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Transgender health care rally in D.C. draws more than 100

Whitman-Walker Health, Casa Ruby among groups that took part in the event

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rally for transgender equality and economic justice, gay news, Washington Blade
rally for transgender equality and economic justice, gay news, Washington Blade

(Washington Blade photo by Tyler Grigsby)

More than 100 people attended a rally in Columbia Heights on Saturday in support of equal access to health care for transgender people.

“We are here today to advocate for trans competent health care providers and for health care for the transgender community,” organizer Bryce Jordan Celotto said.

Nico Quintana, who came out as trans when he was 19, binded his chest for 10 years because his health insurance providers did not cover transition-related care.

He received a double mastectomy at an out-patient facility last year after saving more than $7,000, but developed an infection in his chest after the surgery. Quintana was hospitalized three times — and he said the personnel who admitted him to the hospital asked whether he was a man or a woman before they processed him.

“No one should have to think about that when they’re dying,” he said.

A 2011 study from the National Center for Transgender Equality and the National Gay and Lesbian Task Force noted 28 percent of respondents said they experienced harassment while in a doctor’s office or another health care setting. Forty-eight percent of respondents postponed medical care because they could not afford it.

Nearly a fifth of survey participants said a doctor or other health care provider refused to treat them because of their gender identity and expression. The study notes this figure is higher among trans people of color.

“It’s a sad state of affairs when the number one prerequisite for a good health care [provider] is that they’re nice,” Thomas Coughlin of Whitman-Walker Health said. He noted clients drive up to six hours to access trans-specific care at his agency. “One of our goals is to educate people about trans care and trans-sensitive health.”

Andy Bowen of the D.C. Trans Coalition and others who spoke at the rally applauded the D.C. government’s efforts to address health care and employment disparities among trans Washingtonians.

Then-Mayor Anthony Williams in 2005 signed a bill that added gender identity and expression to the D.C. Human Rights Law. The Metropolitan Police Department and the D.C. Department of Corrections have also released trans sensitivity guidelines.

More than 70 people have graduated from the Project Empowerment program the D.C. Department of Employment Services launched in 2011 as a way to help reduce unemployment and poverty rates among trans Washingtonians. The city’s insurance regulator last month also clarified existing regulations to say health insurance providers cannot discriminate against their trans policy holders.

Mayor Vincent Gray and other D.C. officials last September unveiled the country’s first publicly-funded campaign to combat anti-trans discrimination, but advocates stressed they need to do more to improve access to health care and reduce economic disparities among trans Washingtonians.

Tyra Hunter died from injuries she sustained during a 1995 car accident after emergency medical personnel who responded to the scene declined to treat her once they discovered she was trans. D.C. Fire Chief Kenneth Ellerbe last fall apologized to Hunter’s family on behalf of the department during a Transgender Day of Remembrance commemoration at the Metropolitan Community Church in Northwest Washington.

Bowen urged D.C. Medicare, Alliance and other publicly-funded health plans to cover trans-specific health care needs, such as hormones, and procedures.

The JaParker Deoni Jones Birth Certificate Equality Amendment Act of 2013, which is named for the trans woman whom Gary Niles Montgomery allegedly stabbed to death at a Northeast D.C. bus stop in Feb. 2012, would allow Washingtonians to legally change the gender on their birth certificates without sex-reassignment surgery.

The D.C. Council has scheduled a May 16 hearing on the proposal, but Casa Ruby CEO Ruby Corado said during the rally that the city needs to enforce existing laws designed to protect trans Washingtonians from discrimination.

“People have rights here,” she said. “We have human rights for everybody. There is equality.”

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Rehoboth Beach

Women’s FEST returns to Rehoboth Beach next week

Golf tournament, mini-concerts, meetups planned for silver anniversary festival

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(Washington Blade file photo by Daniel Truitt)

Women’s+ FEST 2026 will begin on Thursday, April 9 at CAMP Rehoboth Community Center.

The festival will celebrate a remarkable milestone in 2026: its silver anniversary. For 25 years, Women’s+ FEST has brought fun and entertainment for all those on the spectrum of the feminine spirit. There will be a variety of events including a golf tournament, mini-concerts and happy hour meetups.

For more information, visit Camp Rehoboth’s website.

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District of Columbia

How new barriers to health care coverage are hitting D.C.

Federally qualified health centers bracing for influx of newly uninsured patients

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Erin Loubier, vice president for access and strategic initiatives at Whitman-Walker Health. (Courtesy photo)

Washington, D.C. has the second-lowest rate of people who lack health insurance in the country, but many residents are facing new barriers to health care due to provisions of the sweeping federal law passed in July, which threatens access for thousands. 

Changes to insurance eligibility and the rising cost of premiums, which kicked in for some in October and others more recently, are expected to leave many more patients uninsured or unable to afford medical care. Federally qualified health centers, including D.C.’s Whitman-Walker Health, where 10 to 12 percent of patients are uninsured, are bracing for an influx of newly uninsured patients while facing their own financial challenges. 

Even in D.C., where uninsured rates have been among the lowest in the country, changes brought on by the passage of the Republican mega bill (known as the “Big Beautiful Bill”) will have major effects. 

The changes from the bill affect Medicaid, which is free to low-income patients, and subsidies for insurance that people buy on the health insurance exchanges that were started under the Affordable Care Act, which were allowed to expire on Dec. 31. 

Erin Loubier, vice president for access and strategic initiatives at Whitman-Walker Health, says some Whitman-Walker Health patients have received notices about premium increases, including several who say the increases are up to 1,000 percent more than they were paying. 

“That is like paying rent,” she says. “We live in an expensive city, so any increases are going to be really, really hard on people.”

Whitman-Walker Health and other healthcare providers are expecting the changes to have multiple effects — some patients may not be able to afford coverage or may avoid going to the doctor and allow health conditions to worsen because they can’t afford care, and many more will be seeking care who don’t have insurance. 

“I’m worried that we’re going to not just have people who can’t get care, but that they delay care until they’re really sick, and then the care is not as effective because they might have waited too long, and then we may have a less healthy population,” Loubier says.

Loubier says delaying care, and serving more people without insurance has major implications for Whitman-Walker Health and other health centers serving the community.

“There’s going to be a lot of pressure on us to try to find and raise more money, and that’s going to be harder, because I think all organizations who provide health care are going to be facing this,” she says. 

The U.S. health care system is the most expensive in the world, and has much higher out-of-pocket costs for individuals. But in other countries like the United Kingdom, Australia, Canada, and many others, health care is much less expensive — or even free.

Even though the U.S. has a high-priced healthcare system, critics say there are still ways to bring down costs by forcing insurance and pharmaceutical companies to absorb more of the costs, rather than transferring the costs to patients.

“In the U.S., they end up trying to cut costs at the person’s level, not at the level of the different corporations or structures that are making a lot of money in healthcare,” said Loubier. “Our system is so complicated and there is probably waste in it, but I don’t think that that cost and waste is at the ‘people’ level. I think it’s higher up at the system level, but that is much, much harder to get people to try to make cuts at that end.”

Ultimately at Whitman-Walker Health, healthcare providers and insurance navigators are planning to help with everyday necessities when it comes to healthcare coverage and striving to provide healthcare in partnership with patients, said Loubier.

“The key here is we’re going to have a lot of people who may lose insurance, and they’re going to rely on places like Whitman-Walker Health and other community health centers, so we have to figure out how we keep providing that care,” she said. 

(This article was written by a student in the journalism program at Bard High School Early College DC. This work is part of a partnership between the Washington Blade Foundation and Youthcast Media Group, funded through the FY26 Community Development Grant from the Office of D.C. Mayor Muriel Bowser.)

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District of Columbia

Mayor Bowser signs bill requiring insurers to cover PrEP

‘This is a win in the fight against HIV/AIDS’

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D.C. Mayor Muriel Bowser (Washington Blade file photo by Michael Key)

D.C. Mayor Muriel Bowser on March 20 signed a bill approved by the D.C. Council that requires health insurance companies to cover the costs of HIV prevention or PrEP drugs for D.C. residents at risk for HIV infection.

Like all legislation approved by the Council and signed by the mayor, the bill, called the PrEP D.C. Amendment Act, was sent to Capitol Hill for a required 30-day congressional review period before it takes effect as D.C. law.

Gay D.C. Council member Zachary Parker (D-Ward 5) last year introduced the bill.

Insurance coverage for PrEP drugs has been provided through coverage standards included in the Affordable Care Act, known as Obamacare. But AIDS advocacy organizations have called on states and D.C. to pass their own legislation requiring insurance coverage of PrEP as a safeguard in case federal policies are weakened or removed by the Trump administration, which has already reduced federal funding for HIV/AIDS-related programs.

Like legislation passed by other states, the PrEP D.C. Amendment Act requires insurers to cover all PrEP drugs approved by the U.S. Food and Drug Administration.

Studies have shown that PrEP drugs, which can be taken as pills or by injection just twice a year, are highly effective in preventing HIV infection.

“I think this is a win for our community,” Parker said after the D.C. Council voted unanimously to approve the bill on its first vote on the measure in February. “And this is a win in the fight against HIV/AIDS.”  

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