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D.C. medical marijuana program ‘getting better’

Some say delays in patient approval encouraged street purchases

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medical marijuana, gay news, Washington Blade
Patricia Hawkins said city delays in approving a patient’s application for a medical card needed to buy medical marijuana have prompted some patients to resort to buying the marijuana on the street. (Washington Blade file photo by Pete Exis)

Although D.C. legalized the production and sale of marijuana for medical purposes just over 20 years ago, activists familiar with the city’s implementation of the program say it has become known for its long delays in approving patients for medical marijuana use.

People following the D.C. Department of Health’s operation of the city’s medical marijuana program say improvements were put in place in the past two months that appear to be streamlining a cumbersome bureaucratic process that they say discouraged many patients in need of medical marijuana.

Patricia Hawkins, a clinical psychologist and former deputy director of D.C.’s Whitman-Walker Health, said city delays in approving a patient’s application for a city approved medical card needed to allow the patient to buy medical marijuana at licensed dispensaries prompted some patients to resort to buying the marijuana from “pop-up” dealers who operate illegally, sometimes selling marijuana on the street.

“That’s the last thing we need them to do,” said Hawkins, who noted that the purity and content of marijuana bought on the black market is unknown and could have harmful additives such as pesticides.

She said street drug dealers also have the reputation for attempting to sell people other harmful drugs such as heroin.

Hawkins noted that LGBT and AIDS activists played an important role in persuading the city to enact the medical marijuana program in the late 1990s just prior to the availability of effective AIDS drugs. She said marijuana treatment was shown to be helpful to AIDS patients suffering from severe weight loss by increasing their appetite.

D.C.’s medical marijuana program is run by the Department of Health’s Division of Medical Marijuana and Integrative Therapy. Under rules established by the DOH, in order to become authorized to buy marijuana for medical purposes a patient must first obtain a written recommendation from his or her primary care physician.

“This recommendation must assert that the use of marijuana is medically necessary for the patient for the treatment of a qualifying medical condition or to mitigate the side effects of a qualifying medical treatment,” a statement on the DOH website says. The statement says the written recommendation must include the physician’s signature and license number.

The physician must then send that to the DOH. The patient is required to submit to the DOH a completed application form that shows proof of residency in D.C. and include a photo copy of a government issued identification document such as a driver’s license. A $100 registration fee is also required, with a $25 fee for a patient that qualifies for low-income status.

One D.C. patient who spoke to the Washington Blade about the process on condition that the patient not be identified said that in the recent past it took between two and four months for the DOH to process the patient’s application and send the needed medical card.

Under the city’s medical marijuana program, the medical card expires after one year and a new application must be submitted to have it renewed along with the $100 fee.

The patient that spoke to the Blade said only a few doctors in the city have the training or the desire to prescribe medical marijuana as a treatment for a medical condition.

“The waiting rooms are overfull and there’s a long time you have to wait to see the doctor,” said the patient.

“And then last year the Department of Health lost my paperwork so I had to go through the whole process again,” said the patient. “It’s just frustrating and annoying. And it’s way more cumbersome and way more bureaucratic than is necessary.”

Under changes made earlier this year, the DOH website now says applications for the medical card are processed within 30 business days.

Linda Green, owner of Anacostia Organics, one of six licensed medical marijuana dispensaries currently operating in the city, said the DOH last month began offering patients the option of submitting their application for the medical card online.

“The processing time has been cut down considerably,” she said. “The DOH says the process now can take just one week. They are saying it takes five to seven days to get your card,” added Green, who said she’s “very hopeful” that the streamlined process will encourage more patients in need of medical marijuana to enter the program.

The National Holistic Healing Center, another D.C. medical marijuana dispensary located near Dupont Circle, told the Blade in a statement there have been “considerable improvements to the process for obtaining a medical card.”

The statement, which doesn’t identify the person who wrote it, says National Holistic has patients who have received their medical card from the DOH in two to three weeks through the online application process.

Green of Anacostia Organics and the National Holistic statement said there are a wide range of different types of cannabis, the preferred name for marijuana by the dispensaries, from which a patient can choose to best meet their medical needs. Experts at the dispensaries will help the patient select the type best for them, some of which are inhaled, ingested, or absorbed through the skin.

DOH spokesperson Alison Reeves told the Blade in a statement the processing time for a medical marijuana card may vary from patient to patient. She said an incomplete patient application form can result in “increased processing time.”

She said the time of year a patient submits their application may also be a factor in the timing. She noted that the largest number of applications are submitted between February and April, with processing time possibly made longer during that peak period.

“It is our policy to process applications and issue cards within 30 business days, however processing time is normally much faster,” Reeves said. “For example, in the first quarter of this year the average processing time for completed applications was 8.5 business days – six days for electronic applications and 11 days for paper applications,” she said.

About nine months ago, according to Reeves, the DOH began accepting credit card payments.

“Originally, many banks would not allow this for any marijuana activities,” she told the Blade. “This change allowed patients to submit and pay online, which greatly decreased processing time.”

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Virginia

Campaign urges Virginia High School League to reverse stance on trans athletes

Equality Arlington and other advocacy groups behind ‘Right 2 Play’ VA’ initiative

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(Inked Pixels via Bigstock photo)

Virginia advocacy groups have launched a campaign that urges the Virginia High School League to once again allow student athletes to compete on sports teams that correspond with their gender identity.

Equality Arlington on Sept. 16 published an article about the “Right 2 Play VA” campaign. Amy, a group representative, spoke about the initiative with the Washington Blade.

“The primary goal is to reverse the Virginia High School League’s discriminatory ban on allowing transgender girls to play on girls’ sports and replace it with a policy that is fair for all students.” they said.

The Virginia High School League in 2025 announced the policy, which reversed a previous position in support of transgender and nonbinary athletes. The 2025 policy coincided with President Donald Trump’s executive order — “Keeping Men Out of Women’s Sports” — that threatened to “rescind all funds from educational programs that deprive women and girls of fair athletic opportunities, which results in the endangerment, humiliation, and silencing of women and girls.”

The Arlington Gender Identity Alliance, Equality Virginia, and the American Civil Liberties Union of Virginia have also joined the “Right 2 Play VA” campaign.

“We had a policy in Virginia for 12 years that allowed transgender girls to play on girls’ sports teams, and we had not one instance — not one instance — that was brought forward demonstrating an unfair advantage or any type of safety concern,” said Amy. 

Amy then discussed what they described are the benefits of trans youth playing sports.

“There are physical benefits. There are mental health benefits. There are community and social development benefits, and those are all well documented,” they said. “All kids should have the right to benefit from playing youth sports. We are talking about kids. We are talking about youth. We are not talking about Olympians. We are not talking about Division One college athletes. We are talking about kids in Virginia, and because the benefits of sports are so well documented, we think that every kid should have the ability to play sports.”

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District of Columbia

D.C.’s LGBTQ homeless facilities face possible hit from Trump funding cuts

38 percent of homeless youth identify as LGBTQ, up from 2025

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(Photo by Joe Pchatree/Bigstock)

(Editor’s note: This article is part of our 2026 contribution to the D.C. Homeless Crisis Reporting Project in collaboration with other local newsrooms. The collective works will be published throughout the week at bit.ly/DCHCRP.)

A decision by President Trump’s administration to eliminate most federal funding for community-based programs to place homeless people in permanent subsidized housing could have a severe adverse impact on LGBTQ people facing homelessness in D.C., according to local advocates.

Officials with organizations that provide services for homeless people in the D.C. area and nationally have pointed to an executive order issued by Trump last year that calls for ending federal support for so-called “Housing First” programs that arrange for permanent subsidized housing for homeless people. The officials note that Trump’s proposed fiscal year 2027 budget calls for eliminating funding for the Housing First programs.

Advocates for programs providing support for homeless people note that ending federal funding for permanent housing for homeless people will — and in some cases already has — resulted in occupants of homeless shelters and short-term transitional housing facilities remaining in those facilities far longer than in the past, preventing openings for others who need housing.

A lawsuit filed by several states and homeless advocacy organizations, including the D.C.-based National Alliance To End Homelessness, to block the Trump efforts to cut off those funds has temporarily delayed some of the funding cuts. A decision in August by a federal judge in Rhode Island declared the Trump action a violation of a federal law for failing to open the proposal for the funding cuts to public comment before putting it in place.

Court records show the U.S. Department of Housing and Urban Development (HUD), which provides the federal funding for homeless related programs, appealed the lower court ruling and an appeals court reversed the ruling pending further appeal by the parties that filed the lawsuit.

At least two of the five D.C. organizations that provide housing for homeless LGBTQ youth have said their funding so far has not been cut due to the Trump actions.

Cesar Toledo, executive director of the Wanda Alston Foundation, which currently provides transitional housing for 20 LGBTQ homeless youth, said his organization receives local D.C. government funding but no federal funding so his group has so far not been impacted by the Trump action.

Debby Shore, executive director of the Sasha Bruce Youthwork organization that  provides housing for young people ages 18-24, including some LGBTQ youth, said her organization also had not yet been impacted but it could be impacted soon.

“We have not had that funding cut,” she told the Washington Blade. “What we understand is if HUD is allowed to go through with those changes, then we will,” she said. “Because we have one of our programs that’s funded directly by HUD,” which she said could be considered the type of “long term” housing that HUD wants to cut.

A spokesperson for the local LGBTQ youth advocacy organization SMYAL, which currently provides housing for 55 homeless LGBTQ youth according to its website, didn’t immediately respond to a Blade inquiry into whether they have been impacted by the Trump actions. Toledo of the Alston Foundation said he understood that SMYAL has received federal funding for its homeless program.

At least two other D.C. organizations that provide housing for homeless youth, including some LGBTQ youth – Covenant House and the Latin American Youth Center – also couldn’t immediately be reached for comment on whether they have been impacted by the Trump funding cuts.

The city’s only shelter for homeless LGBTQ adults, which is operated by the D.C. Department of Human Services and is D.C. funded, has not been immediately impacted by the Trump funding cuts, according to a DHS statement sent to the Washington Blade in response to a Blade inquiry.  Called Living Life Alternative, the low-barrier shelter accommodates 40 individuals, the statement says.

It says DHS receives federal funding for its homeless services programs, and it was awaiting HUD approval for its annual federal funding grant for the city’s Permanent Supportive Housing program for homeless residents. It says the current funding for that program expires Jan. 31, 2027.

According to the statement, a separate federal grant DHS receives from HUD for homeless assistance services was approved for next year but included “a slight reduction in funding of $22,808.”

The annual 2026 Point-In-Time (PIT) count of homeless people in D.C., conducted in January, recorded a total of 5,363 people who were homeless, a 4 percent increase over the previous year.

The PIT count report shows 424 adults, or 12 percent of the adults counted, identified as members of the LGBTQ community, a slight increase over the 11.7 percent of homeless LGBTQ people counted in 2025. It shows that 38 percent of “Transition Age Youth” ages 18-24 identified as LGBTQ, an increase of one percent over the 37 percent of LGBTQ youth counted in 2025.

The Trump administration through HUD has said it supports housing for homeless people that lasts no more than two years and participants should be required to get treatment for the mental illness and substance use disorders such as drug addiction and alcoholism that many homeless people suffer from.

The Washington Post has cited studies showing that up to two-thirds of homeless people have a mental illness and two in five have a substance use disorder.

“Housing First has failed our most vulnerable and enabled addiction,” the Post quoted HUD saying in an email message. “HUD’s proposed reforms seek to address the root cause of homelessness and advance recovery, self-sufficiency, and competition that drives accountability,” the Post quoted the HUD statement as saying. 

Shore, director of Sasha Bruce Youthwork, disputes that assessment, saying treatment for disorders should not be a replacement for longer term housing programs, which she said improves the outcome of treatments for disorders.

“I think the idea of putting more services in place – I don’t have any problem with that,” she said. “But suggesting that you do that in exchange for longer term supports for people does not seem to be the right way to go.”  

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District of Columbia

Bowser, Office of LGBTQ Affairs announce LGBTQ+ History Month events

High Heel Race to take place Oct. 27

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The annual 17th Street High Heel Race will take place in Dupont Circle on Oct. 27, 2026. It is one of the city's events that will celebrate LGBTQ+ History Month. (Washington Blade photo by Michael Key)

D.C. Mayor Muriel Bowser and the D.C. Mayor’s Office of LGBTQ Affairs have announced they will join the local LGBTQ community in celebrating LGBTQ+ History Month throughout October.

An Oct. 2 joint statement from Bowser and the Office of LGBTQ Affairs says the celebration will include several events in partnership with D.C. LGBTQ organizations and LGBTQ businesses. It says among the events will be a “Birthday Bash” celebrating the 20th anniversary of the Office of LGBTQ Affairs.

“Throughout October, Washingtonians are invited to honor the people, places, movements, and milestones that have shaped the District’s LGBTQIA+ community and the community’s ongoing contributions to Washington, D.C.,” the statement says.

“LGBTQIA+ History Month is a reminder that our history is not simply something we look back on — it is something we continue to make,” Japer Bowles, director of the Office of LGBTQ Affairs said in the statement.

Bowles added that in celebrating the 20th anniversary of the Office of LGBTQ Affairs “we honor the generations of advocates, artists, organizers, businesses, and residents who built our community and continue to shape its future. This milestone is an opportunity to celebrate how far we have come while continuing to build a more welcoming, inclusive and connected Washington, D.C.”

Equality Forum, the Philadelphia-based group that initiated the nationwide annual LGBTQ+ History Month in October, has said it recognizes the history, achievements, and contributions of LGBTQ people and the organizations they have led to advance the rights of LGBTQ people.

The statement released by Bowser and the D.C. Mayor’s Office of LGBTQ Affairs says these are among the upcoming events planned for October:

The Relationship Lab: A Healthy Relationships Series 

Join us for an engaging series exploring what makes relationships healthy and how to recognize the signs when they’re not. Facilitated by DC SAFE in partnership with MOLGBTQA (The Mayor’s Office of LGBTQ Affairs.)

MOLGBTQA Birthday Bash 
Join us for the 20th Anniversary Celebration! We will be hosting an upbeat gathering, highlighting community leaders, advocates, artists, and institutions who have advanced LGBTQIA+ progress in Washington, D.C. over the last two decades. This event will highlight key milestones and the contributions of LGBTQIA local community partners with live entertainment and free refreshments.

Mayor’s LGBTQ+ Advisory Committee 

Come get to know the newest members of the Mayor’s LGBTQ+ Advisory Committee. This diverse group of leaders, business owners, and advocates advise the mayor and Director Bowles on issues relating to DC’s LGBTQIA+ community and the Office of LGBTQ Affairs.

39th Annual 17th Street High Heel Race 

Join us for the High Heel Race, cheering the queens, kings, and our community members as they sprint down 17th Street in heels, creativity, and pure D.C. spirit. From lively drag performances to thousands of neighbors filling the street, don’t miss this D.C. night!

  • When: Tuesday, Oct. 27, 6-10 p.m.
  • Where: 17th Street between R and P Streets, N.W.
  • RSVP: s.dc.gov/2026HHR 

What appeared to be the first LGBTQ+ History Month-related event to take place in D.C., called PRIDEtoberfest, was held Saturday, Oct. 3 from noon to 11:30 p.m. at the city’s Wunder Garten outdoor beer garden and event facility at 1101 First St., N.E. A flyer announcing the event says the Capital Pride Alliance and the Mayor’s Office of LGBTQ Affairs were among the event’s participants.

“We proudly attended, tabled, and I gave remarks at the Pridetoberfest this weekend,” Japer Bowles, director of the LGBTQ Affairs Office told the Blade.”

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