National
Acclaimed gay doctor to be honored at LGBT History Month event
Pediatric cardiologist moved from Louisiana to N.Y. in protest over anti-LGBTQ bills
Dr. Jake Kleinmahon, a gay pediatric cardiologist and pediatric heart transplant specialist, is scheduled to be honored Oct. 1 by the Equality Forum at its annual LGBT History Month Kickoff and Awards Celebration in Philadelphia.
He has been named a recipient of the Equality Forum’s 28th annual International Role Model Award.
Kleinmahon became the subject of national news media coverage in early August when he announced he was leaving the state of Louisiana with his husband and two children and ending his highly acclaimed medical practice in New Orleans after the state legislature passed bills targeting the LGBTQ community.
He had been working since 2018 as the medical director of pediatric heart transplant, heart failure, and ventricular assist device programs at Ochsner Hospital for Children in New Orleans.
Kleinmahon told the Washington Blade his and his family’s decision to leave New Orleans was a difficult one to make. He said it came after the Republican-controlled Louisiana Legislature passed three anti-LGBTQ bills, including a so-called “Don’t Say Gay” bill targeting public schools and a bill banning transition-related medical care for transgender youth.
The state’s Democratic governor, John Bel Edwards, vetoed all three bills. But the legislature overturned his veto of the bill banning transition-related medical care for trans minors beginning Jan. 1, 2024.
Kleinmahon said he and his family moved at the end of August to Long Island, N.Y., after he accepted a new job as director of pediatric heart transplant, heart failure and ventricular assist devices at Cohen Children’s Medical Center in the town of New Hyde Park, which is located along the border of the Borough of Queens in New York City and Nassau County, Long Island.
“The decision to leave is not one that we took lightly at all,” Kleinmahon told the Blade. “And it was not one because I got a better job or other factors,” he said. “The main driver for it was that as we realized where things were going, we were raising our children in a state that was actively trying to make laws against your family,” he said in a phone interview. “And that’s not the type of environment that we want to raise our kids in.”
Kleinmahon said he and his husband Thomas timed their move to Long Island at the end of August so their daughter, who’s seven, could begin school at the start of the school year and their son, who’s four, could begin pre-kindergarten sessions.
“We have been open with our children about why we’re moving because we think it’s important that they carry on this message as well,” said Kleinmahon, who noted that his daughter expressed support for the move.
“We were at the dinner table one night and we were explaining what happened,” Kleinmahon said. “And she goes, you know daddy, we do have a choice, but there is only one good one. And she agreed with our moving to New York.”
Kleinmahon acknowledges that some in New Orleans, which is considered an LGBTQ supportive city in general, questioned his decision to leave on grounds that the two bills that would directly impact him and his family did not become law because the governor’s veto of the two bills were upheld.
“One of the things I’ve heard is that none of these really directly affect a family because the ‘Don’t Say Gay’ bill didn’t go into effect, and my children are not transgender, and I don’t work in a transgender clinic,” he told the Blade.
“But that’s really not the point,” he continued. “The way we think about it as a family, the people who are elected officials that are supposed to take care of the people in their state are casting votes against our families,” he points out. “So, sure, while the laws may not be in effect this year, certainly there’s a push to get them passed. And why would we want to remain in a state that is trying to push forward hateful laws?”
He said he will begin his new job at Cohen Children’s Medical Center on Long Island on Nov. 1.
“They have been incredibly supportive,” Kleinmahon said. “They have actually encouraged me to be open with why we left Louisiana,” he said. “And they have a Pride resource group that’s reached out to me to lend their support,” he said, adding that the hospital and its parent company have been “exceptional in helping us make this transition.”
During his medical practice at Ochsner Hospital for Children in New Orleans, Kleinmahon has been credited with helping to save the lives of many children suffering from heart-related ailments. He said his decision to leave behind his colleagues and patients was difficult.
“Unfortunately, it had ramifications for the kids in Louisiana, which was the hardest part for me,” he said. “And the reason for that is I was one of three pediatric heart transplant cardiologists, and I was the director of the only pediatric heart transplant program in Louisiana.”
He added, “While there are two other fantastic heart transplant cardiologists in Louisiana, the ability to keep a program running that serves an entire state needs a full army of people. And me leaving took 33 percent of that army away.”
He said he was also one of just two pediatric pulmonary hypertension providers in the state, and he just learned that the other provider had also left Louisiana recently. Pulmonary hypertension doctors provide treatment for people with the condition of high blood pressure in their lungs.
Regarding his extensive experience in treating and caring for children with heart disease, Kleinmahon, in response to a question from the Blade, said about 400 children receive heart transplants in the U.S. each year.
While heart transplants for kids are not as frequent as those for adults, he said kids needing a heart transplant and their families “deal with a tremendous amount of stress and medical appointments that really change their life,” including the need to take medication to prevent the body from rejecting a new heart for the rest of the children’s lives.
“My hope as a transplant doctor is that I can get these kids to live as normal a life as possible,” he said.
In addition to presenting its International Role Model Award to Kleinmahon, the Equality Forum was scheduled on Oct. 1 at its LGBT History Month event to present its Frank Kameny Award to Rue Landau, the first LGBTQ Philadelphia City Councilperson. It was also scheduled to present a Special Memorial Tribute to the late Lilli Vincenz, the longtime D.C.-area lesbian activist and filmmaker credited with being a pioneering LGBTQ rights activist beginning in the early 1960s.
“I am beyond humble to receive this award that is really not an award for me but is an award for my family and for families like ours and for people that are going to continue to fight discriminatory policies,” Kleinmahon said.
Blade editor Kevin Naff will present Kleinmahon with the award on Oct. 1 in Philadelphia.
“Dr. Kleinmahon and his family took a brave stand in solidarity with the LGBTQ community and they deserve our gratitude,” Naff said. “I’m excited and honored to present him with the International Role Model Award.”
The White House
USCIS announces it now only recognizes ‘two biological sexes’
Immigration agency announced it has implemented Trump executive order
U.S. Citizenship and Immigration Services on Wednesday announced it now only “recognizes two biological sexes, male and female.”
A press release notes this change to its policies is “consistent with” the “Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government” executive order that President Donald Trump signed shortly after he took office for the second time on Jan. 20.
“There are only two sexes — male and female,” said DHS spokesperson Tricia McLaughlin in a statement. “President Trump promised the American people a revolution of common sense, and that includes making sure that the policy of the U.S. government agrees with simple biological reality.”
“Proper management of our immigration system is a matter of national security, not a place to promote and coddle an ideology that permanently harms children and robs real women of their dignity, safety, and well-being,” she added.
The press release notes USCIS “considers a person’s sex as that which is generally evidenced on the birth certificate issued at or nearest to the time of birth.”
“If the birth certificate issued at or nearest to the time of birth indicates a sex other than male or female, USCIS will base the determination of sex on secondary evidence,” it reads.
The USCIS Policy Manuel defines “secondary evidence” as “evidence that may demonstrate a fact is more likely than not true, but the evidence does not derive from a primary, authoritative source.”
“Records maintained by religious or faith-based organizations showing that a person was divorced at a certain time are an example of secondary evidence of the divorce,” it says.
USCIS in its press release notes it “will not deny benefits solely because the benefit requestor did not properly indicate his or her sex.”
“This is a cruel and unnecessary policy that puts transgender, nonbinary, and intersex immigrants in danger,” said Immigration Equality Law and Policy Director Bridget Crawford on Wednesday. “The U.S. government is now forcing people to carry identity documents that do not reflect who they are, opening them up to increased discrimination, harassment, and violence. This policy does not just impact individuals — it affects their ability to travel, work, access healthcare, and live their lives authentically.”
“By denying trans people the right to self-select their gender, the government is making it harder for them to exist safely and with dignity,” added Crawford. “This is not about ‘common sense’—it is about erasing an entire community from the legal landscape. Transgender, nonbinary, and intersex people have always existed, and they deserve to have their identities fully recognized and respected. We will continue to fight for the rights of our clients and for the reversal of this discriminatory policy.”
Federal Government
Mass HHS layoffs include HIV/AIDS prevention, policy teams
Democratic states sue over cuts
Tuesday began a series of mass layoffs targeting staff, departments, and whole agencies within the U.S. Department of Health and Human Services under Secretary Robert F. Kennedy Jr., who reportedly plans to cut a total of 10,000 jobs.
On the chopping block, according to reports this week, is the Office of Infectious Disease and HIV/AIDS Policy. A fact sheet explaining on the restructuring says “a new Administration for a Healthy America (AHA) will consolidate the OASH, HRSA, SAMHSA, ATSDR, and NIOSH, so as to more efficiently coordinate chronic care and disease prevention programs and harmonize health resources to low-income Americans.”
The document indicates that “Divisions of AHA include Primary Care, Maternal and Child Health, Mental Health, Environmental Health, HIV/AIDS, and Workforce, with support of the U.S. Surgeon General and Policy team.”
“Today, the Trump administration eliminated the staff of several CDC HIV prevention offices, including entire offices conducting public health communication campaigns, modeling and behavioral surveillance, capacity building, and non-lab research,” said a press release Tuesday by the HIV + Hepatitis Policy Institute.
The organization also noted the “reassignments” of Jonathan Mermin, director of the National Center for HIV, Viral Hepatitis, STD, and TB Prevention, and Jeanne Marrazzo, director of the National Institutes of Health’s National Institute of Allergy and Infectious Diseases. Both were moved to the Indian Health Service.
“In a matter of just a couple days, we are losing our nation’s ability to prevent HIV,” said HIV + Hepatitis Policy Institute Executive Director Carl Schmid. “The expertise of the staff, along with their decades of leadership, has now been destroyed and cannot be replaced. We will feel the impacts of these decisions for years to come and it will certainly, sadly, translate into an increase in new HIV infections and higher medical costs.”
The group added, “We are still learning the full extent of the staff cuts and do not know how the administration’s announced reorganization of HHS will impact all HIV treatment, prevention, and research programs, including President Trump’s Ending the HIV Epidemic initiative,” but “At the moment, it seems that we are in the middle of a hurricane and just waiting for the next shoe to drop.”
A group of 500 HIV advocates announced a rally planned for Wednesday morning at 8 a.m., at the U.S. Capitol lawn across from the Cannon House Office Building, which aims to urge Congress to help stop the cuts at HHS.
“Over 500 advocates will rally on Capitol Hill and meet with members of Congress and Hill staff to advocate for maintaining a strong HIV response and detail the potential impact of cuts to and reorganization of HIV prevention and treatment programs,” the groups wrote.
The press release continued, “HHS has stated that it is seeking to cut 10,000 employees, among them 2,400 CDC employees, many doing critical HIV work. It also seeks to merge HIV treatment programming into a new agency raising concerns about maintaining resources for and achieving the outstanding outcomes of the Ryan White HIV/AIDS Program.”
On Tuesday a group of Democratic governors and attorneys general from 23 states and D.C. filed a lawsuit against HHS and Kennedy seeking a temporary restraining order and injunctive relief to halt the funding cuts.
U.S. Centers for Disease Control and Prevention withdrew approximately $11.4 billion in funding for state and community health departments during the COVID-19 pandemic response, along with $1 billion to the Substance Abuse and Mental Health Services Administration.
“Slashing this funding now will reverse our progress on the opioid crisis, throw our mental health systems into chaos, and leave hospitals struggling to care for patients,” New York Attorney General Letitia James said.
State Department
Former US envoy for global LGBTQ, intersex rights slams Trump
Former President Joe Biden appointed Jessica Stern in 2021
Jessica Stern, the former special U.S. envoy for the promotion of LGBTQ and intersex rights, says the work that she and her colleagues did under the Biden-Harris administration is “being systematically dismantled.”
“As the person who was responsible for leading U.S. foreign policy on LGBTQI+ issues, it’s been very difficult for the past two months to see that work being systematically dismantled,” she told the Washington Blade on March 19 during a telephone interview.
Stern was the executive director of Outright International, a global LGBTQ and intersex advocacy group, when then-President Joe Biden appointed her in June 2021.
The promotion of LGBTQ and intersex rights was a cornerstone of the Biden-Harris administration’s overall foreign policy. These efforts specifically included the decriminalization of consensual same-sex sexual relations and marriage equality efforts in countries where activists said they were possible through the legislative or judicial processes.
The Trump-Vance administration’s decision to freeze most U.S. foreign aid spending for at least 90 days has had a devastating impact on the global LGBTQ and intersex rights movement. President Donald Trump’s executive order that bans the State Department from issuing passports with “X” gender markers has prompted Germany and several other European countries to issue travel advisories for transgender and nonbinary people who are planning to visit the U.S.
Stern said the Trump-Vance administration “has studied the anti-LGBTQI strategies of other countries and basically imported the worst ideas from around the world: The most violent, the most dehumanizing, the most targeting strategies.” Stern added these policies have emboldened Hungarian Prime Minister Viktor Orbán, Russian President Vladimir Putin, Argentine President Javier Milei and other anti-LGBTQ heads of state.
“It’s one thing when a small country that has limited global reach implements anti-LGBTQI laws and policies. It’s another thing when one of the world’s superpowers does so,” Stern told the Blade. “There’s no question that the U.S.’s regression on LGBTQI rights is actually going to accelerate backlash against LGBTQI people around the world.”
“We provide political legitimacy to those ideas, but also we’re forging new alliances and coalitions, and we’re pushing these ideas on other countries,” she added. “So, it’s not a passive action. The U.S. government currently is actively funding and disseminating anti-LGBTQI hatred around the world.”
Former State Department colleagues ‘afraid every day’
The Trump-Vance administration in a Feb. 3 statement that defended its efforts to dismantle the U.S. Agency for International Development noted examples of the organization’s “waste and abuse” included $2 million for “sex changes and ‘LGBT activism'” in Guatemala and $1.5 million to “advance diversity, equity and inclusion in Serbia’s workplaces and business communities.” Secretary of State Marco Rubio last month said 83 percent of USAID contracts have been cancelled, and the remaining will “now be administered more effectively under the State Department.”
Rubio after the Trump-Vance administration froze nearly all U.S. foreign aid spending issued a waiver that allowed the President’s Emergency Plan for AIDS Relief and other “life-saving humanitarian assistance” programs to continue to operate.
The Blade has previously reported PEPFAR-funded programs in Kenya, South Africa, and elsewhere have suspended services and even shut down because of a lack of U.S. funding. UNAIDS Executive Director Winnie Byanyima on March 24 said 6.3 million more people around the world will die of AIDS-related complications over the next four years if the U.S. does not fully restore its foreign assistance.
Stern said her former State Department colleagues are “afraid every day.”
“They never know, ‘Am I going to be fired today?’ “Am I going to be put on administrative leave?’,” she said. “I cannot even imagine what it’s like to go to work every day.”
Stern told the Blade her former colleagues tell her that “there’s not a lot of foreign policy work happening because there’s so much disruption being caused by DOGE (the Department of Government Efficiency).”
“Entire departments have been decimated,” she said, noting one of them has lost 60 people. “It’s almost inconceivable to figure out how to restructure your work when your resources have been decimated.”
Stern described herself as “an eternal optimist” when the Blade asked whether she thinks the U.S. can ever stand for LGBTQ and intersex rights abroad.
“You have to believe in human rights,” she said.
Stern said former Secretary of State Antony Blinken as “an ally on LGBTQI issues.” Stern also said many of her now former State Department colleagues thanked her and her team for their work before they left government.
“There’s so much compassion from straight and cisgendered allies, from career officials, people that are not human rights experts or specialists, people that don’t focus on the well-being of LGBTQI people, but people that care very much about the United States standing for its values, the rule of law, equality for all, and this notion that it is in our national interest to ensure that there is safety, prosperity, and well-being for people around the world,” she said.
“The situation we find ourselves in will not last forever,” added Stern. “What we have to do is figure out how to hold the line right now, and how to organize for the future.”
She stressed ways to “hold the line” include litigation, protests, letters-to-the-editor, demanding accountability from lawmakers.
“There’s so much to do,” said Stern.
Stern is currently teaching at Columbia University’s School of International and Public Affairs, and is writing about her experience as the “first-ever human rights expert to be the special U.S. envoy for LGBTQI rights.” Stern also told the Blade that she is working to launch a new organization.
“I love being an activist again,” she said. “If there was ever a time when activists are needed, it’s now.”
“I am really proud to have rejoined the resistance,” added Stern.
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