Local

Will health reform make AIDS groups obsolete?

HIV clinics face new competition as clients obtain insurance by 2014

Published

16 years ago

July 29, 2010

‘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.”

Local

Comings & Goings

Whitman-Walker announces leadership appointments

Published

2 days ago

September 26, 2026

Peter Rosenstein

From left, Leigh Miles Jackson, PhD., and Angel Earle, PhD.

The Comings & Goings column is about sharing the professional successes of our community. We want to recognize those landing new jobs, new clients for their business, joining boards of organizations and other achievements. Please share your successes with us at [email protected].

Congratulations to Leigh Miles Jackson, Ph.D., named executive director of The Institute for Health Research & Policy at Whitman-Walker, and Angel Earle, Ph.D. named as chief operating officer, Whitman-Walker Health System.

Upon her appointment Dr. Jackson said, “Under my leadership, I would love for The Institute for Health Research & Policy at Whitman-Walker to be known as a trusted, forward-looking research organization that shapes policies, strengthens practices and creates measurable change for the community.” Dr. Jackson spent 12 years with the National Academies of Sciences, Engineering and Medicine, leading national initiatives on minority-serving institutions and economic evidence for investments in children, youth and families. Dr. Jackson holds an extensive educational background, including postdoctoral fellowships in developmental Psychology and Neurogenomics from Vanderbilt University, a Ph.D. in molecular and systems pharmacology from Emory University and a bachelor’s degree in chemistry from Wake Forest University.

Upon her appointment Dr. Earle said, “When we talk about parity and inequities and research, it’s never just about the dollars that are out there. It’s about making sure that we’re cultivating a change that embraces equity at the heart of everything that it does. As the COO for Whitman-Walker Health System I will be working closely to support The Institute for Health Research & Policy at Whitman-Walker and the Whitman-Walker Foundation to drive advancement in research and support the strategic goals of all of the Whitman-Walker Heath System entities.”

Dr. Earle is a genetic epidemiologist and senior executive. She brings a background from the London School of Economics and the University of South Carolina, with expertise in global health, corporate strategy and socioeconomic policy. She has co-authored peer-reviewed research on cancer genetics, nephrology biomarkers and reproductive genomes.

Dr. Heather Aaron, CEO of Whitman-Walker Health System said, “both leaders bring research-driven expertise and operational strength to the organization as it continues expanding research, health care access, and health outcomes for residents across the Washington, D.C., region, including the LGBTQ+ community, people living with and at risk for HIV, and communities experiencing persistent health disparities.”

The Institute for Health Research & Policy at Whitman-Walker is also expanding its research agenda beyond HIV to address the complex health conditions affecting people living with and at risk for HIV, as well as the broader communities The Institute for Health Research & Policy at Whitman-Walker serves.

District of Columbia

Former Capital Pride board member reiterates sexual harassment allegation

Trans activist says resignation of board chair won’t change org’s culture

Published

3 days ago

September 25, 2026

Lou Chibbaro Jr.

Taylor Lianne Chandler resigned earlier this year from the Capital Pride Alliance board. (Washington Blade file photo by Michael Key)

Taylor Lianne Chandler, who earlier this year resigned from the Capital Pride Alliance Board of Directors after expressing concern that the board failed to address instances of “sexual misconduct” within the Capital Pride organization, said this week she doesn’t believe her concerns will be addressed following the resignation of the board’s current chairperson.

Capital Pride Alliance serves as the lead organizer of D.C.’s annual LGBTQ Pride events.

Anna Jinkerson, who has served as chair of the Capital Pride board for only 10 months and has served on the board for the past four years, confirmed she is resigning from the board effective Sept. 30.

In a statement to the Washington Blade commenting on the possible impact of Jinkerson’s resignation, Chandler said Capital Pride board member Natalie Thompson would be replacing Jinkerson as board chair, and she didn’t expect that change to impact what she called Capital Pride’s problematic “culture.”

But Ryan Bos, the Capital Pride president and CEO, told the Blade that Thompson had not been selected as the new board chair and that a new chair would not be selected until the board holds an election scheduled for October.

Chandler, who identifies as transgender, said it was a Capital Pride board member who told her that Natalie Thompson had been or would be selected as the new Capital Pride board chair. She didn’t identify the board member.

“My concerns about how Capital Pride has handled serious allegations of sexual misconduct have not disappeared with a change in leadership,” she told the Blade in her statement. “When leadership continues to socialize, smile for photographs, and share spaces with someone facing serious allegations, what message does that send to the people who say they were harmed,” she said.

Chandler has told the Blade a Capital Pride investigation identified an individual implicated in a “pattern” of sexual harassment-related behavior but said she was bound by a Non-Disclosure Agreement that applied to all board members and she could not provide further details.

When asked by the Blade to comment on Chandler’s allegations at the time she resigned from the board in February of this year, board chair Jinkerson said Capital Pride acts “quickly and appropriately” to address concerns such as those raised by Chandler. But she and other Capital Pride officials did not at that time or since then specifically acknowledge whether someone associated with the organization engaged in sexual harassment.

“The community deserves transparency, accountability, and leadership willing to make difficult decisions,” Chandler said in her statement to the Blade this week. “Changing the chair doesn’t change the culture,” she added. “Actions do.”

In response to a request from the Blade for an update on its response to Chandler’s allegations about alleged sexual misconduct within the Capital Pride organization, Bos sent the Blade a statement on behalf of Capital Pride.

“The Capital Pride Alliance takes allegations of harassment, misconduct, and unsafe behavior seriously,” the statement says. “The organization follows standard procedures and engages appropriate resources to support a thorough, confidential, and impartial review, when information is reported.”

The statement adds, ”Because these matters require maintaining confidentiality and protecting the privacy of personnel, volunteers, and governance processes, we will not comment on specific individuals, allegations, investigative findings or communications involving law enforcement.”

It concludes by stating, “We remain committed to fostering a safe, respectful, and inclusive environment, appropriately addressing concerns raised, and continuing to strengthen our policies, governance practices, and organizational culture.”

Although the statement refers to “communications involving law enforcement,” Capital Pride has not disclosed whether instances of alleged sexual harassment or, as stated by Chandler, a possible instance of sexual assault, have been reported to D.C. police.

A D.C. police spokesperson, in response to a Blade inquiry, said they have no record of a sexual harassment or sexual assault complaint surfacing from the Capital Pride office, which is located in the D.C. LGBTQ+ Community Center building at 1827 Wiltberger Street, N.W.

But the Blade has obtained a D.C. police incident report that appears to confirm Capital Pride COO June Crenshaw’s claim in a recent Facebook post that she reported at least one incident of sexual harassment related to Capital Pride to D.C. police.

The report, which was filed on Oct. 11, 2025, states that Crenshaw told a police officer who prepared the report that another person told her “that a board member of Capital Pride Alliance groped his genitals at a Capital Pride event.” The report says Crenshaw told the officer the person who reported being groped “did not want to speak to the police at this time.”

The incident report, which is a public document, says the groping reportedly happened on Oct. 8, 2025. It concludes by saying Crenshaw was given “resource information” to provide to the person who said he was groped. It does not identify that person or the board member who allegedly committed the groping.

Officials at Capital Pride recently exchanged testy public Facebook posts with Chandler. Crenshaw criticized Chandler for her social media posts on the matter.

“It is remarkable to watch people publicly accuse others of failing to create safe spaces when, during the time they themselves held positions of leadership and significant volunteer responsibility, they claim to have witnessed deeply troubling behavior, yet never reported what they allegedly witnessed to fellow leaders, law enforcement, the Office of the Attorney General, legal counsel, or staff responsible for addressing such concerns,” Crenshaw wrote. “When I became aware of allegations or personally witnessed conduct that required intervention, I reported what I knew through the appropriate channels, including to law enforcement and other relevant authorities. Investigations were conducted. Those processes created records, documentation, correspondence, timelines, and conclusions.”

Chandler responded, “I was NOT in organizational leadership or fully informed about the scope of these allegations when much of what you reference occurred. I was read into the situation after becoming an executive officer. By that point, the investigation had already concluded, and we were awaiting the final report. … Once that report became available to me, and once I understood the seriousness and scope of what was being alleged, my position was anything but ambiguous: I did not believe this individual should be welcomed at, participate in, or have access to official Pride events.”

Capital Pride’s attorney Nick Harrison then joined the exchange, accusing Chandler of violating confidentiality rules.

“You served on the Board for years. You cannot now present yourself as an outsider with no responsibility for what occurred during your tenure,” Harrison wrote. “When the situation became difficult, you resigned, provided your resignation letter to the media, disclosed confidential organizational matters, and recast yourself as the victim.”

Again, no one has publicly identified the person Chandler references as being welcome at Pride events and photographed with Capital Pride leadership.

District of Columbia

Center for Black Equity’s annual gala to take place Oct. 3

Advocacy group to honor Black LGBTQ community champions

Published

3 days ago

September 25, 2026

Lou Chibbaro Jr.

A scene from last year's BE Gala. (Washington Blade photo by Michael Key)

The Center for Black Equity, the D.C.-based international network of LGBTQ activists and organizations that advocate for Black LGBTQ communities and organize Black Pride events worldwide, will hold its annual 2026 BE Gala in D.C. on Oct. 3.

The event, to be held at the Conrad Washington Hotel at 950 New York Ave., N.W., among other things, will honor at least a dozen “distinguished Black individuals” and organizations that champion Black LGBTQ communities, according to a statement released by the Center for Black Equity.

“The honorees will receive awards recognizing extraordinary leadership, advocacy, and service across civil rights, public health, the arts, media, entrepreneurship, and community life,” the statement says.

“With an elegant atmosphere and a bold mission, this unforgettable evening brings together advocates, allies, and change makers committed to equity and joy,” the statement says in referring to the Oct. 3 BE Gala.

The statement notes that tickets for the event, which serves as a fundraiser for the Center of Black Equity, begin at $250 for individuals and include dinner and two drinks. It says reserved tables for eight were being offered for $2,000, and “Premier” tables for eight were selling for $2,500 and include seating near the stage.

“The BE Gala is more than an evening of celebration,” according to the statement. “It is an opportunity to honor Black LGBTQ+ leadership while investing in the work of the Center for Black Equity.”

Kenya Hutton, the Center for Black Equity’s CEO, told the Washington Blade the name “BE” for the gala is not an acronym. “The name is rooted in the idea of being: being seen, being celebrated and being fully and authentically yourself,” he said.

“BE Gala creates a space to celebrate Black LGGTQ+ people for who they are, the lives they lead and the impact they make,” he added.

The Center for Black Equity until 2012 was called the International Federation of Black Prides and was founded by organizers of D.C.’s Black Pride celebration.

Its current website includes a statement saying it’s mission is to “promote a multinational LGBTQ+ network dedicated to improving health and wellness opportunities, economic empowerment, and equal rights while promoting individua and collective work, responsibilities, and self-empowerment.”

The 2026 Center for Black Equity award honorees as announced in its statement released this week are:

Courtney Snowden: Welmore Cook Advocacy & Service Award

Clover Barnes: Ernest Hopkins Public Health Leadership Award

Nikki Alexander: Unsung Hero Award

Darryl G. Moore: Center for Black Equity Leadership Award

The Freelux Project: Center for Black Equity Small Business Award

Tori Cooper: Earline Budd Transgender Leadership Award

Bishop Steven R. Sawyer: Bishop Kwabena Rainey Cheeks Spiritual & Community Leadership Award

Rev. Carmarion D. Anderson-Harvey: Bishop Kwabena Rainey Cheeks Spiritual & Community Leadership Award

Monroe Alise: Trans Power in Media Award

Justin N. Stewart: National Black Pride Image Award

Marlene McNeese: Curtis L. Etherly Jr. Ally Award