State Department
PEPFAR, other ‘life-saving humanitarian’ programs can operate under State Department waiver
Executive order froze nearly all US foreign aid spending for 90 days

Secretary of State Marco Rubio on Tuesday issued a waiver that allows the President’s Emergency Plan for AIDS Relief and other “life-saving humanitarian assistance” programs to continue to operate during the freeze on nearly all U.S. foreign aid spending.
Rubio on Jan. 24 directed State Department personnel to stop nearly all U.S. foreign aid spending for 90 days in response to an executive order that President Donald Trump signed after his inauguration. The Washington Blade obtained a copy of the waiver that Rubio on Tuesday issued to “all implementing U.S. government agencies, partners, and NGOs.”
“For the purposes of carrying out the president’s executive order on Reevaluating and Realigning United States Foreign Aid, I am approving an additional waiver of the pause under the executive order on Reevaluating and Realigning United States Foreign Aid and my subsequent direction of Jan. 24, 2025, for life-saving humanitarian assistance during the period of the review,” wrote Rubio. “Implementers of existing life-saving humanitarian assistance programs should continue or resume work if they have stopped, subject to the following directions. This resumption is temporary in nature, and except by separate waiver or as required to carry out this waiver, no new contracts shall be entered into.”
Rubio adds the “life-saving humanitarian assistance” waiver “applies to core life-saving medicine, medical services, food, shelter, and subsistence assistance, as well as supplies and reasonable administrative costs as necessary to deliver such assistance.” He notes the waiver does not apply to “activities that involve abortions, family planning conferences” and “gender or DEl ideology programs, transgender surgeries, or other non-life saving assistance.”
The waiver does not specifically cite PEPFAR, but UNAIDS Executive Director Winnie Byanyima in a statement welcomed it.
āUNAIDS welcomes this waiver from the U.S. government which ensures that millions of people living with HIV can continue to receive life-saving HIV medication during the assessment of US foreign development assistance,ā she said. āThis urgent decision recognizes PEPFARās critical role in the AIDS response and restores hope to people living with HIV.ā
A memo the State Department released on Wednesday defended the decision to freeze most U.S. foreign aid spending. It also notes the waiver that Rubio issued.
“It is impossible to evaluate programs on autopilot because the participants ā both inside and outside of government ā have little to no incentive to share programmatic-level details so long as the dollars continue to flow,” reads the memo. “A temporary pause, with commonsense waivers for truly life-threatening situations, is the only way to scrutinize and prevent waste.”
The Blade has reached out to the State Department for comment on the waiver and its impact on PEPFAR.
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 OrbĆ”n, 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 previouslyĀ reportedĀ 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.
State Department
Report: State Department to remove LGBTQ information from annual human rights report
Spokesperson declines to ‘preview’ information ‘at this time’

The State Department has not commented on a report that indicates it plans to remove LGBTQ-specific information from their annual human rights report.
Politico on March 19 reported the Trump-Vance administration “is slashing the State Department’s annual human rights report ā cutting sections about the rights of women, the disabled, the LGBTQ+ community, and more.” The Politico article notes it obtained “documents” and spoke with “a current and a former State Department official who were familiar with the plan.”
“We are not previewing the human rights report at this time,” a State Department spokesperson told the Washington Blade on March 21.
Congress requires the State Department to release a human rights report each year.
The 2023 report specifically noted Uganda’s Anti-Homosexuality Act that contains a death penalty provision for “aggravated homosexuality.” The 2022 report highlighted, among other things, anti-LGBTQ crackdowns in Afghanistan, Russia, and Hungary and so-called conversion therapy.
President Donald Trump since he took office has signed a number of executive orders that have specifically targeted the LGBTQ and intersex community. These include the āDefending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Governmentā directive that, among other things, bans the State Department from issuing passports with āXā gender markers.
The State Department has eliminated references to transgender travelers from its travel advisories. Germany, Denmark, and Finland have issued travel advisories for trans and nonbinary people who are planning to visit the U.S.
A directive that Secretary of State Marco Rubio issued bans embassies and other U.S. diplomatic institutions from flying the Pride flag. (Former President Joe Biden in March 2024 signed a government spending bill with a provision that banned Pride flags from flying over U.S. embassies.)
The U.S. has withdrawn from the U.N. LGBTI Core Group, a group of U.N. member states that have pledged to support LGBTQ and intersex rights, and the Organization of American States’ LGBTI Core Group. The Trump-Vance administration’s decision to suspend most U.S. foreign aid spending has been a “catastrophe” for the global LGBTQ and intersex rights movement.
State Department
US withdraws from OAS LGBTI Core Group
Decision ‘in line with the president’s recent executive orders’

A State Department spokesperson on Tuesday confirmed the U.S. has withdrawn from the Organization of American States’ LGBTI Core Group.
The U.S., along with Argentina, Brazil, Canada, Chile, Colombia, Mexico, and Uruguay, co-founded the Core Group in 2016 during that year’s OAS General Assembly that took place in the Dominican Republic.
“We look forward to deepening our collaboration at the OAS on issues impacting LGBTI persons so as to enhance dialogue, cooperation, and the sharing of best practices at regional and multilateral levels, recognizing also the various efforts and developments undertaken by and in member states,” reads a joint statement the countries issued on June 15, 2016. “Furthermore, we encourage and welcome the participation of other interested OAS member states in the membership and activities of the Core Group.”
“We also look forward to collaborating with civil society organizations and other social actors as we seek to further shared goals,” it adds. “Our commitment in these areas is firm and will remain so.”
President Donald Trump since he took office on Jan. 20 has signed a number of executive orders that have specifically targeted the LGBTQ and intersex community. These include the āDefending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Governmentā directive that, among other things, bans the State Department from issuing passports with āXā gender markers.
A directive that Secretary of State Marco Rubio issued bans embassies and other U.S. diplomatic institutions from flying the Pride flag. (Former President Joe Biden in March 2024Ā signedĀ a government spending bill with a provision that banned Pride flags from flying over U.S. embassies.)
“In line with the presidentās recent executive orders, we have withdrawn from the OAS LGBTI Core Group,” the State Department spokesperson told the Washington Blade.
The U.S. last month withdrew from the U.N. LGBTI Core Group, a group of U.N. member states that have pledged to support LGBTQ and intersex rights.
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