National
Sigh of relief as shutdown ends
HIV service providers spared; staffers return to work
Some federal workers are troubled over accusations made by Sarah Palin and others that the U.S. Park Service is being disrespectful to veterans by denying access to monuments in Washington. (Photo by Therealbs2002; courtesy Wikimedia Commons)
UPDATE: The federal government shutdown ended Thursday and thousands of employees returned to work in D.C. and across the country. This story was posted shortly before Congress passed a bill to fund the government and avert a default:
As the federal government’s shutdown entered its third week, LGBT and AIDS advocates expressed alarm that community-based AIDS service providers in D.C. and across the nation could be forced to lay off employees and curtail services if the shutdown and its related funding reductions continued much longer.
Democratic and Republican leaders in the Senate announced a bipartisan agreement on Wednesday calling for raising the debt ceiling and ending the government shutdown. Although political observers thought there were enough votes to approve the agreement in both the Senate and the House, no one was certain whether the GOP-controlled House would pass the compromise bill initiated in the Senate.
Leonard Hirsch (Washington Blade photo by Michael Key)
Leonard Hirsch, president of the LGBT federal workers group Federal GLOBE, said that, like all federal workers, thousands of furloughed LGBT federal employees continued as of Wednesday to struggle without a paycheck.
The shutdown, which closed many but not all federal agencies, left more than 800,000 federal employees furloughed, according to the U.S. Office of Personnel Management. With the federal government being the largest employer in the D.C. metro area, the area is said to have been affected the most by the shutdown.
“Everyone that I know in the federal workforce is very frustrated that they’re not allowed to be getting work done, that things are piling up, that their clients are not being served,” said Hirsch, who has worked at the Smithsonian Institution for 24 years.
Hirsch said he and nearly all the federal workers he knows – LGBT and straight – are especially troubled over accusations by Obama administration critics, including former GOP vice presidential candidate Sarah Palin, that the U.S. Park Service is being disrespectful to veterans and other citizens by denying them access to the World War II Memorial and other monuments in Washington.
“The law is clear,” he said. “If Congress has not appropriated money you cannot work on things and do things. And so we can’t open parks. We can’t open museums and monuments because Congress has not appropriated the money.”
Added Hirsch, “I don’t know a single person at the Park Service who is happy about closing doors, and I know a lot of people at the Park Service…It’s putting the federal worker in this horrible bind to say we can’t do these things and being abused for following Congress’s direction.”
Don Blanchon (Washington Blade file photo by Michael Key)
Don Blanchon, executive director of Whitman-Walker Health, the D.C. area’s largest private agency providing medical and social services to people with HIV and the LGBT community, said Whitman-Walker has “weathered” the federal shutdown so far largely because it accumulated a substantial reserve fund over the past several years.
“By and large, the impact of the shutdown directly on our operations and patient care is minimal,” he told the Blade on Monday. “We’re open. We’re serving patients. And for the foreseeable future we don’t see this shutdown causing us a tremendous amount of difficulty right now,” he said.
But Blanchon noted that Whitman-Walker along with other D.C. community-based health groups serving people with HIV has been hit by D.C.’s inability to pay its Medicaid reimbursements. Under a federal law, D.C. is prohibited from spending its own money obtained through local tax revenue if Congress doesn’t approve the city’s annual budget.
With Congress deadlocked over the federal budget, under which the D.C. budget falls, the city has been unable to spend much of its own funds since the federal shutdown began on Oct. 1 at the start of the new fiscal year. Since D.C.’s budget is intertwined with the federal budget, D.C. has been impacted by the shutdown in a way that no other city or state has, a development that has infuriated D.C. Mayor Vincent Gray.
At an Oct. 11 town hall meeting Gray said the shutdown has forced the city to tap into its reserve funds to keep city agencies open and to continue city services through the end of this week or next, at which time he said the usable portion of the reserve fund would be depleted.
But Gray said the reserve fund wasn’t large enough to enable the city to cover $90 million in Medicaid reimbursement payments to the city’s private clinics and medical providers that take Medicaid patients during the previous week.
Blanchon said the delay in the Medicaid payments resulted in Whitman-Walker not receiving about $70,000 in reimbursements for its Medicaid patients.
While Whitman-Walker’s reserve fund will enable the LGBT health provider to “weather the storm” for the time being, as Blanchon put it, other community-based health providers don’t have such a financial cushion, officials with those groups have said. Some of them have already been forced to lay off employees and curtail services, including HIV-related services, the officials have said.
Ruby Corado (Washington Blade file photo by Michael Key)
“We’re already seeing services cut back for LGBT and Latino community clients,” said Ruby Corado, director of the LGBT community center Casa Ruby. Corado said Casa Ruby, which is funded largely by private donors, wasn’t immediately affected by the shutdown.
Ron Simmons, executive director of Us Helping Us, a D.C.-based HIV service provider that reaches out to black gay men, said his group has also managed to get buy for the past two weeks “without any noticeable impact.”
But Simmons said Us Helping Us won’t be able to operate without possible service interruptions if the federal shutdown continues indefinitely. Although his organization doesn’t have the type of reserve fund that Whitman-Walker has, Simmons said much of the group’s federal funding for the fiscal year has already been appropriated by Congress through various grants. He said the payments through those grants, including one from the U.S. Centers for Disease Control and Prevention, have continued uninterrupted during the shutdown.
Similar to other HIV service providers in D.C. and across the nation, funding from the Ryan White federal AIDS program also had been appropriated by Congress prior to the shutdown, enabling groups receiving Ryan White grants to continue to receive the funds through the rest of the fiscal year, according to Carl Schmid, deputy director of the AIDS Institute, a national HIV/AIDS advocacy organization.
Carl Schmid (Washington Blade file photo by Michael Key)
“Luckily, the grants went out in April,” said Schmid in referring to the Ryan White program, which he said provides millions of dollars to AIDS groups across the country.
But Schmid cautioned that if the federal shutdown were to continue, AIDS service providers would be adversely impacted in a number of ways.
One immediate effect, he said, was federal officials who provide support for the processing of Ryan White grant applications were furloughed as soon as the shutdown began on Oct. 1.
“The new grant applications are due Oct. 31,” he said. “So what if people have questions about putting their grant applications together in the cities and states? Right now there’s no one to turn to.”
Schmid noted that most of the federal officials that administer the Obama administration’s national AIDS strategy program as well as the White House Office on AIDS Policy were also on furlough since Oct. 1.
“One or two days are one thing,” said Schmid. “But now this is going on too long and we’re definitely going to have ramifications. Let’s hope this gets solved soon.”
Michael Cole-Schwartz, a spokesperson for the Human Rights Campaign, told the Blade that LGBT-related implications of the shutdown could, among other things, include a cutback in the enforcement of the federal hate crimes act that covers hate crimes targeting LGBT people.
Cole-Schwartz said the furloughing of Justice Department personnel could negatively impact enforcement of both the hate crimes law and Title IX of an existing civil rights statute that protects women and transgender people from gender-related discrimination.
A Wider Bridge on Friday announced it will shut down at the end of the month.
The group that “mobilizes the LGBTQ community to fight antisemitism and support Israel and its LGBTQ community” in a letter to supporters said financial challenges prompted the decision.
“After 15 years of building bridges between LGBTQ communities in North America and Israel, A Wider Bridge has made the difficult decision to wind down operations as of Dec. 31, 2025,” it reads.
“This decision comes after challenging financial realities despite our best efforts to secure sustainable funding. We deeply appreciate our supporters and partners who made this work possible.”
Arthur Slepian founded A Wider Bridge in 2010.
The organization in 2016 organized a reception at the National LGBTQ Task Force’s Creating Change Conference in Chicago that was to have featured to Israeli activists. More than 200 people who protested against A Wider Bridge forced the event’s cancellation.
A Wider Bridge in 2024 urged the Capital Pride Alliance and other Pride organizers to ensure Jewish people can safely participate in their events in response to an increase in antisemitic attacks after Hamas militants attacked Israel on Oct. 7, 2023.
The Jewish Telegraphic Agency reported authorities in Vermont late last year charged Ethan Felson, who was A Wider Bridge’s then-executive director, with lewd and lascivious conduct after alleged sexual misconduct against a museum employee. Rabbi Denise Eger succeeded Felson as A Wider Bridge’s interim executive director.
A Wider Bridge in June honored U.S. Rep. Debbie Wasserman Schultz (D-Fla.) at its Pride event that took place at the Capital Jewish Museum in D.C. The event took place 15 days after a gunman killed two Israeli Embassy employees — Yaron Lischinsky and Sarah Milgrim — as they were leaving an event at the museum.
“Though we are winding down, this is not a time to back down. We recognize the deep importance of our mission and work amid attacks on Jewish people and LGBTQ people – and LGBTQ Jews at the intersection,” said A Wider Bridge in its letter. “Our board members remain committed to showing up in their individual capacities to represent queer Jews across diverse spaces — and we know our partners and supporters will continue to do the same.”
Editor’s note: Washington Blade International News Editor Michael K. Lavers traveled to Israel and Palestine with A Wider Bridge in 2016.
The White House
‘Trump Rx’ plan includes sharp cuts to HIV drug prices
President made announcement on Friday
President Donald Trump met with leaders from some of the world’s largest pharmaceutical companies at the White House on Friday to announce his new “Trump Rx” plan and outline efforts to reduce medication costs for Americans.
During the roughly 47-minute meeting in the Roosevelt Room, Trump detailed his administration’s efforts to cut prescription drug prices and make medications more affordable for U.S. patients.
“Starting next year, American drug prices will come down fast, furious, and will soon be among the lowest in the developed world,” Trump said during the meeting. “For decades, Americans have been forced to pay the highest prices in the world for prescription drugs by far … We will get the lowest price of anyone in the world.”
Trump signed an executive order in May directing his administration “to do everything in its power to slash prescription drug prices for Americans while getting other countries to pay more.”
“This represents the greatest victory for patient affordability in the history of American health care, by far, and every single American will benefit,” he added.
Several pharmaceutical executives stood behind the president during the announcement, including Sanofi CEO Paul Hudson, Novartis CEO Vas Narasimhan, Genentech CEO Ashley Magargee, Boehringer Ingelheim (USA) CEO Jean-Michel Boers, Gilead Sciences CEO Dan O’Day, Bristol Myers Squibb General Counsel Cari Gallman, GSK CEO Emma Walmsley, Merck CEO Robert Davis, and Amgen Executive Vice President Peter Griffith.
Also in attendance were Health and Human Services Secretary Robert F. Kennedy Jr., Commerce Secretary Howard Lutnick, Centers for Medicare and Medicaid Services Administrator Mehmet Oz, and Food and Drug Administration Commissioner Marty Makary.
Under the Trump Rx plan, the administration outlined a series of proposed drug price changes across multiple companies and therapeutic areas. Among them were reductions for Amgen’s cholesterol-lowering drug repatha from $573 to $239; Bristol Myers Squibb’s HIV medication reyataz from $1,449 to $217; Boehringer Ingelheim’s type 2 diabetes medication jentadueto from $525 to $55; Genentech’s flu medication xofluza from $168 to $50; and Gilead Sciences’ hepatitis C medication epclusa from $24,920 to $2,425.
Additional reductions included several GSK inhalers — such as the asthma inhaler advair diskus 500/50, from $265 to $89 — Merck’s diabetes medication januvia from $330 to $100, Novartis’ multiple sclerosis medication mayzent from $9,987 to $1,137, and Sanofi’s blood thinner plavix from $756 to $16. Sanofi insulin products would also be capped at $35 per month’s supply.
These prices, however, would only be available to patients who purchase medications directly through TrumpRx. According to the program’s website, TrumpRx “connects patients directly with the best prices, increasing transparency, and cutting out costly third-party markups.”
Kennedy spoke after Trump, thanking the president for efforts to lower pharmaceutical costs in the U.S., where evidence has shown that drug prices — including both brand-name and generic medications — are nearly 2.78 times higher than prices in comparable countries. According to the Pharmaceutical Research and Manufacturers of America, roughly half of every dollar spent on brand-name drugs goes to entities that play no role in their research, development, or manufacturing.
“This is affordability in action,” Kennedy said. “We are reversing that trend and making sure that Americans can afford to get the life-saving solutions.”
Gilead CEO Dan O’Day also spoke about how the restructuring of drug costs under TrumpRx, combined with emerging technologies, could help reduce HIV transmission — a virus that, if untreated, can progress to AIDS. The LGBTQ community remains disproportionately affected by HIV.
“Thank you, Mr. President — you and the administration,” O’Day said. “I think this objective of achieving the commitment to affordability and future innovation is extraordinary … We just recently launched a new medicine that’s only given twice a year to prevent HIV, and we’re working with Secretary Kennedy and his entire team, as well as the State Department, as a part of your strategy to support ending the epidemic during your term.
“I’ve never been more optimistic about the innovation that exists across these companies and the impact this could have on America’s health and economy,” he added.
Trump interjected, asking, “And that’s working well with HIV?”
“Yes,” O’Day replied.
“It’s a big event,” Trump said.
“It literally prevents HIV almost 100 percent given twice a year,” O’Day responded.
A similar anti-HIV medication is currently prescribed more than injectable form mentioned by O’Day. PrEP, is a medication regimen proven to significantly reduce HIV infection rates for people at high risk. Without insurance, brand-name Truvada can cost roughly $2,000 per month, while a generic version costs about $60 per month.
Even when medication prices are reduced, PrEP access carries additional costs, including clinic and laboratory fees, office visits, required HIV and sexually transmitted infection testing, adherence services and counseling, and outreach to potentially eligible patients and providers.
According to a 2022 study, the annual total cost per person for PrEP — including medication and required clinical and laboratory monitoring — is approximately $12,000 to $13,000 per year.
The TrumpRx federal platform website is now live at TrumpRx.gov, but the program is not slated to begin offering reduced drug prices until January.
The White House
EXCLUSIVE: Democracy Forward files FOIA lawsuit after HHS deadnames Rachel Levine
Trans former assistant health secretary’s name changed on official portrait
Democracy Forward, a national legal organization that works to advance democracy and social progress through litigation, policy and public education, and regulatory engagement, filed a lawsuit Friday in federal court seeking to compel the U.S. Department of Health and Human Services to release information related to the alteration of former Assistant Secretary for Health Adm. Rachel Levine’s official portrait caption.
The lawsuit comes in response to the slow pace of HHS’s handling of multiple Freedom of Information Act requests — requests that federal law requires agencies to respond to within 20 working days. While responses can take longer due to backlogs, high request volumes, or the need for extensive searches or consultations, Democracy Forward says HHS has failed to provide any substantive response.
Democracy Forward’s four unanswered FOIA requests, and the subsequent lawsuit against HHS, come days after someone in the Trump-Vance administration changed Levine’s official portrait in the Hubert H. Humphrey Building to display her deadname — the name she used before transitioning and has not used since 2011.
According to Democracy Forward, HHS “refused to release any records related to its morally wrong and offensive effort to alter former Assistant Secretary for Health Admiral Rachel Levine’s official portrait caption.” Levine was the highest-ranking openly transgender government official in U.S. history and served as assistant secretary for health and as an admiral in the U.S. Public Health Service Commissioned Corps from 2021 to 2025.
Democracy Forward President Skye Perryman spoke about the need to hold the Trump-Vance administration accountable for every official action, especially those that harm some of the most targeted Americans, including trans people.
“The question every American should be asking remains: what is the Trump-Vance administration hiding? For an administration that touts its anti-transgender animus and behavior so publicly, its stonewalling and silence when it comes to the people’s right to see public records about who was behind this decision is deafening,” Perryman said.
“The government’s obligation of transparency doesn’t disappear because the information sought relates to a trailblazing former federal official who is transgender. It’s not complicated — the public is entitled to know who is making decisions — especially decisions that seek to alter facts and reality, erase the identity of a person, and affect the nation’s commitment to civil rights and human dignity.”
“HHS’s refusal to respond to these lawful requests raises more serious concerns about transparency and accountability,” Perryman added. “The public has every right to demand answers — to know who is behind this hateful act — and we are going to court to get them.”
The lawsuit also raises questions about whether the alteration violated federal accuracy and privacy requirements governing Levine’s name, and whether the agency improperly classified the change as an “excepted activity” during a lapse in appropriations. By failing to make any determination or produce any records, Democracy Forward argues, HHS has violated its obligations under federal law.
The case, Democracy Forward Foundation v. U.S. Department of Health and Human Services, was filed in the U.S. District Court for the District of Columbia. The legal team includes Anisha Hindocha, Daniel McGrath, and Robin Thurston.
The Washington Blade reached out to HHS, but has not received any comment.
The lawsuit and four FOIA requests are below:
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