health care reform measure as an unprecedented benefit to people with HIV and AIDS, some believe the law could prompt large numbers of patients to leave the community-based clinics and seek medical care elsewhere.
With a possible loss of clients, community AIDS clinics would be in jeopardy of losing government funding, which is based on the number of clients served. It would be ironic, some have said, if the benefits of healthcare reform result in the closing of community institutions that have served people with AIDS during a time of need.
“The LGBT community and people living with HIV are going to have options that they may not have now,” said Don Blanchon, executive director of the Whitman-Walker Clinic, which has served people with HIV and AIDS since the epidemic began.
“And so for us, health care reform has been a real motivator around us improving the quality of what we do because we know we’re going to have to get better,” Blanchon said. “We know at some point in time almost every District resident is going to have some type of public or private insurance, which means they, in theory, are going to be able to go to a lot of different places for their care.”
Blanchon noted that a financial crisis that Whitman-Walker faced four years ago forced it to take steps that have placed it in an excellent position to flourish under the health care reform law. The Clinic’s board hired Blanchon, a managed care expert, to help the Clinic survive at a time when private donations and fundraising efforts were faltering.
With the board’s full approval and over the objections of some of the Clinic’s longtime supporters and volunteers, Blanchon transformed the Clinic from a volunteer model operation into a managed care type facility with the status known as a “federally qualified health center look alike.”
According to Blanchon and other Clinic officials, the new status enables the Clinic to accept a greater number of Medicaid patients as well as patients with a wide range of private health insurance. Patients covered by these programs allow the Clinic to obtain reimbursement for its services by doctors, its own pharmacy, and other service providers, eliminating the need to rely more on private donors.
Unlike other community-based AIDS clinics, Whitman-Walker will be in an excellent position to take on new patients or retain its existing ones as the new health care reform measure enables the majority of patients to obtain private insurance or Medicaid.
Under the Patient Protection and Affordable Care Act, all lower income individuals, including people with HIV, will be eligible for Medicaid coverage if they fall below 133 percent of the federal poverty level, where an individual has an income of about $15,000 a year or lower.
Under current federal law, low-income people with full-blown AIDS are already eligible for Medicaid coverage. For years, Congress has declined to pass legislation proposed by AIDS advocacy groups calling for Medicaid coverage for low-income people with HIV, with the intent of providing medical services to prevent them from advancing to AIDS.
The new law makes that legislation unnecessary after 2014, when the Medicaid provision takes effect.
Jeffrey Crowley, director of the White House Office of National AIDS Policy, calls the Patient Protection and Affordable Care Act one of the nation’s most significant advances for the care and treatment for people with HIV/AIDS.
“It will fundamentally expand access to insurance coverage for people living with HIV,” he said. “Much of that will be through the mandatory expansion of the Medicaid program.”
He said that similar to all Americans, people with HIV will also be eligible for private insurance coverage through a variety of options based on their income. Among the options will be the purchase of insurance coverage through competitive insurance exchanges. He noted that by 2014, no insurance company can deny coverage based on pre-existing conditions such as HIV or other illnesses.
Keith Maley, a spokesperson for the U.S. Department of Health and Human Services, which will administer most of the provisions of the new health care law, said people with HIV and other illnesses could be immediately eligible for private insurance coverage through high-risk pools.
Those eligible for the immediate coverage must show that they have had no health insurance coverage for six consecutive months, have a chronic health condition, and are not eligible for employer provided insurance or Medicaid.
Crowley noted that the new law has other immediate benefits for people with HIV and other chronic health conditions. As of July 1, private health insurers can no longer use a rescission, a practice that cancels a policy when someone gets sick and needs expensive treatment.
He said the law also immediately prohibits insurers from imposing a lifetime “cap” on insurance benefits. Annual limits on coverage or benefits will end in 2014, he said.
Crowley, a gay man who previously worked for the National Association of People with AIDS before joining the White House staff, said he expects most community-based AIDS clinics and local and national AIDS advocacy organizations to continue to exist after the health care law is fully implemented in 2014. However, he said most will have to change the way they do business.
“I think we know from our experience with HIV that we’ve built up a great HIV workforce,” he said. “We have a lot of expertise. I want to make sure as we build and expand an insurance system through the Affordable Care Act that these HIV medical providers are making sure that they’re part of this new system.”
“Some of them might only receive funding through the Ryan White programs, and I would say they need to look at their future and say that they need to be part of the new insurance system,” he said. “But there’s no question that we’re going to need their expertise and commitment at providing medical care going forward.”
Crowley’s reference to the Ryan White CARE Act, the largest existing federal program created to provide care for low-income people with HIV/AIDS, is expected to change significantly following the full implementation of the Patient Protection and Affordable Care Act, according to officials with a number of national AIDS groups.
Nearly everyone, including Crowley, agrees that the Ryan White program should remain, but most likely in a scaled back form. Congress passed the act in the 1990s as a means of helping cities and states that were grappling with the enormous burden of providing care for people with HIV/AIDS who lacked health insurance coverage and were overwhelming local and state hospitals and health care facilities.
Carl Schmid, director of federal affairs for the AIDS Institute, a national advocacy organization; Michael Weinstein, executive director of the AIDS Healthcare Foundation, the nation’s largest AIDS-related medical care provider; and Jose Zuniga, executive director of the International Association of Physicians in AIDS Care, each said they believe the Ryan White program will be needed for at least some services the new law does not provide.
“It will not solve all of our access issues,” said Schmid of the new health care measure.
Weinstein said that state programs to expand health insurance have been slow to enroll as many people as expected for a variety of reasons, some bureaucratic in nature.
“So I wouldn’t expect an overnight change in 2014,” he said, pointing to a need to keep the Ryan White program operating for some time after 2014.
Weinstein said that in some states, including California, Medicaid reimbursement for medical services is far lower than that provided by private insurance companies. He predicted that people with HIV or AIDS who obtain coverage under the new law through Medicaid might be turned away by private doctors who declined to take all Medicaid patients.
“The reimbursement that we receive from Medicaid or from private insurance is far below our cost and far below what we get from Ryan White,” he said of the AIDS Healthcare Foundation. “So we will suffer a hit in that regard as well as most providers.”
Weinstein said his organization has a wide variety of income streams and the lower reimbursements under the new law “won’t be a fatal blow to us.”
Blanchon of Whitman-Walker said the benefits of the new law greatly outweigh its possible shortfalls.
“Health care reform is going to be a real help to our patients and clearly to the Clinic because more of our patients are going to be insured under more comprehensive benefit programs,” he said.
“And what that means at the end of the day is the Clinic is not going to have to shell out as much free care. So we’re going to be in a position to be able to offer more services to more patients and keep them healthy, and ultimately that’s what we’re here for.”
District of Columbia
D.C.’s Mary’s House For Older Adults names new executive director
Charlene Leach to succeed Imani Woody as leader of LGBTQ-supportive seniors home
The board of directors of Mary’s House for Older Adults, the D.C.-based home dedicated to providing affordable housing for LGBTQ seniors, has announced it has named longtime nonprofit organization leader A. Charlene Leach as its new executive director.
Leach, who is now serving in the executive director’s position, is succeeding Dr. Imani Woody, the Mary’s House founding president and CEO, who announced her retirement from her official leadership role at Mary’s House on July 7.
Woody, who holds a PhD in Human Services, is credited with playing the lead role over many years in arranging both city and private funding needed to construct and operate the Mary’s House three-story building located at 401 Anacostia Road, S.E., in the city’s Fort DuPont neighborhood.
“With over three decades of nonprofit experience and 15 years serving as an executive director, Charlene brings a wealth of knowledge in organizational leadership, program development, and community engagement,” the Mary’s House board says in a statement.
“Her proven track record of building impactful programs and leading mission-driven organizations makes her uniquely suited to guide Mary’s House into its next phase of growth,” the statement continues. “Charlene is deeply aligned with the mission of Mary’s House and is committed to advancing its work to provide safe, inclusive housing and supportive services for LGBTQ+ older adults,” it says. “Under her leadership, the organization will continue to expand its impact while remaining grounded in the values that define our community.”
Leach’s LinkedIn page shows she has most recently served since 2022 as executive director of the African American AIDS Task Force in Minneapolis. Prior to that, it shows she served as executive director of the Fredericksburg Area Health and Support Services organization in Fredericksburg, Va., and before that as director of development for the D.C.-Baltimore area Women’s Collective.
Her LinkedIn page says she has been involved with Mary’s House as a volunteer and grant writer since 2016.
The newly built and enlarged Mary’s House, which opened in March 2025, with a grand opening ceremony held in May 2025 attended by D.C. Mayor Muriel Bowser, includes 15 single-occupancy residential apartments and more than 5,000 square feet of shared communal living space.
An earlier statement released by the Mary’s House board announcing Woody’s retirement said Woody would continue to be involved with the organization as a member of the board. The earlier statement and board’s more recent statement on July 29 announcing Leach’s appointment as executive director did not say whether the board plans to name someone else as president and CEO, the title that Woody held before her retirement. But the latest statement says Leach will be running Mary’s House’s day-to-day operations as Woody did.
Virginia
Doug Ollivant to face Eugene Vindman in Va. 7th Congressional District
Republican defeated challengers in Tuesday’s primary
Republican Doug Ollivant will face off against incumbent U.S. Rep. Eugene Vindman (D-Va.) in Virginia’s 7th Congressional District.
Ollivant defeated his Republican opponents in Tuesday’s primary. Vindman ran unopposed.
Vindman in 2024 ran to succeed then-Congresswoman Abigail Spanberger in the U.S. House of Representatives after she ran for governor. Spanberger succeeded Republican Gov. Glenn Youngkin in 2025.
U.S. Sen. Mark Warner (D-Va.) on Tuesday easily won his primary. All other Democratic incumbent members of Congress from Northern Virginia also won their respective primaries.
District of Columbia
LGBTQ advocates optimistic about D.C.’s expected new mayor
Janeese Lewis George cites strong record of support as Council member
Several prominent D.C. LGBTQ community advocates said they are optimistic that Democratic mayoral nominee Janeese Lewis George, who is expected to easily win election as mayor in the city’s Nov. 3 general election, will continue her strong record of support on LGBTQ issues from her current role as a Ward 4 D.C. Council member.
But most of the seven LGBTQ advocates who responded to an informal Washington Blade survey of community leaders and activists said they would be observing Lewis George’s transition plans for her expected mayoral administration to determine if she will follow through with her campaign promises to put in place policies and funding to strongly support the LGBTQ community.
Lewis George emerged as the decisive winner in the city’s June 16 Democratic primary with 54 percent of the vote in a six-candidate race, with her lead opponent, former D.C. Council member Kenyan McDuffie (D-At-Large) receiving around 37 percent and four lesser-known candidates receiving 4 percent or less.
In a city with an overwhelmingly Democratic electorate, virtually all political observers believe Lewis George will win the November general election to become the city’s next mayor.
In the primary, she received the endorsement of the Capital Stonewall Democrats, the city’s largest local LGBTQ political organization, and received the highest possible candidate rating of +10 from GLAA DC, formerly known as the Gay and Lesbian Activists Alliance of Washington.
With Lewis George, McDuffie, and the four lesser-known candidates in the Democratic primary, including one who identified as bisexual, expressing strong support on LGBTQ issues, LGBTQ advocates acknowledged that most queer voters chose a candidate to support based on non-LGBTQ issues.
And Lewis George’s LGBTQ supporters have said they believe Lewis George received the largest share of the LGBTQ vote based on her outspoken support for social justice related issues, including policies to address the need for affordable housing, which she said impacts LGBTQ people in need, especially queer people of color and transgender residents.
“I think she understands a theory of community and economic development that is both inclusive of LGBTQ people but not exclusive about us,” said Benjamin Brooks, president of GLAA D.C. Brooks also currently serves as interim director of policy for one of the divisions of Whitman-Walker Health, D.C.’s LGBTQ supportive medical clinic and health services organization.
“I think that she represents a change in administration that will see more dollars to public programs that are more pro social,” Brooks said. “We’re going to be looking at who she appoints to the different agencies that we’re interested in and making sure that LGBTQ people are centered in that conversation,” he said.
Brooks added, “We know LGBTQ people were featured heavily in her campaign as organizers and as her staff members. So, I think we should expect to see us included, and she has put out a platform that lifts up all Washingtonians.”
Longtime D.C. gay Democratic activist John Klenert said he, too, will be watching to see if and how Lewis George follows up her campaign promises on LGBTQ issues.
“My number one concern will be with the budgets being what they are in the city, will she continue to fiscally support the Mayor’s Office of LGBTQ Affairs?” he told the Blade. “Number two, will she continue to support the HIV type places like Whitman-Walker,” he said.
Acknowledging that Lewis George has expressed support for these types of programs during the election campaign, Klenert added, “Words are cheap. Let’s see on paper her proposals.”
D.C. gay Democratic activist Peter Rosenstein is among the few LGBTQ activists who publicly raised concern over Lewis George’s status as a Democratic Socialist and member of the controversial Democratic Socialists of America (DSA) national organization.
“I congratulate Ms. George on winning the primary and hope she will do a great job as our next mayor,” Rosenstein told the Blade in a statement. “But the issues I promulgated in the primary still go unanswered,” he said, noting that he is unaware of Lewis George saying whether she disagrees with the DSA’s platform opposing the existence of the state of Israel, not talking to any pro-Israel Zionist organizations, and, among other things, defunding U.S. police departments.
Rosenstein also noted that Lewis Geroge, as far as he knows, has not publicly rebuked one of her supporters who endorsed her for mayor, Ward 8 community activist Jauhar Abraham, who has publicly referred to gay people as “sissies” and “fags” who should not be allowed to teach in the city’s public schools.
“Will she really stand up for the LGBTQ community, or does she agree with those like Jauhar Abraham,” Rosenstein said in his statement. “These are issues she owes the voters answers to.”
Ward 8 gay longtime Democratic and community activist Phillip Pannell, who just won election in the Democratic primary as the city’s Democratic National Committeeman, is among the LGBTQ activists who supports Lewis George’s candidacy for mayor. He told the Blade that Lewis George, while not saying so directly, has made it clear she does not support what he describes as Jauhar Abraham’s anti-gay slurs.
When asked if the Abraham issue as raised by Rosenstein was a concern for him, Pannell said, “No, because I know that Jauhar Abraham’s homophobic statements are in no way in alignment with Janeese Lewis George’s support for our community.”
He added, “You can’t always judge a candidate or basically indict a candidate because of the support of some individuals. There is no way Janeese supports the type of stuff Jauhar spews.”
Like some of the other LGBTQ advocates who spoke to the Blade about Lewis George’s potential impact on the LGBTQ community, Pannell said he is optimistic about her actions as mayor.
“I expect that she will at least maintain the type of support that we are getting under Mayor Bowser if not more so,” he said. “And a good indication of her level of support would be the votes that she has cast in support of our community while she has been a member of the Council,” Pannell said.
Also, like other LGBTQ supporters of Lewis George, Pannell said he is not troubled over her role as a Democratic Socialist. “There are many people who are associated with the Democratic Party who would be very much aligned with Democratic Socialist organizations,” he said. “So that doesn’t bother me at all.”
Ashley Gibbs, who serves as board co-chair of the D.C. LGBTQ+ Community Center, is among the activists who said they are uncertain about Lewis George’s expected impact on the community.
“Certainly, I expect her to win in November given the demographics of D.C.,” she said. “I have to admit I live in Maryland now, so I am less clued into D.C. politics than I used to be,” she added. “So, I think it’s a big unknown. I think we’re just going to have to wait and see what happens and how well Janeese can make things given the federal government.”
David Perruzza, owner of the D.C. LGBTQ bars Pitchers and A League of Her Own, located in the Adams Morgan neighborhood, like other LGBTQ bar owners, said he preferred not to comment on the ins and outs of the race for mayor
But similar to other nightlife related small businesses in the city, including bars and restaurants, Perruzza said he was deeply troubled over what he believed to be Lewis George’s support for ending the so-called tip wage system for bars and restaurants. He said most LGBTQ bar owners believe doing that could force them to go out of business due to excessive labor costs.
Under the tip wage system, which has been in place in D.C. and other cities and states for many years, businesses that employ servers who receive tips can pay them a significantly lower minimum wage called the tip wage compared to the regular minimum wage, which is now $18.40 per hour in D.C. At the initiative of local labor groups, D.C. voters in 2022 approved for the second time Initiative 82, which called for raising the minimum wage for tipped workers to the full minimum wage over a phase-in period of 10 years or more.
Organizations representing local restaurants and bars said most tipped workers make close to if not more than the full minimum wage in tips, and that under the current D.C. law, businesses are required to pay tipped workers the difference if they don’t make the equivalent of the full minimum wage in tips.
They argued that the initial raising of the tip wage from just over $5 per hour to several dollars more an hour created a financial hardship that was forcing many of them to go out of business. The mayor and D.C. Council responded by repealing Initiative 82 and later putting in place in 2025 a compromise law supported by the business owners that brought the tip minimum wage to $10.30 per hour as of July 1, 2026.
The new law calls for the tip minimum wage to increase to 60 percent of the full minimum wage by 2028 and increase incrementally by 5 percent until it reaches 75 percent of the full minimum wage in 2034.
D.C. Council records show that Lewis George voted against the compromise bill when the Council approved it in July of 2025 as an amendment to the city’s Fiscal Year 2026 budget.
Local nightlife advocate and small business owner Salah Czapary, who served as Mayor Bowser’s director of the D.C. Office of Nightlife and Culture from 2022 to 2024, said Lewis George told a group of nightlife business operators and owners during a meeting in May that she opposes yet another ballot measure proposed by the labor advocacy group One Fair Wage that calls for raising the city’s minimum wage for all workers to $25 per hour and for eliminating the subminimum wage for tipped workers.
“I was in the room when she explained to a room full of nightlife small business, arts, and cultural operators that she has spoken with experts in the field,” Czapary told the Blade. He said Lewis George told the gathering that she did not support the latest wage initiative that was attempting to get on the ballot, which was a concern to business owners at the time.
“And I think that’s actually quite impressive for a lawmaker to do when everyone assumes you would support a certain initiative,” he said in referring to Lewis George. “To have one view and then assess the reality that might have changed. And then say that while I agree with the idea of raising the wages — I think most people do — we also don’t live in a vacuum. We have to deal with the realities of the economy,” Czapary said.
“I think D.C., as we know, has been a safe haven for LGBTQ individuals from across the country and has been very progressive on its treatment of LGBTQ people,” he said. “I think we will not expect that to change under our new mayor,” he added. “She was endorsed by many LGBTQ individuals and organizations, and she will continue to build on that progress we’ve made as a city, and we will continue to be that safe haven for people.”
Edmund Morris, president of the D.C. Equality Chamber of Commerce, which he said represents more than 100 LGBTQ+ and allied businesses serving the D.C. Metro area, released a short statement in response to the Blade’s request for comment on the impact his group expects Lewis George to have on the LGBTQ community.
“Janeese Lewis George has emphasized inclusive policies and support for local small businesses, priorities that align with our mission,” the statement says. “We look forward to productively engaging a future administration on how best to support aspiring and active entrepreneurs to flourish in the city that they serve,” it says.
Nick Tsusaki, founder and owner of the D.C. LGBTQ bar Spark Social, said he preferred not to comment on the impact Lewis George will have on policy related to LGBTQ issues. But he said he was impressed by Lewis George’s visits to several LGBTQ bars during the primary campaign.
“I’m really excited for her” he said, “I think she made a point in her last week of campaigning to do like an LGBTQ bar crawl. She came to Spark, to Trade and Bunker,” he said referring to two other D.C. LGBTQ bars. “And really showing dedication to the community in a way that went above and beyond what I had expected –really meeting the community where we’re at.”
He added, “And so, for her to drop in on a Friday night and just talk to – get on the microphone and talk about why she’s excited to fight for our community was really cool to see in an authentic way.”
In response to requests by the Blade and Capital Stonewall Democrats seeking statements from each of the mayoral candidates during the primary campaign, Lewis George submitted these comments, which are excerpted from a longer statement.
“As mayor, I will protect our LGBTQ+ neighbors against federal attacks on their identity, including their health care. … On the Council I have been a strong supporter of pro-LGBTQ+ bills, including making D.C. a sanctuary for people seeking gender-affirming health care as well as addressing discrimination and harassment in nightlife and hospitality…And as mayor, I am prepared to move up and win those fights – a fight for D.C. statehood, a fight for our true economy, and a real opportunity to uplift our Black queer and trans youth.”
Perez Hilton’s live breakdown reveals social media mental health crisis
Mr. Henry’s to host 60th anniversary party
Calendar: August 7-13
Greg Araki still wants your sex
Insured on paper, excluded in practice
Madonna headlines World Pride Music Festival in Amsterdam
PHOTOS: Petal Release Party
My evening with Madonna
Remembering Elliot Leonard, generous visionary who helped LGBTQ communities thrive
