National
Advocates see New York as a turning point in marriage equality effort
On July 24, New York will become the largest state offering same-sex couples the same rights in marriage as opposite-sex couples, more than doubling the population of Americans living in marriage equality states
Empire State Building lit up in rainbow colors in time to see marriage equality passed. (Washington Blade photo by Michael Key)
On Friday, with a close 33-29 vote, the Republican-controlled New York state Senate approved a marriage equality bill, matching language on the legislation agreed to between leaders in both houses. The bill was signed by same-sex marriage advocate Gov. Andrew Cuomo just before midnight, which sets the official date the law takes effect as July 24.
Evan Wolfson, President of Freedom To Marry, a national marriage equality advocacy organization, sees New York as a turning point in the effort to extend marriage to same-sex couples in the United States.
“It means that the number of Americans living in a state where gay people share in the freedom to marry is more than doubling from 16 to 35 million,” Wolfson told the Blade, Monday. “Because this is New York, people across the country and around the world are going to see and hear the stories that prove that families are helped and no one is hurt when marriage discrimination ends.”
“Over the next 18 months if we do our work right, we can hope to bring other states to the Freedom to Marry, from Maine to Oregon, and others in between,” Wolfson continued. “But the key in all 50 states is to have the conversations, support the campaigns and continue the national momentum that New York has just boosted.”
Currently, Massachusetts, Connecticut, Iowa, New Hampshire, Vermont, and D.C., where same-sex marriages are currently licensed, make up approximately 5 percent of the U.S. population. However, with the introduction of New York at the end of July, 11.4 percent of American citizens will live in a jurisdiction that offers marriage licences to all couples, regardless of gender.
This does not include the 5.8 million residents of Maryland, which recognizes same-sex marriages performed elsewhere, and the 81,406,229 who enjoy most or all of the same benefits and obligations as married couples in Oregon, Washington, Wisconsin, California, Delaware, Hawaii, Illinois, Maine, New Jersey and Nevada through Civil Unions or Domestic Partnership registries. Including these states brings the total number of Americans whose states officially recognize and protect same-sex relationships to nearly 40 percent.
With a jurisdiction the size of New York opening up the institution of marriage to all couples, same-sex partners throughout the country will likely be taking advantage of the new law, and the Empire State will become a top wedding destination for New York couples and couples from surrounding states alike.
Among those couples will be Carl Parker and Greg Wysocki of White Plains, N.Y. Parker 43 and his partner Wysocki 46, grew up in D.C. and until 2002, lived in suburban Maryland. They’ve been together nine years and now live in New York state, and both are eager to solemnize the relationship.
“We have a registered domestic partnership with Westchester County NY,” Parker told the Blade, “but plan on going to City Hall in White Plains as soon as possible to file for our marriage license. Our family and friends are so excited for us, they’re battling to be witnesses and a part of the ceremony. We are planning a larger even next year, since many of our friends are international and cant make it to New York in such short notice.”
The bill’s sponsor, Sen. Tom Duane, who is gay, was overjoyed at the bill’s passage.
“I want to commend the incredible leadership and passion of Gov. Andrew Cuomo who made good on his promise to make Marriage Equality the law in New York State,” the Senator said in a statement to the Blade on Monday. “I also want to thank my colleagues in the State Senate on both sides of the aisle, and in the Assembly, who took a courageous stand when it would have been far easier for them to turn away from what I know for many was a difficult issue.”
The law goes into effect on July 24, however, since that is a Sunday, couples are more likely to be able to get their licences on Monday, July 25. New York has a 24 hour waiting period after applying for the marriage license before the wedding can take place, therefore most likely, the first weddings will take place on Tuesday, July 26, barring special exceptions in cases where a judge waives the 24 hour waiting period, or County Clerks find a way to open on Sunday.
Of thirty Democratic Senators, only one voted against the bill, Ruben Diaz who, despite having a lesbian granddaughter, has been a strong opponent of marriage equality since long before voting against the failed 2009 marriage bill.
Of 32 Republicans, four voted for the bill, including Senators James Alesi, Roy McDonald, Stephen Saland and Mark Grisanti. Though the overwhelming majority of the 33 votes in favor of passage came from the Democratic side of the aisle, that four Republicans defected from their party, and that this bill was even allowed by Majority leader Skelos to come to a vote marks a sea change in the fight for extending these rights to more couples nation-wide.
The legislation included some amendments that would reduce the legal liability of religious organizations that refuse to solemnize any of the marriages that would be made legal under the new law. The amendments were added in the Senate on Friday, and before the Senate voted on the law, they were approved Friday afternoon by the lower house, which had already approved the bill 80-63 on June 15. The amendments would also allow non-profits affiliated with religious organizations to refuse to allow their facilities to be used in ceremonies related to same-sex weddings.
One major proponent of the law, New York City Mayor Michael Bloomberg, released a statement on Saturday, the morning after the bill’s passage.
“Today’s passage in the New York State Senate of legislation recognizing the right of couples to marry regardless of their gender is a historic triumph for equality and freedom,” the statement reads in part. “New York has always been a leader in movements to extend freedom and equality to people who had been denied full membership in the American family.”
Many activists noted as crucial to victory the open collaboration between the various groups on the ground in New York. Some of the most visible groups on the front line of pushing public opinion and lobbying for votes were the Human Rights Campaign, as well as New York headquartered groups like Fight Back New York, Empire State Pride Agenda, and Freedom to Marry. Human Rights Campaign and Freedom to Marry had played roles previously in other marriage victories, such as the victory for marriage equality in the District of Columbia, and worked in tandem with the state organizations to create an effective overall strategy.
“We congratulate everyone who worked so hard, with special thanks to Gov. Cuomo, to have New York join us in the District of Columbia as a jurisdiction that recognizes the rights of gays and lesbians to marry,” said Peter Rosenstein, president of Campaign for All D.C. Families. “The fight in New York shows that by working together with victory being the goal, rather than who can claim credit for the victory, LGBT organizations and their allies can be successful.”
The White House
Trump-Vance administration ‘has dismantled’ US foreign policy infrastructure
Current White House took office on Jan. 20, 2025
Jessica Stern, the former special U.S. envoy for the promotion of LGBTQ and intersex rights, on the eve of the first anniversary of the Trump-Vance administration said its foreign policy has “hurt people” around the world.
“The changes that they are making will take a long time to overturn and recover from,” she said on Jan. 14 during a virtual press conference the Alliance for Diplomacy and Justice, a group she co-founded, co-organized.
Amnesty International USA National Director of Government Relations and Advocacy Amanda Klasing, Human Rights Watch Deputy Washington Director Nicole Widdersheim, Human Rights First President Uzra Zeya, PEN America’s Jonathan Friedman, and Center for Reproductive Rights Senior Federal Policy Council Liz McCaman Taylor also participated in the press conference.
The Trump-Vance administration took office on Jan. 20, 2025.
The White House proceeded to dismantle the U.S. Agency for International Development, which funded LGBTQ and intersex rights organizations around the world.
Secretary of State Marco Rubio last March announced the State Department would administer the 17 percent of USAID contracts that had not been cancelled. Rubio issued a waiver that allowed PEPFAR and other “life-saving humanitarian assistance” programs to continue to operate during the U.S. foreign aid freeze the White House announced shortly after it took office.
The global LGBTQ and intersex rights movement has lost more than an estimated $50 million in funding because of the cuts. 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.
Stern noted the State Department “has dismantled key parts of foreign policy infrastructure that enabled the United States to support democracy and human rights abroad” and its Bureau of Democracy, Human Rights, and Labor “has effectively been dismantled.” She also pointed out her former position and others — the Special Representative for Racial Equity and Justice, the Ambassador-at-Large for Global Women’s Issues, and the Ambassador-at-Large for Global Criminal Justice — “have all been eliminated.”
President Donald Trump on Jan. 7 issued a memorandum that said the U.S. will withdraw from the U.N. Entity for Gender Equality and the Empowerment of Women and more than 60 other U.N. and international entities.
Rubio in a Jan. 10 Substack post said UN Women failed “to define what a woman is.”
“At a time when we desperately need to support women — all women — this is yet another example of the weaponization of transgender people by the Trump administration,” said Stern.
US ‘conducting enforced disappearances’
The Jan. 14 press conference took place a week after a U.S. Immigration and Customs Enforcement agent killed Renee Good, a 37-year-old woman who left behind her wife and three children, in Minneapolis. American forces on Jan. 3 seized now former Venezuelan President Nicolás Maduro and his wife, Cilia Flores, at their home in Caracas, the Venezuelan capital, during an overnight operation. Trump also continues to insist the U.S. needs to gain control of Greenland.
Widdersheim during the press conference noted the Trump-Vance administration last March sent 252 Venezuelans to El Salvador’s Terrorism Confinement Center, a maximum-security prison known by the Spanish acronym CECOT.
One of them, Andry Hernández Romero, is a gay asylum seeker who the White House claimed was a member of Tren de Aragua, a Venezuelan gang the Trump-Vance administration has designated as an “international terrorist organization.” Hernández upon his return to Venezuela last July said he suffered physical, sexual, and psychological abuse while at CECOT.
“In 2025 … the United States is conducting enforced disappearances,” said Widdersheim.
Zeya, who was Under Secretary of State for Civilian Security, Democracy, and Human Rights from 2021-2025, in response to the Blade’s question during the press conference said her group and other advocacy organizations have “got to keep doubling down in defense of the rule of law, to hold this administration to account.”
The White House
A full year of Trump and LGBTQ rights: all that’s been lost
White House since Inauguration Day has relentlessly attacked LGBTQ community
Uncloseted Media published this story on Jan. 20.
By NICO DiALESANDRO | One year ago today, Donald Trump was inaugurated as president of the United States for the second time. Since then, he and his administration have waged an all-out attack on the LGBTQ community by slashing crucial health and support programs, pressuring states to exclude transgender people from most aspects of life and erasing information about the community’s history. Here are all the biggest moves Trump has made against LGBTQ rights over the last 365 days.
Jan. 20, 2025 – Trump’s second first day
During his inaugural address, Trump says, “As of today, it will henceforth be the official policy of the United States government that there are only two genders: male and female.” Later that day, Trump signs “Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government,” an executive order that defines “sex” in federal law to mean biological sex at conception. It also eliminates federal recognition of trans identities, blocks gender self-identification on federal documents, ceases federal funding for gender-affirming care and restricts trans people’s access to bathrooms, prisons, shelters, and other government facilities that match their gender identity.
Trump also signs “Ending Radical and Wasteful Government DEI Programs and Preferencing,” an executive order that orders federal agencies to terminate diversity, equity and inclusion mandates, policies and programs. This order repeals a policy put in place by the Biden administration that created initiatives for the federal government to combat systemic barriers related to hiring on the basis of race, religion, income, gender identity, sexual orientation, and disability.
“We’re the party of common sense, you know, we don’t want to have men playing in women’s sports. We don’t want to have transgender operations for everyone,” Trump says at the Liberty Ball party that evening. Trump would go on to repeat the sentiment countless times throughout the year, including at press conferences with world leaders, in an interview with “60 Minutes” and even while deploying the National Guard in Washington.
Jan. 21, 2025 – The flurry of executive orders continues
Trump signs “Ending Illegal Discrimination and Restoring Merit-Based Opportunity,” another executive order that revokes a 1965 order which mandated affirmative action for federal contractors and required that they take steps to comply with nondiscrimination laws. The order violates the U.S. Supreme Court’s 2020 decision in Bostock v. Clayton County, which extended Title VII sex-based protections to trans people.
Nearly all LGBTQ- and HIV-focused content and resources are deleted from the White House’s website including the White House’s equity report, information about LGBTQ Pride Month and a fact sheet on expanding access to HIV prevention and treatment. In addition, the State Department removes its LGBTQ rights page, and the Department of Labor removes its LGBTQ workers page.
Jan. 28, 2025 – funding cuts
Trump signs “Protecting Children from Chemical and Surgical Mutilation,” an executive order that bars federal funding for gender-affirming care for minors and directs the Department of Health and Human Services to restrict insurance coverage for such treatments under Medicare, Medicaid and the Affordable Care Act. Hours after Trump signs the order, Uncloseted Media speaks with six LGBTQ kids to get their thoughts.
“For me, it’s definitely very frightening. Especially because right now I’m 16, and so, I’m going to become an adult over the course of his presidency. … And it’s really difficult, especially to plan for the future and have that lack of surety that I thought that I would,” Crow, who lives in Virginia, told Uncloseted Media.
Feb. 3, 2025
Mentions of LGBTQ people are erased or minimized across federal government websites, with a particular focus on trans and intersex people. The State Department first removes trans people in its travel safety guidelines, only mentioning the “LGB” community. As of publication, the web page has no mention of bisexual travelers either.
Feb. 5, 2025
Trump signs “Keeping Men Out of Women’s Sports,” an executive order that prohibits trans women and girls from competing on collegiate female sports teams.
Feb. 13, 2025
Under the direction of Trump’s executive order, the National Park Service removes references to trans and queer rights and history, including from the Stonewall National Monument pages. The “TQ” from “LGBTQ” is dropped in instances where the acronym is present. Protesters gather at the Stonewall National Monument in New York the next day to voice their outrage.
In an interview with Uncloseted Media, Stacy Lentz, co-owner of the Stonewall Inn, calls the removal a blatant attempt to rewrite history and exclude the very people who led the fight for equality.
Feb. 14, 2025
The U.S. withdraws from the United Nations LGBTI Core Group, which formed in 2008 and pledges to support LGBTQ and intersex rights by “work[ing] within the United Nations framework on ensuring universal respect for the human rights and fundamental freedoms for all, specifically lesbian, gay bisexual, transgender and intersex (LGBTI) persons, with a particular focus on protection from violence and discrimination.”
March 15, 2025 – illegal deportations
The Trump-Vance administration deports 238 Venezuelan migrants to CECOT, a maximum-security prison in El Salvador. The administration claims these individuals are affiliated with the Tren de Aragua gang. Andry Hernández Romero, a gay makeup artist seeking asylum, is one of the migrants with no criminal record. Hernández vanished from U.S. custody before his asylum hearing, and his lawyer asserts he was deported without due process.
On July 18, Hernández is returned to Venezuela along with 249 other migrants. The Department of Homeland Security dismisses abuse allegations of torture, sexual assault and other inhumane treatment.
April 2, 2025
U.S. Citizenship and Immigration Services updates its policy to recognize only two biological sexes, male and female, for immigration benefit requests and official documentation. This policy shift reverses previous efforts to accommodate nonbinary and trans individuals, as it removes the “X” gender marker option from immigration forms.
“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. This is not about ‘common sense’ — it is about erasing an entire community from the legal landscape,” says Bridget Crawford, director of law and policy at Immigration Equality.
April 3, 2025
In his first few months in office, Trump and his administration cancel over 270 National Institutes of Health grants focused on LGBTQ health, totaling at least $125 million in unspent funds. The cancellations disrupt research on HIV testing and prevention, AIDS, cancer, mental health and more.
The cuts scrap more than $800 million worth of research into the health of LGBTQ people. The cuts abandon studies of cancers and viruses and set back efforts to defeat a resurgence of sexually transmitted infections. They also eliminate swaths of medical research on diseases that disproportionately afflict LGBTQ people, including HIV/AIDs, various sexually transmitted infections and cancers.
June 2, 2025
Stanford begins suspending gender-affirming care for people younger than 19 in response to Trump’s executive order. Other major health networks and many regional centers across the country begin following suit.
Children’s Hospital Los Angeles announces they will be cutting off care for patients as old as 25 beginning in July, stating that they were left with “no viable alternative” because they could not risk any cuts to their federal funding.
June 6, 2025
Trump’s military ban begins, disallowing trans people from serving in all branches of the armed forces and removing those currently in the service. Those who do not identify themselves will have their medical records surveyed and be involuntarily separated if it is discovered that they are trans.
July 1, 2025
Trump’s “Big Beautiful Bill” is passed by Congress. The sweeping package of tax breaks that largely benefit the wealthy include major funding cuts to LGBTQ health care as well as a number of support programs that disproportionately serve queer people.
July 17, 2025
The Trump-Vance administration officially shuts down the LGBTQ-specific option on the 988 youth suicide hotline. This comes a year after data finds that 41 percent of LGBTQ youth seriously considered suicide. Notably, there are no plans to shut down the other targeted hotline options. Arden, who called when they were 16, told Uncloseted Media, “If it weren’t for the hotline, I would have killed myself.”
Aug. 4, 2025
U.S. Immigration and Customs Enforcement arrests 40-year-old asylum seeker Rickardo Anthony Kelly during a routine immigration appointment. Kelly, who survived being shot 10 times in Jamaica by attackers who targeted him for being gay, is released two weeks later and describes the conditions of the ICE facility as “unconscionable,” “inhumane,” and “horrific.”
Aug. 12, 2025
The State Department releases a revised 2024 human rights report that omits references to LGBTQ people and erases mentions of discrimination based on sexual orientation or gender identity. The report also removes critiques of governments for mistreating LGBTQ communities.
It excludes information about Hungary’s anti-LGBTQ laws that encourage citizens to report their LGBTQ neighbors and that ban depictions of homosexuality or gender transition in schools or the media.
Aug. 15, 2025
The Trump-Vance administration announces plans to eliminate gender-affirming care from the Federal Employees Health Benefits Program starting in 2026. The policy would also block access to hormones and surgeries for federal workers and their families.
Aug. 20, 2025
The media reports on court filings that reveal that the Justice Department issued subpoenas to hospitals for private medical records of LGBTQ patients 18 and younger. The DOJ requests billing data, communication with drug manufacturers, Social Security numbers and recordings from providers who treat gender nonconforming minors. Doctors across the country report threats and fear government retaliation.
“The subpoena is a breathtakingly invasive government overreach. … It’s specifically and strategically designed to intimidate health care providers and health care institutions into abandoning their patients,” says Jennifer L. Levi, senior director of transgender and queer rights at GLAD law, an LGBTQ legal group and civil rights organization.
Sept. 4, 2025
In response to a mass shooting in Minneapolis that was carried out by a trans woman, CNN reports that the DOJ is considering restricting trans Americans’ Second Amendment rights. The department aims to justify a firearm ban by declaring trans people mentally “defective,” building off of Trump’s trans military ban. The proposal sparks backlash from the National Rifle Association, who says in a statement that they will not “support … gun bans that arbitrarily strip law-abiding citizens of their Second Amendment rights.”
Sept. 12, 2025
The DOJ removes a study from its website showing that far-right extremists have killed more Americans than any other domestic terrorist group. The archived report disappears two days after anti-LGBTQ conservative activist Charlie Kirk is assassinated.
Sept. 22, 2025
White House Press Secretary Karoline Leavitt claims the administration is investigating why trans people are turning to “domestic terrorism,” despite no evidence of this. She calls anyone denying the false link “willfully ignorant,” despite the most recent data available from 2018 showing that trans people are four times more likely to be victims of violent crime when compared to cisgender people.
Sept. 23, 2025
Trump cancels a budget meeting and blames a potential government shutdown on Democrats’ support for trans-inclusive policies.
Oct. 1, 2025
FBI Director Kash Patel fires a trainee for displaying a Pride flag on his desk, labeling it an improper “political” message. The dismissal follows reports that pro-Trump appointees are combing internal FBI files to identify LGBTQ employees.
Oct. 3, 2025
Education Secretary Linda McMahon sends a nine-page proposal to nine universities that asks for a commitment to ban trans-inclusive facilities, define sex by “reproductive function” and limit race, gender or identity factors in admissions. The proposal calls for schools to revise their governance structures by “abolishing institutional units that purposefully punish, belittle, and even spark violence against conservative ideas.”
Oct. 10, 2025
The White House lays off more than 1,100 HHS employees. The Office of Population Affairs, which administered Title X family-planning networks, teen pregnancy prevention and LGBTQ health initiatives, is eliminated.
Nov. 6, 2025
The Supreme Court grants the Trump-Vance administration’s request to put a hold on federal rulings in Massachusetts, affecting trans and nonbinary people by preventing them from self-identifying correctly on their IDs, claiming to be in line with Trump’s “Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government” executive order. In her dissent, Justice Ketanji Brown Jackson writes, “This court has once again paved the way for the immediate infliction of injury without adequate (or, really, any) justification. Because I cannot acquiesce to this pointless but painful perversion of our equitable discretion, I respectfully dissent.”
Dec. 4, 2025
According to a memo obtained by NPR, the DOJ instructs inspectors to stop evaluating prisons and jails using standards designed to protect trans, intersex, and gender nonconforming people from sexual violence. This is in direct violation of the Prison Rape Elimination Act.
Dec. 18, 2025
HHS Secretary Robert F. Kennedy Jr. and Mehmet Oz, who leads Medicaid and Medicare, announce that HHS is heavily restricting trans health care; prohibiting Medicaid reimbursement for gender-affirming care for people under 18; and blocking all Medicare and Medicaid funding for hospitals that provide the care to minors.
Jan. 1, 2026
The Office of Personnel Management institutes policy changes that exclude coverage for “chemical and surgical” gender-affirming care in the FEHB and Postal Service Health Benefits plans for 2026, with narrow exceptions.
Jan. 7, 2026
Renee Good is shot and killed by ICE agent Jonathan Ross in Minneapolis. Good leaves behind a wife, Becca, and three children. In a statement, Becca remembers her wife:
“Renee lived by an overarching belief: there is kindness in the world and we need to do everything we can to find it where it resides and nurture it where it needs to grow. Renee was a Christian who knew that all religions teach the same essential truth: we are here to love each other, care for each other, and keep each other safe and whole.”
Days later, Trump tells reporters, “At a very minimum, that woman was very, very disrespectful to law enforcement. … It was highly disrespectful of law enforcement. The woman and her friend were highly disrespectful of law enforcement.”
Additional reporting by Hope Pisoni. Washington Blade photos by Michael Key and Michael K. Lavers.
Florida
DNC slams White House for slashing Fla. AIDS funding
State will have to cut medications for more than 16,000 people
The Trump-Vance administration and congressional Republicans’ “Big Beautiful Bill” could strip more than 10,000 Floridians of life-saving HIV medication.
The Florida Department of Health announced there would be large cuts to the AIDS Drug Assistance Program in the Sunshine State. The program switched from covering those making up to 400 percent of the Federal Poverty Level, which was anyone making $62,600 or less, in 2025, to only covering those making up to 130 percent of the FPL, or $20,345 a year in 2026.
Cuts to the AIDS Drug Assistance Program, which provides medication to low-income people living with HIV/AIDS, will prevent a dramatic $120 million funding shortfall as a result of the Big Beautiful Bill according to the Florida Department of Health.
The International Association of Providers of AIDS Care and Florida Surgeon General Joseph Ladapo warned that the situation could easily become a “crisis” without changing the current funding setup.
“It is a serious issue,” Ladapo told the Tampa Bay Times. “It’s a really, really serious issue.”
The Florida Department of Health currently has a “UPDATES TO ADAP” warning on the state’s AIDS Drug Assistance Program webpage, recommending Floridians who once relied on tax credits and subsidies to pay for their costly HIV/AIDS medication to find other avenues to get the crucial medications — including through linking addresses of Florida Association of Community Health Centers and listing Florida Non-Profit HIV/AIDS Organizations rather than have the government pay for it.
HIV disproportionately impacts low income people, people of color, and LGBTQ people
The Tampa Bay Times first published this story on Thursday, which began gaining attention in the Sunshine State, eventually leading the Democratic Party to, once again, condemn the Big Beautiful Bill pushed by congressional republicans.
“Cruelty is a feature and not a bug of the Trump administration. In the latest attack on the LGBTQ+ community, Donald Trump and Florida Republicans are ripping away life-saving HIV medication from over 10,000 Floridians because they refuse to extend enhanced ACA tax credits,” Democratic National Committee spokesperson Albert Fujii told the Washington Blade. “While Donald Trump and his allies continue to make clear that they don’t give a damn about millions of Americans and our community, Democrats will keep fighting to protect health care for LGBTQ+ Americans across the country.”
More than 4.7 million people in Florida receive health insurance through the federal marketplace, according to KKF, an independent source for health policy research and polling. That is the largest amount of people in any state to be receiving federal health care — despite it only being the third most populous state.
Florida also has one of the largest shares of people who use the AIDS Drug Assistance Program who are on the federal marketplace: about 31 percent as of 2023, according to the Tampa Bay Times.
“I can’t understand why there’s been no transparency,” David Poole also told the Times, who oversaw Florida’s AIDS program from 1993 to 2005. “There is something seriously wrong.”
The National Alliance of State and Territorial AIDS Directors estimates that more than 16,000 people will lose coverage
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