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Could UAFA pass as a floor amendment to immigration reform?

LGBT groups support bill despite exclusion of bi-national gay couples

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Chuck Schumer, Charles Schumer, New York, United States Senate, Democratic Party, gay news, Washington Blade
Chuck Schumer, Charles Schumer, New York, United States Senate, Democratic Party, gay news, Washington Blade

Sen. Chuck Schumer (D-N.Y.) has raised the possibility of UAFA as a floor amendment. (Washington Blade photo by Michael Key)

In the wake of a Senate committee decision to exclude bi-national gay couples from immigration reform, LGBT rights supporters are turning to a possible floor amendment as a way to salvage inclusion in the bill.

LGBT groups working on the issue — Immigration Equality and the Human Rights Campaign — told the Washington Blade they’ve asked Senate Judiciary Committee Chair Patrick Leahy (D-Vt.) to offer the language as an amendment when it comes before the full Senate as expected this month.

Steve Ralls, a spokesperson for Immigration Equality, said discussions are underway to push for a floor amendment along the lines of UAFA, which would enable gay Americans to sponsor their foreign partners for residency in the United States, but a lot depends on the case before the Supreme Court challenging the Defense of Marriage Act.

“I can tell you if the immigration bill is moving toward a vote before we have a Supreme Court DOMA ruling — or after we have a bad Supreme Court ruling — a floor option is something we very much want to look at,” Ralls said. “We’re kind of in two competing timelines here; it’s not entirely clear how quickly the immigration bill will move forward for a vote, and we don’t know exactly when we’re going to have a Supreme Court ruling.”

Bombarded by accusations on his Facebook page that he betrayed the LGBT community by asking the Senate Judiciary Committee to hold off on the amendment, Sen. Chuck Schumer (D-N.Y.) in response raised the possibility of a floor amendment.

“I’ve been a lead sponsor of the Uniting American Families Act for a number of years and I believe and desire that its principles should be included in the immigration bill,” Schumer writes. “There will be an opportunity to add it to the bill on the Senate floor.”

But none of the groups involved say they’ve received commitments from Leahy that he’ll introduce the amendment on the Senate floor, nor has the Vermont senator publicly committed to offering the amendment.

Jessica Brady, a Senate Judiciary Committee spokesperson, said she doesn’t have anything to offer in terms of public commitment for offering UAFA as an amendment on the floor.

“I’m going to have to refer you back to Sen. Leahy’s comments in the markup, when he said he would continue to fight to take discrimination out of the law,” Brady said. “He didn’t specify if he would offer an amendment on the floor.”

Moreover, finding the 60 votes on the Senate floor to end a filibuster on UAFA is significantly more difficult than obtaining the simple majority needed for passage in committee.

Assuming all 54 members of the Democratic caucus support UAFA — and the votes from Sens. Mark Pryor (D-Ark.), Mark Landrieu (D-La.) and Joe Manchin (D-W.Va.), who don’t support marriage equality, are in question — five Republicans would need to vote “yes” in addition to Sen. Susan Collins (R-Maine), the only GOP co-sponsor. The Democrats are now short one vote following the death of Sen. Frank Lautenberg (D-N.J.).

Ralls said finding the necessary 60 votes to end a filibuster on the Senate floor will be “tough,” but he expects Schumer and other Democrats in committee who couldn’t bring themselves to vote for amendments out of fear of losing Republican support for immigration reform to find support for a measure for bi-national couples on the floor.

“I think all of the Democrats on that committee who told Sen. Leahy not to offer the amendment last week owe to our families and they owe it to Sen. Leahy to find the path to 60 votes if we need them to get us there,” Ralls said.

The White House has talked about the possibility of UAFA as a floor amendment to immigration reform once it reaches the Senate floor. Under questioning from the Washington Blade on Friday, White House Principal Deputy Press Secretary Josh Earnest said he thinks “there is an amendment process on the Senate floor where this could be considered, so I don’t want to predict the outcome at this point.”

On NBC’s “Meet the Press,” Schumer said he expects the immigration bill to see action soon on the Senate floor — meaning the question of whether UAFA will be introduced as a floor amendment will have to be answered soon.

“We’re going to put immigration on the floor starting on June 10. I predict it will pass the Senate by July 4,” Schumer said. “We’re hoping to get 70 votes — up to 70 votes, which means a lot of Republicans.”

LGBT groups continue to back reform

Even without the provision for gay couples, LGBT groups are continuing to say they support the measure because it contains other provisions that would directly impact the LGBT community and provide a path to citizenship for the estimated 267,000 LGBT people who are among the 11 million undocumented immigrants in the country.

Among the provisions that directly impact the LGBT community is repeal of the one-year deadline on filing for asylum — a deadline that many LGBT asylum seekers in the United States miss because they’re unaware of it or lack the financial resource to meet it — and improvements in immigration detention facilities to benefit transgender detainees.

In a conference call with reporters, the National Center for Lesbian Rights, GLAAD and GetEQUAL highlighted these aspects of immigration reform to bolster its support among LGBT people.

Kate Kendell, executive director of the National Center for Lesbian Rights, was among those who said the provisions related to asylum and detentions facilities are important to the work done by LGBT advocates.

“We also recognized early that the bill will impact many more LGBT people than simply would be impacted by UAFA,” Kendell said. “We have seen some of the most horrific stories of damage done, discrimination, harassment, terrorizing [involving] LGBT asylum seekers and detention facilities in this country.”

Ralls acknowledged that Immigration Equality continues to support the immigration bill despite discontent over the lack of UAFA-like language in the legislation.

“We’re very disappointed that the bill does not currently include binational families, but as the LGBT organization that speaks to more immigrants than every other group in our community combined, we support the bill, as it includes important provisions that would help many of those individuals, many of whom are our clients, too,” Ralls said.

Fred Sainz, HRC’s vice president of communications, also said his organization still supports immigration reform even without language for bi-national gay couples.

“We are committed to immigration reform,” Sainz said. “Undocumented individuals that happen to be LGBT will immeasurably benefit from immigration reform.”

Meanwhile, the Republican-controlled House has its own “Gang of Eight” working on its version of reform, although the legislation that group of lawmakers produces, as Ralls noted, isn’t expected to include a provision for bi-national gay couples.

“Our strategy all along has been we want to be in the Senate bill, that if a Senate and House bill go to conference, we can rely on our champions in both chambers to make sure that we stay in the bill that reaches the president’s desk,” Ralls said.

Rep. Jerrold Nadler (D-N.Y.), sponsor of UAFA in the House, would likely be the one to amend the bill to include the provision, but given the conservative nature of the House, amending the bill in either committee or the floor to include UAFA seems unlikely.

Ilan Kayatsky, a Nadler spokesperson, said plans for what will happen with the House bill after it’s unveiled by the House “Gang of Eight” are unclear.

“We still don’t know what form or process the House CIR bill will take, so it’s premature to sort out the UAFA specifics just now,” Kayatsky said.

What happens if the Supreme Court strikes down DOMA?

The best hope for bi-national couples may be a ruling from the U.S. Supreme Court on pending litigation challenging DOMA, the federal law prohibiting federal recognition of same-sex marriage. The Obama administration has consistently cited this law, and only this law, as the reason why married bi-national gay couples are ineligible for a visa through the marriage-based green card application process.

Moreover, UAFA would no longer be operable for these legally married couples if DOMA were struck down. Even though UAFA provides a path to residency for “permanent partners,” it would no longer provide relief for couples in these states because the law, under Section 2, subsection D, only applies to those who are “unable to contract with that other individual a marriage cognizable under this Act.”

But the situation is murkier for bi-national couples who live in states without marriage equality. Will someone living in Texas be able to sponsor someone as a “permanent partner” or will they have to travel to a marriage equality state, wed, and then apply for a green card through a marriage-based green card application process? What if they cannot leave the state out of financial constraints?

Ralls said the way Immigration Equality interprets UAFA, the law would still have some use in non-marriage equality states even if DOMA is struck down.

“In some ways, it would make it simpler for couples in non-married states, they would not have to travel, they would be able to apply from their home state for their green card,” Ralls said. “So, in some ways, it’s broader and it applies to couples in all 50 states without forcing them to travel.”

Jon Davidson, legal director for Lambda Legal, said he can’t say at this point under what circumstances a bi-national same-sex couple in a non-marriage equality state would be eligible to apply for a visa if UAFA were law and DOMA were struck down.

“I don’t believe there is a definition of that term in the bill and the focus has been on creating relief from DOMA, not the range of reasons that might make it impossible to travel to a state where same-sex couples can marry,” Davidson said. “Indeed, if the bill were to pass, a court might interpret ‘unable to contract’ to reference legal inability not practical inability in light of one’s personal circumstances.”

But even with the possibility of a Supreme Court ruling against DOMA that would allow at least married bi-national couples to stay in the United States, Ralls said it’s incumbent upon Congress to act.

“We think DOMA is unconstitutional, and we hope the court agrees,” Ralls said. “But when it comes to advocating for real families who are impacted by this, we’re not willing to put all of our eggs in a basket that hasn’t yet been delivered. I do not want to have to tell our couples, the day after a bad DOMA ruling, ‘I wish we had fought harder in Congress.'”

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Congress

Marjorie Taylor Greene’s bill to criminalize gender affirming care advances

Judiciary Committee markup slated for Wednesday morning

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U.S. Rep. Marjorie Taylor Greene (R-Ga.) (Washington Blade photo by Michael Key)

U.S. Rep. Marjorie Taylor Greene (R-Ga.)’s “Protect Children’s Innocence Act,” which would criminalize guideline-directed gender affirming health care for minors, will advance to markup in the House Judiciary Committee on Wednesday morning.

Doctors and providers who administer medical treatments for gender dysphoria to patients younger than 18, including hormones and puberty blockers, would be subject to Class 3 felony charges punishable by up to 10 years in prison if the legislation is enacted.

LGBTQ advocates warn conservative lawmakers want to go after families who travel out of state to obtain medical care for their transgender kids that is banned or restricted in the places where they reside, using legislation like Greene’s to expand federal jurisdiction over these decisions. They also point to the medically inaccurate way in which the bill characterizes evidence-based interventions delineated in standards of care for trans and gender diverse youth as “mutilation” or “chemical castration.”

Days into his second term, President Donald Trump signed “Protecting Children from Chemical and Surgical Mutilation,” an executive order declaring that the U.S. would not “fund, sponsor, promote, assist, or support the so-called ‘transition’ of a child from one sex to another, and it will rigorously enforce all laws that prohibit or limit” medical treatments and interventions intended for this purpose.

Greene, who has introduced the bill in years past, noted the president’s endorsement of her bill during his address to the joint session of Congress in March when he said “I want Congress to pass a bill permanently banning and criminalizing sex changes on children and forever ending the lie that any child is trapped in the wrong body.”

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Pappas in Senate race focuses on costs, health care, and personal freedoms

Gay NH congressman hopes to succeed retiring US Sen. Jeanne Shaheen

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U.S. Rep. Chris Pappas (D-N.H.) launches his U.S. Senate campaign with a kick-off event at his family's restaurant in Manchester, N.H., on April 3, 2025 (Photo courtesy of Chris Pappas for Senate)

U.S. Rep. Chris Pappas (D-N.H.) recently sat down with the Washington Blade for an exclusive interview following the official launch of his bid for New Hampshire’s open U.S. Senate seat, which is expected to be among the most closely watched contests of the 2026 midterm election cycle. 

The congressman, who is serving his fourth term as the representative for New Hampshire’s 1st Congressional District, expects next year’s race will be “very high profile” and “challenging.” The New York Times, meanwhile, anticipates “an expensive and dogged affair.” 

Senate elections tend to attract a disproportionate share of attention and resources especially in recent years as control over the chamber has tended to change hands more often and with smaller margins, but Pappas’s race is expected to be a bellwether for Democrats as they work to mount a comeback after last year’s electoral defeat. 

At the same time, Pappas is gearing up for the battle over the Republican led reconciliation spending bill, with Democratic lawmakers exercising what little leverage they may have in the minority to fight against “disastrous cuts to Medicaid” while “finding other ways to protect what’s important to the people that we represent.” 

Lawmakers on Sunday night gave the go-ahead for the GOP’s tax and spending package, but negotiations continue into this week as Speaker Mike Johnson (R-La.) works to appease conservative hardliners and swing district Republicans. 

Granite Staters are “really concerned” about negotiations in Washington over spending, but also with the exigencies created by President Donald Trump over the past 100+ days of his second term, which have cropped up repeatedly during the town hall-style events in New Hampshire that Pappas has headlined over the spring. 

“That’s part of the reason why things are so challenging here in Washington,” the congressman said. “Oftentimes you’re pulled in 10 different directions on any given day based on what this administration is trying to do, based on what Republicans in Congress are trying to do.” 

“We’ve got to figure out how we can shed light on what’s happening, try to confront the damage, and use whatever tools we have to fight back,” he said, while remaining “focused on those things that matter most, whether that’s people losing their health insurance, cuts to programs like Social Security, and people’s access to their benefits.” 

The US Senate election

“I’ve got a strong foundation of support” for the Senate race, Pappas told the Blade, noting “I’ve run four campaigns for the House in half the state of New Hampshire” whose congressional map is cleaved into halves with the congressman’s constituents in the eastern portion of the state while freshman Democratic Congresswoman Maggie Goodlander represents the 2nd District. 

Following the announcement in March that New Hampshire’s senior U.S. senator, Jeanne Shaheen (D), would not be seeking reelection next year, “I spent the first couple weeks,” Pappas said, “talking directly with folks all across New Hampshire to see what was on their minds, and increasingly, I was hearing from people that they wanted me to jump into the race.” 

The sentiment was shared by Shaheen and the rest of the state’s congressional delegation — Goodlander and U.S. Sen. Maggie Hassan (D) — who quickly endorsed Pappas’s bid. Speculation that the state’s popular former governor Chris Sununu, a Republican, might mount a formidable challenge for the seat ended with his announcement last month that he would not enter the race. 

Even if Pappas is on the glidepath for the Senate, which is difficult to handicap so far in advance of November 2026, the election is expected to draw substantial attention and resources. 

According to the Cook Political Report, of the Senate seats that will be up for grabs in the midterms, nine are held by incumbent Democrats and 19 by incumbent Republicans who are expected to easily win reelection, which leaves just five races whose outcomes are less certain and which therefore are likely to earn most of the attention and resources next year: The blue-leaning open seat in New Hampshire, an open seat in Michigan that is currently deemed a toss-up, the seat in Georgia held by incumbent Democratic U.S. Sen. Jon Ossoff, which is also considered a toss-up, and the red-leaning seats held by incumbent GOP U.S. Sens. Susan Collins of Maine and Thom Tillis of North Carolina.

While the maps present long-shot odds of Democrats regaining control of the upper chamber even though Republicans had reclaimed the Senate majority last year by flipping just four seats for a modest margin of 53-47, races like Pappas’s are expected to be testing grounds for the minority party’s major campaigns midway through Trump’s second term. 

New Hampshire has long been a political battleground where elections tend to be close and voters tend to split the ticket. According to the Cook Partisan Voting Index, only three U.S. states are less politically partisan: Michigan, Wisconsin, and Georgia. The determination is based on data collated from the 2020 and 2024 presidential elections, where voters in both of the Granite State’s two congressional districts favored Joe Biden and Kamala Harris over Donald Trump while supporting the Republican gubernatorial nominees, Chris Sununu and Kelly Ayotte. 

Shaheen has “really built a brand that’s based on serving people and delivering for the constituents of New Hampshire,” Pappas said. “So that’s the kind of work that I want to carry on — but recognizing, in this time, that we really have to stand up and fight and be a part of our response to what this administration is doing.”

“We do need to re-establish some basic checks and balances here in Washington, so that there is oversight and accountability of an administration that’s blowing through all the guardrails and is really estranged from public opinion and from the Constitution,” he said, while continuing “to find ways to meet people where they are, to hear their stories, and to connect the fight here in Washington to people’s lives back home.” 

Responding to the needs of Granite Staters

Specifically, while “people are responding to a lot of different stories,” Pappas highlighted concerns about “cuts to specific programs, the fact that we’ve got 80,000 VA employees that are going to be fired,” and over the direction in which care for veterans is headed under the new administration. 

“The big fight right now is around health care,” he said. “It’s around defending Medicaid coverage, ensuring we’re going to continue to have a Medicaid expansion program in New Hampshire, which is something that I’ve worked with then-Gov. Maggie Hassan to implement, and whether we’re going to have tax fairness and prevent huge tax breaks from going to the wealthiest Americans and the biggest corporations.”

Asked about cuts to medical research that are impacting research universities across the country, Pappas said the issue has been raised often in discussions with people in his home state.

“The University of New Hampshire does a tremendous amount of research with federal funds,” he noted, “and that’s something that we’ve worked hard through the years to advocate for, and it’s really important for the university to continue to be able to do that work and help us understand the world around us, how it’s changing, and how we can respond to protect public health, for instance, to protect our communities against sea level rise — those are just important priorities.” 

Unlocking “breakthroughs in science and medicine” is important for America’s global competitiveness, the congressman added, whether by “homegrown talent here in the United States or research scientists from around the world that want to come to our country and share their expertise and help the United States move forward.”

“Donald Trump has decided that universities and colleges are a political enemy of his, and he’s trying to punish them, but in doing that, he’s really short changing our economy and the future of the United States,” Pappas said, adding, “most people recognize that, especially people in New Hampshire.” 

The congressman recounted how he was able to work closely with his colleagues in the state’s congressional delegation to leverage public pressure and influence by labor unions to reinstate probationary employees at the Portsmouth Naval Shipyard who were let go following drastic cuts to the federal workforce under the Trump-Vance administration. 

“It’s really critical to the future of that facility, which rehabilitates our nuclear submarine fleet and has nearly 7,000 civilian employees,” Pappas said. “So that was one case where we found that we were able to get a lot of local attention and support around an issue, and perhaps that news made it all the way back here to the Defense Department who were concerned about public pressure.”

“We’ve got a lot of long-time employees at that shipyard,” along with “a lot of new people that have been brought on board as a result of an expansion over the last several years,” the congressman noted. “Across the board, people want to know that we’re focused, especially on our families’ bottom line right now,” which is why it was important for him and his colleagues to “go to bat for a facility that’s really important to people’s livelihoods, but also to our overall economy” and for national security. 

Moving forward, Pappas said, they will continue pushing back against “efforts to attack the right to organize and collective bargaining,” because “unions at the shipyard have a great relationship with management, but that could be disrupted by political efforts from this administration to attack labor unions.” 

The economy and protecting personal freedoms

The congressman said that while “we need to try a little bit of everything to try to identify what is going to break through,” at the same time, “I do have the sense that the last election hinged on the economy, that every election really hinges on the economy, and those are the issues that are going to be, I think, most salient to folks next year.” 

“We’ve got to make sure that we’re making progress at addressing inequities in the economy and are lowering costs,” he said. “Right now, the top issues that I hear about in New Hampshire include the high cost of housing, the lack of affordability of child care, the fact that our health care system is still inaccessible, and far too expensive for most people to be able to get the care that they need.” 

“We’re not getting any of that from Republicans right now,” Pappas said, when it comes to the “work we have to do to level the playing field in our economy,” adding, “they talked a big game in the last campaign about lowering costs, but they’re taking no meaningful action to do it, and so we need to be thoughtful about a really forward-thinking agenda that can focus on how we allow people to get ahead and stand in this economy.” 

Asked about whether and to what extent Pappas will focus his messaging on the president’s tariffs, he noted “people are already responding,” especially in “a state like New Hampshire that has a longstanding close relationship with Canada.”

He continued, “88 percent of our small businesses import something. We have a lot of exporting businesses that rely on their markets overseas, including in places like Canada and China, and some of those markets are going away because of the tariffs that have been slapped on U.S. goods that we export.” 

Trump’s trade war “has generated so much instability in our economy, it’s really hard for our small businesses to navigate,” Pappas said, with these new “disruptions to supply chains and the threat of increased costs” following a “really tough 5-year period from inflation and workforce shortages to the pandemic that predated that.” 

“This is an issue that I think brings people together across party lines,” Pappas said. “Folks understand that we have trade agreements in place that have been negotiated [and] supported on a bipartisan basis, including” the United States-Mexico-Canada Agreement, “which was renegotiated during the first Trump administration.” 

The congressman continued, “it only makes sense to move forward in a way where we are focused on how we can make more things in the United States, but also recognize that we can’t make everything and we can’t go it alone, so we need to be working with close partners like Canada, and there’s no there’s no reason for this sort of trade war that only hurts our businesses and our ability to create jobs and have a thriving economy.”

“I also think, with respect to personal freedoms, in the wake of the Dobbs decision, we have to continue to take steps to re-establish Roe v. Wade as the law of the land and defend reproductive freedom,” Pappas said. 

“I’m the only candidate in this race right now, and I think regardless of who the Republican is, we’re going to be fighting for the Women’s Health Protection Act and to make sure that we’re re-establishing the precedent that Roe set for more than half a century, which is broadly supported in New Hampshire,” he said. 

LGBTQ issues

A co-chair of the Congressional Equality Caucus, Pappas is the first openly gay member of Congress to represent New Hampshire. If elected, he would be the third out LGBTQ U.S. senator behind U.S. Sen. Tammy Baldwin (D-Wis.) and Laphonza Butler, who served from 2023 to 2024.  

Trump, along with his Republican allies in Congress and appointees serving in his second administration, has undermined rights and protections for LGBTQ people on a variety of fronts, including by dismantling and defunding efforts to fight against HIV. Cuts to basic and clinical science research along with public health programs have been advanced by the president’s budget and the GOP lawmakers’ reconciliation package, as well as through the reorganization of the U.S. Department of Health and Human Services under Secretary Robert F. Kennedy Jr. 

Now in the minority, House Democrats “will not be in the room negotiating, as much as we would love to tell the majority exactly how we feel about all these items,” Pappas conceded. At the same time, “to get a budget put in place and appropriations bills passed, you’ll need 60 votes in the Senate, which means you need some sort of bipartisan consensus, at least in that body,” which “could potentially be a difference maker in defending some of these programs that folks care about, that the president has sought to eliminate.”

“Services for people with HIV, access to health care, vital research — those are things that Americans broadly support,” the congressman said. “We’re going to stand up against it, and where there’s harm to people and important priorities, I’ll certainly be speaking out, and I know that members of the Equality Caucus will be taking that very seriously.” 

“Many people in this administration,” Pappas said, “are not traditional Republicans and don’t support the same set of policies that we’ve seen even Republican presidents put in place,” like the PEPFAR initiative led by George W. Bush, “which has changed the trajectory of the treatment of HIV and AIDS around the world.” 

“Now, they are attacking that program and its ability to provide care for people in some of the most vulnerable regions of the world, and it’s been reported that individuals in Africa have died as a result of not getting the treatments that they were counting on through that program,” the congressman noted. 

He continued, “We really have a human responsibility to do whatever we can to meet the needs of people who are susceptible to disease or who have been exposed to it, and the fact that this administration is breaking with that long bipartisan tradition of research, of humanitarianism, I think is incredibly cruel, and it’s not what the United States should stand for.” 

What has been especially frustrating, Pappas said, is the silence from Republicans in Congress including those who “have championed these programs for decades.” 

“I don’t know what to say to that,” he said, except that “people need to be paying attention and we need to do everything possible to speak out and fight back against it” because “we can’t see an interruption in terms of the progress that’s been made in fighting disease and developing new therapies.” 

Public health aside, when asked about how the Democratic Party should approach messaging on issues of transgender rights and gender identity, Pappas stressed that “Americans largely embrace equality” and people want others “to have the same rights and responsibilities.” 

The congressman raised the Equality Act as an example — a bill that would protect Americans against discrimination on the basis of sexual orientation and gender identity in areas from housing to employment, which was reintroduced last month with a press conference headlined by Pappas and top Democrats from both chambers of Congress. 

Democrats should not shy away from advancing bills that advance “fairness and equality before the law,” he said, “especially at a time where we know that the LGBTQ community is being targeted by really cynical political attacks.”

“Where I come from, in New Hampshire, we’ve adopted protections for trans individuals in our state’s non discrimination statutes,” Pappas noted, “and so I think when you come from an environment like New Hampshire, you understand that people do respect their neighbors for their differences.” 

He continued, “We’re a live and let live state, and so I think it’s really consistent with who we are to be tolerant and embrace people of different identities and orientations. That’s who we are as Granite Staters. And I think people recognize that in order to have a future where everyone can live a full and productive life, you need to provide people with equality before the law.”

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Joe Biden diagnosed with ‘aggressive form’ of prostate cancer

The former president and his family are reviewing treatment options, according to a statement

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President Joe Biden (Washington Blade photo by Michael Key)

According to a statement from his personal office on Sunday, former President Joe Biden has been diagnosed with an “aggressive form” of prostate cancer that has spread to his bones.

“Last week, President Joe Biden was seen for a new finding of a prostate nodule after experiencing increasing urinary symptoms. On Friday, he was diagnosed with prostate cancer, characterized by a Gleason score of 9 (Grade Group 5) with metastasis to the bone,” the statement said.

Biden and his family “are reviewing treatment options with his physicians,” the statement said. “While this represents a more aggressive form of the disease, the cancer appears to be hormone-sensitive which allows for effective management.”

“Cancer touches us all,” the former president posted on X Monday. “Like so many of you, Jill and I have learned that we are strongest in the broken places. Thank you for lifting us up with love and support.”

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