National
CDC denies LGBT questions removed from federal health survey
Williams Institute reported agency disclosed it would axe LGBT module

Despite a report the Centers for Disease Control & Prevention had removed LGBT questions from a federal health survey, the agency insists no decision has been made to omit the module.
Bernadette Burden, a CDC spokesperson, said the agency is still working on the 2019 version of the Behavior Risk Factor Surveillance System, orĀ BRFSS, but still plans to include questions allowing respondents to identify their sexual orientation and gender identity.
“The 2019 BRFSS questionnaire has not been finalized,”Ā Burden said. “The sexual orientation and gender identity optional module is an approved optional module for the BRFSS and there are plans to make it available in 2019. States may choose to use this optional module for their 2019 BRFSS questionnaires.”
The CDC provides theĀ BRFSS to statesĀ to obtain data on risk behaviors and health conditions in the U.S. population.Ā The LGBT module in the BRFSS ā an optional module since 2014 ā was used in more than 30 states and territories and provided the first representative snapshot of transgender health in the United States.
The availability of that information seemed in peril last week when the Williams Institute, an LGBT think-tank at the University of California, Los Angeles, issued a statement declaring a CDC official said during a Denver conference the LGBT module would no longer be included in theĀ BRFSS starting in 2019.
The removal of LGBT questions from federal surveys has been a trend in the Trump administration. Last year, the Department of Health & Human Services disclosed plans to eliminate a question allowing elders to identity as LGBT on the National Survey of Older Americans Act Participants. Although HHS restored the sexual orientation question after a backlash, the department maintained the decision to eliminate the gender identity question.
Rachel Dowd, a spokesperson the Williams Institute, insisted the think-tank heard the CDC official disclose the LGBT question would be removed from theĀ BRFSS during the conference, but is pleased the agency will keep the module.
“AĀ CDCĀ official disclosed at the American Association for Public OpinionĀ ResearchĀ conference that the optional SOGI module was being dropped from the BRFSS,”Ā Dowd said. “We are encouraged that theĀ CDCĀ is now stating that there are plans to make the SOGI module available in 2019.Ā We look forward to receiving affirmative confirmation that the SOGI module will indeed be included in the BRFSS in 2019 and going forward.”
U.S. Military/Pentagon
Air Force rescinds rule barring inclusion of preferred pronouns in email signatures
Conflict with language in military funding package may explain reversal

The U.S. Air Force has issued a ādirective to cease the use of āpreferred pronounsā (he/him, she/her, or they/them) to identify oneās gender identity in professional communications,” according to a report published in the Hill on Wednesday.
The rule, which applies to both airmen and civilian employees, was first adopted on Feb. 4 pursuant to President Donald Trump’s anti-transgender executive order called, āDefending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government.ā
Days after the administration’s issuance of that order on the first day of the president’s second term, the Office of Personnel Management instructed agencies across the whole of the federal government to remove pronouns from email signatures and enforce the policy barring employees from using them.
Additionally, on Jan. 27 Trump published an order barring trans people from joining the U.S. Armed Forces, indicating that those who are currently in serving would be separated from the military. The Pentagon is fending off legal challenges to the ban in federal courts.
Particularly given the extent of the new administration’s efforts to restrict the rights of trans Americans and push them out of public life, the Air Force’s reversal of the pronoun guidance was surprising.
According to reporting in Military.com, the move might have come because officials concluded the rule was in conflict with language in the military appropriations funding legislation passed by Congress in 2023.
The NDAA established that the defense secretary “may not require or prohibit a member of the armed forces or a civilian employee of the Department of Defense to identify the gender or personal pronouns of such member or employee in any official correspondence of the Department.”
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.
āThere are only two sexes ā male and female,ā 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,ā she added.
The press release notes USCIS “considers a personās 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.”
āThis 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 ā it affects their ability to travel, work, access healthcare, and live their lives authentically.” Ā
“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 ācommon senseāāit 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.āĀ
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.
āIn a matter of just a couple days, we are losing our nationās 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 administrationās announced reorganization of HHS will impact all HIV treatment, prevention, and research programs, including President Trumpās 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.
āSlashing 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,ā New York Attorney General Letitia James said.