Politics
New guidance affords gay couples equal access to Medicaid
Non-marriage equality states can refuse new policy for gay couples
Gay married couples will now have the same eligibility opportunities for Medicaid coverage as straight couples in certain states following the Supreme Court decision against the Defense of Marriage Act, according to new guidance from the Obama administration obtained Friday by the Washington Blade.
In two separate pieces of guidance dated Sept. 27, the Centers for Medicare & Medicaid outlines new policy bringing the agency in line with the ruling against DOMA. They’re published in time for enrollment into insurance exchanges and Medicaid expansion under the health care reform law starting on Tuesday.
One piece of guidance from Gary Cohen, CMS director of the Center for Consumer Information & Insurance Oversight, clarifies gay married couples will be for a spousal tax credit and cost-sharing reductions by signing up for a health insurance exchange — provided they submit a joint tax return for that year.
“In light of the Ruling, the eligibility rules with respect to premium tax credits under Code section 36B treat same-sex spouses in the same manner as opposite-sex spouses,” Cohen writes.
That policy decision has nationwide implications thanks to an Aug. 29 ruling from the Internal Revenue Service that married same-sex couples should be treated the same as opposite-sex couples for tax purposes — regardless of whether or not they reside in a state recognizing the union.
The other piece of guidance from Sept. 27, signed by CMS Director of the Center for Medicaid & CHIP Services Cindy Mann, is more complex and says DOMA is no longer a factor in determining the income-based eligibility of same-sex couples for Medicaid and the Children’s Health Insurance Program.
“[B]ecause Section 3 of DOMA no longer controls the definition of marriage or spouse under the framework for state Medicaid and CHIP programs, DOMA is no longer a bar to states recognizing same-sex marriages in Medicaid or CHIP,” Mann writes.
Medicaid is a health insurance program jointly run by the states and government in which a person is eligible for coverage if have income up to 133 percent of the poverty line. Most individuals apply for Medicaid not on an individual basis, but on a family basis.
With DOMA out of the picture, the new policy would make a gay person more eligible for Medicaid if their spouse’s income is lower and places them lower on the poverty scale. Also, it can make a gay person less eligible if a spouse’s income is higher and the couple seems less in need.
The guidance says that state may begin factoring an applicant’s same-sex marriage into eligibility for Medicaid and CHIP “immediately,” but acknowledges some operational challenges and says it should be implemented “as soon as reasonably practicable.”
States where same-sex marriage is legal will have to adopt the new eligibility requirements, but since the Medicaid is jointly run by the states, CMS isn’t requiring non marriage-equality states to recognize same-sex marriages for the purposes of the purposes of the program. States can elect to opt out of the new policy.
“[A] state is permitted and encouraged, but not required, to recognize same-sex couples who are legally married under the law of the jurisdiction in which the marriage was celebrated as spouses for purposes of Medicaid and CHIP,” Mann writes. “States that do not recognize same-sex marriages are thus free to adopt a different marriage recognition policy for Medicaid and CHIP purposes.”
That’s similar to policy under health care reform. Because of the Supreme Court ruling on Obamacare, states can opt out of participating in the Medicaid expansion under the law.
The guidance also allows states to adopt this eligibility standard for Medicaid and CHIP if the state offers civil unions or domestic partnerships that are the legal equivalent to marriage. Among these states are Colorado and Illinois.
“Consistent with this guidance, a marriage is recognized for Medicaid and CHIP purposes if (it is legally valid under applicable law,” Mann writes. “Thus, if a state or territory recognizes a civil union or domestic partnership as a marriage, that marital status is recognized under the Medicaid and CHIP programs, consistent with this guidance.”
CMS says this guidance isn’t the last word. The agency is awaiting additional guidance on non-income related eligibility for Medicaid and CHIP that hinges on yet-to-be-released guidance from the Social Security Administration in determining eligibility for Supplemental Security Income. Some Social Security spousal benefits are beginning to flow to married gay couples, but the Obama administration hasn’t finalized this post-DOMA policy yet.
“The Centers for Medicare & Medicaid Services (CMS) will issue additional guidance once the SSA announces its post-Windsor SSI marriage recognition policy,” Mann writes.
Despite the effort to bring the Medicaid into alignment with the court ruling against DOMA, the nation’s largest LGBT group is expressing discontent with the guidance and says the eligibility should extend to married gay couples nationwide.
Michael Cole-Schwartz, a spokesperson for the Human Rights Campaign, said the policy decisions “fall short” by allowing states to determine whether they can provide Medicaid coverage to same-sex couples.
“While it might be advantageous for some families to remain unrecognized in order to maintain eligibility for certain programs, as a general rule we oppose different standards for gay versus straight married couples,” Cole-Schwartz said. “Given that there are no impediments to the federal government adopting an across the board standard that recognizes all legally married couples in this instance, we believe that the new rules fall short of the ideal where the sexual orientation of those in a marriage is irrelevant.”
Federal officials insist the new policy is extended in the maximum possibly way because, unlike in other cases where the Department of Health & Human Services has extended standards and benefits to same-sex married couples in non-marriage equality states, there is a special federal-state relationship in Medicaid with the states administering this program.
2026 Midterm Elections
LGBTQ issues, attacks on Democrats dominate unusual RNC midterm convention
“Trumpapalooza” emphasized the gains Republicans need to maintain control of the federal government.
The Republican Party held an unusual midterm convention in Dallas last week, where President Donald Trump and other prominent GOP officials spoke in hopes of building enthusiasm and support ahead of the November elections.
The two-day gathering at the American Airlines Center was the first midterm convention of its kind for the Republican Party. Unlike a traditional presidential nominating convention, there was no official party business or nominations. Instead, the event was designed to energize Republican voters and unite the party behind its candidates and broader message heading into the midterm elections.
Trump, who spoke during both nights of the convention, repeatedly emphasized the importance of Republicans turning out to vote in the midterms — elections in which incumbent presidents and the parties in power have historically faced significant challenges.
“I’m asking you to pretend that I’m on the ballot,” the president implored attendees on the first day.
On the second night, Trump delivered another direct appeal to Republican voters.
“You know what happens if you don’t vote? You go to hell,” he said.
Trump also urged attendees at one point to “cheat like hell” to keep Republicans in control of Congress.
The president also used the event to promote Republican candidates, including Texas Attorney General Ken Paxton, the GOP nominee in the state’s closely watched Senate race against outspoken LGBTQ rights supporter James Talarico.
“He may not dress right, he may not talk exactly perfectly, and he may not be the best-looking guy I’ve ever seen, but he’s the greatest attorney general in America and he deserves to be your next senator,” Trump said when talking about Paxton.
Among those in attendance were gay Treasury Secretary Scott Bessent, Rep. Brandon Gill (R-Texas), North Carolina Senate nominee Michael Whatley, and Ohio Republican Sen. Jon Husted.
Both days, there were thousands of empty seats, including almost all of the upper level, despite Trump insisting the arena was “packed” with “thousands” more waiting outside.
The convention’s message frequently emphasized personal and political attacks on Democrats, often over detailed policy discussions. Speakers repeatedly targeted Democratic candidates and progressive figures, with Michigan Democratic Senate nominee Abdul El-Sayed among those mentioned throughout the event.
The first lady was notably absent from the event.
Five RNC officials described the scope of the party’s nationwide “election integrity” effort to Axios. They said strict enforcement of voting laws and preventing noncitizens from registering and voting are top priorities, even as analysts say voter fraud is rare and there is no evidence of any systemic or significant problem.
President Trump also proposed giving American adults $5,000 if Republicans retain control of the House and Senate, a proposal that immediately raised questions about its legality and implementation.
The Republican base has also fractured over several key issues during the last 18 months, including the war in Iran, the handling of the release of the Epstein files, surging gas prices, and rising costs driven by tariffs. The convention was organized as an effort to rally Republicans around the party and motivate turnout despite those divisions and broader concerns heading into the midterms.
A protester carrying a Mexican flag interrupted Vice President JD Vance’s speech on Sept. 10.
“It’s about sending a message to the Democratic Party that if you send your crazies, we’re going to send you packing,” Vance said of the stakes of November’s elections.
More than 100 protesters also marched through downtown Dallas during the RNC Midterm Convention, briefly blocking traffic near the American Airlines Center.
At the convention both nights, an image that can only be described as a thirst trap of Democratic socialist commentator and creator Hassan Piker was shown on the jumbotron, garnering attention on social media.
The social media star posted a video shortly after images of him, abs and all, appeared on the jumbotron, sitting at a desk and completely dumbfounded at the thought that “my meat pic was on the jumbotron at the republican midterm convention.”
Piker has been a frequent target of conservative and Republican figures because of his criticism of the Israel-Palestine war, the war in Iran, and his broader critiques of the establishment and political institutions of both parties. Piker and El-Sayed were two of the most targeted progressive figures during the convention.
Another figure from the other side of the aisle who made an appearance was Democratic Sen. John Fetterman, who in recent months has adopted more conservative positions on some issues and continued to voice strong support for Israel — an issue on which there are divisions within the Democratic Party.
“Yes, I’m a Democrat. Why am I here talking to you today? Because well, I’m a common sense Democrat,” Fetterman said in the prerecorded video that also aired on the American Airlines Center’s jumbotron. “I’m always going to stand with America. I’m always going to reject the extremes and socialism and that anti-American way of life.”
“We’ll work with President Trump to fight and defend the steel way of life right here in the steel valley,” he added.
Fetterman’s prerecorded appearance was a notable moment at an event otherwise dominated by Republican officials and speakers.
Also at the event, accusations began to spread online about alleged Grindr outages in the area of the convention — a juxtaposition with the anti-LGBTQ positions the Republican Party officially reflects and its emphasis on “family values.”
A spokesperson for Grindr told Snopes, “Grindr has not experienced recent outages. Third party sources that often make these claims rely on unreliable data such as self-reporting, while Grindr reports outages directly on its status page.” The status page showed no outages in August or September 2026.
Another person, who goes by the name of Nick Pringle online, garnered over eight million views on an Instagram video in which he claims he was about to start working “undercover as a male escort” at the convention.
In the video, he appears to be in a hotel bathroom and says he will post for the sake of exposing hypocritical Republican lawmakers who have used their power to champion what he described as hateful and divisively anti-LGBTQ legislation.
The Blade reached out to Pringle via Instagram to ask whether he ultimately carried out what he described in the video and whether he had any evidence or additional information to share about his experience at the convention, but did not hear back by the time of publication.
Politics
Ind. prosecutor declines to press charges over false Buttigieg child welfare complaint
Former Biden-Harris Cabinet member declined to comment on decision
An Indiana prosecutor has declined to file criminal charges against a woman who made a false child welfare complaint against Pete Buttigieg.
Buttigieg, the former transportation secretary in the Biden-Harris administration, was accused in June of posing a threat to his children via an anonymous call to police that resulted in him being temporarily separated from his four-year-old twins.
Marshall County Prosecuting Attorney E. Nelson Chipman Jr. opted not to pursue charges against the Alabama woman who filed the false child welfare claim against the Democratic political figure while she was in Marshall County.
According to ABC 57, the television station in South Bend that published a letter from Michigan State Police to Indiana State Police, the 50-year-old woman, identified only as TJ of Alabama, was responsible for the “brief and intrusive investigation” into Buttigieg and his family.
In the letter to Indiana State Police, Michigan State Police described TJ’s documented alcoholism and other chemical dependencies, as well as hallucinations and delusional thinking. The prosecutor also noted that TJ has self-identified as God and claims to hear voices only she can hear.
The letter from Michigan State Police to Indiana State Police states:
“Your investigation reveals that TJ, 50 years old, has a documented history of alcohol abuse and has experienced numerous treatment facilities and programs for alcoholism and other chemical dependency over the years. Further, TJ has a long history of mental illness, manifested by hallucinations and delusional thinking which includes frequently responding to voices only she hears and grandiose ideation including self-identifying as God. She frequently reports she has enjoyed an evening meal with Barack and Michele Obama.
TJ is from Alabama. During her relatively short stay here, TJ was able to generate three separate police encounters that resulted in reports, one of which resulted in TJ’s arrest for domestic battery. I note her BAC in that case was reported at .323. I also note one of the three early reports was based upon TJ’s claim of herself being a victim of sexual abuse at the age of 3 by her mother some 47 years prior. Her explanation for such a delayed report was incoherent.
As you found out, TJ returned to Alabama and took up residence in a treatment facility only to be soon evicted for a rule violation. She currently resides in a half-way house near Alabama, with very limited mental health treatment options available. I note TJ’s abusive and harassing attitude has resulted in restricting only somewhat her access to a telephone, and that she continues to have access to computers at the facility. Obviously she may still have the ability to file additional complaints. No doubt a regrettable situation.
In light of the totality of circumstances, I am unable to conclude that TJ is capable of forming the requisite intent to support a criminal conviction for this offense. Accordingly, this office will not be filing a criminal case in this matter.
Thank you, as always, for a thorough investigation and cogent report.
Stay safe.
Best regards,
E. Nelson Chipman, Jr.
Marshall County Prosecuting Attorney”
When the situation first arose in June, Buttigieg opened up about the experience via his Substack, where he described the situation as one of the worst things that has ever happened to his family — one that resulted in him being separated from his twins, Joseph August “Gus” and Penelope Rose, for their safety.
“The caller said that he had spoken to a woman who claimed to have met me at a conference several years ago in Alabama, where she said I told her that I had committed unspeakable violent crimes, and the caller believed my children were still at risk,” Buttigieg wrote in a post he titled “A Terrible Thing Happened to My Family.” “I am a reasonable man. I try to keep as calm and low-key as possible. But I cannot describe the mix of rage and sadness that I feel at the idea that someone brought our children into this.”
A Buttigieg spokesman declined to comment on the prosecutor’s decision not to pursue charges, but did tell the Washington Post in a statement: “This has been a painful and infuriating situation for the family. They are in touch with Michigan authorities, seeking answers and accountability for what happened.”
In response to the story Buttigieg shared on his Substack, Kelley Robinson, president of the Human Rights Campaign, released the following statement:
“I know how I would feel if someone tried to come between me and my kids. This is truly bottom-of-the-barrel stuff. It takes an awful, hateful person to question someone’s fitness as a parent just because of who they are, who they love, or in Sec. Buttigieg’s case, perhaps even who he speaks out against politically. We’re thinking of Pete, Chasten, and their whole family in this moment — and we aren’t resting until all LGBTQ+ families have the kind of safety and justice every one of us deserves.”
The Washington Blade reached out to Michigan State Police after the story initially broke to ask if any disciplinary action would be imposed on the woman who made the false report, but was told to file a FOIA request to view the full report. After filing a FOIA request, the Blade was denied access to any additional information.
2026 Midterm Elections
Chris Pappas wins NH Democratic Senate primary
Gay congressman running to succeed retiring U.S. Sen. Jeanne Shaheen
New Hampshire Congressman Chris Pappas on Tuesday won the Democratic primary in the race to succeed retiring U.S. Sen. Jeanne Shaheen (D-N.H.) in the U.S. Senate.
Pappas defeated Karishma Manzur, who was his primary challenger, by a 61.8-36.1 percent margin.
The gay congressman will face off against former U.S. Sen. John E. Sununu, who defeated former U.S. Sen. Scott Brown in the Republican primary.
“Tonight’s victory sends a clear message that voters are looking for leaders who will fight for their rights, their freedoms, and to be treated with dignity and respect,” said Human Rights Campaign President Kelley Robinson in a statement.
She campaigned for Pappas in Manchester, New Hampshire’s largest city, on Aug. 30.
“Chris Pappas has delivered results, stood up for equality, and showed up for the people he serves,” said Robinson in her statement. “HRC was proud to mobilize Equality Voters across New Hampshire to help power this win. We don’t have a second to waste between now and November. We look forward to continuing our work with Rep. Pappas as he drives toward victory in November so he can help return a pro-equality majority to the United States Senate.”
A poll the University of New Hampshire Survey Center released on Aug. 26 showed Sununu ahead of Pappas by a 45-43 percent margin if they were to face off in the general election. The margin of error is +/-2.1 percent.
Pappas would become the first openly gay man elected to the U.S. Senate if he were to win in November.
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