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HIV groups praise Obama for 2013 budget request

Domestic programs see increase, but research and int’l efforts cut

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President Obama’s budget request for the upcoming fiscal year has won praise for including an increase in funds for domestic HIV treatment programs, although concerns persist about flat-funding for research programs and reductions in the chief program aimed at fighting the global AIDS epidemic.

The White House unveiled on Monday the president’s $3.8 trillion proposal to fund the U.S. government for fiscal year 2013, which includes funds for federally funded HIV/AIDS programs. The proposal was sent to Congress for lawmakers to act on and amend before passing into law.

Advocates for HIV/AIDS programs were largely happy with the recommendations made by the president on funding levels, which the White House says increases HIV/AIDS funding by $800 million, particularly with the Ryan White AIDS Drugs Assistance Programs, which provides grants to states for HIV/AIDS support services.

Carl Schmid, deputy executive director of the AIDS Institute, said the budget demonstrates Obama’s “strong commitment” to fight HIV by increasing funds “for prevention and lifesaving care and treatment for those who cannot afford it in the United States.”

“President Obama recognizes the importance of the federal government’s role in addressing infectious diseases, such as HIV, and the need to provide care and treatment to people with HIV/AIDS to keep them healthy and reduce new infections,” Schmid said. “We now urge Congress to show the same level of support as it considers federal spending priorities for the upcoming year.”

Under the budget, funding for the Ryan White AIDS Drug Assistance Program would increase by $102 million over the FY-12 levels that Congress appropriated for a total of $1 billion. Additionally, the president also proposes an increase of $20 million for Part C of the Ryan White HIV/AIDS Program to fund primary care for more than 550,000 people who have HIV/AIDS.

The increase will likely be welcome to news to individuals on wait lists for these programs. According to the National Alliance of State and Territorial AIDS Directors, 4,118 people are on ADAP waiting lists in 12 states and more than 445 people in six states have been disenrolled from the program due to budget constraints and growing enrollment.

Brian Hujdich, executive director of HealthHIV, also commended the president for increasing domestic HIV/AIDS funding, which he said is necessary until the government fully implements the health care reform law signed in 2009.

“The president has clearly identified HIV as a priority in 2013 by increasing funding for HIV care and treatment to those in the U.S. who cannot afford it, expanding access to life-saving HIV medication for the uninsured and underinsured, and increasing HIV prevention funding,” Hujdich said.

On World AIDS Day in December, President Obama announced an additional $35 million for the ADAP program and $15 million more for Part C of the Ryan White program. The proposed budget continues funds for those programs into FY-13 and increases it.

But funding for Ryan White hasn’t increased across the board. Obama proposes a decrease of $8 million to Part D of the Ryan White Program, which funds programs aimed at youth, women and families.

Other domestic HIV/AIDS programs are also seeing continued funds. The proposal requests $330 million for the Department of Housing & Urban Development’s Housing Opportunities for Persons with AIDS (HOPWA) program, which addresses housing needs for people with HIV/AIDS. The funding level this programs has been reduced by $2 million.

The president proposes an increase of HIV funding at the Centers for Disease Control and Prevention (CDC) by $40 million. These funds are expected to help CDC focus on communities most impacted by HIV, including blacks and gay men, by increasing testing programs and linking people to care.

Obama also restores a $10 million cut to HIV Adolescent and School Health as young people continue to account for new HIV infections. Congress cut that program in FY-12 by 25 percent of its budget.

Despite these funds, advocates are also concerned about flat-level funding for research programs that develop new ways to combat HIV/AIDS. The National Institutes for Health, the nation’s medical research agency, was allocated $31 billion in the president’s budget proposal —the same overall level as FY-12.

With regard to specific HIV/AIDS initiatives at NIH, the budget proposes $3.1 billion for intramural and extramural HIV/AIDS-related research. Funding for HIV/AIDS research was about $3.2 billion in FY-12.

Michael Cole-Schwartz, spokesperson for the Human Rights Campaign, expressed concern about funding for these research programs while generally supporting the level of HIV/AIDS funding in the budget.

“Given the constraints imposed by last year’s budget agreement, we are very happy to see some significant increases in key areas, including for the AIDS Drug Assistance Programs and early intervention in vulnerable populations,” Cole-Schwartz said. “However, we are concerned by flat funding and cuts in other areas, particularly at the National Institutes of Health, where ongoing research on HIV/AIDS is critical to the goal of ending the epidemic.”

Spencer Lieb, the AIDS Institute’s HIV/AIDS research coordinator, said the flat-level funding for NIH is peculiar given the president’s past support for this program.

“This is surprising given the recognition President Obama has given to the recent monumental advances in biomedical prevention research conducted by the NIH and the need for continued prevention research, including on vaccines and new drug therapies,” Lieb said.

Additionally, the budget makes cuts to efforts to combat HIV/AIDS programs overseas. Obama’s proposal cuts more than a half billion dollars, or almost 13 percent, from the President’s Emergency Plan for AIDS Relief (PEPFAR), which was established by President George W. Bush to provide anti-retroviral treatment to people with AIDS overseas.

Judith Aberg, chair of the HIV Medicine Association, said in a statement funding for PEPFAR in Obama’s request “falls short” of support needed “to put us on course to end AIDS globally.”

“The president is not providing the resources necessary to fulfill his commitment to putting 6 million on HIV treatment under the program or to scale up male circumcision or prevention of vertical transmission programs,” Aberg said. “Now is not the time to retreat on our investment in either of these lifesaving programs.”

Shin Inouye, a White House spokesperson, justified the reductions in PEPFAR by saying the program is “a real life success story of doing more with less” because it continues efficiency while lowering costs.

“The most important metric for PEPFAR is lives saved, not dollars spent, and through smart investments we are delivering results,” Inouye said.

According to the White House, the necessary funds for PEPFAR are lower because of generic drugs, the ability to ship commodities more cheaply in addition to task-shfiting to nurses and community health workers. Inouye said the cost to the United States per-patient of providing treatment for AIDS patients has fallen by over 50 percent since 2008.

 

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U.S. Supreme Court

Supreme Court to consider bans on trans athletes in school sports

27 states have passed laws limiting participation in athletics programs

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U.S. Supreme Court (Washington Blade photo by Michael Key)

The U.S. Supreme Court on Thursday agreed to hear two cases involving transgender youth challenging bans prohibiting them from participating in school sports.

In Little v. Hecox, plaintiffs represented by the ACLU, Legal Voice, and the law firm Cooley are challenging Idaho’s 2020 ban, which requires sex testing to adjudicate questions of an athlete’s eligibility.

The 9th U.S. Circuit Court of Appeals described the process in a 2023 decision halting the policy’s enforcement pending an outcome in the litigation. The “sex dispute verification process, whereby any individual can ‘dispute’ the sex of any female student athlete in the state of Idaho,” the court wrote, would “require her to undergo intrusive medical procedures to verify her sex, including gynecological exams.”

In West Virginia v. B.P.J., Lambda Legal, the ACLU, the ACLU of West Virginia, and Cooley are representing a trans middle school student challenging the Mountain State’s 2021 ban on trans athletes.

The plaintiff was participating in cross country when the law was passed, taking puberty blockers that would have significantly reduced the chances that she could have a physiological advantage over cisgender peers.

“Like any other educational program, school athletic programs should be accessible for everyone regardless of their sex or transgender status,” said Joshua Block, senior counsel for the ACLU’s LGBTQ and HIV Project. “Trans kids play sports for the same reasons their peers do — to learn perseverance, dedication, teamwork, and to simply have fun with their friends,” Block said.

He added, “Categorically excluding kids from school sports just because they are transgender will only make our schools less safe and more hurtful places for all youth. We believe the lower courts were right to block these discriminatory laws, and we will continue to defend the freedom of all kids to play.”

“Our client just wants to play sports with her friends and peers,” said Lambda Legal Senior Counsel Tara Borelli. “Everyone understands the value of participating in team athletics, for fitness, leadership, socialization, and myriad other benefits.”

Borelli continued, “The U.S. Court of Appeals for the Fourth Circuit last April issued a thoughtful and thorough ruling allowing B.P.J. to continue participating in track events. That well-reasoned decision should stand the test of time, and we stand ready to defend it.”

Shortly after taking control of both legislative chambers, Republican members of Congress tried — unsuccessfully — to pass a national ban like those now enforced in 27 states since 2020.

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Federal Government

UPenn erases Lia Thomas’s records as part of settlement with White House

University agreed to ban trans women from women’s sports teams

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U.S. Education Secretary Linda McMahon (Screen capture: C-SPAN)

In a settlement with the Trump-Vance administration announced on Tuesday, the University of Pennsylvania will ban transgender athletes from competing and erase swimming records set by transgender former student Lia Thomas.

The U.S. Department of Education’s Office for Civil Rights found the university in violation of Title IX, the federal rights law barring sex based discrimination in educational institutions, by “permitting males to compete in women’s intercollegiate athletics and to occupy women-only intimate facilities.”

The statement issued by University of Pennsylvania President J. Larry Jameson highlighted how the law’s interpretation was changed substantially under President Donald Trump’s second term.

“The Department of Education OCR investigated the participation of one transgender athlete on the women’s swimming team three years ago, during the 2021-2022 swim season,” he wrote. “At that time, Penn was in compliance with NCAA eligibility rules and Title IX as then interpreted.”

Jameson continued, “Penn has always followed — and continues to follow — Title IX and the applicable policy of the NCAA regarding transgender athletes. NCAA eligibility rules changed in February 2025 with Executive Orders 14168 and 14201 and Penn will continue to adhere to these new rules.”

Writing that “we acknowledge that some student-athletes were disadvantaged by these rules” in place while Thomas was allowed to compete, the university president added, “We recognize this and will apologize to those who experienced a competitive disadvantage or experienced anxiety because of the policies in effect at the time.”

“Today’s resolution agreement with UPenn is yet another example of the Trump effect in action,” Education Secretary Linda McMahon said in a statement. “Thanks to the leadership of President Trump, UPenn has agreed both to apologize for its past Title IX violations and to ensure that women’s sports are protected at the university for future generations of female athletes.”

Under former President Joe Biden, the department’s Office of Civil Rights sought to protect against anti-LGBTQ discrimination in education, bringing investigations and enforcement actions in cases where school officials might, for example, require trans students to use restrooms and facilities consistent with their birth sex or fail to respond to peer harassment over their gender identity.

Much of the legal reasoning behind the Biden-Harris administration’s positions extended from the 2020 U.S. Supreme Court case Bostock v. Clayton County, which found that sex-based discrimination includes that which is based on sexual orientation or gender identity under Title VII rules covering employment practices.

The Trump-Vance administration last week put the state of California on notice that its trans athlete policies were, or once were, in violation of Title IX, which comes amid the ongoing battle with Maine over the same issue.

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New York

Two teens shot steps from Stonewall Inn after NYC Pride parade

One of the victims remains in critical condition

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The Stonewall National Memorial in New York on June 19, 2024. (Washington Blade photo by Michael K. Lavers)

On Sunday night, following the annual NYC Pride March, two girls were shot in Sheridan Square, feet away from the historic Stonewall Inn.

According to an NYPD report, the two girls, aged 16 and 17, were shot around 10:15 p.m. as Pride festivities began to wind down. The 16-year-old was struck in the head and, according to police sources, is said to be in critical condition, while the 17-year-old was said to be in stable condition.

The Washington Blade confirmed with the NYPD the details from the police reports and learned no arrests had been made as of noon Monday.

The shooting took place in the Greenwich Village neighborhood of Manhattan, mere feet away from the most famous gay bar in the city — if not the world — the Stonewall Inn. Earlier that day, hundreds of thousands of people marched down Christopher Street to celebrate 55 years of LGBTQ people standing up for their rights.

In June 1969, after police raided the Stonewall Inn, members of the LGBTQ community pushed back, sparking what became known as the Stonewall riots. Over the course of two days, LGBTQ New Yorkers protested the discriminatory policing of queer spaces across the city and mobilized to speak out — and throw bottles if need be — at officers attempting to suppress their existence.

The following year, LGBTQ people returned to the Stonewall Inn and marched through the same streets where queer New Yorkers had been arrested, marking the first “Gay Pride March” in history and declaring that LGBTQ people were not going anywhere.

New York State Assemblywoman Deborah Glick, whose district includes Greenwich Village, took to social media to comment on the shooting.

“After decades of peaceful Pride celebrations — this year gun fire and two people shot near the Stonewall Inn is a reminder that gun violence is everywhere,” the lesbian lawmaker said on X. “Guns are a problem despite the NRA BS.”

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