National
Newsom: Supreme Court defeat would trigger new ballot measure
Calif.’s lieutenant guv speaks out on Prop 8, Barney Frank and more

On the same day the Supreme Court hard oral arguments in a case challenging his state’s gay marriage ban, California Lt. Gov. Gavin Newsom spoke at length about Prop 8, Barney Frank and more in an interview. (Washington Blade photo by Michael Key)
California Lt. Gov. and former San Francisco Mayor Gavin Newsom says a decision by the U.S. Supreme Court to uphold Proposition 8’s ban on same-sex marriage would prompt the California Legislature to place a pro-marriage equality referendum on the ballot in 2014.
In an exclusive interview with the Washington Blade on Tuesday, after attending the Supreme Court’s oral arguments on the Prop 8 case, Newsom said he is confident the court will strike down Prop 8. He said he’s hopeful but less confident that the high court will issue a broader decision legalizing same-sex marriage in all 50 states.
But Newsom predicted that a “worst case scenario” ruling upholding Prop 8 would trigger an immediate backlash in the LGBT community in California and among the state’s pro-marriage equality lawmakers. This would lead to placing a Prop 8 repeal measure on the ballot, most likely in the 2014 election cycle, he said.
“I don’t know if I want to use the word shock because that’s a little hyperbolic,” he said in describing the reaction to a decision leaving Prop 8 in place. “But that backlash would immediately precipitate a ballot measure that most likely in this case…the legislature would put that on the ballot,” he said.
“It would require two-thirds of the legislature. There is two-thirds of the legislature now that supports marriage equality,” he said.
“So you wouldn’t even have to get the signatures,” Newsom added. “And I think that would immediately happen. And we would put on a campaign to end all campaigns. And we would win quite handily in 2014.”
Newsom told the Blade he has no regrets over his highly controversial decision in 2004 to use his authority as San Francisco mayor to direct the city to begin issuing marriage licenses to same-sex couples before any court or state governmental body gave the go-ahead for such marriages.
In February 2004 Newsom himself performed the first of the city-authorized same-sex nuptials in a City Hall ceremony that drew national and international press coverage. The couple joined in marriage in that ceremony was longtime lesbian activists Phyllis Lion and Del Martin, who were in their 80s.
“[T]hat one couple, Phyllis Lyon and Del Martin, became 4,036 additional couples from 46 states,” Newsom said, noting that other same-sex couples came to San Francisco from eight countries to get married.
“And it wasn’t just the couples,” he said. “What was so profound about that in February 2004 were the mothers and fathers and the brothers and sisters and the grandparents and grandkids that all assembled there – tens of thousands of people celebrating life, celebrating love, celebrating marriage.”
Less than a year later, however, gay marriage opponents succeeded in obtaining a court ruling barring Newsom and San Francisco authorities from performing same-sex marriages. The ruling also declared all of the same-sex marriages performed by the city as invalid.
Critics of Newsom’s decision to authorize the marriages, including then-U.S. Rep. Barney Frank (D-Mass.), who’s gay, blamed Newsom for playing into the hands of anti-gay groups seeking to ban same-sex marriage through state constitutional amendments.
Close to a dozen such amendments passed through ballot measures that year, and some political pundits said the ballot measures helped Republican George W. Bush win the 2004 presidential election by drawing conservative voters to the polls in larger than usual numbers.
Newsom and LGBT activists who supported his decision to authorize the San Francisco marriages say the action boosted efforts to challenge California’s ban on same-sex marriage in the state courts. In early 2008, the California Supreme Court ruled that same-sex couples have a right to marry under the state’s constitution, opening the way for same-sex couples to marry throughout the state.
But voters overturned the court’s decision in November 2008 when they approved Proposition 8. Subsequent court challenges to Prop 8 resulted in it coming before the U.S. Supreme Court in Tuesday’s oral arguments.
Newsom said he was troubled by the criticism he received, especially criticism form Frank, who he says he deeply respects as an LGBT rights advocate.
“So I respectfully disagree with him,” Newsom told the Blade. “And I think there’s thousands and thousands of people who came to San Francisco who would respectfully disagree with him.”
According to Newsom, his and his city’s decision to permit same-sex marriages led to marriage equality advances in subsequent years.
“I think it required shaking things up a little bit because I think just waiting around for the courts…we could take 30 years, 40 years,” he said. “And I think in many ways what we did certainly inspired the California Supreme Court.”
Following is a transcript of Lt. Governor Gavin Newsom’s interview with the Washington Blade:
Washington Blade: What were your thoughts on how the arguments went on Tuesday as you observed them in the Supreme Court chambers?
Gavin Newsom: It’s a humbling experience any time you listen to oral arguments at the Supreme Court because in most every instance history is being made. And to see this arc over the last nine, 10 years and to see the progress that’s been made, public opinion shifting and knowing what’s at stake for California and Californians but also for the country in its prospects on marriage equality, it was a pretty wonderful experience.
Blade: Did you have a sense of which direction the justices may go?
Newsom: We all come in with our preconceived biases. I’ve long felt that the narrow decision was most likely, although I confess that I got caught up in the spirit of the times in the last two months, hoping perhaps the issue and the arguments persuade a broader, national conversation.
That clearly didn’t happen in the courtroom at least. It certainly happened in the briefs, but not in the courtroom in terms of the oral arguments. So I left with that as a caveat of disappointment but realizing an hour or so later, reflecting on it, that it went as well as I could ever have hoped a few months ago.
And I feel stronger now that the likelihood of Prop 8 being struck down has grounded itself in the oral arguments either on standing, which everyone seemed to be coveting. It was interesting, the focus on that, or on the limited, narrow question of the Ninth Circuit.
Blade: Are you sensing the court may rule on the narrow issue of allowing same-sex marriages in California but not in other states?
Newsom: Yeah, I think it’s more likely than not. I want to be surprised and I desperately want to be wrong because I think this is a fundamental civil right. It’s a constitutional right. And it should be afforded every American, not just Californians. And so I really do hope I’m wrong. But based on the passing reference, ironically, from [Justice Antonin] Scalia – the notion of 50 states being impacted by this decision – I walked away feeling that’s less likely. Again, I hope I’m wrong.
Blade: Are you basing that also on what some of the more liberal and progressive justices were saying?
Newsom: Yeah. Even [Justice Sonia] Sotomayor’s own comments – I was sort of struck by that. I hope people were playing devil’s advocate, and that’s often the case with this court. So perhaps that was a reflection of that point of view or at least that kind of Socratic engagement with the attorneys.
But you know, this idea that you can let states decide the rights of a minority is preposterous to me. I mean, it just flies in the face of our history. If you submit the rights of a minority to the whims of the majority you’ll get what we’ve historically gotten. And that’s oppression of the minority rights. And I just don’t accept it.
Blade: You have been involved with this from the outset or at least since 2004. Could you say a little about what you were thinking when you shook up a lot of people by having San Francisco perform same-sex marriages at that time before any court declared they were legal? Weren’t you the first to perform one of those marriages for a lesbian couple at City Hall?
Newsom: I guess I was, certainly from an elective office. So there’s no doubt about that. You know, it’s interesting. We wanted to put a human face on it, period. And you know what? Frankly, that was the one thing – if there was anything that sat with me [on Tuesday] it was how little we talked about the human element here at the [U.S. Supreme] court. And I understand that. My father is a judge. This is a courtroom. There are legal briefs. But with the exception of [Justice Anthony] Kennedy, who brought up children into the courtroom, which I thought was significant and telling. I thought it was an important take away in terms of where Kennedy may be.
You know, what we did in 2004 was I didn’t want to listen to President Bush out there on the campaign trail supporting a constitutional amendment banning same-sex marriage…
But that one couple, Phyllis Lyon and Del Martin, became 4,036 additional couples from 46 states. It was truly nationalized. It was not a local issue in San Francisco – 46 states and eight countries – and it wasn’t just the couples. What was so profound about that in February 2004 were the mothers and fathers and the brothers and sisters and grandparents and grandkids that all assembled there — tens of thousands of people celebrating life, celebrating love, celebrating marriage.
And it deepened my connection to not only the issue but to the community and my passion for equal rights. And I was struck by how many of my fellow Democrats ran, didn’t walk, from the issue in 2004, 5, 6, 7, 8. And only until recently have we seen a cascade of leadership which is fabulous, from [New York Governor Andrew] Cuomo and [Maryland Governor Martin] O’Malley to the president himself and others elected who are showing courage now. And I’m humbled by that now. But I’m frustrated a bit that it took even this long because we were having a lot of private conversations, and they weren’t disclosing publicly. There’s nothing worse than politicians saying one thing privately and doing another thing publicly.
Blade: Are you saying they were saying they supported marriage equality privately but not publicly?
Newsom: Yeah – in most cases. And they were just worried about their political career. I get that. But you know what? I like the politicians that are worried about the people they claim to represent more than they do their own political future. That’s sort of my argument on this assault weapons discussion right now. It kind of gets me a little angry – that people are worried more about their own elections than the faces of those kids in Newtown.
Blade: Then Congressman Barney Frank was among those that said your decision to perform same-sex marriages as mayor of San Francisco led to the passage of the state ballot measures banning same-sex marriage and raised the threat of a constitutional amendment to ban gay marriage passing in Congress.
Newsom: You know, I’m not going to – he’s gone out of his way to say that over and over again. And I’ll continue to go out of my way to celebrate his leadership in terms of LGBT rights. I don’t even belong in the same room as he in terms of what he’s done for the community. So I respectfully disagree with him. And I think a lot of people do. And I think there’s thousands and thousands of couples who came to San Francisco who would respectfully disagree with him.
And I think it required shaking things up a little bit because I think just waiting around for the courts – one off here, one off here – we could take 30 years, 40 years. And I think in many ways what we did certainly inspired the California Supreme Court [to declare same-sex marriages legal]. So I would hope that Congressman Frank sees that. But he’s long expressed his condemnation of what I did and continues to do so for whatever reason.
Blade: On the other hand, Evan Wolfson, head of the same-sex marriage advocacy group Freedom to Marry, has said pushing for marriage equality, even if it leads to setbacks, changes the hearts and minds of the public and leads to advances in the long run.
Newsom: Yeah – and I’ve talked to – and this sounds preposterous – but I’ve had the privilege of talking to people overseas that said this had an impact on their decision-making in Europe and their leadership there when they saw the human face and they saw those images. So I’m with Evan. I’ve long admired Evan. And you’re not kidding. He was out there in the early ‘90s. So he’s one of my heroes and one of the heroes of the movement. But there are many. I just left Rob Reiner. He was a huge supporter of what we did in 2004 and, of course, sponsored so much of the good work that Ted Olsen just did and is doing and Boies and Chad Griffin. It’s just incredible. Our own city attorney, Dennis Herrera, he put together a great team — Theresa Stuart. There’s so many champions and heroes in the fight. And I respect Barney Frank, but he wasn’t in the courtroom today and a lot of folks were, and they deserved to be and I respect their advocacy.
Blade: Now that you’re in a statewide office as lieutenant governor, do you have a sense of what kind of repercussions there might be in California and the nation as a whole if the Supreme Court rules either for or against marriage equality? What about the people of the eastern part of California, who seem to be so different politically than the people of San Francisco or L.A.?
Newsom: You’re not kidding. I’ll be out there tomorrow. I’ll be in the Modesto Central Valley area at 1 o’clock tomorrow. The old frame of California used to be north and south. And you just hit it on the head. It’s increasingly now coastal-inland-east-west. The politics is radically different in the central part of the state.
I think most pundits, and they may, in hindsight, dismiss this assertion. But I’ll tell you that I can point to almost every pundit in California that said I could never get elected statewide in California because of my support of same-sex marriage. And we proved them wrong. Though candidly, I didn’t know they would be wrong. I thought it was questionable as well.
In some parts of our state they’re particularly conservative. So there will be repercussions, absolutely. But you now see – and I never read the polls in 2004 because if I did I never would have done what I did because it was partly unpopular even in San Francisco.
The polls today are two to one in favor of marriage equality in California – two to one in the recent polls. So I think the repercussions will be negligible at best.
Across the country, you know this. You write about this. You guys have been at this forever. This is not even Republican-Democrat any more. It’s generational and it’s overwhelming. You cannot deny the generational component. So these guys are holding on – the opponents – they’re just holding on. I don’t want to say this is the last gasp because I think some states will hold on for a much longer time unless the courts intervene.
But this is a tsunami, a generational tsunami that 80 percent of 30-year-olds or younger [support marriage equality]. This court – I hope they – they’re human beings. I wouldn’t want to be on the wrong side of history on this. If I’m a relatively young judge like [Chief Justice John] Roberts, why do you want to be on the wrong side of history when it comes to a civil right?
Blade: Will you be going to the DOMA case tomorrow?
Newsom: I wish I could. I’ve got to head back to my events in the Central Valley. But I feel confident. The good news about DOMA is it kind of hits these guys on both sides of the ideological aisle. From a federal perspective, this is federalism and states’ rights on the right. And then on the left we can make similar arguments that we made today. I feel a little more confident on DOMA, though I feel equally confident in both cases. Although, again, I think it’s going to be a narrow decision on Prop 8 and then a repeal of DOMA outright.
Blade: If Proposition 8 were to somehow go back to the voters are you optimistic that it wouldn’t pass and marriage equality would prevail?
Newsom: To be candid with you, the backlash would exist there. I think there would be an intense response if the [Supreme Court] overturned the Ninth Circuit [U.S. Court of Appeals in California that ruled against Prop 8]. I don’t know if I want to use the word shock because that’s a little hyperbolic. But that backlash would immediately precipitate a ballot [measure] that most likely in this case – and this is one of the interesting facts of California right now – I think the legislature would put that on the ballot. It would require two-thirds of the legislature. There is two-thirds of the legislature now that supports marriage equality. So you wouldn’t even have to get signatures. And I think that would immediately happen.
And we would put on a campaign to end all campaigns. And we would win quite handily in 2014. So eventually even in the worst case scenario we would win at the ballot box, I believe. But the impact of that, I think, would be intensely felt across the country.
And I think, frankly, if I were opposed to marriage equality I’d be more worried about that because I think the backlash would inspire, with intensity, aggressive movements to overturn not just Prop 8 in California but all across the country in those 31 constitutional restricted states, etc.
Blade: Marriage equality advocate Robin Tyler of L.A. told us this week that she feels Prop 8 helped the LGBT cause and marriage equality because it energized and activated the LGBT community like never before and helped bring on the recent successes in passing same-sex marriage laws in several states. Do you agree with that assessment?
Newsom: I agree with that generally. I’ll never forget. I was so intimately involved in that. My image was used against our campaign or against our efforts. And whether we like it or not, it was a painful thing. The backdrop was we were celebrating Obama’s win at the same time we were lamenting Prop 8’s victory.
And people were stunned in many ways. We saw it coming in the last two weeks of the campaign when the polls started to shift. So some of us on the inside weren’t as surprised. But I think the general consensus was one of shock. And it really did galvanize people to say, you know what? If California can legally grant same-sex marriage and in California see them take it away, my gosh, we’ve got to wake up every state and get organized with great intensity. So I think she’s right.
I think you saw a lot of great work done across the country that built up the momentum in New York and Maryland and got us where we were in Maine and Washington State and, of course, all the other legislative victories on civil unions. But you’re right, it was painful. And guys like Congressman Frank could say, ‘Look, I told you so’ after the blowback with all those state constitutional amendments. But that’s the nature of the right struggle, good days and bad days.
And now we’re leaning into history in a very positive way and I hope and like to think it’s much faster than it would have been if we just sat back passively and waited our time and got permission. Some people argue we all need permission. David Boies also needed permission to do what they did. And I’m glad they didn’t wait. I’m glad they did what they did. And I’m glad we did what we did. So good people can disagree and history will judge.
Florida
AIDS Healthcare Foundation sues Fla. over ‘illegal’ HIV drug program cuts
Tens of thousands could lose access to medications
Following the slashing of hundreds of thousands of dollars from Florida’s AIDS Drug Assistance Program, AIDS Healthcare Foundation filed a lawsuit against the Florida Department of Health over what it says was an illegal change to income eligibility thresholds for the lifesaving program.
The Florida Department of Health announced two weeks ago that it would make sweeping cuts to ADAP, dramatically changing how many Floridians qualify for the state-funded medical coverage — without using the formal process required to change eligibility rules. As a result, AHF filed a petition Tuesday in Tallahassee with the state’s Division of Administrative Hearings, seeking to prevent more than 16,000 Floridians from losing coverage.
The medications covered by ADAP work by suppressing HIV-positive people’s viral load — making the virus undetectable in blood tests and unable to be transmitted to others.
Prior to the eligibility change, the Florida Department of Health covered Floridians earning up to 400 percent of the federal poverty level — or $62,600 annually for an individual. Under the new policy, eligibility would be limited to those making no more than 130 percent of the federal poverty level, or $20,345 per year.
The National Alliance of State and Territorial AIDS Directors estimates that more than 16,000 patients in Florida will lose coverage under the state’s ADAP because of this illegal change in department policy. Florida’s eligibility changes would also eliminate access to biktarvy, a widely used once-daily medication for people living with HIV/AIDS.
Under Florida law, when a state agency seeks to make a major policy change, it must either follow a formal rule-making process under the Florida Administrative Procedure Act or obtain direct legislative authorization.
AHF alleges the Florida Department of Health did neither.
Typically, altering eligibility for a statewide program requires either legislative action or adherence to a multistep rule-making process, including: publishing a Notice of Proposed Rule; providing a statement of estimated regulatory costs; allowing public comment; holding hearings if requested; responding to challenges; and formally adopting the rule. According to AHF, none of these steps occurred.
“Rule-making is not a matter of agency discretion. Each statement that an agency like the Department of Health issues that meets the statutory definition of a rule must be adopted through legally mandated rule-making procedures. Florida has simply not done so here,” said Tom Myers, AHF’s chief of public affairs and general counsel. “The whole point of having to follow procedures and rules is to make sure any decisions made are deliberate, thought through, and minimize harm. Floridians living with HIV and the general public’s health are at stake here and jeopardized by these arbitrary and unlawful DOH rule changes.”
AHF has multiple Ryan White CARE Act contracts in Florida, including four under Part B, which covers ADAP. More than 50 percent of people diagnosed with HIV receive assistance from Ryan White programs annually.
According to an AHF advocacy leader who spoke with the Washington Blade, the move appears to have originated at the state level rather than being driven by the federal government — a claim that has circulated among some Democratic officials.
“As far as we can tell, Congress flat-funded the Ryan White and ADAP programs, and the proposed federal cuts were ignored,” the advocacy leader told the Blade on the condition of anonymity. “None of this appears to be coming from Washington — this was initiated in Florida. What we’re trying to understand is why the state is claiming a $120 million shortfall when the program already receives significant federal funding. That lack of transparency is deeply concerning.”
Florida had the third-highest rate of new HIV infections in the nation in 2022, accounting for 11 percent of new diagnoses nationwide, according to KFF, a nonprofit health policy research organization.
During a press conference on Wednesday, multiple AHF officials commented on the situation, and emphasized the need to use proper methods to change something as important as HIV/AIDS coverage availability in the sunshine state.
“We are receiving dozens, hundreds of calls from patients who are terrified, who are confused, who are full of anxiety and fear,” said Esteban Wood, director of advocacy, legislative affairs, and community engagement at AHF. “These are working Floridians — 16,000 people — receiving letters saying they have weeks left of medication that keeps them alive and costs upwards of $45,000 a year. Patients are asking us, ‘What are we supposed to do? How are we supposed to survive?’ And right now, we don’t have a good answer.”
“This decision was not done in the correct manner. County health programs, community-based organizations, providers across the state — none of them were consulted,” Wood added. “Today is Jan. 28, and we have just 32 days until these proposed changes take effect. Nearly half of the 36,000 people currently on ADAP could be disenrolled in just over a month.”
“Without this medication, people with HIV get sicker,” Myers said during the conference. “They end up in emergency rooms, they lose time at work, and they’re unable to take care of their families. Treatment adherence is also the best way to prevent new HIV infections — people who are consistently on these medications are non-infectious. If these cuts go through, you will have sicker people, more HIV infections, and ultimately much higher costs for the state.”
“Patients receiving care through Ryan White and ADAP have a 91 percent viral suppression rate, compared to about 60 percent nationally,” the advocacy leader added. “That’s as close to a functional cure as we can get, and it allows people to live healthy lives, work, and contribute to their communities. Blowing a hole in a program this successful puts lives at risk and sets a dangerous precedent. If Florida gets away with this, other states facing budget pressure could follow.”
The lawsuit comes days after the Save HIV Funding campaign pressed Congress to build bipartisan support for critical funding for people living with or vulnerable to HIV. In May of last year, President Donald Trump appeared to walk back his 2019 pledge to end HIV as an epidemic, instead proposing the elimination of HIV prevention programs at the Centers for Disease Control and Prevention and housing services in his budget request to Congress.
House appropriators, led by the Republican majority, went further, calling for an additional $2 billion in cuts — including $525 million for medical care and support services for people living with HIV.
While Senate appropriators ultimately chose to maintain level funding in their version of the spending bills, advocates feared final negotiations could result in steep cuts that would reduce services, increase new HIV infections, and lead to more AIDS-related deaths. The final spending package reflected a best-case outcome, with funding levels largely mirroring the Senate’s proposed FY26 allocations.
“What the state has done in unilaterally announcing these changes is not following its own rules,” Myers added. “There is a required process — rule-making, notice and comment, taking evidence — and none of that happened here. Before you cut 16,000 people off from lifesaving medication, you have to study the harms, ask whether you even have the authority to do it, and explore other solutions. That’s what this lawsuit is about.”
National
Federal authorities arrest Don Lemon
Former CNN anchor taken into custody two weeks after Minn. church protest
Federal authorities on Thursday arrested former CNN anchor Don Lemon in Los Angeles.
CNN reported authorities arrested Lemon after 11 p.m. PT while in the lobby of a hotel in Beverly Hills, Calif., while he “was leaving for an event.” Lemon’s lawyer, Abbe Lowell, in a statement said his client was in Los Angeles to cover the Grammy Awards.
Authorities arrested Lemon less than two weeks after he entered Cities Church in St. Paul, Minn., with a group of protesters who confronted a pastor who works for U.S. Immigration and Customs Enforcement. (An ICE agent on Jan. 7 shot and killed Renee Good, a 37-year-old Minneapolis woman who left behind her wife and three children. U.S. Customs and Border Protection agents on Jan. 24 shot and killed Alex Pretti, a 37-year-old nurse who worked for the Department of Veterans Affairs, in Minneapolis.)
Lemon insists he was simply covering the Cities Church protest that interrupted the service. A federal magistrate last week declined to charge the openly gay journalist in connection with the demonstration.
“Don Lemon was taken into custody by federal agents last night in Los Angeles, where he was covering the Grammy awards,” said Lowell in his statement. “Don has been a journalist for 30 years, and his constitutionally protected work in Minneapolis was no different than what he has always done. The First Amendment exists to protect journalists whose role it is to shine light on the truth and hold those in power accountable.”
“Instead of investigating the federal agents who killed two peaceful Minnesota protesters, the Trump Justice Department is devoting its time, attention and resources to this arrest, and that is the real indictment of wrongdoing in this case,” Lowell added. “This unprecedented attack on the First Amendment and transparent attempt to distract attention from the many crises facing this administration will not stand. Don will fight these charges vigorously and thoroughly in court.”
Attorney General Pam Bondi on X confirmed federal agents “at my direction” arrested Lemon and three others — Trahern Jeen Crews, Georgia Fort, and Jamael Lydell Lundy — “in connection with the coordinated attack on Cities Church in St. Paul, Minnesota.”
Fort is also a journalist.
At my direction, early this morning federal agents arrested Don Lemon, Trahern Jeen Crews, Georgia Fort, and Jamael Lydell Lundy, in connection with the coordinated attack on Cities Church in St. Paul, Minnesota.
More details soon.
— Attorney General Pamela Bondi (@AGPamBondi) January 30, 2026
Lemon, who CNN fired in 2023, is expected to appear in court in Los Angeles on Friday.
“Freedom of the press is a cornerstone of a free society; it is the tool by which Americans access the truth and hold power to account. But Donald Trump and Pam Bondi are at war with that freedom — and are threatening the fundamentals of our democracy,” said Human Rights Campaign President Kelley Robinson on Friday in a statement. “Don Lemon and Georgia Fort were doing their jobs as reporters. Arresting them is not law enforcement it is an attack on the Constitution at a moment when truthful reporting on government power has never been more important. These are the actions of a despot, the tactics of a dictator in an authoritarian regime.”
The White House
Expanded global gag rule to ban US foreign aid to groups that promote ‘gender ideology’
Activists, officials say new regulation will limit access to gender-affirming care
The Trump-Vance administration has announced it will expand the global gag rule to ban U.S. foreign aid for groups that promote “gender ideology.”
Deputy Secretary of State Christopher Landau in a memo, titled Combating Gender Ideology in Foreign Assistance, the Federal Register published on Jan. 27 notes “previous administrations … used” U.S. foreign assistance “to fund the denial of the biological reality of sex, promoting a radical ideology that permits men to self-identify as women, indoctrinate children with radical gender ideology, and allow men to gain access to intimate single-sex spaces and activities designed for women.”
“Efforts to eradicate the biological reality of sex fundamentally attack women by depriving them of their dignity, safety, and well-being. It also threatens the wellbeing of children by encouraging them to undergo life-altering surgical and chemical interventions that carry serious risks of lifelong harms like infertility,” reads the memo. “The erasure of sex in language and policy has a corrosive impact not just on women and children but, as an attack on truth and human nature, it harms every nation. It is the purpose of this rule to prohibit the use of foreign assistance to support radical gender ideology, including by ending support for international organizations and multilateral organizations that pressure nations to embrace radical gender ideology, or otherwise promote gender ideology.”
President Donald Trump on Jan. 28, 2025, issued an executive order — Protecting Children from Chemical and Surgical Mutilation — that banned federal funding for gender-affirming care for minors.
President Ronald Reagan in 1985 implemented the global gag rule, also known as the “Mexico City” policy, which bans U.S. foreign aid for groups that support abortion and/or offer abortion-related services.
Trump reinstated the rule during his first administration. The White House this week expanded the ban to include groups that support gender-affirming care and diversity, equity, and inclusion programs.
The expanded global gag rule will take effect on Feb. 26.
“None of the funds made available by this act or any other Act may be made available in contravention of Executive Order 14187, relating to Protecting Children From Chemical and Surgical Mutilation, or shall be used or transferred to another federal agency, board, or commission to fund any domestic or international non-governmental organization or any other program, organization, or association coordinated or operated by such non-governmental organization that either offers counseling regarding sex change surgeries, promotes sex change surgeries for any reason as an option, conducts or subsidizes sex change surgeries, promotes the use of medications or other substances to halt the onset of puberty or sexual development of minors, or otherwise promotes transgenderism,” wrote Landau in his memo.
Landau wrote the State Department “does not believe taxpayer dollars should support sex-rejecting procedures, directly or indirectly for individuals of any age.”
“A person’s body (including its organs, organ systems, and processes natural to human development like puberty) are either healthy or unhealthy based on whether they are operating according to their biological functions,” reads his memo. “Organs or organ systems do not become unhealthy simply because the individual may experience psychological distress relating to his or her sexed body. For this reason, removing a patient’s breasts as a treatment for breast cancer is fundamentally different from performing the same procedure solely to alleviate mental distress arising from gender dysphoria. The former procedure aims to restore bodily health and to remove cancerous tissue. In contrast, removing healthy breasts or interrupting normally occurring puberty to ‘affirm’ one’s ‘gender identity’ involves the intentional destruction of healthy biological functions.”
Landau added there “is also lack of clarity about what sex-rejecting procedures’ fundamental aims are, unlike the broad consensus about the purpose of medical treatments for conditions like appendicitis, diabetes, or severe depression.”
“These procedures lack strong evidentiary foundations, and our understanding of long-term health impacts is limited and needs to be better understood,” he wrote. “Imposing restrictions, as this rule proposes, on sex-rejecting procedures for individuals of any age is necessary for the (State) Department to protect taxpayer dollars from abuse in support of radical ideological aims.”
Landau added the State Department “has determined that applying this rule to non-military foreign assistance broadly is necessary to ensure that its foreign assistance programs do not support foreign NGOs and IOs (international organizations) that promote gender ideology, and U.S. NGOs that provide sex-rejecting procedures, and to ensure the integrity of programs such as humanitarian assistance, gender-related programs, and more, do not promote gender ideology.”
“This rule will also allow for more foreign assistance funds to support organizations that promote biological truth in their foreign assistance programs and help the (State) Department to establish new partnerships,” he wrote.
The full memo can be found here.
Council for Global Equality Senior Policy Fellow Beirne Roose-Snyder on Wednesday said the expansion of the so-called global gag rule will “absolutely impact HIV services where we know we need to target services, to that there are non-stigmatizing, safe spaces for people to talk through all of their medical needs, and being trans is really important to be able to disclose to your health care provider so that you can get ARVs, so you can get PrEP in the right ways.” Roose-Snyder added the expanded ban will also impact access to gender-affirming health care, food assistance programs and humanitarian aid around the world.
“This rule is not about gender-affirming care at all,” she said during a virtual press conference the Universal Access Project organized.
“It is about really saying that if you want to take U.S. funds — and it’s certainly not about gender-affirming care for children — it is if you want to take U.S. funds, you cannot have programs or materials or offer counseling or referrals to people who may be struggling with their gender identity,” added Roose-Snyder. “You cannot advocate to maintain your country’s own nondiscrimination laws around gender identity. It is the first place that we’ve ever seen the U.S. government define gender-affirming care, except they call it something a lot different than that.”
The Congressional Equality Caucus, the Democratic Women’s Caucus, the Congressional Hispanic Caucus, the Congressional Asian and Pacific American Caucus, and the Congressional Black Caucus also condemned the global gag rule’s expansion.
“We strongly condemn this weaponization of U.S. foreign assistance to undermine human rights and global health,” said the caucuses in a statement. “We will not rest until we ensure that our foreign aid dollars can never be used as a weapon against women, people of color, or LGBTQI+ people ever again.”
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