National
HHS affirms trans protections in health care reform
Sex discrimination prohibition said to apply to gender identity
Discrimination against transgender people in federal health programs or health programs that receive federal funds is prohibited under the health care reform law, the Department of Health & Human Services affirmed in a letter to LGBT advocates made public on Monday.
The letter, dated July 12 and signed by Leon Rodriguez, director of the Office of Civil Rights for HHS, says the Obama administration has interpreted existing non-discrimination law — including Title VII of the Civil Rights Act of 1964 and Title IX of the Education Amendments of 1972 — to mean that the sex-discrimination protections under the Affordable Care Act apply to transgender people, and, in some cases, individuals who are lesbian, gay and bisexual.
“We agree that Section 1577’s sex discrimination prohibition extends to claims of discrimination based on gender identity or failure to conform to stereotypical notions of masculinity or femininity and will accept such complaints for investigation,” Rodriguez writes. “Section 1557 also prohibits sexual harassment and discrimination regardless of actual or perceived sexual orientation or gender identity of the individuals involved.”
The letter states that the Office of Civil Rights for HHS intends to issue future guidance on this section. In the meantime, Rodriguez says HHS is “currently accepting and investigating complaints” and is making determinations on whether discrimination has happened on a case-by-case basis.
Health programs that receive federal funds include hospitals, clinics and mental health facilities that receive Medicare and Medicaid funding. According to a National Transgender Discrimination Survey published by the National Gay & Lesbian Task Force, one in five transgender people have been denied care by a medical provider.
The HHS interpretation that sex discrimination statues apply to transgender people under the health care reform law follows a recent trend of reading such laws to cover transgender people. Most notably, the U.S. Equal Employment Opportunity Commission ruled that existing employment non-discrimination law on sex discrimination extends to transgender people, as well as the U.S. Eleventh Circuit Court of Appeals in the case of Glenn v. Brumby and the Department of Housing & Urban Development in federally funded housing programs.
Mara Keisling, executive director of the National Center for Transgender Equality, said transgender people could previously file complaints if they felt they faced discrimination in health programs, but the clarification from HHS streamlines the process.
“You can always file a complaint, but now HHS is saying they interpret sex discrimination laws to cover gender identity discrimination,” Keisling said. “You don’t have to claim sex stereotyping, and then prove sex stereotyping because gender identity discrimination is sex discrimination.”
Keisling maintained that the clarification from HHS doesn’t mean that health care providers have to provide aid for gender transitioning, saying “nothing in federal law says any insurance plan — public and private — has to cover transition-related care.”
Kellan Baker, a health policy analyst for the Center for American Progress’ LGBT research and communications project, said this policy affirmed in the letter isn’t new — having already been openly discussed by Obama administration officials — and HHS’s response simply provides clarification of the issue.
“This is something that has been in the Affordable Care Act the entire time,” Baker said. “This is just a clarification that the department is aware of the fact that making sure that transgender people have access to the same services, the same health care, that non-transgender people do is an essential principle of health care reform, is an essential principle of the Affordable Care Act.”
The main addressee on the letter is Maya Rupert, federal policy director for the National Center for Lesbian Rights, which was among the 12 LGBT groups that co-sigend a letter to HHS requesting the information. HHS’s response carbon copies the other groups.
The advocates’ letter, dated June 5, calls for clarification on the issue, saying groups have previously submitted memoranda detailing the problem and calling for implementing regulations to prohibit discrimination in health care to LGBT individuals. Advocates make the case that recent determinations that sex discrimination protections apply to transgender people should make it easy for HHS to conclude such non-discrimination is possible in health care.
“While the need for regulations for section 1557 remain, we believe recent developments have it made it necessary for HHS to issue clarifying guidance on the application of the law in this area in advance of formal rulemaking,” the letter states.
In a statement, Rupert expressed gratitude to HHS for clarifying existing law protects transgender people from discrimination in health care, saying they “face several discrimination in healthcare settings and are often denied care completely.”
“This announcement affirms that all patients in federally funded health care settings must be treated equally and may not be denied care simply because of who they are,” Rupert said. “We are grateful to HHS for clarifying this important policy and providing transgender people with the security of knowing they are included in the administration’s commitment to the health and well-being of all Americans.”
Pam Bondi has been ousted as attorney general.
President Donald Trump on Thursday in a statement said Deputy Attorney General Todd Blanche will succeed Bondi in the interim.
Bondi was Florida’s attorney general from 2011-2019.
The Washington Blade will update this story.
The White House
VIDEO: Gay journalist detained for booing Trumps at ‘Chicago’ opening night
Eugene Ramirez booed first family at Kennedy Center
President Donald Trump and first lady Melania Trump attended the opening night of “Chicago” at the John F. Kennedy Center for the Performing Arts on Tuesday. They were greeted by a mix of cheers, applause, and some audible boos.
Among them was Eugene Ramirez, a gay Washington resident, who later shared his account of the night after being briefly detained by security for booing the president and giving a thumbs-down gesture — an expression of what many would call a textbook definition of constitutionally protected speech to criticize the government.
Ramirez attended the opening night performance with a group of friends, hoping to catch a final show before the center undergoes two years of major changes under Trump oversight. The musical, based on a 1926 play of the same name, has become synonymous with Broadway success.
With music by John Kander, lyrics by Fred Ebb, and a book by Ebb and Bob Fosse, “Chicago” has cemented itself as a cultural staple — known for its signature Fosse choreography, stripped-down staging, and sleek, campy aesthetic. The story follows Roxie Hart and Velma Kelly, women who murder their husbands but — with the help of the manipulative, charismatic, and narcissistic attorney Billy Flynn — walk away scot-free.
It remains the longest-running American musical in Broadway history, and its 2002 film adaptation famously won the Academy Award for Best Picture. On this night, however, the production also became the backdrop for a very modern moment of political protest.
“I accompanied five friends to opening night of ‘Chicago’, as a way to enjoy a final performance in the Kennedy Center as we know it,” Ramirez began to recount to the Washington Blade, describing the moment his group settled into their seats inside the ornate Opera House theater.
Just before the performance began, the twice impeached president and first lady appeared in the balcony box, drawing immediate attention from the audience below. Theatergoers stood, cheered, clapped, and waved, while Ramirez made a different choice.
While accounts of the crowd’s reaction have varied, Ramirez said his response was intentional, immediate, and within his rights. Moments after booing and giving a thumbs-down while recording on his iPhone, security intervened.
The video of Ramirez booing the Trump’s is here:
“Within moments, the director [of security] and another guard approached and escorted me to a side area where several other security guards were waiting,” he said. “I was detained until everyone was seated and the lights dimmed.”
As he was escorted away, Ramirez said his instincts as a journalist kicked in. A former lead anchor for Sinclair’s national evening news broadcast, he said the situation immediately felt off — or more aptly put — as if he could see the strings being pulled from someone attempting to control the narrative.
“Journalism is a vocation, not just a job. I immediately knew there wasn’t just an uncomfortable interaction with security,” he said. “The Kennedy Center is a federally funded cultural institution, and being questioned about speech related to the president in that setting felt like something the public should know about.”
Ramirez explained the difference between a standard visit by a public official and this performance: the president’s appearance wasn’t just ceremonial; it was very clearly a media moment.
“The White House press pool was there, and it was clear this was an effort to manage the president’s image in the media,” Ramirez continued. “The irony was not lost on me that this was happening on opening night of ‘Chicago’, a musical about manipulating the press to shape public perception.”
According to Ramirez, the explanation he received from Kennedy Center Director of Safety and Security Karles C. Jackson Sr., was brief, but illuminating.
“He said, ‘they don’t want booing,’ and even called out my thumbs-down gesture. He never clarified who ‘they’ were, but whether it was the administration or the Kennedy Center, the distinction felt meaningless,” he explained. “Mr. Jackson ultimately told me he was just trying to do his job, shook my hand, and allowed me to return to my seat once the lights dimmed and the overture started playing.”
Ramirez said he didn’t blame the guard individually, noting the broader context of the Kennedy Center’s uncertain future and the pressures staff were under.
“With the center closing in the coming months, some of these security guards being pressured to restrict our freedom of speech may only have a few weeks of work left.”
He believes the decision to remove him was driven less by disruption than optics, particularly given the presence of the press.
“It was very clearly about protection — whether protecting the president from visible dissent, or his image before the media present. There was no disruption as almost everyone was standing and reacting loudly to the arrival of the president and first lady, with cheers, applause, and hand gestures. The difference was that my reaction, unlike most, was negative.”
Drawing on his experience covering public officials, Ramirez said the incident felt more about controlling perception than security.
“Usually, law enforcement may monitor or intervene if there’s a disruption, but here there was no disruption at all. Simply expressing dissent in a public, cultural space drew the attention of security. It made it feel less like a matter of decorum and more like an effort to control the narrative around the president,” he said. “It’s about what happens when dissent is treated as disruption rather than a right.”
“The show hadn’t started. I threatened no one. Billy Flynn would have approved of the optics. The rest of us should be paying attention.”
Ramirez framed the incident as part of a broader constitutional concern, one that is plaguing the Trump-Vance administration as they continue to reject rules and normalcy set forth by other reserved presidents.
“Being singled out by security at a federally funded institution for expressing dissent shouldn’t be brushed off; it undermines the First Amendment,” he said, looking at it slightly distanced from it now. “Being of Cuban heritage, and a journalist, it’s a right I’m not willing to give up readily.”
“Publicly funded cultural institutions should allow visible dissent, even in politically charged moments,” he added. “Of course, I understand the need to manage disruptions during a performance, but that was not the case here.”
The themes of “Chicago”, a long-running satire about media manipulation and public perception, added another layer of irony to the experience, Ramirez explained.
“The satire truly leapt off the stage! A show about controlling the narrative, manipulating the press, and covering up truths by leaning on showmanship and distractions. The show is decades old, but could’ve been written today. We’re being razzle-dazzled daily and it’s getting harder to tell fact from fiction, no matter where you get your news.”
He, being gay, also acknowledged how hard it must have been for the performers on stage, assuming that at least some in the cast were also members of the LGBTQ community — and artists — two things Trump doesn’t always get along with.
“It was not lost on me that many of the actors on that stage, that the president and first lady presumably applauded, are members of the LGBTQ community which this administration has rolled back protections for under the guise of religious liberty and free speech, resulting in blatant discrimination.”
He pointed to a particular number that felt surreal given the circumstances.
“Its ‘Razzle Dazzle’ number celebrates keeping audiences off balance; at its climax, a massive American flag descends as the song celebrates blinding audiences to what is real. Watching that scene after being detained for a thumbs-down was surreal.”
Ramirez said the show’s closing lines were especially sharp given the presidential audience and what he just experienced.
“At the end of the show,
Velma says: ‘You know, a lot of people have lost faith in America.’
Roxie replies: ‘And for what America stands for.’
Velma: ‘But we are the living examples of what a wonderful country this is.’
Roxie: ‘So we’d just like to say thank you and God bless you.’
They had both just gotten away with murder!”
His closing lines, however, were a bit more pointed than “scintillating sinners” Roxie Hart and Velma Kelly’s were in the show.
“Democracy only works when citizens are allowed to boo,” he said. “Tuesday night at the Kennedy Center, ‘Chicago’ made that point better than I ever could.”
The Blade reached out to the Kennedy Center but did not receive a comment back.
Idaho
Idaho Gov. signs harshest anti-trans bathroom bill in the country
Idaho continues to lead the country in anti-LGBTQ legislation, passing two laws restricting rights this week.
Idaho Gov. Brad Little signed into law a bill that criminalizes transgender people for using bathrooms that align with their gender identity rather than their assigned sex at birth, including in private businesses. Little signed the bill Tuesday afternoon — just as demonstrators rallied on the Capitol steps in Boise for Transgender Day of Visibility.
The law takes effect July 1.
House Bill 752 allows the government to charge people who “knowingly and willfully” enter bathrooms that do not align with their assigned sex at birth with jail time, making this the most restrictive bathroom bill in the nation. The vote had no issue passing in the Republican supermajority-controlled legislature, with 54 ayes and 15 nays in the House and 28 ayes and 7 nays in the Senate.
The bill applies to government-owned buildings and places of public accommodation, including any business (either publicly or privately owned) or space that is open to the public and offers goods, services, or facilities. These include restaurants (bars, cafes), lodging (hotels, motels, inns), entertainment and recreational spaces (gyms, theaters, sports venues, pools), healthcare and service buildings (hospitals, clinics, professional offices), and transportation-related spaces (including airports and bus stations).
A first offense carries a misdemeanor, punishable by up to one year in prison. A second offense, or any additional offense within five years, is a felony, punishable by up to five years in prison.
The bill’s sponsor, Coeur d’Alene Republican Sen. Ben Toews, said it reflects the “common sense realities” that Idahoans have — despite the issue not being “common sense” enough to be included in the state Republican Party’s official platform.
Republican legislators have deemed this, and similar measures restricting bathroom access to a person’s sex at birth, a matter of “protecting privacy and safety,” according to a similar measure passed earlier this year. Yet this claim contradicts statements from officials working to protect safety, as well as available data on the matter — there is no evidence that trans individuals accessing gender-aligned bathrooms are a threat to safety or privacy.
This expansive and invasive legislative action appears to contradict what Gov. Brad Little says he and his party stand for. On his website, Little touts his efforts to remove red tape for Idahoans, saying they have “cut or simplified 95-percent of regulations” since 2019. Signing legislation that effectively requires policing who can use which bathroom runs counter to that goal — and, unlike the transgender bathroom bill, reducing government regulation is part of the party’s official platform.
“We believe the growth of government is unnecessary and has a negative impact on both the conduct of business and our individual lives,” the Idaho Republican Party platform reads. “We endorse the review of all government programs and encourage their assumption by private enterprise where appropriate and workable. Programs which are outside of government’s constitutional obligations, not cost effective, or have outlived their usefulness should be terminated.”
The Idaho Fraternal Order of Police President, Bryan Lovell, wrote a letter to the legislature that having the responsibility to check a person’s sex at birth fall to police “presents significant practical enforcement challenges for law enforcement officers in the field.”
“In many circumstances, there is no clear or reasonable way for officers to make that determination without engaging in questioning or investigative actions that could be viewed as invasive and inappropriate,” the letter said.
Sen. Ron Taylor, a Democrat from Hailey, said House Bill 752 is about discrimination. He said constituents told him they would move out of Idaho if it passed — because it would throw their transgender children in jail.
“Now maybe that’s what some of us want, is to chase a population that’s marginalized out of Idaho,” Taylor said. “But that’s not Idaho. Idaho was founded by a population that was marginalized.”
Idaho’s American Civil Liberties Union (ACLU) went even farther to criticize the Little’s signature on House Bill 752, arguing the legislation does the opposite of its stated goal of reducing risks to the privacy and dignity of every Idahoan.
“The bill does nothing to address real criminal acts, such as sexual assault or voyeurism,” a statement from the organization founded in 1988 read. “As cisgender people who do not conform to rigid gender norms could face accusations, harassment, and arrest for using a public restroom.”
In addition to creating a criminal issue where there was none, the legislation opens up a Pandora’s box of litigation that taxpayers would ultimately have to pay for.
“When public institutions and local businesses are forced to engage in these expensive and unnecessary lawsuits, taxpayers and customers foot the bill,” the ACLU added.
Advocates for sexual health and gender freedom have called this legislation a full assault on transgender people’s right to exist in public, saying bills like this trigger harassment, increase violence against transgender people, and impose criminal penalties for not conforming to traditional gender roles.
Planned Parenthood Alliance Advocates Idaho called the bill “the most extreme anti-transgender bathroom ban in the nation.”
This is not the only anti-LGBTQ action the governor has taken. He signed a bill earlier that morning to fine cities for flying the LGBTQ+ pride flag, which, according to Idaho Capital Sun, was retaliatory action against Boise’s City Council for a vote last year declaring the pride flag and the organ donor flag as official flags — a workaround to a previous state flag ban the Legislature passed last year.
Boise Mayor Lauren McLean said the city had been flying the pride flag for a decade, but will remove it for the time being to prevent a fine that would “ultimately fall on the taxpayers of Boise to shoulder.”
“But let me be clear: Boise’s values have not changed, and they are not defined by any single action taken at the Statehouse,” McLean said after removing the Pride flag from the official pole.
This approach to LGBTQ poltics reflects a broader trend among Republicans in power in the state. In 2020, Idaho became the first state to ban transgender girls and women from competing on sports teams that align with their gender identity, which is currently being challenged in the United States Supreme Court. In 2023, state lawmakers made it a felony for doctors to provide gender-affirming health care to transgender youth. In 2024, lawmakers expanded the ban to apply to taxpayer funds and government property, forbidding Medicaid from covering gender-affirming care.
