National
AIDS group criticizes Obama as int’l conference approaches
Others praise administration, call attacks ‘misplaced’

Tom Myers, chief of public affairs and general counsel for the AIDS Healthcare Foundation (Blade photo by Michael Key)
President Obama is facing criticism from an HIV/AIDS group for not yet committing to speak at the upcoming International AIDS Conference and not doing more to confront the global and domestic epidemic. Other groups, meanwhile, are calling the criticism of Obama misguided.
On Monday, the AIDS Healthcare Foundation held a news conference in D.C. at the offices of Parry, Romani, DeConcini & Symms Associates to call on Obama to speak at the conference and take more action to confront HIV/AIDS. The organization provides advocacy and medical care to more than 166,000 people with HIV/AIDS in 26 countries.
Tom Myers, chief of public affairs and general counsel for the AIDS Healthcare Foundation, was particularly critical of Obama for not yet confirming that he’ll make an appearance at the upcoming 19th International AIDS Conference, which will will take place at D.C.’s Walter E. Washington Convention Center during the week of July 22.
“We are here to express our concern and dismay that, less than two weeks from the start of the conference, President Obama has yet to commit to attending it,” Myers said. “In the 20-odd year history of this conference, it is virtually obligatory for the head of state of the host nation to address the conference at its opening.”
It’s the first time since 1990 that the conference will take place in the United States. Organizers agreed to hold the conference in D.C. after the lifting of the HIV travel ban in 2009, which had prevented HIV-positive foreign nationals from entering the United States. The process for removing the ban started under the Bush administration through legislative action and ended under the Obama administration.
As of Monday, the conference hadn’t yet announced whether it had received confirmation that Obama would speak. Shin Inouye, a White House spokesperson, said he had no updates on whether Obama will attend the conference.
Former President Bill Clinton has agreed to speak at the conference this year as well as former first lady Laura Bush. High-ranking administration officials who are set to speak include Secretary of Health & Human Services Kathleen Sebelius and Eric Goosby, U.S. Global AIDS Coordinator.
It’s not unprecedented for the head of state to be absent from the conference, according to organizers. The Canadian prime minister didn’t speak when the conferences were held in that country in 1996 in Vancouver or 2006 in Toronto, nor did Spain’s prime minister attend the 2002 conference in Barcelona. In 1990, then-President George H.W. Bush didn’t address the conference in San Francisco, but then-Secretary of Health & Human Services Louis Sullivan delivered remarks at the closing ceremony.
While criticizing Obama for not confirming his attendance, Myers at the same time said the administration wasn’t doing enough to confront HIV/AIDS and said “it may be better if the president not attend the conference if he is coming without any concrete proposals to fix these problems.”
For starters, Myers criticized the president for cutting funds in the fight against the global AIDS epidemic, calling on Obama to restore the money that was cut from PEPFAR, as part of the fiscal year 2013 budget request.
“Internationally, the Obama administration is the first administration to actually propose cutting funding to America’s efforts, including cutting almost half a billion dollars from PEPFAR, the President’s Emergency Plan for AIDS Relief,” Myers said. “A retreat in the efforts to fight the global epidemic is unprecedented.”
The sentiment that Obama has taken a step back in global fight against HIV/AIDS was echoed by Omonigho Ufomata, the AIDS Healthcare Foundation’s director of global policy and advocacy.
“We demand he restore funding to PEPFAR and expand treatment prior to addressing the International AIDS Conference,” Ufomata said. “We have a blueprint for stopping AIDS, i.e get more people on treatment, but that can only be achieved if President Obama gets real about the money.”
Further, Myers faulted Obama for not providing enough support to the AIDS Drug Assistance Program, the primary program for providing lifesaving HIV/AIDS drugs to low-income people, saying the wait list for the programs stands at 2,000 people.
“Domestically, President Obama has presided over the longest and deepest waiting lists for the AIDS Drug Assistance Program, or ADAP in history,” Myers said. “ADAP is the primary program for providing lifesaving HIV/AIDS drugs to uninsured people of limited means in this country and for years, thousands of people, at one point almost 10,000 people, have had to wait to receive these drugs.”
Myers called on Obama to redirect funds within the Department of Health & Human Services “to immediately end the ADAP waitlists once and for all.”
Despite these criticisms, Obama has generally received praise for his work on HIV/AIDS. On World AIDS Day in December, President Obama announced an additional $35 million for the ADAP program and $15 million more for Part C of the Ryan White Care Program as well as a three-year, $4 billion pledge to the Global Fund to Fight AIDS, Tuberculosis and Malaria.
Additionally, under the FY-13 budget request, funding for the Ryan White AIDS Drug Assistance Program would increase by $75 million. The budget also bumps up $1 billion for AIDS drug assistance programs, an increase of $67 million above the previous fiscal year’s levels. The administration is predicting this funding will end ADAP waiting lists next year.
A White House official, speaking on condition of anonymity, said PEPFAR is able to accomplish more with less money in previous years as the number of people the United States directly supports with lifesaving antiretroviral treatment has more than doubled from around 1.7 million to more than 3.9 million.
“PEPFAR continues to improve efficiency and lower costs,” the official said. “By using generic drugs, shipping commodities more cheaply, task-shifting to nurses and community health workers as appropriate, and linking AIDS services to other programs (such as maternal and child health), the per-patient cost to the U.S. of providing anti-retroviral treatment for AIDS patients has fallen by over 50 percent since 2008.”
Based on this commitment, the leaders of other HIV/AIDS groups said they didn’t share the criticisms levied against Obama by the AIDS Healthcare Foundation.
Carl Schmid, deputy executive director of the AIDS Institute, said he’s still hoping Obama will make an appearance at the AIDS conference, but believes the criticism is “misplaced” and should be directed elsewhere.
“We feel the president has been leading on domestic AIDS and has put forth an ambitious National HIV/AIDS Strategy, passed health care reform, and proposed budget increases for ADAP and HIV prevention,” Schmid said. “While he could always do more, we feel the criticism is misplaced and instead the focus should be on some members of the Congress, many of whom want to repeal health reform and cut funding to AIDS programs.”
Chris Collins, vice president and director of public policy for the Foundation for AIDS Research, or amfAR, said Obama has “greatly advanced” the domestic response to HIV.
“His national strategy, the Affordable Care Act — these are game changers in the domestic epidemic, so we should be proud of what the president has done on domestic AIDS,” Collins said.
Collins added he wants “to see increases” in PEPFAR funding, but said Obama has made historic commitments to the Global Fund to Fight AIDS, Tuberculosis, and Malaria and “new and more substantial commitments in terms of scaling up services.”
Asked by the Washington Blade during the news conference if Obama deserves credit for increasing funds for the Ryan White Care Program, Myers said Obama deserves some praise, but more is needed.
“The problem is, again, even with that, the ADAP waiting list – and ADAP is a part of the Ryan White Program — it’s chronic, it’s ongoing. … So, again, increases that have occurred, credit is where credit is due, but the point is, it is not enough,” Myers said.
Michael Weinstein, president of the AIDS Healthcare Foundation, who joined the conference via telephone, dismissed Obama’s increase in funds for the Ryan White Care Program on the basis that a minority percentage of people with HIV/AIDS are in regular care under the program.
“We are sending out a really mixed message when we have more waiting lists for these drug programs and we’re telling people that they should be tested,” Weinstein said. “I mean, why would they want to get tested when they don’t know if they can have access to treatment? But the bottom line is that to have only 41 percent of people in routine care and having more than 600,000 people who either don’t know that they’re positive or are not in routine care is not a success.”
Weinstein added his organization has tried “without a lot of success” to enlist help from the administration in bringing down the cost of medications, saying the federal government could offer more support “in negotiations with the drug companies to make these drugs more accessible.”
Blade photo editor Michael Key contributed to this report.
CORRECTION: An initial version of this article misquoted the AIDS Institute’s Carl Schmid as saying the AIDS Healthcare Foundation’s criticisms of Obama were “misguided.” The word he used was “misplaced.” The Blade regrets the error.
National
Anti-trans visa ruling echoes Nazi regime destroying trans documents
Trump administration escalates attacks on queer community
The Lemkin Institute for Genocide Prevention and Human Security earlier this month released its third Red Flag Alert for the United States about the Trump administration’s anti-trans legislation. As the Lemkin Institute shared in the press release, “the Administration has moved from identifying transgender people as as threat to the family and to the nation’s military prowess to claiming that transgender people constitute a cosmic threat to the spiritual health of the nation and the great direct threat to the US national security in the world.”
The news came the same day that the State Department issued a new rule, “Enhancing Vetting and Combatting Fraud in the Immigrant Visa Program.” Under this new guidance, all visa applicants are required to disclose their “biological sex at birth” during all stages of the process, “even if that differs from the sex listed on the applicant’s foreign passport or identifying documentation.”
This rule also orders that applicants to the green card lottery program share their passport information, so in knowingly collecting passport information that the agency knows will not match a person’s biological sex at birth, it’s creating grounds to deny trans peoples’ biases on the basis of “fraud,” Aleksandra Vaca of Transitics explains.
As is written in the new ruling, “the Department is replacing ‘gender’ with ‘sex’ in accordance with E.O. 14168, Defending Women From Gender Ideology Extremism and Restoring Biological Truth to the Federal Government, which provides that the term ‘sex’ shall refer to an individual’s sex at birth. Only male and female sex options are available for entrants completing the Diversity Visa entry form.”
Along with outright denying the existence of nonbinary, genderqueer and gender expansive people, this policy creates a precedence for trans people to be stripped of their visas and deported because under 8 U.S.C. § 1182(a)(6)(C)(i), any foreigner found to have obtained or possess a visa “by fraud or willfully misrepresenting a material fact” will have their visa revoked and face deportation.
By requesting information on “biological sex at birth,” the State Department is forcing a mismatch between documents and enabling officials to accuse trans, nonbinary, and gender expansive immigrants of fraud. Thus, trans and nonbinary immigrants can have their visas revoked and can be deported, and information gathered from immigrants during the visa request process can be added to federal databases and used by immigration authorities, including ICE agents.
With the Supreme Court’s decision this past year allowing ICE officers to use racial profiling, Vaca argues that “now, The Trump administration has given ICE the reason it needs. Under this rule, ICE agents now have the enforcement rationale to assert that trans people–especially those belonging to racial minority groups–are more likely than cis people to have ‘misrepresented’ themselves during the visa process, and therefore, are more likely to enter the country ‘unlawfully.’”
This would enable ICE agents to target trans individuals specifically for being trans. If the goal of this were unclear, a day later the Trump administration released its statement for Women’s History Month 2026, writing that “we are keeping men out of women’s sports, enforcing Title IX as it was originally written and ensuring colleges preserve–and, where possible, expand–scholarships and roster opportunities for female athletes. We are restoring public safety and upholding the rule of law in every city so women, children, and families can feel safe and secure.”
And this is not the first time that ICE has targeted and harmed trans and nonbinary immigrants. Last June, Vera reported that ICE is not including trans people in detection in their public reports, and back in 2020, AFSC reported that trans people held in ICE detention faced “dreadful, ugly” conditions.
While it seems like a new development in Trump’s anti-trans escalation, it echoes a deeply upsetting history of denying and destroying transgender people’s documents following members of the Nazi party seizing power in 1933.
In the early 20th century, Weimar, Germany was an epicenter for gender affirming care with Maganus Hirschfeld’s Institute for Sexual Science. One of the first book burnings of the rising Nazi regime destroyed the Institute’s extensive clinical records and library on trans health and history by Nazi students and stormtroopers. In doing so, the Nazis effectively destroyed the world’s first trans health clinic and one of the richest and most comprehensive collective of information about trans healthcare.
Similarly, the Nazi government invalidated or refused to recognize what was called “transvestite passes,” or passing certificates that allowed trans people to avoid arrest under Paragraph 175 which prohibited cross-dressing. During the Weimar Republic — the regime that preceded the Third Reich — recognized and affirmed the identities of trans people (in limited ways) with specific documentation that helped prevent them from arrest. Invalidating and disregarding these passes allowed police and Nazi officials to target trans people and harass, extort and arrest them, and the record of passes themselves helped officials target trans people.
The changes to visa guidelines — alongside Kansas’s move to revoke trans drivers’ licenses last month — is reflective of this escalation of violence against trans people during the Nazi’s rise to power, which scholars like Dr. Laurie Marhoefer is just beginning to uncover. And along with the revocation of identification documents this past week, a recent Fourth Circuit Court ruled that states can deny Medicaid coverage for gender-affirming surgery.
The Fourth Circuit Court decision affirmed the Supreme Court’s decision in Skrmetti, which ruled that bans on gender affirming healthcare for young people are constitutional. This ruling extends this ban to include adult healthcare bans, allowing West Virginia’s exclusion of Medicaid coverage for adult gender affirming healthcare to take full effect. Even more upsetting was what the ruling itself said, calling gender affirming healthcare “dangerous.”
As was written in the Fourth Circuit Opinion, “it’s not irrational for a legislature to encourage citizens ‘to appreciate their sex’ and not ‘become disdainful of their sex’ by refusing to fund experimental procedures that may have the opposite effect.”
In reality, what this ruling and the opinion reflect, is the next step in government regulation and oversight over marginalized peoples’ bodies. From the overturn of Roe v. Wade, which removed federal protection of access to abortion, this next step represents the denial of people’s access to vital, lifesaving care–and to be clear, gender affirming care is not just for trans, nonbinary, and intersex people. It’s a dangerous escalation and one that echoes previous violence against trans people under fascist regimes; the Lemkin Institute is right to raise concern.
Pennsylvania
Pa. House passes bill to codify marriage equality in state law
Governor supports gay state Rep. Malcolm Kenyatta’s measure
The Pennsylvania House of Representatives on Wednesday passed a bill that would codify marriage equality in state law.
House Bill 1800 passed by a 127-72 vote margin. Twenty-six Republicans voted for the measure.
The Republican-controlled Pennsylvania Senate will now consider the bill that state Rep. Malcolm Kenyatta (D-Philadelphia), who is the first openly gay person of color elected to the state’s General Assembly, introduced. Democratic Gov. Josh Shapiro supports the measure.
“Here in Pennsylvania, we believe in your freedom to marry who you love,” said Shapiro on Wednesday. “Today, the House has stepped up to protect that right.”
BREAKING: The Pennsylvania House just passed @RepKenyatta's bill to codify marriage equality into law in PA — and they did it with broad bipartisan support.
— Governor Josh Shapiro (@GovernorShapiro) March 25, 2026
Here in Pennsylvania, we believe in your freedom to marry who you love. Today, the House has stepped up to protect that…
Florida
DeSantis signs emergency bill that restores Fla. ADAP funding
Temporary funds to last through June 30
After the Florida Department of Health made huge cuts to the AIDS Drug Assistance Program in January, Republican Gov. Ron DeSantis has signed emergency legislation restoring HIV access to more than 12,000 Floridians.
Two months ago, as the Washington Blade reported, the Sunshine State cut the vast majority of those in ADAP by shifting the income levels required for eligibility — without following standard procedure when changing government policy outside of legislative or executive action.
The bill, signed by DeSantis on Tuesday, passed both chambers of the Florida Legislature unanimously and appropriates $30.9 million in emergency bridge funding through June 30, 2026. It restores Florida’s ADAP income eligibility to 400 percent of the Federal Poverty Level — the level it was prior to the January cuts. The legislation also requires the FDOH to submit detailed monthly financial reports to legislative leadership beginning April 1.
Under the old policy, eligibility would have been limited to those making no more than 130 percent of the federal poverty level, or $20,345 per year.
“For 10 weeks, 12,000 Floridians living with HIV did not know if they could fill their next prescription. Today, they can,” Esteban Wood, director of advocacy and legislative affairs at AIDS Healthcare Foundation, said in a statement.
The detailed reports now required to be sent to legislative leadership must include all federal revenues and expenditures, including manufacturer rebates; enrollment figures by county and insurance status; prescription utilization by drug class; and any projected funding shortfalls. This is the first time the Legislature has required this level of financial transparency from the program.
DeSantis signed the legislation one day after a Leon County Circuit Court judge denied AIDS Healthcare Foundation’s request for an injunction to block the significant changes the DeSantis administration is making to the program, which it claims faces a $120 million shortfall for calendar year 2026.
AIDS Healthcare Foundation, a national organization focused on protecting and expanding HIV healthcare access and prevention methods, filed a lawsuit over the change in eligibility, arguing the Florida Department of Health did not follow the laid out path for formally changing policy and was acting outside established procedures.
Typically, altering eligibility for a statewide program requires either legislative action or adherence to a multistep rule-making process, including: publishing a Notice of Proposed Rule; providing a statement of estimated regulatory costs; allowing public comment; holding hearings if requested; responding to challenges; and formally adopting the rule. According to AIDS Healthcare Foundation, none of these steps occurred.
The long-term structure of ADAP will be determined by the 2026–2027 fiscal year state budget, something that lawmakers have until June 30 to finish.
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