National
HHS expands hospital visitation rights for gay couples
Patients may designate visitors during hospital stay
The Department of Health & Human Services on Wednesday unveiled a new policy to enhance hospital visitation rights for same-sex couples.
The Centers for Medicare & Medicaid sent a letter on Wednesday to states building off the memorandum President Obama issued last year mandating that hospitals receiving Medicare and Medicaid funds allow patients to designate their own visitors during a hospital stay, including a same-sex partner.
In November, HHS issued the final rule implementing Obama’s proposed change. The letter sent to states on Wednesday provides the enforcement mechanism by which state survey and certification groups can ensure hospitals are abiding by the policy.
MORE IN THE BLADE: HHS SITE HELPS COMPANIES INSURE GAY EMPLOYEES
Jesse Moore, an HHS spokesperson, said his department generally works with hospitals to bring them into compliance with rules and, at this point, HHS hasn’t heard of any problems with the guidance related to same-sex couples.
However, Moore said if a hospital doesn’t comply with the new rule and fails to fix the problem, HHS has “the power to terminate a Medicare provider agreement.”
The guidance that will be given to state survey agencies marks the last step in implementing the change that Obama proposed on hospital visitation last year.
Additionally, the letter also issues guidance mandating that hospitals recognize advance directives designating a same-sex partner as someone who can make emergency medical decisions for a patient who’s incapacitated. The department clarifies hospitals should defer to patients’ wishes concerning their representatives — whether expressed in writing, verbally or through other evidence — unless prohibited by state law.
HHS Secretary Kathleen Sebelius emphasized the importance of the policy change to LGBT couples in a statement.
“Couples take a vow to be with each other in sickness and in health and it is unacceptable that, in the past, some same-sex partners were denied the right to visit their loved ones in times of need,” Sebelius said. “We are releasing guidance for enforcing new rules that give all patients, including those with same-sex partners, the right to choose who can visit them in the hospital as well as enhancing existing guidance regarding the right to choose who will help make medical decisions on their behalf.”
The new guidance updates the conditions of participation for hospitals participating in Medicare and Medicaid, which are the health and safety standards that these hospitals must meet. The change applies to all patients of these hospitals — even if the patient isn’t on Medicare or Medicaid.
Don Berwick, the CMS administrator, said the updated guidance to states is beneficial for same-sex couples and enhances the quality of health care throughout the country.
“This announcement is another step toward equal rights for all Americans, and it is another step toward putting the patient at the center of our health care system,” Berwick said. “All patients should be afforded the same rights and privileges when they enter our health care system, and that includes the same opportunity to see their significant other.”
LGBT rights groups were quick to praise the updated policy as a means to ensure LGBT Americans are treated fairly during hospital stays.
Rea Carey, executive director of the National Gay & Lesbian Task Force, commended HHS for issuing the updated policy in a statement as she said more work is necessary.
“Ensuring that the medical wishes of [LGBT] people are respected is an example of the federal government recognizing the life of LGBT families,” Carey said. “An emergency situation in a hospital is the last place where anyone should feel unsafe. While a positive step forward, it is critical we continue to work at all levels of government to make sure our families are fully recognized and treated fairly.”
Michael Cole-Schwartz, spokesperson for the Human Rights Campaign, also said the guidance is beneficial to LGBT people seeking hospital treatment.
“This is a great step to help ensure enforcement of a common sense policy,” Cole-Schwartz said. “No one should be denied the ability to visit their loved ones in the hospital and this next step ensures that principle will be carried out.”
In addition to sending out this letter, the Health Resources & Services Administration, an agency within HHS, is set to announce a $248,000 grant to help create a national training and technical assistance center aimed at helping community health centers improve the health of LGBT populations. The grant was awarded to Fenway Health, a Boston-based center that works to provide the LGBT community access to health care, education, research and advocacy.
NOTE: This article has been updated.
CORRECTION: An earlier version of this article, quoting HHS spokesperson Jesse Moore, incorrectly stated HHS could revoke accreditation for hospitals that fail to comply with the change.
Hungary
Vance speaks at Orbán rally in Hungary
Anti-LGBTQ prime minister trailing ahead of April 12 vote
Vice President JD Vance on Tuesday urged Hungarians to support Prime Minister Viktor Orbán in the country’s April 12 elections.
“We have got to get Viktor Orbán re-elected as prime minister of Hungary,” Vance told Orbán supporters who gathered at Budapest’s MTK Sportpark.
Vance and Orbán on Tuesday met before they held a press conference in Budapest. Orbán also spoke at the rally.

The U.S. vice president after he took to the stage called President Donald Trump, who told the crowd he is “a big fan of Viktor” and is “with him all the way.” Vance, as he did during Tuesday’s press conference with Orbán, criticized the European Union.
“We want you to make a decision about your future with no outside forces pressuring you or telling you what to do. I’m not telling you exactly who to vote for, but what I am telling you is that the bureaucrats in Brussels, those people should not be listened to,” said Vance. “Listen to your hearts, listen to your souls, and listen to the sovereignty of the Hungarian people.”
Vance in his speech noted “across the West, we’ve got a small band of radicals” who, among other things, “condemn children to mutilization and sterilization in the name of gender care.” Vance also criticized a “far-left ideology given quarter in university circles, in the media, and in our entertainment industry, and increasingly among bureaucrats on both sides of the Atlantic.”
Vice President JD Vance speaks at MTK Sportpark in Budapest, Hungary, on April 7, 2026
Orbán has been in office since 2010. He and his Fidesz-KDNP coalition government have faced widespread criticism over its anti-LGBTQ crackdown.
A Hungarian activist with whom the Washington Blade previously spoke said it is “impossible to change your gender legally in Hungary” because of a 2020 law that “banned legal gender recognition of transgender and intersex people.” Hungarian MPs the same year effectively prohibited same-sex couples from adopting children and defined marriage in the country’s constitution as between a man and a woman.
The European Commission in 2022 sued Hungary, which is a member of the EU, over the country’s anti-LGBTQ propaganda law.
Hungarian lawmakers in March 2025 passed a bill that banned Pride events and allowed authorities to use facial recognition technology to identify those who participate in them. MPs later amended the Hungarian constitution to ban public LGBTQ events.
Upwards of 100,000 people last June defied the ban and marched in Budapest’s annual Pride parade.
Polls indicate Orbán is trailing Péter Magyar and his center-right Tisza party ahead of the April 12 election. Vance at Tuesday’s rally told Orbán supporters that he and Trump “want you to make a decision about your future with no outside forces pressuring you or telling you what to do.”
“I’m not telling you exactly who to vote for, but what I am telling you is that the bureaucrats in Brussels, those people should not be listened to,” said Vance. “Listen to your hearts, listen to your souls, and listen to the sovereignty of the Hungarian people.”
“Unlike some of the leadership of Brussels, I’m not threatening you or telling you that we’re going to withhold funds to which you’re legally entitled,” he added. “You will make the decision about Hungary’s future.”
The White House
White House ends protections for trans students in multiple school districts
Cape Henlopen School District in Delaware among administration’s targets
The Department of Education has terminated agreements with five school districts and a college aimed at protecting the rights of transgender students, backtracking requirements made in prior administrations, according to the Associated Press.
Allowing the reversal of these federal obligations removes formerly mandatory measures, including faculty training on responding to a student’s preferred name and pronouns, and policies allowing trans children to use bathrooms that align with their gender identity.
This policy change is a major shift from past democratic-led administrations, and will impact Delaware Valley School District in Pennsylvania, Sacramento City Unified School District in California, Cape Henlopen School District in Delaware, Fife School District in Washington, and La Mesa-Spring Valley School District, as well as Taft College in California.
Delaware Valley School District received notice from the Trump-Vance administration in February and has since voted to roll back anti-discrimination protections. Other schools, like Sacramento City Unified School District, said the change in minimum protections a district must offer will not affect their policies because it “remains committed to the support of our LGBTQ+ students and staff.”
This is part of a wider wave of anti-trans actions taken by the Trump-Vance administration. This White House has penalized schools attempting to accommodate students’ gender identity, filed lawsuits in California and Minnesota over state policies allowing trans students to participate in interscholastic sports, and opened civil rights investigations into multiple schools and universities over their policies on trans students.
Kimberly Richey, the Department of Education’s Assistant Secretary for Civil Rights, said the action underscored the administration’s efforts to prevent trans students from participating in girls’ and women’s sports teams and accessing shared locker rooms.
“Today, the Trump administration is removing the unnecessary and unlawful burdens that prior administrations imposed on schools in its relentless pursuit of a radical transgender agenda,” she said in a written statement.
According to the AP, this is just one instance of the administration rescinding civil rights protections in education. Last year, the Department of Education terminated two agreements: one involving the removal of books from a school library in Georgia, and another addressing harsh discipline and unequal education opportunities for Native students in the Rapid City Area School District in South Dakota.
Shiwali Patel, the senior director of education justice at the National Women’s Law Center, issued a statement in response to the removal of protections for trans students, saying the rollback will negatively impact all students — not just trans ones.
“There is absolutely no basis for what the Department of Education is doing, and it is unimaginably cruel. Title IX exists to ensure that students are protected from discrimination and treated with dignity so that they can learn and thrive in our schools,” Patel said. “It’s what students, families, lawmakers, and advocates fought for when Title IX was passed decades ago. But the Trump administration’s Department of Education has spent its limited resources to strip Title IX of that very purpose.”
She continued, highlighting the issues that will arise from the agreement removals in schools.
“Real complaints of discrimination and sexual assault are going unanswered by the Department of Education while conservative lawmakers continue to escalate their attacks on a small minority of students,” the nationally recognized Title IX expert and advocacy leader for gender-based harassment added. “Parents, teachers, and students need the Department to focus on addressing real harms on campuses instead of rolling back policies that keep all students safe.”
The schools that had their agreements terminated vary, but stem from the same issue: treating trans students with the same protections from harassment as their cisgender peers.
In 2023, Taft College, a community college in California’s Central Valley, became one of the few schools to settle a case with the Department of Education’s Civil Rights Office after a student accused faculty of discrimination, including refusing to use the student’s preferred pronouns. The college agreed to faculty training on Title IX protections and revised its policies to clarify that refusing to use a person’s preferred name and pronoun can constitute harassment.
The now-canceled agreement with Sacramento City Unified School District stemmed from a 2022 complaint brought by a student after a teacher refused to use the student’s preferred pronouns and/or refused to allow the male-identifying student to work in a boys’ group for a class activity. The 2024 resolution agreement had mandated training for employees on civil rights law, sexual harassment, and how to handle formal complaints.
Under a settlement the Delaware Valley School District reached with the Obama-Biden administration, the district was required to permit students to use bathrooms aligned with their gender identity. In February, the Trump-Vance administration sent the district a letter rescinding the settlement and requiring the rollback of antidiscrimination protections for trans students. The school board voted in late March to change its policies accordingly.
This move is part of a broader pattern of anti-trans actions from the White House since Trump returned to office.
In addition to restricting protections in federally funded education spaces, the administration has attempted to end trans girls’ and women’s participation in sports competitions and has sued states that have not complied. It has also blocked trans and nonbinary people from choosing sex markers on passports and attempted to stop those under 19 from receiving gender-affirming medical care.
South Carolina
Man faces first S.C. ‘hate intimidation’ charge
Timothy Truett allegedly shot at gay club in Myrtle Beach on April 1
A South Carolina man remains in custody on a more than $300,000 bond after he allegedly opened fire at a Myrtle Beach nightclub on April 1, according to WMBF.
Reports say 37-year-old Timothy James Truett Jr., of Clover, S.C., was detained by the Myrtle Beach Police Department after the April 1 incident outside Pulse Ultra Club. He was later arrested and charged with possession of a weapon during a violent crime, discharging a firearm into a dwelling, discharging a firearm within city limits, malicious injury to real property valued over $5,000, and assault or intimidation due to political opinions or the exercise of civil rights.
At 10:57 a.m. on April 1, officers responded to a call about a possible shooting at Pulse Ultra Club, located in the 2700 block of South Kings Highway.
In an affidavit released later, the club’s owner, Ken Phillips, said he was doing paperwork that morning when he heard “five or six” gunshots. He went outside and found a window and the windshield of his SUV shattered by bullets. An SUV with blue plastic covering one window was left at the scene.
Police later reviewed footage that showed a silver vehicle stopping in the middle of the road. The video appeared to capture muzzle flashes coming from the passenger-side window.
According to the affidavit, an officer later pulled over a vehicle driven by Truett and found spent shell casings in the back seat, along with a gun.
Documents do not detail why Truett was ultimately charged under the state law covering assault or intimidation tied to political opinions or the exercise of civil rights.
As of April 1, records show Truett is being held in Horry County on a combined bond of more than $312,000.
WMBF spoke with Phillips after the incident and asked whether there was any prior conflict that might have led to the shooting.
“I don’t know if it’s personal, I don’t know if it’s related to being gay, I don’t know if it’s related to the bar issues,” Phillips told WMBF. “Anybody with a mindset of pulling out a weapon in broad daylight is not right.”
“My primary concern has and always will be the safety of my community and my customers,” he added. “It’s given me great concern … as to how far people will go.”
WMBF also spoke with Adam Hayes, vice chair of Myrtle Beach’s Human Rights Coalition, who was involved in pushing for the ordinance. He said that while the incident itself is troubling, it shows the policy is being put to use.
The ordinance is intended to deter “crimes that are motivated by bias or hate towards any person or persons, in whole or in part, because of the actual or perceived” identity, in the absence of a statewide hate crime law.
“It’s nice to see that something we put into policy is not just a piece of paper, that it’s actually being used,” said Hayes.
He said the shooting underscores the need for a statewide hate crime law in South Carolina and added that the incident has left the local LGBTQ community shaken.
South Carolina and Wyoming are the only two states in the U.S. without a comprehensive statewide hate crime law.
Truett remains in jail as of publication.

