National
Adjusting to freshman life on the Hill
Gay Rep. Cicilline on being in the minority, the prospects for a pro-LGBT omnibus bill — and D.C.’s social scene
As Rep. David Cicilline (D-R.I.) and his fellow House Democrats are discovering, being in the minority is rough.
The freshman lawmaker — and fourth sitting openly gay member of Congress — offers help to the best of his abilities to a group of disability advocates from his district, but knows his influence is limited with U.S. House Speaker John Boehner (R-Ohio) running the chamber and pledging to slash billions from government programs.
The Blade spent a day shadowing Cicilline last week. Six weeks into his first term as a member of Congress, he meets with about a dozen constituents working on disability issues in his office at the Cannon Office Building.
The meeting is one of four today for the Providence, R.I., mayor-turned-member of Congress, which is a typical load for Cicilline. Among his planned meetings is a talk with gay Rhode Island State House Speaker Gordon Fox, a leader in the fight to legalize same-sex marriage in the Ocean State.
But for this meeting, Cicilline listens intently as the advocates voice their concerns and hand him data sheets on problems facing the disabled and potential cuts to government programs.
Donna Martin, executive director of Rhode Island’s Community Provider Network, asks the lawmaker to push for continued funding for Medicaid programs through appropriations to the Department of Health & Human Services.
“The FMAP, the federal Medicaid match, the increased FMAP percentage is due to expire at the end of June,” she says. “That is going to have a tremendous impact on Rhode Island, specifically on our services. We are asking for consideration that those funds be extended until [health care reform] can be implemented — a provision in [health care reform] that expands the Medicaid safety net, if you will, which is active in 2014.”
Martin acknowledges that the Republican-controlled House doesn’t have “a whole lot of appetite” for talking about the extension of Medicaid funds, but emphasizes the importance of the program.
“It is a piece that has managed to keep many of these organizations afloat,” she says.
The disruptive noise of a loud conversation is heard from an adjoining room. Ever the attentive host, Cicilline rises from his seat to shut the door to his office.
Meanwhile, Jack Padien, CEO of Arc of Blackstone Valley, discusses the need for continued funds for the Department of Housing & Urban Development and Section 811 programs, which provide housing for low-income people with disabilities.
“The concern is, and I’m sure the concern with you and everyone else on the Democratic side, is that the Republicans have just put in a $63 billion cut — proposed cut — and that takes out a lot of things,” he says. “It would be devastating to take out $250 million out of a $300 million budget for low-income housing.”
Clad in a pinstripe suit, French cuffs and Italian loafers, Cicilline articulates his response in his distinctively raspy voice, starting with a comparison of President Obama’s fiscal year 2012 budget request to what the Republicans are proposing.
“If you look at the president’s budget — I mean, there are many things in that budget that I don’t agree with,” he says. “There’s some cuts in programs that I know are good programs, but the distance between the president’s budget and what the Republicans are proposing are just night and day.”
Cicilline cites figures that the Republican proposal would cost 80,000 jobs and, by comparison, says the president’s budget would be effective in reducing the deficit and spending while providing funds for infrastructure and education.
“It’s what families would use by tightening the belt by taking out the things that aren’t working and you don’t need, but also continue to invest in things that your family needs for its future security,” Cicilline says.
The freshman pledges to work hard to pass the president’s agenda in the House, but says he suspects Democrats won’t be able to accomplish that while being in the minority.
“It’s going to depend a lot on the role the Senate plays and how we stop some of this because I think the House Republicans are going to pass something, which, I think, everybody in this room would find really unacceptable,” he says.
As a final request, Cicilline asks for specific examples of how cuts proposed by Republicans would cost jobs or harm programs that rely on federal programs.
“We talk about it in public hearings — $2 billion we cut here or $5 billion here,” Cicilline says. “That much money? It should get cut. And I think to the extent that you can provide me, ‘Look if this program is cut in half, 25 less people will be enrolled in this service and we’ll have to close that,’ that would be very useful both in terms of making the case to other colleagues and also just describing to people back home what the consequences of the Republican budget would mean.”
The meeting concludes with a group photo of Cicilline and the Rhode Island constituents who sat in on the meeting. Staffer Brad Greenburg is poised to take the photo, although Cicilline has to remind him to remove the cap from the lens before hitting the flash button.
The theme of Republicans working to slash funds from programs while Democrats urge for continued appropriations is a common one lately.
On Tuesday, as the House debates a resolution to continue funds for the remainder of the fiscal year, Cicilline takes to the floor to denounce cuts Republicans are proposing.
“The Republicans are moving forward with a dangerous spending bill, one that continues to give rewards to the rich and literally guts the initiatives most meaningful to middle class families,” Cicilline says. “Simply put, the Republicans’ spending bill is irresponsible and tone deaf to the needs of a healing nation.”
Cicilline says the Republican spending proposal would cut Pell Grants by $800 per student and kick more than 200,000 children out of Head Start. Additionally, he says the measure would undermine domestic security by eliminating 1,330 police officers and 2,400 firefighters throughout the country.
“The work of reducing our deficit and controlling spending will be hard, to be sure,” Cicilline says. “The fact of the matter is that we have to cut spending. But we have to do it responsibly. We cannot cut what makes us competitive and what helps us to innovate, to succeed in the global economy, and ultimately to create jobs.”
But in the end, the Republicans have their way on the continuing resolution. On Saturday, the House passes a measure with $61 billion in cuts from last year’s spending levels by a vote of 235-189.
The legislation now heads to the Democratic-controlled Senate, and a failure of both chambers to reach an agreement by March 4 could result in the shutdown of the U.S. government.
Following the vote, Boehner commends the House for passing the continuing resolution with reduced spending, noting, “the House works best when it is allowed to work its will.”
“This week, for the first time in many years, the People’s House was allowed to work its will — and the result was one of the largest spending cuts in American history,” Boehner says in a statement. “We will not stop here in our efforts to cut spending, not when we’re broke and Washington’s spending binge is making it harder to create jobs.”
Learning the ropes
After his constituents leave his office, Cicilline removes his jacket and retires behind his desk as he prepares for his interview with this reporter.
Papers and folders are neatly piled in different stacks. Also on his desk is a copy of “The American Way to Change” by Shirley Sagawa and “George Washington’s Sacred Fire,” a biography on the first president by Peter Lilback.
Adorning his wall is a large green abstract painting by Tom Sgorous, a Rhode Island artist. On a nearby table, a glass bowl is displayed with the inscription, “Italio-American Club Man of the Year 2003 — Mayor David Cicilline.”
During his six weeks in office, Cicilline has been busy hiring staff and setting up offices both in D.C. and in Rhode Island’s 1st congressional district. He’s also been serving on the policy steering committee to set the House Democratic agenda for the 112th Congress.
“I’ve been really learning how Congress operates and how I can have the greatest impact as a new member and as a freshman in the minority,” Cicilline says.
He made the trip from Rhode Island to D.C. solo. Asked whether he has a partner, he says he’s single.
“You’re asking me that right after Valentine’s Day?” he jokes. “How cruel!”
Still, Cicilline says he’s already visited at least one local gay bar since arriving in the District, although he can’t immediately recall the name of the establishment he visited last week.
When asked if it could have been Cobalt, Nellie’s or JR.’s, he quickly interrupts. “JR.’s,” Cicilline exclaims as he snaps his fingers. “It was just like a bar, bar. I met a friend from Rhode Island for a drink who works here in Washington.”
But focusing on the business before him on Capitol Hill, Cicilline says his top legislative priority is passage of what he calls the “Made in America” block grant.
As he envisions it, the legislation would encourage companies to keep manufacturing jobs in the United States by providing $2 billion in funds to retrofit factories, retrain workers and buy new equipment.
“I think one of the things that we have to do to really rebuild the economy in this country is start making things again and selling them in the global market,” he says.
Cicilline says he’s already spoken with House Minority Leader Nancy Pelosi (D-Calif.) about the “Made in America” block grant, which he says she supports.
Figuring out how to advance LGBT issues is also on the agenda. Upon his swearing in, Cicilline became a co-chair of the LGBT Equality Caucus and is learning from more senior openly gay members of Congress — Reps. Barney Frank (D-Mass.), Tammy Baldwin (D-Wisc.) and Jared Polis (D-Colo.) — about where to focus their attention.
Cicilline emphasizes that he’s new to Congress and learning about the legislative priorities for the LGBT community, but knows that with Boehner as presiding officer of the House, moving forward will be challenging to say the least.
“But this is the year when it’s going to be very, very difficult — maybe impossible — to make progress on most of our issues,” he says. “We’re going to be very defensive mostly. Protecting the progress we’ve made and try to prevent the clock from turning back with Republican leadership in the House.”
Cicilline says he isn’t sure what kind of anti-gay measures, if any, the Republicans might pass out of the House, but expresses confidence that the Democratic-controlled Senate would block any such initiatives from reaching Obama’s desk.
One item that has Cicilline’s interest is comprehensive legislation that would roll all pro-LGBT initiatives — such as the Employment Non-Discrimination Act, the Uniting American Families Act and repeal of the Defense of Marriage Act — into one piece of legislation.
“One of the things I’d like to explore is this idea of developing an omnibus bill that contains many of the specific pieces of legislation that have been on our agenda for a number of years and put them together in a comprehensive equality measure for the LGBT community,” Cicilline says. “I’d like to obviously talk to my colleagues about that as a strategy versus individual bills.”
But what to do about ENDA, one of the LGBT community’s top outstanding legislative priorities? What’s the best way to draw attention to the issue of job discrimination in the interim as Republican control of the House makes passage of the legislation unlikely for at least two years?
Cicilline notes as a legislator in the Rhode Island State House, he worked to help pass legislation that would bar discrimination in the state against LGBT people in situations of housing, credit, public accommodations and employment.
The Rhode Island lawmaker says the best way to draw attention to the lack of employment protections for LGBT people is to showcase people who’ve been wronged under current law.
“I think people are really fair-minded,” he says. “Most people if you sat them down and said, ‘Someone who’s working everyday and goes to work and is doing their job, their employer can say, ‘You want what? I’m firing you because you’re gay.”‘ Most people would say, “That’s wrong!” They would be surprised even to learn you can do that.”
Tongues are also wagging about another LGBT march on Washington in 2012 as a means to draw attention to LGBT issues and energize the Democratic base in the upcoming election. Still, Cicilline says he thinks resources could be better spent on constituents encouraging their members of Congress to support pro-LGBT initiatives.
“I guess you could get lots of people to march on Washington,” he says. “I just assume they were door-knocking for progressive candidates that support marriage equality, but if they’re willing to do both, I think it’s fine.”
Cicilline has landed choice committee assignments, including seats on the Small Business and Foreign Affairs committees. The lawmaker says he hopes his position on the panel overseeing international affairs will give more visibility to “the hideous treatment of LGBT members all over the world.”
For example, Cicilline says he hopes he can build awareness about the plight of LGBT people in Uganda, where activist David Kato was murdered in January and a bill that would institute the death penalty is pending before parliament.
“I think we need to be sure that we have hearings on the issue,” Cicilline says. “I’ll be raising awareness and using my role on the foreign affairs committee to work to develop a strong U.S. policy against that.”
Earlier in the week, Cicilline met with Frank Mugisha, an LGBT Ugandan activist and executive director of Sexual Minorities Uganda.
Another LGBT agenda item that’s important to Cicilline: the advancement of same-sex marriage. Rhode Island is among a few states seeing progress this year on relationship recognition for same-sex couples.
Cicilline says he’s “very much” glued to the legislative effort to pass marriage legislation in Rhode Island and believes “the prospects are very good this year” for enactment of such a measure.
“I think there is strong support from the House leadership and from the members,” he says. “The challenge is to make sure that it comes out of the House strongly because I think the fight is in the Senate.”
Cicilline adds that Gov. Lincoln Chafee’s (I) support for the marriage bill “is a big changer” from when former Republican Gov. Donald Carcieri, who opposes marriage rights for gay couples, was running the state.
But what about Obama’s position on same-sex marriage? The president has said his position could evolve on the issue and that he’s wrestling with the idea of same-sex marriage, but he hasn’t yet endorsed marriage rights for same-sex couples.
“I think the president is being very honest about his thinking that — and I take him at his word — that his position is evolving,” Cicilline says. “I think marriage equality is the right answer because it shows that every single American has access to this important institution.”
Cicilline dismisses the notion that Obama’s lack of support for same-sex marriage has a significant impact on legislative efforts to enact marriage rights for gay and lesbian couples in Rhode Island.
“I think legislators in Rhode Island will make up their minds on the issue of marriage equality based on their own view on it and by listening to constituents on it,” he says. “I’m not sure that the president’s position will have a direct impact on that.”
He adds that he doesn’t have any way of knowing whether Obama will come to support same-sex marriage, but has high hopes the president will come around.
“Everything that I know about him leads me to believe that he will look very strongly at equality and justice and ending discrimination of any kind,” Cicilline says. “So, I would hope that the conclusion of his thinking will also get him to where he supports marriage equality.”
With his Blade interview complete, Cicilline moves on to the rest of the day’s meetings. However, his schedule isn’t limited to private meetings with constituents.
Busy day on the Hill
Cicilline is scheduled to hear testimony in the afternoon as part of the House Small Business Committee. The title of the hearing is “Putting Americans Back to Work: The State of the Small Business Economy.”
The Republicans who control the committee — and the GOP-chosen witnesses — use the hearing to denounce the Obama administration’s policies.
House Small Business Committee Chair Sam Graves (R-Mo.) plays up the trials that small businesses face in the United States even in times when the economy is prosperous.
“Even though there has been recent signs that our economy is starting to improve, our recovery from this recession remains sporadic at best,” Graves says. “As we’ve said many time before, small businesses need certainty for plan for not only the next day but also the next month and the next year.”
Graves also takes a dig at the health care reform law passed by the 111th Congress. Repealing or defunding the initiative has been a priority of Republican leadership in the current Congress.
“After the new health care law passed last year, I heard from countless small businesses in my district and right here in this committee room that not only will this new law fail to provide health care benefits to employees, but the costs will put them out of business,” Graves said.
The Republican-appointed witnesses offer testimony bemoaning practices the Obama administration has put in place.
Representing the U.S. Chamber of Commerce — known for its hostility to the president — is Bill Feinberg, president of Allied Kitchen and Bath, Inc., in Fort Lauderdale, Fla., who blasts the health care reform law.
“I know that in 2014 the new employer mandate starts — the mandate says an employer with 50 or more employees must offer government-approved health insurance or pay steep fines,” he says. “Wouldn’t incentives, rather than penalties, have been a better way to send the message that government and businesses can work together?”
Dixie Kolditz, owner of Open-Box Creations in Cathlament, Wash., says regulations that the Obama administration has put in place are stifling her import business.
“We have had to be creative and make our money stretch more than it used to,” she says. “This becomes harder when there are expected and unexpected regulations and hidden government taxes and fees.”
Cicilline arrives at the committee hearing after the witnesses have given their opening statements. Taking his seat on the dais — far to the end in accordance with his freshman status — the lawmaker dons a pair of spectacles and presumably reads the written testimony submitted by witnesses.
When Graves gives Ciclline the green light to begin his questioning, he starts by expressing his interest in growing small businesses in the United States.
“I think we’re all very interested in what we need to do to make small business grow and to create more jobs,” Cicilline says. “So, I’m interested in specifics — because I understand the feeling that you may have of small business being overregulated and overburdened, but to be helpful in terms of coming to address that, I need to understand what the specifics are.”
Beginning his questioning with Feinberg, Cicilline notes the small business owner already provides health care benefits to employees, even though he is not required to do so.
“I presume you do that because you decided it’s valuable to have employees who are healthy and well and can be productive,” Cicilline says.
“My employees are my partners,” Feinberg says. “That’s what grows my business.”
Cicilline presses Feinberg on whether the entrepreneur thinks “it’s a good idea” to have a system in place that provides affordable health care to small businesses.
“I can’t say whether or not,” Feinberg says. “As a business owner, I look at what’s going to grow my business. Knowing that I have to provide insurance — that limits me. That does not give me the flexibility as a business owner that I think is required to grow my business.”
Following up, Cicilline asks whether he’s aware that he’s entitled to a tax credit in exchange for providing health insurance to at least 50 employees. Feinberg says he’s aware of the law.
“The reason I ask that is that I think it’s important that we also at the [Small Business Administration] or relevant federal agencies should share that information with small businesses,” Cicilline says. “The tax cut is designed to help small business and make providing health care affordable, so I think that’s an important responsibility.”
On his way out of the hearings, Cicilline tells the Blade he realizes the committee lineup was orchestrated to favor Republican policy.
“The witnesses are clearly invited by the majority party, so I think they have a very clear view on what they think about some of those issues that was reflected in the witnesses,” Cicilline says.
Cicilline heads back to his office, but not before a constituent approaches and asks for a picture with him. This reporter complies with a request to take a photo of the two, then watches as the Rhode Island lawmaker heads back to the Cannon House Office Building to continue his work.
The White House
Trump will refuse to sign voting bill without anti-trans provisions
Measure described as ‘Jim Crow 2.0’
President Donald Trump said he will refuse to sign any legislation into law unless Congress passes the “SAVE Act,” pressuring lawmakers to move forward with the controversial voting bill.
In posts on Truth Social and other social media platforms, the 47th president emphasized the importance of Republican lawmakers pushing the legislation through while also using the opportunity to denounce gender-affirming care.
“I, as President, will not sign other Bills until this is passed, AND NOT THE WATERED DOWN VERSION — GO FOR THE GOLD,” Trump posted. “MUST SHOW VOTER I.D. & PROOF OF CITIZENSHIP: NO MAIL-IN BALLOTS EXCEPT FOR MILITARY — ILLNESS, DISABILITY, TRAVEL: NO MEN IN WOMEN’S SPORTS: NO TRANSGENDER MUTILIZATION FOR CHILDREN! DO NOT FAIL!!!”
The proposed Safeguard American Voter Eligibility (SAVE) Act would amend the National Voter Registration Act of 1993 to require in-person proof of citizenship for anyone seeking to vote in U.S. elections. Trump has also called for the legislation to include a ban on gender-affirming medical care for transgender minors, even with parental consent.
“This is a huge priority for the president. He added on some priorities to the SAVE America Act in recent days, namely, no transgender transition surgeries for minors. We are not gonna tolerate the mutilation of young children in this country. No men in women’s sports,” White House Press Secretary Karoline Leavitt said. “The president putting all of these priorities together speaks to how common sense they are.”
The comments mark the first time the White House has publicly confirmed that Trump is pushing to attach anti-trans policies to the SAVE Act.
The bill would also require the removal of undocumented immigrants from existing voter rolls and allow election officials who fail to enforce the proof-of-citizenship requirement to be sued.
It is already illegal for noncitizens to vote in federal elections. Current safeguards include requirements such as providing a Social Security number when registering to vote, cross-checking voter rolls with federal data and, in some states, requiring identification at the polls.
Trump began pushing for the legislation during his State of the Union address last month, where he singled out Senate Majority Leader John Thune (R-S.D.) by name while criticizing the lack of movement on the bill.
Senate Minority Leader Chuck Schumer (D-N.Y.) has denounced the legislation as “Jim Crow 2.0” and said it has little chance of advancing through the Senate, calling it “dead on arrival.”
In remarks on the Senate floor, Schumer said “the SAVE Act includes such extreme voter registration requirements that, if enacted, could disenfranchise 21 million American citizens.”
Trump has repeatedly used political messaging around trans youth and gender-affirming care as part of broader cultural and policy debates during his presidency — most recently during his State of the Union address, where he cited the case of Sage Blair, a Virginia teenager whose school allegedly encouraged her to transition without her parents’ consent.
LGBTQ advocates — including those familiar with Blair’s story — say the situation was far more complex than described and argue that using a single anecdote to justify sweeping federal restrictions could place trans people, particularly youth, at greater risk.
Health
Too afraid to leave home: ICE’s toll on Latino HIV care
Heightened immigration enforcement in Minneapolis is disrupting treatment
Uncloseted Media published this article on March 3.
This story was produced in collaboration with Rewire News Group, a nonprofit publication reporting on reproductive and sexual health, rights and justice.
This story was produced with the support of MISTR, a telehealth platform offering free online access to PrEP, DoxyPEP, STI testing, Hepatitis C testing and treatment and long-term HIV care across the U.S. MISTR did not have any editorial input into the content of this story.
By SAM DONNDELINGER and CAMERON OAKES | For two weeks, Albé Sanchez didn’t leave their house in South Minneapolis.
“[I was] forced into survival mode,” Sanchez told Uncloseted Media and Rewire News Group (RNG). “I felt like there was an invisible wall [to the outside world] that I couldn’t cross unless I really wanted to put myself in a place where there was a chance that I might not be able to come back.”
Queer and Mexican American, Sanchez was afraid of being targeted by the Immigration and Customs Enforcement presence in their neighborhood, even though they are a U.S. citizen.
“Every day is a risk,” they say, adding that even if they have paperwork, if they fit the profile, they are a target, making it scary to go even to work or the grocery store.
Sanchez, a 30-year-old sexual health care educator, has been taking oral PrEP, the daily preventive medication for HIV, for over a decade. But the mounting stress of ICE raids has made it harder to keep up with dosing.
“A missed dose here and there pushed me to make the appointment [for something more sustainable],” they say.
Sanchez says they felt like somebody would have their back at their local clinic. It was only a 10-minute drive from where they worked, they knew its staff from previous visits and community outreach, and they could count on finding Spanish-speaking staff and providers of Latino heritage. But not everybody has had that same experience accessing care.
Since ICE’s Operation Metro Surge began in early December, an increasing number of Latino patients in Minnesota are delaying or canceling what can be lifesaving care for the prevention and treatment of HIV.
These findings are particularly alarming for Latino communities, who, as of 2023, are 72 percent more likely than the general U.S. population to be diagnosed with HIV. And while overall infections have decreased, cases among Latinos increased by 24 percent between 2010 and 2022.
“I’m very concerned that there is going to be a sharp uptick in transmission,” says Alex Palacios, a community health specialist in the Minneapolis area.
In a January 2026 declaration as part of a lawsuit seeking to end Operation Metro Surge in the days following Renee Nicole Good’s killing, the commissioner of the Minnesota Department of Health said HIV testing among Latino populations has “dropped dramatically” and that “although grantee staff continue to go into the community to promote and provide testing, people are not showing up.”
Local clinics are reporting the same thing. The Aliveness Project, a community wellness center in Minneapolis specializing in HIV care, told Uncloseted Media and RNG they have seen more than a 50 percent decrease in new clients. The clinic serves a large number of Latino and undocumented clients, and while it usually sees 750 people walk through their door each week, according to providers, it reported seeing 100 fewer people each week since December.
Red Door, Minnesota’s largest STI and HIV clinic, has had a “modest uptick” in no-shows and missed appointments since December.
What happens when treatment stops
Today, there are multiple medications available that work to prevent HIV and dozens that treat it once a person tests positive. Many people who consistently take their medication have such low levels of the virus that they can’t transmit it through sex. But becoming undetectable requires patients to stay on their medication; otherwise, the virus replicates and mutates, weakening the immune system and increasing the risk of life-threatening infections.
“If patients aren’t on their medicines consistently, HIV can learn about the medication and become resistant to them. When this happens, the medicine will not work for the patient, and the new resistant virus could potentially be passed on to others,” says George Froehle, a physician assistant and provider at Aliveness Project. “Medication adherence is one of the most important aspects of HIV care.”
To maintain care and prevent dangerous, untreatable strains from spreading in Minnesota, providers at Aliveness Project have begun delivering medication to patients when possible, offering telehealth when they can, and pausing routine lab work to limit in-person appointments.
“The most important thing we can do from a public health perspective is to keep people undetectable so they don’t transmit HIV,” Froehle says, adding that providers in other cities targeted by ICE will need to make plans for missed injection visits, pivot to telehealth and prepare their teams for the “trauma that can occur.”
Sanchez understands the risks of inconsistent treatment, which is why they opted for the injectable preventative medication.
“I have a lot of risk [to HIV in my community],” Sanchez says. “With so much uncertainty about the future and whether HIV care will remain stable, I realized I couldn’t let this opportunity pass.”
But injectable HIV treatments are commonly dosed at two weeks to six months apart, and the medication must be administered in a clinic — a setting many patients are avoiding, according to providers.
“They have a two-week window” to get their shots, according to Froehle, who added that because patients are afraid to come in person, they have had to transition people off of their injectable HIV treatments. This has caused patients to return to oral HIV treatments without the testing they would normally receive had ICE not been in Minneapolis. “[Oral treatments] weren’t super successful [for these patients] to begin with and that’s why they were on injectables.”
Oral HIV medications, too, must be taken consistently to work. In response, providers have urged patients to have their pills with them at all times in case they get deported or detained.
The caution is not unfounded. Federal immigration facilities have a history of denying adequate medical care to people living with HIV, despite internal standards that require them to comply. Since 2025, at least two men living with HIV have been denied access to their medication in a Brooklyn jail, according to lawsuits obtained by THE CITY. One man said he was only given his medication after his lips broke open and he developed an open pustule on his leg. And in January 2025, another man died of HIV complications while in ICE custody in Arizona.
Beyond being detained without proper medication, patients are at risk of being deported to countries with limited access to HIV care, like Honduras and Venezuela, experts say.
“A lot of men [from Venezuela] told me they left because it wasn’t safe to be gay there and because they struggled to access HIV care,” says Froehle. “It’s a little heartbreaking to see new folks not only face the threat of deportation, but to places where they didn’t feel safe medically or identity-wise.”
“Some of these patients will die in their home country,” says Anna Person, the chair of the HIV Medicine Association. “It’s a death sentence.”
A ‘cascading disaster’
While ICE’s presence is threatening the infrastructure of HIV care that Minneapolis has built over decades, experts say there has always been a blind spot in HIV care for the city’s Latino community.
Vincent Guilamo-Ramos, executive director of the Institute for Policy Solutions at the Johns Hopkins University of Nursing, describes HIV in Latino communities as a “cascading disaster,” the result of years of compounding inequities.
“There’s been an invisible crisis among Latinos that hasn’t gotten traction,” he says. “The numbers have consistently gone up in terms of new infections, while nationally they’ve gone down. … That should be a big alarm.”
Numbers are rising because structural barriers and stigma are preventing Latinos from receiving care. A 2022 report from the Centers for Disease Control and Prevention found that between 2018 and 2020, nearly 1 in 4 Hispanic people living with HIV reported experiencing discrimination in health care settings. Lack of representation among providers, language barriers and deep-rooted medical mistrust further complicate access to care, according to Guilamo-Ramos.
Beyond the medical system, stigma within Latino communities can be equally damaging. According to Human Rights Campaign data, more than 78 percent of Latino LGBTQ youth reported experiencing homophobia or transphobia within the Latino community in 2024.
Sanchez agrees that stigma and bias are already massive barriers to care, citing the strict gender norms and Catholic beliefs many Latino communities hold. They say ICE’s presence is threatening already delicate access to HIV care.
“This has caused so much damage to people,” Sanchez says. “Not being able to access your health care appointments is such a stab in the side. … Being able to navigate any of these things in normal circumstances already has so much difficulty to it.”
Palacios, who is Afro-Latine and living with HIV, says the heightened ICE presence is worsening barriers that have long undermined the Latino community’s access to HIV care.
“The horizon has always been stark and dim,” they say. “And this just feels like one more thing to address and to fight back against.”
Sliding backwards
Navigating HIV care is becoming more difficult across the board, as the federal government has decimated HIV funding, compromising decades of progress made in the fight against the virus since Donald Trump retook office just over a year ago.
In February 2026, three months into Operation Metro Surge, the Trump-Vance administration proposed slashing $600 million in HIV-related grants, targeting four blue states, including $42 million for Minnesota programs. A federal judge has temporarily blocked the cuts.
“This would completely decimate and gut all of our HIV prevention,” says Dylan Boyer, director of development at Aliveness Project. “That’s the reality that we live in.”
“We have all the tools, and yet we are staring down this rollback of infrastructure and research dollars, prevention efforts, treatment efforts, that are going to put us squarely back in the 1980s,” says Person, a national HIV expert who grew up in Minnesota. “[There] seems to be no other rationale for that besides cruelty, to be quite frank, since there’s no scientific reason for it.”
Repair and representation
Jenny Harding, director of advancement at a Minneapolis-area supportive housing program for people living with HIV, says that while ICE’s presence is lessening in the Twin Cities, the “damage is done.”
Person says that this mending will take time, especially between the medical community and patients, since HIV providers can have a “very fragile” relationship with their clients.
“It takes, sometimes, years to build that level of trust. And I do worry that folks are just going to say, ‘I don’t feel safe here anymore. The system does not have my best interest at heart, and I’m not coming back,’” she says. “This is not something that you can flip a switch and everything will go back to normal.”
“We need to hold our federal government accountable, particularly HHS, [and] we need to ensure that HIV funding remains intact,” Guilamo-Ramos says, adding that in order to lower rates of HIV in the Latino community, there should be more specialized efforts: such as bilingual and culturally aligned health care providers, community-based outreach programs co-located where risk is highest, trust-building initiatives to address medical mistrust, mobile clinics, and targeted programs to re-engage patients who have fallen out of care.
Aliveness Project’s patient numbers have increased in the last few weeks as the ICE operation has waned, but the clinic staff is keeping “a watchful eye” and is having “difficulty reaching folks who are understandably scared.”
“Our biggest focus right now is reconnecting with people through our outreach so no one has a lapse in their HIV medications or prevention care,” Boyer, of Aliveness Project, says.
For Sanchez, seeing providers who speak Spanish and are of Latin heritage at Aliveness Project built enough trust for them to reach out and make an appointment despite the risks. Sanchez feels optimistic about their new injectable prevention strategy with the support of their clinic.
“There’s many places where you can receive care here in the Twin Cities where you might not see your skin tone. … There’s still a lot of health care professionals that unfortunately carry bias. … Aliveness is the opposite of that,” they say. “Seeing that representation and knowing someone has that cultural context of how to meet you in moments of sensitivity, it’s crucial.”
Florida
Fla. Senate passes ‘Anti-Diversity’ bill that could repeal local LGBTQ protections
Bipartisan coalition urges Florida House to reject ‘extremism’ measure
The Florida Senate on March 4 voted 25-11 to approve an “Anti-Diversity in Local Government” bill that critics have called a sweeping and extreme measure that, among other things, could repeal local LGBTQ rights protections.
According to Equality Florida, a statewide LGBTQ advocacy organization, if approved by the Florida House of Representatives and signed by Republican Gov. Ron DeSantis, the bill “would ban, repeal, and defund any local government programming, policy, or activity that provides ‘preferential treatment or special benefits’ or is designed or implemented’ with respect to race, color, sex, ethnicity, sexual orientation, or gender identity.”
In a March 4 statement, Equality Florda added that the bill would also threaten city and county officials with removal from office “for activities vaguely labeled as DEI,” with only limited exceptions.
The Florida House was scheduled to vote on the bill on Monday, March 9, with opponents hopeful that a broad coalition of both Democratic and Republican lawmakers would secure enough votes to defeat the bill.
“Once again, Gov. DeSantis and Florida lawmakers are advancing one of the most sweeping and extreme bills in the country — this time threatening decades of local progress supporting diverse communities, including the LGBTQ community,” said Equality Florida Senior Political Director Joe Saunders. “This legislation is a sledgehammer aimed at cities and counties that recognize and address the diversity of the people they serve,” he said.
Among the LGBTQ organizations that could be adversely impacted by the bill is the highly acclaimed Stonewall National Museum, Archives and Library located in Fort Lauderdale.
Robert Kesten, the Stonewall organization’s president and CEO, told the Washington Blade the organization receives some funding from Broward County, in which Fort Lauderdale is located, and the city of Fort Lauderdale has provided support by purchasing tables at some of the museum’s fundraising events.
“Based on this legislation, hose things would be gone,” he said. “We also are based in a government building. So, we don’t know what potential side effects that could have.” He noted that the building in question is owned by Broward County and leased by Fort Lauderdale, with the bill’s vaguely worded provision making it unclear whether Stonewall would be forced to leave its building.
“It’s unknown, and we’re really in unchartered waters,” he said.
-
National5 days ago13 HIV/AIDS activists arrested on Capitol Hill
-
Florida4 days agoFla. Senate passes ‘Anti-Diversity’ bill that could repeal local LGBTQ protections
-
Uganda4 days agoUgandan activist named Charles F. Kettering Foundation fellow
-
Celebrity News4 days agoLiza Minnelli makes surprise appearance at GLAAD Media Awards

