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5 questions as Supreme Court considers marriage

Justices poised to issue most significant rulings on gay rights

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Supreme Court, marriage equality, gay marriage, same sex marriage, Proposition 8, Defense of Marriage Act, gay news, Washington Blade
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There are many legal questions to ponder as observers await the Supreme Court decision on Prop 8 and DOMA. (Washington Blade photos by Michael Key)

In the wake of last week’s announcement that the Supreme Court will hear lawsuits challenging California’s Proposition 8 and the Defense of Marriage Act, observers over the next several months will wait on pins and needles for what may be the most significant ruling on LGBT rights in history.

Here are five questions that advocates are pondering as they await decisions in Hollingsworth v. Perry, the challenge to Prop 8, and Windsor v. United States, the lawsuit against DOMA.

1. Will the Supreme Court overturn same-sex marriage bans in all states?

By taking up the Prop 8 case, as opposed to letting stand a more narrow ruling from the U.S. Ninth Circuit Court of Appeals that applied only to California, the court has an opportunity to make a ruling that not only says the same-sex marriage ban in California is unconstitutional, but marriage bans in all states throughout the country are as well.

David Boies, a co-counsel representing plaintiffs in the lawsuit on behalf of the American Foundation for Equal Rights, said during a conference call last week justices would produce a ruling that’s more expansive than California if they decide the Prop 8 case on its merits and find it violates the U.S. Constitution.

“That would mean there would be a fundamental right to marry in every state in the country because obviously the federal constitution applies to every state in the country,” Boies said.

Much in the same way that the 1967 ruling in Loving v. Virginia ended bans on interracial marriage in all states, such a sweeping decision from the Supreme Court in Prop 8 would require the 41 states that don’t have same-sex marriage on the books to allow gay couples to marry. Not only would marriage equality be restored to California, it would be extended to the estimated 646,000 same-sex couples throughout the country.

Jon Davidson, legal director at Lambda Legal, said this outcome is one of several possible ways the Supreme Court could rule if justices find a constitutional right to marry under either the due process clause or the equal protection clause.

“Either finding that we share the fundamental right or finding that it violates equal protection generally to not allow same-sex couples to marry when different-sex couples can would extend the right to marry to all 50 states,” Davidson said.

Still, the general consensus among legal experts is that the court isn’t likely to reach this outcome when it’s possible for them to reach a ruling on more narrow grounds that would just affect California or a limited number of states.

Doug NeJaime, who’s gay and a law professor at Loyola Law School, posited that since California allows domestic partnerships but not same-sex marriage, the court could produce a ruling requiring all eight states that offer either domestic partnerships or civil unions to provide full marriage rights for gay couples. Those states are California, Illinois, Rhode Island, Delaware, Hawaii, Oregon, Nevada and New Jersey.

“The middle course would be one that says states that have allowed same-sex couples to have comprehensive domestic partnerships or civil unions don’t have an adequate justification for preventing them from marrying,” NeJaime said. “That would affect more than just California, but it wouldn’t affect every state.”

2. What happens if the Supreme Court upholds both Prop 8 and DOMA?

In what he might be considered the opposite scenario compared to the situation described above, the Supreme Court could also deal a devastating blow to LGBT advocates by upholding either or both Prop 8 and DOMA.

A loss for LGBT advocates in the court in the Prop 8 case would mean they would need another voter-initiated ballot campaign to repeal the measure ballot, much like the divisive and expensive 2008 campaign that led to its passage by voters.

John O’Connor, the newly appointed executive director of Equality California, said “everything’s on the table” for discussion in the event that the Supreme Court determines the ban on same-sex marriage in California is constitutional.

“The question about would we go back to the ballot — it’s absolutely a possibility,” O’Connor said. “The timing and the tactics and all of that remain to be determined between now and the time the decision comes down but it’s absolutely a priority for us to plan that.”

Asked whether he’d rule out the possibility of going back to the ballot in 2014 at this point, O’Connor replied, “Absolutely not. I wouldn’t rule it out. That’s definitely a possibility that we’ll be considering.”

Similarly, a decision upholding DOMA would mean that Congress would have to act to repeal DOMA — mostly likely using the Respect for Marriage Act as the vehicle to undo the law. That would be a difficult task as long as Republicans remain in control of the House.

Rep. Jerrold Nadler (D-N.Y.), the chief sponsor of the Respect for Marriage Act, said in a statement he intends to work with Congress to build support for the legislation even before the court renders a decision on DOMA.

“As the Supreme Court reviews DOMA, I will continue to spearhead the participation of Members of Congress who believe that DOMA is unconstitutional in the Windsor case,” Nadler said. “At the same time, I will keep working with my colleagues to increase support for the Respect for Marriage Act, my bill to repeal DOMA and remove official discrimination from our legal code.”

3. Will the U.S. government weigh in on the Prop 8 lawsuit?

Amid news that the Supreme Court will take up the Prop 8 lawsuit, a new call has emerged for the Obama administration to weigh in on the lawsuit to assert a constitutional right for same-sex couples to marry.

Ted Olson, co-counsel for plaintiffs in the Prop 8 case, said during the conference call last week that participation from the Obama administration in the litigation would have “great effect” on the outcome of the case.

“I would hate to predict what the United States government is doing, but given the stand the president of the United States and the attorney general of the United States made with respect to marriage equality, we would certainly hope that they would participate,” Olson added.

Although President Obama asserted his personal view in May that same-sex couples should be able to marry, the Obama administration hasn’t yet answered the question of whether that’s a guaranteed right under the Constitution. The Obama administration could participate by filing a friend-of-the-court brief along with other parties, or less likely, by asking to intervene in the case.

Asked Tuesday during a White House press briefing about the Obama administration’s position on the Prop 8 case, White House Press Secretary Jay Carney declined to comment, saying, “For comment on the court’s actions on that case, I would point you to the Department of Justice. As you know the administration is not a party in that case, and I just have nothing more for you on it.”

Following the briefing, Tracy Schmaler, a Justice Department spokesperson, told the Washington Blade, “No updates at this point.”

Richard Socarides, a gay New York advocate who’s called on Obama to take an active role in supporting marriage equality, said arguing in favor of the constitutional right to marry — for all states and not just California — is “a logical extension” of the position already articulated by the administration when it determined DOMA was unconstitutional.

“If you apply that [heightened scrutiny] test that they advocate to any of the 30 states that have constitutional amendments that ban gay marriage, then all of those state amendments go out the window,” Socarides said. “So, obviously, that’s very important to us, and that’s the government position, and I think it’s important that they say so clearly rather than trying to duck it.”

Additionally, Socarides said the Obama administration won’t be able to run from the issue because justices will likely ask U.S. Solicitor General Donald Verrilli Jr. or whomever is representing the administration during oral arguments about its position on Prop 8.

“They’re kidding themselves if they don’t think some judge isn’t going to ask them,” Socarides said. “During the argument of the DOMA case, [Samuel] Alito or [Clarence] Thomas or [John] Roberts or [Antonin] Scalia is going to say to them, ‘If we apply the test you are advocating to Proposition 8, what would happen?’ They’re going to get asked this question. That’s what’s silly about this.”

Lambda’s Davidson agreed that a friend-of-the-court brief from the Obama administration would have an impact on the Supreme Court.

“They’re more likely to read a brief from the solicitor general than from other parties,” Davidson said. “And I think that they care what another branch of government says to them, so I think it will be significant. I don’t think they will decide a certain way just because the executive branch says so. They will make up their minds, but to have one branch of government telling another what they think the outcome would be, they’d pay attention to that.”

But the notion that participation from the Obama administration would be helpful to convincing justices to overturn Prop 8 isn’t universal.

Nan Hunter, a lesbian law professor at Georgetown University, said the Justice Department has articulated that laws related to sexual orientation should be subjected to heightened scrutiny and an additional brief wouldn’t have much sway.

“I don’t really think it makes much difference, frankly, to the court,” Hunter said. “The political alignment of the Obama administration is very clear on this, so I don’t really think it’ll make much difference.”

4. What happens if the Supreme Court denies standing to anti-gay forces in the lawsuit?

In addition to announcing that it would take up cases challenging Prop 8 and DOMA, the Supreme Court also called for attorneys involved in the lawsuit to answer questions about whether certain parties involved in the lawsuit have standing to present their views before the court. The standing issue will be resolved as part of the final ruling the Supreme Court makes before its term expires in June.

For the Prop 8 case, the standing question is singular: Do anti-gay groups that helped pass Prop 8 at the ballot have the right to defend the law in court because California Gov. Jerry Brown and Attorney General Kamala Harris have declined to do so? That was the opinion of the Ninth Circuit, which determined ProtectMarriage.com could defend the law after the group’s standing was certified by the California Supreme Court.

But in the DOMA case, there are issues of standing on both sides. The court asks parties to respond to whether the court has standing to hear the DOMA case because the U.S. Justice Department, the party that won the case at the district court, appealed the case as opposed to the losing side. Additionally, the court asks if the House Republican-led Bipartisan Legal Advisory Group — which took up defense of DOMA after the Obama administration announced it would no longer do so — has standing to defend the law.

The questions open up the possibility for the Supreme Court to strike down Prop 8 on technical grounds without getting into the merits of the anti-gay ban. It could assert that anti-gay groups don’t have standing to defend the law, nullifying the Ninth Circuit decision and leaving in place retired U.S. District Judge Vaughn Walker’s decision finding that same-sex couples in California have a guaranteed right to marry under the U.S. Constitution.

NeJaime said asking about the standing issue in the Prop 8 case may be an attempt for the court to open the door to striking down the same-sex marriage ban without ruling on the merits of the case.

“This court has been interested in standing for a long time,” NeJaime said. “The conservatives on the court have consistently cut back standing, so it’s not shocking to me that the court is at least interested in that standing question, and I also think it could be slightly strategic so that there is this other issue in the case that would allow the court to avoid a ruling on the merits if they decided that they don’t want to do that.”

The question of what would happen if parties lack standing in the DOMA case gets a little murkier because the issue affects both the plaintiffs (the Justice Department) and the defendants (BLAG). On Tuesday, the Supreme Court announced that it had hired Vicki Jackson, a Harvard lawyer, to argue that neither the Obama administration nor BLAG have standing to petition the court in the case.

Still, the consensus among legal experts is that justices would likely conclude both parties have standing in the DOMA case to evaluate the law on its merits, even though many raised questions about BLAG because it’s a five-member committee and not reflective of the position of Congress, or even the House, as a whole.

Hunter said precedent exists for the Supreme Court to hear a case in which the Justice Department has declined to defend a law and members of Congress have taken up defense of the statute instead.

“The reason here that I think five members of the court will reach the merits in the DOMA case is that the practical necessity for them to do so is just overwhelming,” Hunter said. “I just don’t see them allowing a federal statute to just kind of evaporate in this situation without consideration of the merits. I’m cautiously optimistic that when they do consider the merits, they will find DOMA unconstitutional, but my hunch is that the standing question is more likely to end up being important in the Prop 8 case than it will be in the DOMA case.”

5. What would happen if the Supreme Court applied heightened scrutiny to its ruling?

Another outcome in the cases that would be beneficial to the LGBT community is a determination by the Supreme Court that laws related to sexual orientation should be subjected to heightened scrutiny, or a greater assumption they’re unconstitutional.

The Supreme Court has never declared that laws related to sexual orientation should be subjected to a higher level of scrutiny as it has for race, national origin, gender and alienage even in high-profile cases such as Lawrence v. Texas, which struck down state sodomy laws throughout the country, and Romer v. Evans, which struck down Colorado’s anti-gay Amendment 2. Still, the belief that sexual orientation laws merit this level of scrutiny is the view held by the Obama administration and the U.S. Second Circuit of Appeals, the court from which the DOMA case was appealed.

Legal experts said such a ruling from the Supreme Court in which justices applied heightened scrutiny would benefit lawsuits challenging other anti-gay laws throughout the country — whether they be the Arizona law stripping away domestic partner benefits from state employees or the Tennessee law prohibiting municipalities from passing non-discrimination ordinances.

While it seems that making a decision on laws related to sexual orientation are subjected to heightened scrutiny would automatically institute the first outcome enumerated in this piece — the invalidation of all restrictions throughout the country — legal experts say that might not be the case.

NeJaime said the application of heightened scrutiny in the DOMA case would make it more likely for them to strike down Prop 8 as well, but it wouldn’t necessarily apply to same-sex marriage bans elsewhere.

“They could apply heightened scrutiny to Prop 8, which they could frame as a very specific question, and then it would take a future case to apply heightened scrutiny to some marriage ban, like a ban in Arkansas where there’s no domestic partnership,” NeJaime said.

Some observers have speculated that the Supreme Court selected the Windsor case as the vehicle to determine the constitutionality of DOMA because that’s the only case in which a federal appeals court has ruled the anti-gay law is unconstitutional by applying heightened scrutiny to the statute.

But Hunter disputed that notion and said the decision to take up Windsor is the result of U.S. Associate Justice Elena Kagan’s involvement in the other lawsuit in which an appeals court made a ruling against DOMA — the consolidated case of Gill v. Office of Personnel Management and Commonwealth of Massachusetts v. Department of Health & Human Services — when she was U.S. solicitor general and the Obama administration was still defending the law in court.

“What makes the most sense is to have all nine justices participate in that decision, and Kagan can’t participate in Gill.” Hunter said. “I think they were waiting for a second court of appeals to produce an opinion, and I think they would have taken whatever case wasn’t Gill. It was sort of anything but Gill, and that’s purely because of the Kagan recusal problem.”

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(Washington Blade photo by Michael Key)

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Michigan

Progressives score victory as El-Sayed wins Mich. Senate primary

Democratic newcomer will face Rogers in November

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Democratic Senate candidate Abdul El-Sayed (Screen capture via MS NOW/YouTube)

Michigan held its primary on Tuesday, allowing the two major political parties to select their nominees to go head-to-head for the state’s U.S. Senate seat.

NBC News called the Democratic race early, giving the victory to physician Abdul El-Sayed over incumbent U.S. Rep. Haley Stevens (D-Mich.) in an extremely close primary. El-Sayed won 48.5 percent of the primary vote, with Stevens trailing by just one percentage point at 47.5 percent.

Both candidates have campagined on supporting the LGBTQ community through different avenues— for El-Sayed he focused on his past promoting HIV and PrEP funding and research. Stevens focused on her legislative history working to support transgender rights in the state.

This is a major win for progressive Democrats, who have been bearing the brunt of political attacks from President Donald Trump, the Republican Party, and centrist Democrats.

El-Sayed, a former health director in Detroit, ran his campaign largely on making life in the Great Lakes State more affordable amid rising costs. His policies include promoting “Medicare for All,” pushing health policy that targets the regressive efforts of the Trump-Vance administration that rolls back funding for both Women and LGBTQ people, minimizing the growing amount of money in politics, and he was very vocal in his criticism of Stevens for supporting aid to Israel. He was endorsed by two major progressives — U.S. Sen. Bernie Sanders (I-Vt.) and U.S. Rep. Alexandria Ocasio Cortez (D-N.Y.).

Stevens, the four-term congresswoman, is much closer to establishment Democrats on policy than El-Sayed.

During her time in the federal government, she has consistently supported the Equality Act, which would add sexual orientation and gender identity as protected classes under the Civil Rights Act of 1964. She has also emphasized supporting local manufacturing and lowering housing costs in the state.

She was named to Advocates for Trans Equality’s 118th Congressional Champions list for her pro-trans policies and was endorsed by establishment heavy hitters Michigan Gov. Gretchen Whitmer and Senate Minority Leader Chuck Schumer (D-N.Y.).

The contentious race boiled down not only to Michigan affairs but also extended to international conflicts — namely Palestine. (South Africa has filed a case in the International Court of Justice in The Hague that accuses Israel of committing genocide in the Gaza Strip after Oct. 7.) This primary also acted as one of the first major races that pushed back against AIPAC, a lobbying group that works to promote pro-Israel candidates in U.S. elections. The group has been involved in domestic politics since 1954.

AIPAC devoted a massive amount of money to this race.

The Associated Press reported that the pro-Israel lobbying group spent more than $30 million on ads against El-Sayed because of his vocal denunciation of Israel and his continued criticism of its policies towards Palestine.

Michigan has a large Muslim and Arab American population, which could, in part, explain how El-Sayed was able to win.

The Republican side was far less competitive. Former U.S. Rep. Mike Rogers (R-Mich.) ran unopposed and clinched the GOP nomination. He has consistently held anti-LGBTQ positions, going as far as voting multiple times for a federal constitutional amendment to ban same-sex marriage, voting against repealing the military’s “Don’t Ask, Don’t Tell” policy, and supporting efforts to directly target the attempted expansion of Title IX protections to include trans people.

El-Sayed will face off against Rogers in November for Michigan’s Senate seat — one that could have lasting impacts not only on the state’s politics but also on the Republicans’ narrow Senate majority and Trump’s political agenda.

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White House orders warning signs at Smithsonian over gender identity exhibits

Administration criticizes National Museum of American History

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Secretary of the Interior Doug Burgum is expected to install warning signs outside the National Museum of American History warning visitors of supposedly anti-American content. (Photo courtesy of the Office of the Governor of North Dakota)

The Trump administration will install temporary warning signs outside the Smithsonian’s National Museum of American History after releasing a report accusing the museum of promoting what it calls “radical” gender ideology and other politically biased content.

According to the Executive Order, “For purposes of policy formulation under EO 14253, this review of the National Museum of American History concludes that NMAH, by the intention and at the direction of current Museum and Smithsonian leadership, has become subject to institutional capture by a radical, activist ideology that is fundamentally opposed to telling the noble, honest story of the great country we know and love.”

Executive Order 14253 refers to what the White House has deemed the “Restoring Truth and Sanity to American History” order. Therefore, the Trump administration has said it will take all available steps to ensure that the issues in the report are addressed and rectified.

Without specifying, the White House has stated that warnings will be posted along NMAH to alert visitors to sections of the museum it has deemed are in violation according to the report.

“The Secretary of the Interior, acting through the Director of the National Park Service (NPS) and in coordination with the Assistant to the President for Domestic Policy, shall install temporary signage along the NPS-maintained sidewalks and walkways used by the public to access the Museum, informing visitors of the findings of the Report and of the policy set forth in section 1 of this order,” the Executive Order states.

The warnings were raised in a 162-page report issued by the Domestic Policy Council. The report detailed ways in which the National Museum of American History (NMAH) has “poorly” portrayed American history and insufficiently highlighted the founding story during America 250th celebrations.

The report outlined key findings of the NMAH. One of these findings was the Center for Restorative History within the museum, which has stated its purpose is to “encourage systemic change” by highlighting diverse groups. However, the report states that it highlights every group of Americans except for straight and white Americans.

The Domestic Policy Council accused the museum of engaging in “transgender activism.” According to the report, examples include referring to “biological men” as women or girls, displaying what it describes as sexually suggestive content, and incorporating discussions of gender fluidity, gender identity, and gender nonconformity into the museum’s educational curriculum, “Becoming US.”

The report also criticizes the curriculum for using the term “transgender” when discussing gender-nonconforming people and encouraging individuals to ask a person’s pronouns when meeting them. It further objects to exhibits stating that “transgender, nonbinary, and cisgender female athletes” continue to struggle for and demand equality.

It also condemns what it refers to as explicit content in an exhibition, “Girlhood (It’s Complicated)”, such as chest binders, questioning gender testing in women’s sports, and referring to biological females as “people inhabiting female bodies.”

Additionally, the report accuses the museum of no longer participating in flag-celebrating ceremonies because it was “too busy” preparing for June Pride and WorldPride events. It states, “As Director Hartig explained in a June 2024 presentation, all her attention was focused on flying the Smithsonian Pride Alliance’s ‘intersexual pride flag during June’ in 2023 and 2024.”

On July 9, the American Historical Association issued a statement rejecting the report’s findings.

In regard to the report, it states, “Its anonymous authors overlook a central lesson of the nation’s founding: the United States was forged by finding common purpose amid intense divisions, conflicts, and disagreements.” They argue that only “honest history” can tell the true history of the nation.

House Republicans led a subcommittee hearing that questioned Smithsonian Director Hartig extensively. A main focus of the questions was on the exhibits related to gender identity and whether they were appropriate. In the hearing, Rep. Nancy Mace asked: “When was your gender revealed to you, Dr. Hartig?”

In response to questioning, Hartig stated that the institution is nonpartisan and does not push a specific agenda.

Hartig published a two-page statement ahead of her hearing outlining her thoughts on the situation. In the report, she states that the institution is always open to criticism and will continue to look for ways to improve, but she sees the report as misleading.

“I can attest that the report does not fairly characterize the full body of work at this museum. I am familiar with the depth and breadth of our collections, exhibits, and programming. And while I recognize there is always room for improvement, I also know the beauty, inspiration, and expertise that exists in our museum,” Hartig wrote.

Democrats created their own 16-page report as a rebuttal to the Domestic Policy Council’s report. It argued that the attacks by the current Trump administration are another example of its attempt to rewrite history. Additionally, the report states that no policy changes were included in the Executive Order, as that is beyond the President’s role. “The Report recommends nothing. That is no accident. To recommend an action, the Report would need to identify who is legally empowered to take it, and its own opening chapter concedes the President’s only power is to ‘urge’,” House Democrats wrote.

It is still unclear when the temporary warnings will be installed or what form they will take beyond the requirements outlined in the executive order.

An exhibit at the Smithsonian. (Washington Blade photo by Landon Shackelford)

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Trump ends direct HIV prevention funding to community groups

Advocates say transfer of funds to states may disrupt local programs

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The Trump administration will discontinue direct federal funding of community-based organizations that provide HIV prevention services. (Washington Blade file photo by Michael Key)

A decision by the U.S. Office of Management and Budget (OMB) at the request of the Trump administration to discontinue direct federal funding of community-based organizations and clinics that provide HIV prevention services has raised concern among community health advocates, including LGBTQ advocates.

 News surfaced earlier this month that the OMB informed the U.S. Centers for Disease Control and Prevention that it would not renew $46 million in funding for 96 community-based organizations that provide HIV testing, referrals to medical care, and arrangements for obtaining pre-exposure HIV prevention medication known as PrEP that has been shown to be 99 percent effective in preventing HIV infection.

Under the new policy arranged by OMB, the funds will be redirected to the states to be allocated to state and local health departments. The policy calls for states to encourage but not require their respective state and local health departments to allocate some of those funds for community-based organizations. Under the new policy, the funding is scheduled to last until May of 2027, before a renewal decision is made.

Some political observers have speculated that the decision to end direct federal funding to community-based organizations could be motivated by the Trump administration’s hostility to diversity, equity, and inclusion or DEI programs and organizations that promote those programs, with the belief that some of the groups receiving the federal HIV prevention funds are promoting DEI.

Carl Schmid, executive director of the D.C.-based HIV+ Hepatitis Policy Institute, is among the leaders of many AIDS advocacy organizations expressing strong opposition to the OMB action. Schmid said that in places like D.C. and some states, local officials will be willing to redirect the federal funds to local community-based organizations.

A list of the 96 community-based organizations across the country that are currently receiving the federal AIDS funds includes the D.C.-based Whitman-Walker Health, which has a long history of healthcare support for the LGBTQ community, and La Clinica del Pueblo, which reaches out to the Latino community.

 Schmid said Whitman-Walker and La Clinica del Pueblo have longstanding good relationships with the local D.C. government.

“But other states and jurisdictions don’t have that relationship with the community-based organizations,” Schmid said. “It depends on the state,” he said, adding, “Not all states send their money to the communities that really need it most. And not all states are fast in getting money to the community-based organizations.” 

Spokespersons for Whitman-Walker and La Clinica del Pueblo couldn’t immediately be reached for comment on whether they think the Trump administration’s latest action related to funding will adversely impact their respective organizations.  

 Schmid said under the current federal grant program slated to be discontinued, which has been in effect for at least five years, HIV-related health organizations receiving the federal grant funds were eligible for an existing federal policy enabling them to purchase HIV-related medication, including the PrEP prevention medication, at a significant discount from pharmaceutical companies. With the ending of the direct federal HIV funds to community-based organizations, Schmid said it was unclear whether problems may surface in obtaining drug discounts.

“They could still qualify as a sub-grantee from a state,”  Schmid said. “But what if they don’t get that grant again? They would not be able to qualify to obtain the drugs” at the discounted price, he said.

Among the organizations expressing strong concern over the decision to discontinue the direct HIV prevention funding to community-based organizations has been the Federal AIDS Policy Institute and its subgroup called the HIV Prevention Action Coalition.

In a July 22 letter bearing the names of 71 community-based organizations from throughout the country sent to U.S. Department of Health and Human Services Secretary Robert F. Kennedy Jr. and Centers for Disease Control and Prevention Acting Director Jay Bhattacharya, the group called for the Trump administration to “reconsider” ending the current funding policy.  

 “Ending this program without a clear plan for what comes next would dismantle prevention infrastructure that has taken more than three decades of federal investment to build and do so just as that long record of measurable returns is accelerating,” the letter states.

It says the initiative by President Trump in his first term as president to end the HIV epidemic and reduce new HIV infections by 90 percent by 2030 was moving ahead by the funding program for community-based organizations that the administration now wants to end. 

“Discontinuing this program would also cost far more than it saves,” the letter says. “Every HIV transmission prevented avoids an estimated lifetime treatment cost of roughly half a million dollars per person to the healthcare system – costs that fall heavily on taxpayer-funded programs, including Medicaid, Medicare, and the Ryan White HIV/AIDS program,” the letter continues.

“The choice before the administration is straightforward: a modest, targeted investment in prevention now, or far greater public expense for treatment later,” the letter concludes. 

Spokespersons for the OMB and the Department of Health and Human Services, which oversees the CDC, have not immediately responded to news media requests for comment on the opposition to the funding change policy.

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