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HRC, Sebelius unveil report on medical facilities

Evaluating LGBT-friendliness of hospitals, other providers

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HRC President Chad Griffin unveils Healthcare Equality Index (Blade photo by Chris Johnson)

Human Rights Campaign President Chad Griffin and Secretary of Health & Human Services Kathleen Sebelius unveiled HRC’s annual report evaluating the LGBT friendliness of medical facilities throughout the country at a media appearance Tuesday.

The two appeared together at a news conference at Howard University Medical Center — a facility that received a perfect score in the new report — to talk about the findings in HRC’s 2012 Healthcare Equality Index, which is the fifth such report from the organization.

Griffin said during the news conference that medical facilities shouldn’t deny a patient the ability to see a loved one — whether it’s a same-sex or opposite-sex partner — while visiting a hospital.

“At no time are we more vulnerable than when we’re lying on an emergency room gurney or in a hospital bed,” Griffin said. “It’s a scary time; not a time to be alone, and we desperately need our loved one by our side. And of course, that’s exactly where they want to be, not sitting in a waiting room feeling scared or helpless, or even worse, in a car racing home to find legal papers that prove our relationships while critical medical decisions are being made without us.”

Sebelius noted the Obama administration’s work on improving LGBT health, mentioning accomplishments such as the hospital visitation memorandum and a move to bar insurers from discriminating on the basis of LGBT status.

“A lot of these improvement don’t get the biggest press headlines, but they reflect how every day in dozens of small ways every agency and division in our department is working to make things better for LGBT individuals and families we serve,” Sebelius said.

This year’s index includes 407 respondents that volunteered to fill out a survey on key aspects of treatment of LGBT patients and staff, including patient non-discrimination policies, visitation polices, employment non-discrimination policies and training in LGBT patient-centered care.

The report saw a 40 percent increase in participating respondents from last year. Additionally, there were 237 facilities — a 162 percent increase — in facilities that received a perfect score and were dubbed a “Leader in LGBT Healthcare Equality.”

Wayne Frederick, Howard University provost and chief academic officer, said Howard University Hospital was “delighted” to be included among the facilities that received a perfect score in the index.

“Patient-centered care is a universal standard and is expected of all health care providers and health care institutions,” Frederick said. “It is a standard that is deserved by all people regardless of race, nationality, gender, sexual orientation or gender identity.”

The D.C.-based Whitman-Walker Health also received a perfect score in the index and is the only non-hospital organization in the district to receive a perfect score in the report.

Don Blanchon, Whitman-Walker’s executive director, said he’s “excited and honored” his organization’s work has been recognized by HRC.

“Whitman-Walker was founded more than 30 years ago to offer high quality and affirming health care for metropolitan D.C.’s LGBT community at a time when that was almost non-existent,” Blanchon said. “We are very proud to not only be recognized but to join the company of other health care groups around the nation who are working to ensure equal access to high quality care.”

Although more facilities than ever volunteered to fill out the survey, 18 states aren’t represented: Alaska, Idaho, Montana, Wyoming, Colorado, New Mexico, Oklahoma, Kansas, Nebraska, North Dakota, South Dakota, Arkansas, Louisiana, Mississippi, Alabama, West Virginia, Vermont and Connecticut.

On the same day that HRC issued its report, the Department of Health & Human Services issued its own annual report identifying seven key LGBT accomplishments in the past year as well as goals moving forward. Among them are the National Institutes of Health issuing a report identifying LGBT health gaps and opportunities; the Centers for Disease Control issuing data on domestic violence for LGBT couples; and the Centers for Medicare & Medicaid Services making a training video about LGBT elder Americans.

Griffin emphasized the importance of health care equity by narrating his own story about making his first visit to the doctor after coming out as gay while living in Los Angeles and wanting to correct his patient record by saying he had previously incorrectly identified as straight.

“My doctor didn’t make me feel comfortable,” Griffin said. “He didn’t sort of have the answers to the questions and I didn’t feel comfortable, which is what I expected with my doctor. So, I left and I immediately changed doctors and got a doctor that was referred by friends, and I was very comfortable with being honest with that doctor and asking every question I had as a young person struggling to come out of the closet. That was so important and so helpful.”

CORRECTION: An earlier version of this article said Whitman-Walker was the only non-hospital organization to receive a perfect score in the Healthcare Equality Index. It’s the only non-hospital organization in D.C., not the country. The Blade regrets the error.

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Federal Government

Trump budget targets ‘gender extremism’

Proposed spending package would target ‘leftist’ political ideologies

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The FBI seal on granite. (Photo courtesy of Bigstock)

The White House submitted its 2027 budget request to Congress last month, outlining a push for the Federal Bureau of Investigation to “proactively” target what it describes as “extremism” related to gender — raising concerns about the potential for law enforcement to target LGBTQ people.

The Trump-Vance administration’s 2027 budget request, submitted to Congress on April 4, proposes a dramatic increase in national security and law enforcement spending, while reducing foreign aid and restructuring multiple domestic security programs. In total, the administration is requesting $2.16 trillion in discretionary budget authority (including mandatory resources), a 15.3 percent increase over the 2026 proposal.

Central to the proposal is the creation of a new “NSPM-7 Joint Mission Center,” a direct follow-up to the September 2025 National Security Presidential Memorandum 7 (NSPM-7). The directive instructs the Justice Department, the FBI, and other national security agencies to combat what the administration defines as “political violence in America,” effectively reshaping the Joint Terrorism Task Force network to focus on “leftist” political ideologies, according to reporting by independent journalist Ken Klippenstein.

The American Civil Liberties Union has characterized NSPM-7 as a way for President Donald Trump to intimidate his political enemies.

In a press release following the memorandum, Hina Shamsi, director of the ACLU’s National Security Project, said, “President Trump has launched yet another effort to investigate and intimidate his critics,” and had described the move as an “intimidation tactic against those standing up for human rights and civil liberties.”

The proposed mission center would include personnel from 10 federal agencies tasked with targeting “domestic terrorists” associated with a wide range of ideologies. Among them is what the administration labels “extremism” related to gender, alongside categories such as “anti-Americanism,” “anti-capitalism,” “anti-Christianity,” and “support for the overthrow of the U.S. government.” The document also cites “hostility toward those who hold traditional American views” on family, religion, and morality — language LGBTQ advocates have increasingly warned could be used to frame queer and transgender rights movements as ideological threats.

The mission center is one component of a proposed $166 million increase in the FBI’s counterterrorism budget.

In total, the FBI would receive $12.5 billion for salaries and expenses under the proposal, a $1.9 billion increase. Planned investments include unmanned aerial systems operations and counter-drone capabilities, counterterrorism efforts, and security preparations for the 2028 Summer Olympics in Los Angeles. The budget also cites 67,000 FBI arrests since Jan. 20, 2026, which it describes as a 197 percent increase from the prior year.

When Congress passed the USA PATRIOT Act in 2001, it also enacted 18 U.S.C. § 2331(5), which defines domestic terrorism as activities involving acts dangerous to human life that violate criminal laws and are intended to intimidate or coerce civilians or influence government policy through violence. That statutory definition has not changed.

However, federal agencies have historically categorized domestic terrorism threats into groups such as racially or ethnically motivated violent extremism, anti-government or anti-authority violent extremism, and other threats, including those tied to bias based on religion, gender, or sexual orientation.

The language in the budget suggests a shift in how those categories are interpreted and applied — particularly by explicitly linking “extremism” to gender and to perceived opposition to “traditional” views — without any corresponding change to federal law. Only Congress has the power to change the definition of domestic terrorism by passing legislation.

The budget document states:

“DT lone offenders will continue to pose significant detection and disruption challenges because of their capacity for independent radicalization to violence, ability to mobilize discretely, and access to firearms. Additionally, in recent years, heinous assassinations and other acts of political violence in the United States have dramatically increased. Commonly, this violent conduct relates to views associated with anti-Americanism, anti-capitalism, and anti-Christianity; support for the overthrow of the U.S. government; extremism on migration, race, and gender; and hostility toward those who hold traditional American views on family, religion, and morality.”

This language echoes earlier actions by the Trump-Vance administration targeting trans people.

On the first day of his second term, President Trump signed Executive Order 14168, titled “Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government.”

The order establishes a strict binary definition of sex and withdraws federal recognition of trans people.

“It is the policy of the United States to recognize two sexes, male and female,” the order states. “‘Sex’ shall refer to an individual’s immutable biological classification as either male or female. ‘Sex’ is not a synonym for and does not include the concept of ‘gender identity.’”

Appropriations committees in both chambers are expected to begin hearings in the coming weeks.

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Puerto Rico

The ‘X’ returns to court

1st Circuit hears case over legal recognition of nonbinary Puerto Ricans

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(Photo by Sergei Gnatuk via Bigstock)

Eight months ago, I wrote about this issue at a time when it had not yet reached the judicial level it faces today. Back then, the conversation moved through administrative decisions, public debate, and political resistance. It was unresolved, but it had not yet reached this point.

That has now changed.

Lambda Legal appeared before the 1st U.S. Court of Appeals in Boston, urging the court to uphold a lower court ruling that requires the government of Puerto Rico to issue birth certificates that accurately reflect the identities of nonbinary individuals. The appeal follows a district court decision that found the denial of such recognition to be a violation of the U.S. Constitution.

This marks a turning point. The issue is no longer theoretical. A court has already determined that unequal treatment exists.

The argument presented by the plaintiffs is grounded in Puerto Rico’s own legal framework. Identity birth certificates are not static historical records. They are functional documents used in everyday life. They are required to access employment, education, and essential services. Their purpose is practical, not symbolic.

Within that framework, the exclusion of nonbinary individuals does not stem from a legal limitation. Puerto Rico already allows gender marker corrections on birth certificates for transgender individuals under the precedent established in Arroyo Gonzalez v. Rosselló Nevares. In addition, the current Civil Code recognizes the existence of identity documents that reflect a person’s lived identity beyond the original birth record.

The issue lies in how the law is applied.

Recognition is granted within specific categories, while those who do not identify within that binary structure remain excluded. That exclusion is now at the center of this case.

Lambda Legal’s position is straightforward. Requiring individuals to carry documents that do not reflect who they are forces them into misrepresentation in essential aspects of daily life. This creates practical barriers, exposes them to scrutiny, and places them in a constant state of vulnerability.

The plaintiffs, who were born in Puerto Rico, have made clear that access to accurate identification is not symbolic. It is a basic condition for moving through the world without contradiction imposed by the state.

The fact that this case is now being addressed in the federal court system adds another layer of significance. This is not a pending policy discussion or a legislative proposal. It is a constitutional question. The analysis is not about political preference, but about rights and equal protection under the law.

This case does not exist in isolation.

It unfolds within a broader context in which debates over identity and rights have increasingly been shaped by the growing influence of conservative perspectives in public policy, both in the United States and in Puerto Rico. At the local level, this influence has been reflected in legislative discussions where religious arguments have begun to intersect with decisions that should be grounded in constitutional principles. That intersection creates tension around the separation of church and state and has direct consequences for access to rights.

Recognizing this context is not an attack on faith or religious practice. It is an acknowledgment that when certain perspectives move into the realm of public authority, they can shape outcomes that affect specific communities.

From within Puerto Rico, this is not a distant debate. It is a lived reality. It is present in the difficulty of presenting identification that does not match one’s identity, and in the consequences that follow in workplaces, schools, and government spaces.

The progression of this case introduces the possibility of change within the applicable legal framework. Not because it resolves every tension surrounding the issue, but because it establishes a legal examination of a practice that has long operated under exclusion.

Eight months ago, the conversation centered on ongoing developments. Today, there is already a judicial finding that identifies a violation of rights. What remains is whether that finding will be upheld on appeal.

That process does not guarantee an immediate outcome, but it shifts the ground.

The debate is no longer theoretical.

It is now before the courts.

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National

LGBTQ community explores arming up during heated political times

Interest in gun ownership has increased since Donald Trump returned to office

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Gun rights organizations and advocates say interest in gun ownership seems to have increased in the LGBTQIA+ community since President Donald Trump returned to the White House last year. (Photo by Kaitlin Newman for the Baltimore Banner)

By JOHN-JOHN WILLIAMS IV | As the child of a father who hunted, Vera Snively shied away from firearms, influenced by her mother’s aversion to guns.

Now, the 18-year-old Westminster electrician goes to the shooting range at least once a month. She owns a rifle and a shotgun, and plans to get a handgun when she turns 21.

“I want to be able to defend my community, especially being in political spaces and queer spaces,” said Snively, a trans woman. “It’s just having that extra line of safety, having that extra peace of mind would be important to me.”

Snively is among what some say is a growing number of LGBTQ gun owners across the United States. Gun rights organizations and advocates say interest in gun ownership appears to have increased in that community since President Donald Trump returned to the White House last year.

The rest of this article can be read on the Baltimore Banner’s website.

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