Local
AIDS groups coping as contractor stops paying Medicaid claims
Mayor taking steps to restore payments for patients

‘In light of the financial problems of Chartered, I will be taking steps to protect the District’s health care provider network,’ said Mayor Vincent Gray in a statement. (Washington Blade photo by Michael Key)
Whitman-Walker Health and several other D.C. health care organizations say they are continuing to provide services to Medicaid clients with HIV/AIDS following the announcement in April that a city contractor had stopped paying Medicaid claims.
Whitman-Walker and several other local providers serving HIV/AIDS patients told the Blade they have so far managed to get by without getting paid for patients on Medicaid following the financial collapse of a city contractor that has operated D.C.’s Medicaid program.
A Washington Post story on Sunday reported that many small health care providers, including doctors’ offices and small clinics serving low-income clients, were struggling to keep their doors open since the Medicaid payments stopped last month.
The Medicaid problem began earlier this year when Chartered Health Plan, the company that arranged for Medicaid payments to doctors, hospitals, and other health care providers entered into voluntary receivership after encountering severe financial problems.
Under its contract with the city, Chartered managed Medicaid related issues for more than 100,000 low-income D.C. residents, according to a statement released in April by the D.C. Department of Health Care Finance.
The Post reported that Chartered Health Plan, once a multimillion dollar company, faced near financial collapse this year as an apparent result of revelations in late 2010 that its owner, Jeffrey E. Thompson, allegedly financed a “shadow campaign” in support of Vincent Gray’s 2010 mayoral election.
The United States Attorney’s office continues to investigate issues surrounding the campaign, which the city’s Office of Campaign Finance has said violated the city’s campaign finance law. Gray has said he had no knowledge of the so-called shadow campaign and has cooperated with investigators looking into the matter.
Whitman-Walker spokesperson Chip Lewis said Chartered owes Whitman-Walker just over $40,000 in back Medicaid payments for patient services.
“Whitman-Walker Health is absorbing the delay in payments from Chartered Health Plan within our current operations,” Lewis told the Blade. “Going forward, we do not anticipate this outstanding balance will create a major financial burden as it is a relatively small amount of funds compared to our monthly operating budget of $2.2 million.”
Ron Simmons, executive director of Us Helping Us, and Lloyd Buckner, executive director of MetroHealth, formerly known as the Carl Vogel Center, said the city’s Medicaid payment delays haven’t adversely impacted their respective organizations at this time.
Both organizations provide services for people with HIV/AIDS and both accept patients on Medicaid, the two said.
Michael Weinstein, director of the Los Angeles-based AIDS Healthcare Foundation, which operates an AIDS clinic and pharmacy in D.C., said, “Medicaid is not a big funder to our clinic” and the interruption of Medicaid payments in D.C. “is not significant to us.”
An official with La Clinica del Pueblo, a D.C. clinic that provides AIDS-related medical services for the Latino community, couldn’t immediately be reached for comment.
“In light of the financial problems of Chartered, I will be taking steps to protect the District’s health care provider network that has taken years for us to develop,” Mayor Gray said in a statement in April.
“My primary goal is to protect the stability of the community-based providers that will be at risk of closing their doors and turning away patients if there is a significant delay in being paid,” Gray said.
Gray said that he directed his Deputy Mayor for Health and Human Services, BB Otero, and the Department of Health Care Finance to develop a plan to provide relief for providers hit the hardest by the Medicaid payment cutoff.
The Post reported that since the time of the mayor’s announcement last month the city has retained a new company, AmeriHealth Caritas of Philadelphia, to replace Chartered Health as the city’s lead contractor for Medicaid services.
District of Columbia
‘Sandwich guy’ not guilty in assault case
Sean Charles Dunn faced misdemeanor charge
A jury with the U.S. District Court for the District of Columbia on Thursday, Nov. 6, found D.C. resident Sean Charles Dunn not guilty of assault for tossing a hero sandwich into the chest of a U.S. Customs and Border Protection agent at the intersection of 14th and U streets, N.W. at around 11 p.m. on Aug. 10.
Dunn’s attorneys hailed the verdict as a gesture of support for Dunn’s contention that his action, which was captured on video that went viral on social media, was an exercise of his First Amendment right to protest the federal border agent’s participating in President Donald Trump’s deployment of federal troops on D.C. streets.
Friends of Dunn have said that shortly before the sandwich tossing incident took place Dunn had been at the nearby gay nightclub Bunker, which was hosting a Latin dance party called Tropicoqueta. Sabrina Shroff, one of three attorneys representing Dunn at the trial, said during the trial after Dunn left the nightclub he went to the submarine sandwich shop on 14th Street at the corner of U Street, where he saw the border patrol agent and other law enforcement officers standing in front of the shop.
Shroff and others who know Dunn have said he was fearful that the border agent outside the sub shop and immigrant agents might raid the Bunker Latin night event. Bunker’s entrance is on U Street just around the corner from the sub shop where the federal agents were standing.
“I am so happy that justice prevails in spite of everything happening,“ Dunn told reporters outside the courthouse after the verdict while joined by his attorneys. “And that night I believed that I was protecting the rights of immigrants,” he said.
“And let us not forget that the great seal of the United States says, E Pluribus Unum,” he continued. “That means from many, one. Every life matters no matter where you came from, no matter how you got here, no matter how you identify, you have the right to live a life that is free.”
The verdict followed a two-day trial with testimony by just two witnesses, U.S. Customs and Border Protection agent Gregory Lairmore, who identified Dunn as the person who threw the sandwich at his chest, and Metro Transit Police Detective Daina Henry, who told the jury she witnessed Dunn toss the sandwich at Lairmore while shouting obscenities.
Shroff told the jury Dunn was exercising his First Amendment right to protest and that the tossing of the sandwich at Lairmore, who was wearing a bulletproof vest, did not constitute an assault under the federal assault law to which Dunn was charged, among other things, because the federal agent was not injured.
Prosecutors with the Office of the U.S. Attorney for D.C. initially attempted to obtain a grand jury indictment of Dunn on a felony assault charge. But the grand jury refused to hand down an indictment on that charge, court records show. Prosecutors then filed a criminal complaint against Dunn on the misdemeanor charge of assaulting, resisting, or impeding certain officers of the United States.
“Dunn stood within inches of Victim 1,” the criminal complaint states, “pointing his finger in Victim 1’s face, and yelled, Fuck you! You fucking fascists! Why are you here? I don’t want you in my city!”
The complaint continues by stating, “An Instagram video recorded by an observer captured the incident. The video depicts Dunn screaming at V-1 within inches of his face for several seconds before winding his arm back and forcefully throwing a sub-style sandwich at V-1.
Prosecutors repeatedly played the video of the incident for the jurors on video screens in the courtroom.
Dunn, who chose not to testify at his trial, and his attorneys have not disputed the obvious evidence that Dunn threw the sandwich that hit Lairmore in the chest. Lead defense attorney Shroff and co-defense attorneys Julia Gatto and Nicholas Silverman argued that Dunn’s action did not constitute an assault under the legal definition of common law assault in the federal assault statute.
Assistant U.S. Attorney Michael DiLorenzo, the lead prosecutor in the case, strongly disputed that claim, citing various provisions in the law and appeals court rulings that he claimed upheld his and the government’s contention that an “assault” can take place even if a victim is not injured as well as if there was no physical contact between the victim and an alleged assailant, only a threat of physical contact and injury.
The dispute over the intricacies of the assault law and whether Dunn’s action reached the level of an assault under the law dominated the two-day trial, with U.S. District Court Judge Carl J. Nichols, who presided over the trial, weighing in with his own interpretation of the assault statute. Among other things, he said it would be up to the jury to decide whether or not Dunn committed an assault.
Court observers have said in cases like this, a jury could have issued a so-called “nullification” verdict in which they acquit a defendant even though they believe he or she committed the offense in question because they believe the charge is unjust. The other possibility, observers say, is the jury believed the defense was right in claiming a law was not violated.
DiLorenzo and his two co-prosecutors in the case declined to comment in response to requests by reporters following the verdict.
“We really want to thank the jury for having sent back an affirmation that his sentiment is not just tolerated but it is legal, it is welcome,” defense attorney Shroff said in referring to Dunn’s actions. “And we thank them very much for that verdict,” she said.
Dunn thanked his attorneys for providing what he called excellent representation “and for offering all of their services pro bono,” meaning free of charge.
Dunn, an Air Force veteran who later worked as an international affairs specialist at the U.S. Department of Justice, was fired from that job by DOJ officials after his arrest for the sandwich tossing incident.
“I would like to thank family and friends and strangers for all of their support, whether it was emotional, or spiritual, or artistic, or financial,” he told the gathering outside the courthouse. “To the people that opened their hearts and homes to me, I am eternally grateful.”
“As always, we accept a jury’s verdict; that is the system within which we function,” CNN quoted U.S. Attorney for D.C. Jeanine Pirro as saying after the verdict in the Dunn case. “However, law enforcement should never be subjected to assault, no matter how ‘minor,’” Pirro told CNN in a statement.
“Even children know when they are angry, they are not allowed to throw objects at one another,” CNN quoted her as saying.
Maryland
Democrats hold leads in almost every race of Annapolis municipal election
Jared Littmann ahead in mayor’s race.
By CODY BOTELER | The Democratic candidates in the Annapolis election held early leads in the races for mayor and nearly every city council seat, according to unofficial results released on election night.
Jared Littmann, a former alderman and the owner of K&B Ace Hardware, did not go so far as to declare victory in his race to be the next mayor of Annapolis, but said he’s optimistic that the mail-in ballots to be counted later this week will support his lead.
Littmannn said November and December will “fly by” as he plans to meet with the city department heads and chiefs to “pepper them with questions.”
The rest of this article can be read on the Baltimore Banner’s website.
Democrats on Tuesday increased their majority in the Virginia House of Delegates.
The Associated Press notes the party now has 61 seats in the chamber. Democrats before Election Day had a 51-48 majority in the House.
All six openly gay, lesbian, and bisexual candidates — state Dels. Rozia Henson (D-Prince William County), Laura Jane Cohen (D-Fairfax County), Joshua Cole (D-Fredericksburg), Marcia Price (D-Newport News), Adele McClure (D-Arlington County), and Mark Sickles (D-Fairfax County) — won re-election.
Lindsey Dougherty, a bisexual Democrat, defeated state Del. Carrie Coyner (R-Chesterfield County) in House District 75 that includes portions of Chesterfield and Prince George Counties. (Attorney General-elect Jay Jones in 2022 texted Coyner about a scenario in which he shot former House Speaker Todd Gilbert, a Republican.)
Other notable election results include Democrat John McAuliff defeating state Del. Geary Higgins (R-Loudoun County) in House District 30. Former state Del. Elizabeth Guzmán beat state Del. Ian Lovejoy (R-Prince William County) in House District 22.
Democrats increased their majority in the House on the same night they won all three statewide offices: governor, lieutenant governor, and attorney general.
Narissa Rahaman is the executive director of Equality Virginia Advocates, the advocacy branch of Equality Virginia, a statewide LGBTQ advocacy group, last week noted the election results will determine the future of LGBTQ rights, reproductive freedom, and voting rights in the state.
Republican Gov. Glenn Youngkin in 2024 signed a bill that codified marriage equality in state law.
The General Assembly earlier this year approved a resolution that seeks to repeal the Marshall-Newman Amendment that defines marriage in the state constitution as between a man and a woman. The resolution must pass in two successive legislatures before it can go to the ballot.
Shreya Jyotishi contributed to this article.
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