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.”
Rehoboth Beach
Rehoboth mayor calls for commissioner’s resignation after investigation into improper behavior
Suzanne Goode ‘has violated her oath of office, disgraced position of commissioner’
Rehoboth Mayor Stan Mills called for the resignation of Commissioner Suzanne Goode, following release of an independent investigation into Goode’s behavior that led Mills to conclude she has violated her oath of office.
Over the past few months, city staff have complained about Commissioner Goode’s extensive and inappropriate communications with them.
In June, Goode went to the house of a fellow commissioner in an attempt to settle a dispute she was having with his neighbor on the online platform NextDoor. Goode also has a history of using anti-LGBTQ language in various emails.
“I believe we’ve come to the point where we can take the most severe action we can take at this time to end Commissioner Goode’s intentional lies and harassment,” said Mills. “This has never been about differences of opinions on issues, but rather about uncivil behavior.”
“Commissioner Goode has violated her oath of office and has disgraced the position of commissioner, and she should resign,” said Mills.
In late June, the city of Rehoboth hired Margaret DiBianca, an attorney who specializes in business and employment conflict resolution, to investigate allegations of harassment and inappropriate behavior by Goode toward city employees and fellow commissioners.
DiBianca submitted the 17-page report on Aug. 12. On Aug. 21, a majority of the commissioners voted to release a redacted version of the report to the public.
Before the vote, Commissioner Susan Stewart, who is set to be sworn in as mayor next month, said that releasing the report is necessary.
“In most workplaces, the documented conduct would warrant her termination,” said Stewart.
“Our laws provide no such path for an elected official. To simply move on would mean keeping this conduct secret, leaving the victims to shoulder the burden themselves without institutional support,” said Stewart.
The investigation reported that Goode had sent nearly 2,000 emails to city employees since 2024 with more emails being sent almost daily. Only 90 emails from June and July were used in the scope of the investigation.
The report found that the emails contained “intentionally degrading and derogatory language, references to individuals’ family members, religion, and disabilities, as well as language hostile to the LGBTQIA+ community.”
The following emails were noted in the report as examples of ‘hostile’ language toward the LGBTQIA+ community:
“On November 7, 2025, Cmr. Goode wrote to a constituent, “PS just curious – how does this alienate the ‘Queens’ in [the City] more than the non-queens in the sense how is it a LGBTQ issue? (Not everything in [the City] revolves around gays, right?).”
“On November 15, 2025, Cmr. Goode said to the Targeted Employees “conservatives now have to remain in the closet (conservatives now have to do what gays had to do in the 20th century – ah, the irony) who object to the woke, drag queen bent of [Clear Space Theatre] at times.”
“On December 29, 2025, Cmr. Goode wrote to a constituent, “straight white males like yourself and my husband might as well just shoot themselves. Pale, stale and male doesn’t cut it in this town, eh?”
The report stated: “The volume of emails and the short intervals between communications sent by Goode reveal a pattern of conduct designed to intimidate, demean and harass rather than to advance legitimate city business.”
The report demonstrated multiple instances of Goode circumventing directives from Mayor Mills requiring her to cease inappropriate communications with city staff.
The conclusion of the report found that Goode’s behavior “falls substantially and demonstrably outside the bounds of acceptable professional behavior expected of an elected official and public servant in violation of the City’s Civility Code and, in turn, constitutes a violation of the Ethics Code.”
“Cmr. Goode’s communications do not foster a “respectful, courteous, and professional work environment” and do not reflect the “dignity and respect” required by the Civility Code.”
The report outlined six recommendations for the city to follow to address Goode’s behavior.
The recommendations included prohibiting Goode from contacting city employees and accessing administrative offices, and requiring Goode to undergo city-approved training on subjects such as respectful workplace behavior.
At the Aug. 21 meeting, the Commissioners voted to adopt all six recommendations.
During the meeting, Goode was given time to respond before the official release of the report.
“When an investigation is an attorney up in Wilmington looking at emails, who never contacts me, obviously it is a one-sided investigation,” said Goode. “The investigative reporter never got my side of anything. I was never given the opportunity to defend myself.”
“In June, Commissioner Goode’s communication became even worse,” City Manager Taylour Tedder told the Blade this week.
Tedder said that the volume of messages jumped to nearly 100 emails just in the month of June.
Tedder identified himself and City Solicitor Lisa Borin Ogden. He said that each of them filed multiple complaints, with one of them being to the Human Resources director.
“With an elected official, there is no way to reprimand or punish them because they’re not an employee,” said Tedder.
Brooke Thaler, communications director for the city of Rehoboth, expressed her frustration with the city’s inability to take serious action against Goode.
“That’s just a bit mind-boggling that something like this can go on, and there’s nothing that can be done about it,” said Thaler.
“The public put their trust in her when they elected her, and I don’t think that their intention was for her to so badly mistreat city staff,” Thaler told the Blade.
“It’s highly doubtful that she will stop, but I think the fact that these protections are in place to at least insulate the employees from receiving it when she’s not in person is a good step,” said Tedder.
Goode responded to the Blade’s request for comment by saying:
“Friday’s session was a kangaroo court and a blatant weaponization of FOIA. The entire report relies on systematic misrepresentation. Time and again, comments I shared from social media or resident outreach were falsely attributed directly to me.
“Without context, these claims are meaningless. As just one example, the city manager accuses me of using a vulgar word on a phone call—a word I do not use (p. 6, line 22). The investigating attorney never even contacted me, proving this process was never meant to be fair,” said Goode.
“I will not validate or accept an investigation built on inaccurate claims.”
Goode has not announced plans to resign.
Maryland
Girlfriends charged with Silver Spring murder to go on trial in 2027
Prosecutors charged both women with killing mother of one of them
Two women identified as a couple who are charged with the May 22, 2026, murder of the mother one of them in her Silver Spring home and who were arrested three weeks later in Ohio are scheduled to go on trial for murder April 19, 2027.
According to online records filed with Montgomery County Circuit Court in Rockville, Vanessa Tjongarero-Henderson, 29, of Clarksburg, Md., and Samantha Raebel, 36, of Phoenix are being held without bond in the Montgomery County Correctional Facility until the time of their trial.
Statements from Montgomery County police show the two women were arrested June 10 in Genoa, Ohio, after fleeing from the scene of the murder in Silver Spring. Police statements and court records show they were extradited back to Maryland in July, where prosecutors with the Montgomery County State’s Attorney’s Office obtained indictments against them for murder.
Earlier statements from Montgomery County police say their investigation into the murder led to their decision to initially charge the two women with first-degree murder for the death of Hilde Henderson, 67, who was Tjongarero-Henderson’s mother.
“Through the course of the investigation, detectives identified Henderson’s daughter, Vanessa Tjongarero-Henderson, and Vanessa’s girlfriend, Raebel, as the suspects,” one of the police statements says. It says police obtained arrest warrants for both women and launched a nationwide search seeking help from the public in in locating them.
One of the police statements says an autopsy determined the cause of Hilde Henderson’s death was blunt-force trauma injuries brought about by a murder. Police and the State’s Attorney’s Office, which is prosecuting the case, have yet to disclose whether they have determined a motive for the murder.
Court records show that prior to the start of the April 19, 2027, trial a “motion” hearing was scheduled for Oct. 30, 2026, a pre-trail conference was scheduled for Feb. 12, 2027, and another motion hearing and a status hearing were scheduled for March 12, 2027.
Court records also show that Tjongarero-Henderson is being represented by attorneys with the Montgomery County court system’s public defender service. The records show that Raebel initially had been represented by a public defender service attorney, but updated records show Aug. 14 is listed as the “removal date” for that attorney.
The docket shows that on Aug. 20, two new attorneys with the prominent D.C. law firm of Covington & Burling made their official appearance as her attorneys in the murder case. One of them, Daniel Solomon, told the Washington Blade in response to an inquiry that the defense has no comment at this time on the case.
He confirmed that Covington & Burling is representing Raebel on a no-cost, pro bono bass.
The office of the Montgomery County public defender service didn’t immediately respond to a phone message from the Blade asking for a comment on the Tjongarero-Henderson case.
Delaware
Delaware fines Rehoboth bar $15,000 for discriminating against trans woman
Hideout told patron she had to use men’s room due to gender marker on driver’s license
The Delaware Human and Civil Rights Commission voted to fine Hideout Arcade Bar & Grille $15,000 last month due to a discrimination complaint filed by a trans woman over her use of the bathroom.
Katie Sorber, a transgender woman, said that on April 5, 2023, she was stopped by employees and told she could only use the men’s bathroom due to the “male” gender marker on her driver’s license. This occurred after Sorber presented her ID upon entering the bar and ordering a drink.
Sorber took to Facebook to complain about her experience at the bar after she was told to use the men’s bathroom.
On April 12, 2023, Sorber returned to the Hideout but was barred from entering due to her post on social media.
Following Sorber’s post, Bryan Derrickson, the owner of Hideout Arcade Bar & Grille, allegedly began enforcing a policy in which patrons had to use the bathroom that corresponded to the gender marker on their ID.
Derrickson was ordered to pay $10,000 to Sorber, $5,000 to the Special Administration Fund, as well as conduct anti-discrimination training with employees, remove the ban on Sorber from the establishment, and revise the bar’s bathroom policy.
The commission ruled that the bar and Derrickson had wrongfully discriminated against Sorber on the basis of her gender.
Derrickson’s explanations for the denial included safety concerns, a third-party patron complaint, and a reference to the health code. The panel found this to be inconsistent and lacking factual support upon cross-examination.
The case was evaluated under the Delaware Equal Accommodations Law, which explicitly prohibits discrimination and retaliation in places of public accommodation based on gender identity.
This was the second time that the bar has been fined for discriminating against a transgender woman. The bar received a $2,000 penalty in September of last year for denying a transgender woman entry in 2023.
Half of the fine went to Kathy Carpenter Brown, the trans woman who experienced the discrimination. Brown is the founder of TransLiance, an LGBTQ+ advocacy group in Delaware.
Archuleta to host book signing in Rehoboth Beach
Actor Tim Curry dies at 80
Calendar: August 28-September 3
‘Teenage Sex and Death’ has never been more entertaining
Realidad LGBTQ en Honduras: fuga o muerte
Why we need to protect ‘sacrilegious’ art
New GALA show about WWII spy full of conflict, intrigue
Proposed Indian foreign funding law overhaul could further pressure LGBTQ groups
Two awesome, affordable rides
