News
127 House Dems urge White House to keep rule for trans health care
Reports indicate Trump administration poised to reverse Obama-era change


Rep. Julia Brownley (D-Calif.) is urging the White House to preserve a proposed rule in favor of trans health care. (Photo public domain)
A group of 127 House Democrats led by Reps. Julia Brownley (D-Calif.) is calling on the White House to keep intact an Obama-era rule barring medical providers from denying health care to transgender patients, including gender reassignment surgery.
The letter, dated May 23 and sent to Office of Management & Budget Director Mick Mulvaney, points to reports a rule change is pending before the White House and calls on Mulvaney “to reject a proposed rule that undermines these important protections.”
“We urge you to abandon any proposal that would erode the Health Care Rights Law’s important protection, undermine Congress’ sole lawmaking authority and allow health care providers to discriminate against their patients,” the letter says.
Other lawmakers who spearheaded the letter are Rep. Jerrold Nadler (D-N.Y.), Diana DeGette (D-Colo.) and Barbara Lee (D-Calif.).
The Obama-era rule is based on Section 1557 of the Affordable Care Act, which prohibits discrimination on the basis of sex in health care. The Obama administration interpreted that language to apply to transgender people seeking health care, including transition-related care such as gender reassignment surgery.
Although the Trump administration hasn’t explicitly stated it plans to repeal the rule, that seems to be the intent based on media reports and filings by the Justice Department in litigation against the rule. Another possibility is the Trump administration would seek to impose a religious exemption.
The letter to the White House warns Mulvaney that even a religious exemption would have deleterious consequences.
“Adding any type of religious exemption, or enforcing the Health Care Rights Law in a way that allows for a religious exemption, is antithetical to the purpose and language of the Health Care Rights Law and would undermine Congress’ lawmaking authority,” the letter says.
Earlier this month, Secretary of Health & Human Services Alex Azar told the Blade during an appearance at the White House press briefing he had no knowledge of potential repeal of this rule. An HHS spokesperson said later the secretary was briefed on the matter.
The Obama-era rule is currently moot in any event. Last year, U.S. District Judge Reed OāConnor issued an injunction barring the U.S. government from enforcing the rule as a result of litigation filed by Texas Attorney General Ken Paxton.
Despite this court order ā and even if the Trump administration were to reverse the underlying rule ā transgender people could still sue medical providers in court based on the underlying law in the Affordable Care Act that prohibits discrimination in health care on the basis of sex. A growing number of courts are interpreting laws against sex discrimination to apply to LGBT people regardless of the views of the Trump administration.
The White House Office of Management & Budget didn’t respond to the Blade’s request to comment Wednesday on the letter.
State Department
HIV/AIDS activists protest at State Department, demand full PEPFAR funding restoration
Black coffins placed in front of Harry S. Truman Building

Dozens of HIV/AIDS activists on Thursday gathered in front of the State Department and demanded the Trump-Vance administration fully restore President’s Emergency Plan for AIDS Relief funding.
Housing Works CEO Charles King, Health GAP Executive Director Asia Russell, Human Rights Campaign Senior Public Policy Advocate Matthew Rose, and others placed 206 black Styrofoam coffins in front of the State Department before the protest began.
King said more than an estimated 100,000 people with HIV/AIDS will die this year if PEPFAR funding is not fully restored.
“If we continue to not provide the PEPFAR funding to people living in low-income countries who are living with HIV or at risk, we are going to see millions and millions of deaths as well as millions of new infections,” added King.
Then-President George W. Bush in 2003 signed legislation that created PEPFAR.
The Trump-Vance administration in January froze nearly all U.S. foreign aid spending for at least 90 days. Secretary of State Marco Rubio later issued a waiver that allows the Presidentās Emergency Plan for AIDS relief and other ālife-saving humanitarian assistanceā programs to continue to operate during the freeze.
The Washington Blade has previously reported PEPFAR-funded programs in Kenya and other African countries have been forced to suspend services and even shut down because of a lack of U.S. funding. Two South African organizations ā OUT LGBT Well-being and Access Chapter 2 ā that received PEPFAR funding through the U.S. Agency for International Development and the Centers for Disease Control and Prevention in recent weeks closed down HIV-prevention programs and other services to men who have sex with men.
Rubio last month said 83 percent of USAID contracts have been cancelled. He noted the State Department will administer those that remain in place “more effectively.”
“PEPFAR represents the best of us, the dignity of our country, of our people, of our shared humanity,” said Rose.
Russell described Rubio as “ignorant and incompetent” and said “he should be fired.”
“What secretary of state in 90 days could dismantle what the brilliance of AIDS activism created side-by-side with George W. Bush? What kind of fool could do that? I’ll tell you who, the boss who sits in the Harry S. Truman Building, Marco Rubio,” said Russell.

District of Columbia
Capital Pride wins $900,000 D.C. grant to support WorldPride
Funds not impacted by $1 billion budget cut looming over city

Capital Pride Alliance, the nonprofit D.C. group organizing WorldPride 2025, this week received a $900,000 grant from the city to help support the multiple events set to take place in D.C. May 17-June 8.
According to an announcement by D.C. Mayor Muriel Bowser and Events D.C., the cityās official convention, sports, and events authority, Capital Pride Alliance was one of 11 nonprofit groups organizing 2025 D.C. events to receive grants totaling $3.5 million.
The announcement says the grants are from the cityās Large Event Grant Program, which is managed by Events D.C. It says the grant program is funded by the Office of the D.C. Deputy Mayor for Planning and Economic Development through a grant from the U.S. Department of Commerce Economic Development Administration.
Nina Albert, the Deputy Mayor for Planning and Economic Development, told the Washington Blade that because the grants consist of federal funds already disbursed to the city, they are not impacted by the billion dollar budget cut imposed on the city by Congress earlier this year.
āWorldPride is one of the 11 grantees, and weāre really just excited that thereās going to be generated a large crowd and introducing the city to a national and international audience,ā Albert said. āAnd we think it is going to be a real positive opportunity.ā
The statement from the mayorās office announcing the grants says funds from the grants can be used to support expenses associated with hosting large events such as venue rental fees, security, labor costs, equipment and other infrastructure costs.
āAll of those things are things that we do for our major events, including WorldPride,ā said Ryan Bos, executive director of Capital Pride Alliance. āSo, the resources from this grant will be extremely helpful as we approach the final weeks of preparation of WorldPride Washington, D.C.,ā he said.
Bos said Events D.C. has been an important partner in helping to promote WorldPride 2025 since the planning began more than two years ago. āAnd weāre excited to have them now support us financially to get us over the finish line and have an amazing event.ā
Both Bos and Deputy Mayor Albert said WorldPride organizers and D.C. government officials were doing all they can to inform potential visitors from abroad and other parts of the U.S. that the local D.C. government that is hosting WorldPride is highly supportive of the LGBTQ community.
The two said WorldPride organizers and the city are pointing out to potential visitors that the local D.C. government is separate from the Trump administration and members of Congress that have put in place or advocated for policies harmful to the LGBTQ community.
āD.C. is more than the federal city,ā Bos told the Blade. āItās more than the White House, more than the Capitol,ā he said. āWe have a vibrant, progressive, inclusive community with many neighborhoods and a great culture.ā
Marcus Allen, an official with Broccoli City, Inc., the group that organizes D.C.ās annual Broccoli City Music Festival, reached out to the Blade to point out that Broccoli City was among the 11 events, along with WorldPride, to receive a D.C. Large Event Grant of $250,000.
Allen said the Broccoli City Festival, which includes performances by musicians and performing artists of interest to African Americans and people of color, is attended by large numbers of LGBTQ people. This yearās festival will be held Aug. 8-10, with its main event taking place at Washington Nationals Stadium.
“Visitors from around the world come to D.C. to experience our world-class festivals and events,” Mayor Bowser said in the grants announcement statement. “These grants help bring that experience to life, with the music, the food, and the spirit of our neighborhoods,” she said. “Together with Events D.C., we’re creating jobs, supporting local talent, and showcasing the vibrancy of our city.”
The full list of organizations receiving this yearās Large Event grants are:
ā¢ Restaurant Association of Metropolitan Washington
ā¢ National Cherry Blossom Festival, Inc.
ā¢ Asia Heritage Foundation
ā¢ Capital Pride Alliance
ā¢ U.S. Soccer Federation
ā¢ Broccoli City, Inc.
ā¢ U.S.A. Rugby Football Union
ā¢ Washington Tennis and Education Foundation
ā¢ D.C. Jazz Festival
ā¢ Woolly Mammoth Theatre Company
ā¢ Fiesta D.C., Inc.
Chile
Transgender woman sues Chilean national police
Isabella Panes alleges she suffered harassment, exclusion after becoming ācarabineraā

Isabella Panes in 2022 was celebrated as a symbol of inclusion.
Wearing an olive green uniform and a shy smile, she appeared in the media and on social media as Chile’s first trans female ācarabineraā or national police officer. The Carabineros promoted Panes as a sign of openness, but that story has become a dramatic case of institutional discrimination.
Panes today faces the Carabineros in court.
She has denounced a series of systematic acts of exclusion, harassment at work, and violation of fundamental rights that she and her defense team maintains pushed her into a mental health crisis that almost cost her her life.
āMy hope is that tomorrow we will be able to live in a world of equality for all. Just that we understand that we are human beings and we have to make life a lot easier for each other,ā Panes told the Washington Blade during an exclusive interview.
Panes, 29, grew up in Laja in the BiobĆo region.
She dreamed of becoming a ācarabineraā since she was a child, despite the fact that she faced discrimination because of her gender identity. After years of effort, surgeries and a difficult transition, Panes enrolled in the Carabineros Academy in 2021.
Panes faced the challenge of making her medical processes compatible with the physical demands of training. Even so, she graduated with good marks, and was recognized as part of the new institutional image the Carabineros wanted to project after the 2021 social unrest tarnished their image.
This institutional support disappeared after the media campaign.
Panes alleges she was marginalized from operational duties and relegated to administrative tasks, despite her interest in and training to patrol the streets like any other officers.
āI joined the Carabineros to serve, not to be a marketing decoration,ā she said. āI was offered to be part of the change, but only if I kept quiet and accepted the mistreatment.ā
The accusations against the Carabineros are serious: Constant mockery by colleagues, dissemination of private information about her personal life, invasive questions about her body and sexual orientation. Panesās legal representatives said this abuse took place within a context where the institution did not take effective measures to protect their client.
The Carabineros Social Security Administration, known by the Spanish acronym Dipreca, also refused to cover her transition-related medical procedures, arguing they were āaesthetic,ā despite medical reports that indicated their importance for Panesās mental health and well-being.
Panes in January attempted to kill herself by suicide. She managed to survive after calling Chileās 4141 mental health care number for help.
āThey were killing me slowly, from the inside,ā said Panes.
Panes has brought her case to the Supreme Court after a lower court ruled in favor of Diprecaās decision to not cover her medical treatments.
Her legal team in a lawsuit has also accused the Carabineros of employment and systematic discrimination. Panes is seeking damages and institutional reforms.
āThe Carabineros used Isabella to clean up its public image, but when it came to guaranteeing real rights, they abandoned her,ā said Javiera ZĆŗƱiga, spokesperson for the Movement for Homosexual Integration and Liberation, a Chilean advocacy group.
āIt is not enough to show up at the Pride march,ā she added. āTrue inclusion is demonstrated in deeds, in daily dealings, in respect for the dignity of all people.ā
Panesās case starkly exposes the limits of diversity policies when there is no deep institutional commitment to implement them.
āI am no longer afraid,ā said Panes, āWhat happened to me cannot happen again. Not for me, but for all those who come after me.ā
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