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Biden seeks to ramp up money to beat HIV/AIDS in budget request

$267 million increase sought to end domestic epidemic

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President Biden’s formal budget proposal for the U.S. government in the upcoming fiscal year has advocates in the fight against HIV/AIDS cheering over the commitment to increase funds to confront the domestic epidemic, although one group is criticizing the proposal for seeking to flat-fund international programs.

The fiscal year 2022 proposal, unveiled last Friday, would afford an additional $246 million for domestic HIV testing, prevention and treatment programs for the Ending the HIV Epidemic initiative, which seeks to end HIV by 2030, and would also provide a general boost of $46 million to Ryan White HIV/AIDS programs and $20 million for HUD’s Housing Opportunities for People with AIDS (HOPWA).

Carl Schmid, executive director of the HIV + Hepatitis Policy Institute, said in a statement Biden is “demonstrating his commitment to ending HIV in the United States” in the budget request to Congress.

“While it falls short of what is needed and the community has requested, if this funding is realized it will continue the momentum already created and make further progress in ending HIV in the U.S. Efforts to end HIV will help eradicate an infectious disease that we have been battling for the last 40 years and help correct racial and health inequities in our nation,” Schmid said.

The total $670 million requested by the White House for the Ending the HIV Epidemic initiative breaks down as follows:

  • Centers for Disease Control & Prevention:  $100 million in new money for a total of $275 million;
  • Ryan White:  $85 million in new money for a total of $190 million;
  • Community Health Centers for PrEP:  $50 million in new money for a total of $152 million;
  • National Institues of Health:  $10 million in new money for a total of $26 million;
  • Indian Health Services: $22 million in new money for a total of $27 million.

Counterinituitively, each of those numbers is actually below what the Trump White House proposed in the previous administration’s final budget request, with the exception of the proposed increase in money for Community Health Centers for PrEP and flat-lining for money for Indian Health Services.

The requested increase in funds for the Ending the HIV Epidemic was expected. Biden had signaled he’d seek the additional $267 million in funding in the “skinny budget” issued by the White House in February that preceded the more formal and detailed request to Congress last week.

Biden requests the increase in funds after he campaigned on ending the domestic HIV epidemic by 2025, an ambitious goal many advocates in the fight against HIV/AIDS were skeptical about achieving.

Nick Armstrong, the AIDS Institute’s manager of advocacy and government affairs and co-chair of the AIDS Budget & Appropriations Coalition, said in a statement the time to ramp up efforts against HIV has come as the nation emerges from the coronavirus pandemic.

“Public health departments have made herculean efforts to battle COVID over the past year,” Armstrong said. “But now it is time to reinvigorate neglected efforts to end the HIV, opioid, and viral hepatitis epidemics. Congress must go above and beyond what the president has proposed to bolster our critical public health infrastructure to protect Americans against infectious disease.”

The budget now goes on to Congress, which has authority on whether or not to appropriate funds consistent with the president’s request. Congress could either meet, short fund or even exceed in money the request by Biden as part of that process.

Schmid said via email to the Blade he’s optimistic about getting an agreement from Congress for an increase in funds to fight HIV/AIDS based on the “strong bipartisan support the proposal has enjoyed in the past.

“We still have work to do with the Congress due to so many demands on the budget but I am fairly confident Congress will support it, they have been anxious to see what the Biden administration does with the program in his budget and we have the answers now,” Schmid said. “The Biden-Harris administration firmly supports ending HIV.”

Although Biden was lauded for the increase in funds in domestic HIV programs, international programs are a different matter. The White House has essentially flat-funded programs designed to fight the global HIV epidemic, including the President’s Emergency Plan for AIDS Relief, or PEPFAR, or the Global Fund to Fight AIDS, Tuberculosis & Malaria.

Matthew Rose, director of U.S. Policy and Advocacy at the New York-based Health GAP, said in a statement Biden’s budget proposal “displays a lack of bold leadership motivated to end the HIV pandemic.”

“If the U.S. had continued fully funding PEPFAR since 2003 instead of letting funding levels slip into a flat-line for more than a decade, the HIV pandemic would look remarkably different today,” Rose said. “This is not a budget to end AIDS – and it could have been. This is not a budget to end the COVID-19 pandemic – and it could have been. The unconscionable lack of political will in recent years has created a world in which people cannot get access to the life-saving services they need.”

Health GAP is calling on Congress to approve a budget with at least a $750 million increase for PEPFAR and $2.5 billion in increased funding over the next four years to scale up HIV prevention and treatment and mitigate harms to the HIV response done by the COVID-19 pandemic, the statement says.

Additionally, Health GAP is calling on Biden to name “a highly qualified nominee” to serve as the U.S. Global AIDS Coordinator, the statement says.

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Cuba

Trans parent charged with kidnapping, allegedly fled to Cuba with child

Cuban authorities helped locate Rose Inessa-Ethington

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A transgender Pride flag flies over Mi Cayito, a beach east of Havana. Cuban authorities helped locate a transgender woman who U.S. authorities fled to the island with her 10-year-old child who she allegedly kidnapped. (Washington Blade photo by Michael K. Lavers)

Federal authorities have charged a transgender woman with kidnapping after she allegedly fled to Cuba with her 10-year-old child.

An affidavit that Federal Bureau of Investigation Special Agent Jennifer Waterfield filed in U.S. District Court for the District of Utah on April 16 notes the child is a “biological male who identifies as a female” and “splits time living with divorced parents who share custody” in Cache County, Utah.

Waterfield notes the child on March 28 “was supposed to be traveling by car to” Calgary, Alberta, “for a planned camping trip with his transgender mother, Rose Inessa-Ethington, Rose’s partner, Blue Inessa-Ethington, and Blue’s 3-year-old child.”

The affidavit notes the group instead flew from Vancouver, British Columbia, to Mexico City on March 29. Waterfield writes the Inessa-Ethingtons and the two children then flew from Mérida, Mexico, to Havana on April 1.

The 10-year-old child called her biological mother on March 28 after they arrived in Canada. The custody agreement, according to the affidavit, required Rose Inessa-Ethington to return the child to her former spouse on April 3.

“Interviews of MV [Minor Victim] 1’s family members provided significant concerns for MV 1’s well-being, as MV 1 was born a male, however, identifies as a female child, which is largely believed to be due to manipulation by Rose Inessa-Ethington,” reads the affidavit. “Concerns exist that MV 1 was transported to Cuba for gender reassignment surgery prior to puberty.”

The affidavit indicates authorities found a note in the Inessa-Ethingtons’ home with “instruction from a mental health therapist located in Washington, D.C., including instruction to send the therapist the $10,000.00 and instructions on gender-affirming medical care for children.”

The affidavit does not identify the specific “mental health therapist” in D.C.

A Utah judge on April 13 ordered Rose Inessa-Ethington to “immediately” return the child to her former spouse. The former spouse also received sole custody.

“Your affiant believes that due to the extensive planning and preparation exhibited by both Rose Inessa-Ethington and Blue Inessa-Ethington to isolate MV 1 and take MV 1 to Havana, Cuba, without notifying or requesting permission from MV 1’s mother indicates they are likely not planning to return to the United States,” wrote Waterfield.

The affidavit notes Cuban authorities found the Inessa-Ethingtons and the child.

A press release the U.S. Attorney’s Office for the District of Utah issued notes the Inessa-Ethingtons “were deported from Cuba” on Monday “with the assistance of the FBI.”

The couple has been charged with International Parental Kidnapping. The Inessa-Ethingtons were arraigned in Richmond, Va., on Monday. The press release notes a federal court in Salt Lake City will soon handle the case.

The New York Times reported the child is now back with their biological mother.

“We are grateful to law enforcement for working swiftly to return the child to the biological mother,” said First Assistant U.S. Attorney Melissa Holyoak of the District of Utah in the press release.

The case is unfolding against the backdrop of increased tensions between Washington and Havana after U.S. forces on Jan. 3 seized now former Venezuelan President Nicolás Maduro and his wife, Cilia Flores.

President Donald Trump shortly after he took office in January 2025 issued an executive order that directed the federal government to only recognize two genders: male and female. A second White House directive banned federally-funded gender-affirming care for anyone under 19.

The U.S. Supreme Court last year in the Skrmetti decision upheld a Tennessee law that bans gender-affirming care for minors.

Cuba’s national health care system has offered free sex-reassignment surgeries since 2008.

Activists who are critical of Mariela Castro, the daughter of former President Raúl Castro who spearheads LGBTQ issues as director of Cuba’s National Center for Sexual Education, have previously told the Washington Blade that access to these procedures is limited. The Blade on Wednesday asked a contact in Havana to clarify whether Cuban law currently allows minors to undergo sex-reassignment surgery.

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Rehoboth Beach

Rehoboth Summer Kickoff Party set for May 15 with Ashley Biden

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Former first lady Jill Biden and daughter, Ashley Biden attend the White House Pride celebration on June 26, 2024. (Blade photo by Michael Key)

The Washington Blade’s 19th annual Summer Kickoff Party is scheduled for Friday, May 15 in Rehoboth Beach, Del.

Ashley Biden, daughter of President Joe Biden, has joined the list of speakers, the Blade announced. She will accept an award on behalf of her brother Beau Biden for his LGBTQ advocacy work as Delaware attorney general. (Her appearance was rescheduled from last year.)

The event, to be held this year at Diego’s (37298 Rehoboth Ave. Ext.) from 5-7 p.m., is a fundraiser for the Blade Foundation’s Steve Elkins Memorial Fellowship in Journalism, which funds a summer position reporting on LGBTQ news in Delaware. This year’s recipient will be introduced at the event.

The event will also feature remarks from state Rep. Claire Snyder-Hall. New CAMP Rehoboth Executive Director Dr. Robin Brennan and Blade editor Kevin Naff will also speak. The event is generously sponsored by Realtor Justin Noble, The Avenue Inn & Spa, and Diego’s.

A suggested donation of $25 is partially tax deductible and includes a drink ticket and light appetizers. Tickets are available in advance at bladefoundation.org/rehoboth or at the door. 

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District of Columbia

Curve magazine honors Washington Blade publisher

Lynne Brown named to 2026 Power List

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Blade Publisher Lynne Brown is being honored by Curve magazine.

Washington Blade Publisher Lynne Brown has been named to the 2026 Curve Power List celebrating LGBTQ+ women and nonbinary individuals in North America who are blazing trails in their chosen fields.

“From sports and entertainment icons to corporate leaders and lawmakers, these individuals are breaking barriers, challenging norms, and shaping the future,” Curve Foundation/Curve magazine said in announcing this year’s list, which includes ABC newscaster Robin Roberts, comedian/actress Hannah Einbinder, and singer/actress Renee Rapp, among others.

Brown has worked for the Washington Blade for nearly 40 years. She was named publisher in 2007 before becoming a co-owner in 2010. 

“I am honored to be recognized by Curve magazine during Lesbian Visibility Week,” Brown said. “Receiving this Curve honor is twofold. I was an early subscriber to Curve. I enjoy the product and know its history. Its journalism, layout and humorous features have inspired me.   

“As an owner/publisher, receiving recognition from a similar source acknowledges my work and efforts, with a sincerity I truly appreciate. Franco Stevens, the publisher of Curve, is a business person of duration, experience, and purpose. The fact that they are in the media business, and honoring me and my publication makes it a tiny bit sweeter.” 

Nominations for the Curve Power List come from the community: peers, mentors, fans, and employers. 

Curve explained the significance of the list in its announcement: “An annual, publicly nominated list of impactful LGBTQ+ women and nonbinary changemakers is crucial in current times to counter discrimination, legislative rollbacks, hostility, and the invisibility of queer women within mainstream and marginal spaces and endeavors. Such a list also fosters encouragement and solidarity, and elevates voices and achievements—from high-profile roles to under appreciated areas of life.”

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