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Out2Enroll launches LGBT coalition to promote Obamacare under Trump

Initiative seeks to enroll LGBT people in insurance as ACA faces challenges

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Out2Enroll, gay news, Washington Blade
Out2Enroll, gay news, Washington Blade

Out2Enroll has launched a new coalition to encourage LGBT enrollment in Obamacare.

With President Trump taking action seen to undermine Obamacare — such as shortening the window of time for new insurance enrollments — a new LGBT coalition of more than 60 groups is launching to promote insurance options under the law.

Leading the coalition is Out2Enroll,Ā a joint project of the Center for American Progress, the Sellers Dorsey Foundation and the Federal Agencies Project that seeks to enroll LGBT people in insurance plans under the Affordable Care Act.

GautamĀ Raghavan, a member of Out2Enroll and White House LGBT liaison during the Obama administration, said in a statement the perils facing Obamacare under Trump makes the coalition’s efforts all the more important.

ā€œNational,Ā state, and local partnership has never been more important to raise awarenessĀ about health insurance forĀ LGBTQ people nationwide,”Ā Raghavan said. “If the Trump Administration won’tĀ get the word out, then we will — online through social mediaĀ and paid ads,Ā in-person at LGBTQ community centers and events and everywhere else that weĀ can. It’s all hands onĀ deck this year and we need to make sure everyone knowsĀ their options and their rights.ā€

Founded in 2013, Out2Enroll for years has undertaken efforts to encourage LGBT people to enroll in insurance programs, taking on the mission under the assumption increased enrollments would lead to lower premiums and deductibles for everyone obtaining health coverage.

Those efforts may have paid off. According toĀ a March report from the Center for American Progress, the rate of low- and middle-income LGBT people who are uninsured has dropped by 35 percent since before the Affordable Care Act’s coverage reforms took effect in 2013.

Out2Enroll co-founder KatieĀ Keith cited that statistic in a statement promoting the importance of the Affordable Care Act for LGBT people.

ā€œThanks to the Affordable Care Act, theĀ uninsured rate for low- andĀ middle-income LGBTQ people has dropped by anĀ overwhelming 35%Ā since 2013,” Keith said. “That means more LGBTQ people haveĀ access to medically necessary services they need, from life-saving HIV drugs toĀ gender affirming health care.ā€

But the work may be cut out for the new Out2Enroll coalition. As the Republican Congress has sought (unsuccessfully) to repeal and replace the Affordable Care Act legislatively, Trump has taken actions his critics say effectively amounts to sabotage of the new law.

For starters, the Trump administration has limited the window for new enrollments to between Nov. 1 and Dec. 15 — a reduction from 90 days to only 45 days — and refused to fund education efforts to promote awareness of the enrollment period.

Defenders of Obamacare also cried foul when Trump signed an executive order allowing individuals opt out of Obamacare and purchase skimpier health plans, thereby rising insurance costs for everyone else, and withholding cost-sharing reduction payments to keep premiums down.

MaraĀ Keisling, executive director of the National Center for TransgenderĀ Equality, said in a statement the Trump administration is “doing everything it can to makeĀ it far more difficult for people without health insurance to get health care.”

“Even thoughĀ we’re underĀ attack, we’ve got to fight and educate people,” Keisling said. “LGBTQ people should still expectĀ to beĀ treated fairlyĀ andĀ protected from discrimination in healthĀ insurance and health care — and transgender people should make sure theyĀ enroll inĀ the health insurance they need for 2018.ā€

Key members inĀ the new coalition include CenterLink’s Center Action Network, YoungĀ Invincibles, The HealthĀ Initiative, Equality Texas as well as state andĀ local LGBT organizations in 28 states.

David Johns, executive director ofĀ the National Black Justice Coalition, said in a statement health care “is a vital aspect toĀ sustaining the overall wellness of any community.”

ā€œLastĀ year, 8 out of 10 applicants received a discount on their premiums and mostĀ found insurance for $50 to $100 per month,” Johns said. “The ACA has made significantĀ progress in reducing the uninsured rate ofĀ among the African American community,Ā the LGBTQ community and among the entire American population.ā€

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State Department

HIV/AIDS activists protest at State Department, demand full PEPFAR funding restoration

Black coffins placed in front of Harry S. Truman Building

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HIV/AIDS activists place black Styrofoam coffins in front of the State Department on April 17, 2025. (Washington Blade photo by Michael Key)

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 President’s Emergency Plan for AIDS relief and other ā€œlife-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 — OUT LGBT Well-being and Access Chapter 2 — 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.

Health GAP Executive Director Asia Russell, center, speaks in front of the State Department on April 17, 2025. (Washington Blade photo by Michael Key)
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U.S. Military/Pentagon

Pentagon urged to reverse Naval Academy book ban

Hundreds of titles discussing race, gender, and sexuality pulled from library shelves

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U.S. Defense Secretary Pete Hegseth (Washington Blade photo by Michael Key)

Lambda Legal and the Legal Defense Fund issued a letter on Tuesday urging U.S. Defense Secretary Pete Hegseth to reverse course on a policy that led to the removal of 381 books from the Nimitz Library of the U.S. Naval Academy in Annapolis, Md.

Pursuant to President Donald Trump’s executive order 14190, “Ending Radical Indoctrination in K-12 Schooling,” the institution screened 900 titles to identify works promoting “diversity, equity, and inclusion,” removing those that concerned or touched upon “topics pertaining to the experiences of people of color, especially Black people, and/or LGBTQ people,” according to a press release from the civil rights organizations.

These included “I Know Why the Caged Bird Singsā€ by Maya Angelou, ā€œStone Fruitā€ by Lee Lai,Ā ā€œThe Hate U Giveā€ by Angie Thomas, ā€œLies My Teacher Told Me: Everything Your American History Textbook Got Wrongā€ by James W. Loewen, ā€œGender Queer: A Memoirā€ by Maia Kobabe, and ā€œDemocracy in Black: How Race Still Enslaves the American Soulā€ by Eddie S. Glaude, Jr.Ā 

The groups further noted that “the collection retained other books with messages and themes that privilege certain races and religions over others, including ‘The Clansman: A Historical Romance of the Ku Klux Klan’ by Thomas Dixon, Jr., ‘Mein Kampf’ by Adolf Hitler, and ‘Heart of Darkness’ by Joseph Conrad.

In their letter, Lambda Legal and LDF argued the books must be returned to circulation to preserve the “constitutional rights” of cadets at the institution, warning of the “danger” that comes with “censoring materials based on viewpoints disfavored by the current administration.”

“Such censorship is especially dangerous in an educational setting, where critical inquiry, intellectual diversity, and exposure to a wide array of perspectives are necessary to educate future citizen-leaders,”Ā Lambda Legal Chief Legal Officer Jennifer C. PizerĀ andĀ LDF Director of Strategic Initiatives Jin Hee Lee said in the press release.

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Federal Government

White House sues Maine for refusing to comply with trans athlete ban

Lawsuit follows months-long conflict over school sports in state

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U.S. Attorney General Pam Bondi (Washington Blade photo by Michael Key)

The Justice Department is suing the state of Maine for refusing to comply with President Donald Trump’s executive order banning transgender athletes from participating in school sports, U.S. Attorney General Pam Bondi announced on Wednesday.

DOJ’s lawsuit accuses the state of violating Title IX rules barring sex discrimination, arguing that girls and women are disadvantaged in sports and deprived of opportunities like scholarships when they must compete against natal males, an interpretation of the statute that reverses course from how the law was enforced under the Biden-Harris administration.

ā€œWe tried to get Maine to comply” before filing the complaint, Bondi said during a news conference. She added the department is asking the court to ā€œhave the titles return to the young women who rightfully won these sports” and may also retroactively pull federal funding to the state for refusing to comply with the ban in the past.

Earlier this year, the attorney general sent letters to Maine, California, and Minnesota warning the blue states that the department “does not tolerate state officials who ignore federal law.ā€

According to the Maine Principals’ Association, only two trans high school-aged girls are competing statewide this year. Conclusions from research on the athletic performance of trans athletes vis-a-vis their cisgender counterparts have been mixed.

Trump critics and LGBTQ advocates maintain that efforts to enforce the ban can facilitate invasive gender policing to settle questions about an individual athlete’s birth sex, which puts all girls and women at risk. Others believe determinations about eligibility should be made not by the federal government but by school districts, states, and athletics associations.

Bondi’s announcement marked the latest escalation of a months-long feud between Trump and Maine, which began in February when the state’s Democratic governor, Janet Mills, declined to say she would enforce the ban.

Also on Wednesday, U.S. Education Secretary Linda McMahon said the findings from her department’s Title IX investigation into Maine schools — which, likewise, concerned their inclusion of trans student-athletes in competitive sports — was referred to DOJ.

Earlier this month, the Justice Department pulled $1.5 million in grants for Maine’s Department of Corrections because a trans woman was placed in a women’s correctional facility in violation of a different anti-trans executive order, while the U.S. Department of Agriculture paused the disbursement of funds supporting education programs in the state over its failure to comply with Title IX rules.

A federal court last week ordered USDA to unfreeze the money in a ruling that prohibits the agency from ā€œterminating, freezing, or otherwise interfering with the state’s access to federal funds based on alleged Title IX violations without following the process required by federal statute.ā€Ā 

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