News
Medicare to examine ban on gender reassignment surgery
Rationale for policy ‘not complete and adequate’

HHS is set to reconsider the ban on Medicare-provided gender reassignment surgery. (Image public domain)
The Obama administration is set to re-examine the ban that prohibits Medicare from covering gender reassignment surgery, according to a memorandum obtained Tuesday by the Washington Blade.
The document from the Department of Health & Human Services, dated Dec. 2, finds that the reasoning for the ban is “not complete and adequate” to support denying Medicare coverage for transgender people seeking the procedure.
The HHS Department Appeals Board states the ban — which is codified as National Coverage Determination 140.3 — “fails to account for development in the care and treatment” for transgender people over the course of the last 30 years.
The next step, the memo states, is proceeding into a “discovery” phase for the taking of evidence to determine whether the ban can be justified.
Mara Keisling, executive director of the National Center for Transgender Equality, said “there really isn’t that much to say” at this point in the process.
“This is really a preliminary step,” Keisling said. “It’s a good sign, but we have more to go on this.”
Masen Davis, executive director of the Transgender Law Center, was optimistic the ban would be lifted following the discovery process.
“Current Medicare standards are based on science from the 1960s, so it’s about time for a review,” Davis said. “Because the current scientific evidence overwhelmingly shows that sex-reassignment surgeries are effective and medically necessary treatments for some transgender individuals, we are hopeful the board will find the exclusion is not supported.”
The DAB initiated the review of the ban on Medicare-provided gender reassignment surgery in response to a request filed in March by a quartet of LGBT advocates: the National Center for Lesbian Rights, the American Civil Liberties Union, Gay & Lesbian Advocates & Defenders and civil rights attorney Mary Lou Boelcke.
The challenge was filed on behalf of Denee Mallon, a 73-year-old transgender woman in Albuquerque, N.M. A Medicare recipient, Mallon was recommended to have gender reassignment surgery by doctors to treat her gender dysphoria
In a joint statement provided to the Washington Blade in response to the HHS memorandum, the ACLU, NCLR and GLAD expressed optimism that DAB would come to the conclusion after discovery that the ban on Medicare-provided gender reassignment surgery should be lifted.
“Because the current evidence overwhelmingly shows that sex-reassignment surgeries are effective and medically necessary treatments for some individuals with gender dysphoria, we are hopeful the Board will find the exclusion is not supported,” the statement says.
According to the memorandum, the ban was put in place in 1989 as a result of a 1981 report from the National Center for Health Care Technology, an arm of HHS. The report concluded “transsexual surgery not be covered by Medicare at this time” because of the high rate of complications and questions about whether it was effective in treating gender identity disorder.
“Transsexual surgery for sex reassignment of transsexuals is controversial,” the regulation states. “Because of the lack of well controlled, long term studies of the safety and effectiveness of the surgical procedures and attendant therapies for transsexualism, the treatment is considered experimental. Moreover, there is a high rate of serious complications for these surgical procedures. For these reasons, transsexual surgery is not covered.”
Despite the institution of this policy, the American Medical Association and the American Psychological Association support gender reassignment surgery for transgender people as a means to treat gender identity disorder.
Notably, the Centers for Medicare & Medicaid didn’t put up a fight in response to the request from LGBT advocates to lift the ban. According to the memo, CMS notified the board in June that it wouldn’t submit a response to their request to lift the ban.
Neither HHS nor CMS responded to the Blade’s request for comment on the determination or why it declined to defend the ban.
It’s unclear when the discovery period for reevaluating the ban on Medicare-provided gender reassignment surgery will come to an end. Shawn Jain, a spokesperson f0r the ACLU, said his organization doesn’t know when the process will be complete.
Iran
Man stuck in Lebanon as Iran war escalates
Mario was traveling to India when conflict began on Feb. 28
The Washington Blade on March 6 spoke with a man who remains stuck in Lebanon because of the escalating Iran war.
Mario, who asked the Blade not to publish his last name, lives in the U.S., but was born in Lebanon. He decided to stop in the country to see his doctor before traveling to India for work.
Mario was about to board a flight at Rafic Hariri International Airport in Beirut, the Lebanese capital, on Feb. 28 when airline personnel announced “we cannot fly anymore” because authorities had closed the country’s airspace.
The U.S. and Israel earlier that day launched airstrikes against Iran.
One of them killed Supreme Leader Ayatollah Ali Khamenei. Iran in response launched missiles and drones against Israel and Kuwait, Bahrain, Qatar, the United Arab Emirates, Jordan, Azerbaijan, Cyprus, and other countries.
An Iranian drone that hit a command center in Kuwait on March 1 killed six U.S. soldiers: Sgt. Declan Coady, Sgt. 1st Class Nicole Amor, Capt. Cody Khork, Sgt. 1st Class Noah Tietjens, Chief Warrant Officer 3 Robert Marzan, and Maj. Jeffrey O’Brien. Another American servicemember, Sgt. Benjamin Pennington, died on Sunday, a week after Iranian drones and missiles targeted the Prince Sultan Air Base in Saudi Arabia.
Iranian drones and missiles have also damaged civilian infrastructure, including hotels and airports in Dubai in the United Arab Emirates and Kuwait. An Iranian missile on March 1 killed nine people and injured 27 others in Beit Shemesh, Israel.
The war has left Mario and hundreds of thousands of others stranded in the Middle East.
“I had to come back home,” Mario told the Blade.
“Luckily, I’m with family,” he added.
‘War is between Israel and Hezbollah’
Hezbollah, an Iran-backed Shia militant group the U.S. and Israel have designated a terrorist organization, after Khamenei’s death launched rockets at Israel. The Jewish State in response has carried out airstrikes against Hezbollah targets across Lebanon.
Hamas militants on Oct. 7, 2023, killed upwards of 1,200 people when they launched a surprise attack against Israel from the Gaza Strip. Hezbollah the following day began to launch rockets into Israel.
An Israeli airstrike in Beirut on Sept. 27, 2024, killed Hassan Nasrallah, Hezbollah’s long-time leader. Iran four days later launched upwards of 200 ballistic missiles at Israel.
The U.S. helped broker a ceasefire between Israel and Lebanon that took effect on Nov. 27, 2024. Israel nevertheless continued to carry out airstrikes in Lebanon.
Israel on June 13, 2025, launched airstrikes against Iran that targeted the country’s nuclear and military facilities. The subsequent war, which lasted 12 days, prompted the cancellation of the annual Tel Aviv Pride parade.
Mario noted the Israeli airstrikes have targeted Hezbollah infrastructure in Dahiyah, a Beirut suburb that is predominantly Shia, and in southern Lebanon.
His family’s home is about five miles from downtown Beirut. Mario said there is a mountain “that separates me from the area that is being bombed, so I don’t even hear the sounds.”
“Lebanon is such an interesting juxtaposition, because depending on which area you are in, your quality of life can be different during these times,” he said. “Right now, the war is not between Israel and Lebanon as a government. The war is between Israel and Hezbollah.”
“If you are in the areas where Hezbollah is concentrated, then you are severely impacted,” added Mario. “If you are in other areas, even if they are Shia or … Muslims that usually align themselves with Hezbollah, you’re still relatively in a safe place, in a safe location.”
Israeli evacuation orders have prompted hundreds of thousands of people to flee their homes in Dahiyah and in southern Lebanon.
Mario said many of the evacuees are sleeping in their cars, or on the street. He also noted a video that showed a shepherd with his sheep and goats on a highway in downtown Beirut.
“He took his animals with him because he had to vacate where he was living,” said Mario. “That’s the first time you see in downtown Beirut maybe 100 goats walking the streets with two people sitting on jackasses and herding them.”
“It is very absurd,” he added.
The Lebanese government has opened schools and public shelters for people who have been displaced, but Mario said many of them do not have enough food. He also said gas prices have increased, and people are afraid to drive.
“It really saddens me seeing the kids affected by it,” said Mario. “Hezbollah made this decision, and it was a unilateral decision.”
“I doubt that the Shia people support them,” he added, referring to Hezbollah. “They cannot say it out loud that they do not support them, but I doubt people are happy within less than two years, for the second time in a row, to have to leave their homes and try to find a place to stay.”
Lebanese government urged to develop LGBTQ-inclusive plan for displaced people
Article 534 of Lebanon’s Penal Code states “any sexual intercourse contrary to the order of nature is punishable” by up to a year in prison. Several judges in recent years have opted not to use the statute to prosecute LGBTQ people who have been charged under it.
Helem, a Lebanese LGBTQ and intersex rights group, on March 4 called upon the Lebanese government and international NGOs to develop a response to the Israeli airstrikes that is “comprehensive, fair, and inclusive of all groups, without exception or discrimination.
“The experience of the previous war demonstrated that state response plans were not sufficiently inclusive of displaced LGBTQ+ individuals,” said Helem. “Many faced compounded challenges, including the inability to access state collective shelters, exposure to harassment or violence, difficulty accessing health and psychosocial services, and fear of disclosing their gender identity or sexual orientation due to stigma and discrimination.”
“Any emergency plan that fails to take the most vulnerable groups into account exposes their lives and dignity to additional risks,” added the group.
Helem also made the following requests:
• Integrating a rights-based and nondiscrimination approach in all stages of planning and implementation, ensuring safe and equal access to assistance and services.
• Training staff working in shelters and emergency response on principles of protection from gender-based violence and discrimination, including issues related to gender identity and sexual orientation.
• Reassessment of the currently adopted shelter model, which relies exclusively on the concept of the “traditional family” aligned with a specific social structure. In practice, this leads to the systematic exclusion of non-traditional families and individuals who do not belong to conventional family units, including LGBTQ+ individuals, survivors of domestic violence, migrant workers, and people without supportive family networks.
• Involving civil society organizations specialized in gender issues and LGBTQ+ rights in the design, implementation, and monitoring of the emergency response plan.
• Establishing clear monitoring and accountability standards to ensure that violations or discriminatory practices do not occur during the implementation of the emergency plan.
“Disasters and conflicts do not justify the suspension of rights or the neglect of marginalized groups. On the contrary, the need for a humanitarian approach grounded in dignity and equality becomes even more urgent in times of crisis.”
“Helem places its expertise and experience at the disposal of relevant authorities and affirms its readiness to cooperate to ensure that the emergency plan is more just, effective, and inclusive,” said Helem. “Dignity is indivisible, and protection must include everyone without exception.”
Rehoboth Beach
CAMP Rehoboth hires new executive director
Dr. Robin Brennan’s background includes healthcare, fundraising roles
CAMP Rehoboth, the Delaware LGBTQ community center, on Monday announced Dr. Robin Brennan as the organization’s new executive director.
Brennan, who is relocating full time to Rehoboth Beach with her wife and daughter, will start on March 23. The position opened up following the retirement of Kim Leisey after more than two years in the role.
Brennan’s background is in health systems. At Nemours Children’s Health in Wilmington, Del., she held senior roles in evaluation, population health, and DEI education, according to a CAMP Rehoboth statement. Most recently, she served as vice president and Chief Diversity and Inclusion Officer at Redeemer Health. Brennan is an experienced fundraiser, according to the statement.
“After conducting a comprehensive national search, the Board of Directors selected Robin because of her depth of leadership experience, her fundraising acumen and her overall joyful, focused approach,” said Leslie Ledogar, president of the CAMP Rehoboth board of directors and chair of the Executive Director Search Committee. “The fact that core to her leadership is her belief that community well-being is inseparable from access to health, culture, education and the arts – an approach that mirrors CAMP Rehoboth’s holistic mission – makes Robin the exact next person to lead CAMP Rehoboth today and into the future.”
“I am deeply honored to serve as CAMP Rehoboth’s executive director as we enter an exciting new chapter,” said Brennan. “I was drawn to CAMP Rehoboth because of its unwavering mission, deep roots in the community, and the meaningful role it plays in bringing people together. I look forward to meeting members of the community, listening to their stories, and building meaningful relationships with the many people who make CAMP Rehoboth such a vital community anchor.”
Colombia
Claudia López wins primary in Colombian presidential race
Former Bogotá mayor’s wife lost reelection bid on Sunday
Former Bogotá Mayor Claudia López on Sunday won her primary in the race to succeed Colombian President Gustavo Petro.
López, a centrist who is running as an independent, defeated Leonardo Huerta in the “Consulta de las Soluciones” primary.
López was the Colombian capital’s mayor from 2020-2023. She was a member of the Colombian Senate from 2014-2018.
López is running to succeed Petro, the country’s first leftist president who cannot seek a second consecutive term under Colombia’s constitution. Other presidential candidates who won their respective parties’ primaries on Sunday include Sen. Iván Cepeda, a member of Petro’s Historic Pact party, and Sen. Paloma Valencia of the conservative Democratic Center, the country’s main opposition party that former President Álvaro Uribe leads.
Juan Daniel Oviedo, who finished second in the Democratic Center’s primary, is openly gay.
The first-round of Colombia’s presidential election will take place on May 31.
Polls indicate López is trailing Cepeda and Valencia, who are considered the two frontrunners.
A second round will take place is no candidate receives at least 50 percent of the vote on May 31. López would become Colombia’s first female and first lesbian president if she wins the election.
López’s wife loses Senate seat
Colombia’s congressional elections also took place on Sunday.
Former Congressman Mauricio Toro, a member of the center-left Green Alliance party, in 2018 became the first openly gay man elected to Colombian Congress when he won a seat in the House of Representatives.
He lost his reelection bid in 2022. Voters on Sunday elected Toro for a second term.
Congresswoman María del Mar Pizarro, a bisexual Historic Pact member, won re-election.
Caribe Afirmativo, a Colombian LGBTQ and intersex rights group, notes only two of the 33 openly LGBTQ congressional candidates won their respective races. Among those who lost is Sen. Angélica Lozano, a bisexual woman who in 2018 became the first openly LGBTQ person elected to the Colombian Senate.
Lozano is married to López.
Lozano in a message posted to her Instagram page expressed “heartfelt gratitude to everyone for their support and love.”
“I will end my work in Congress on a high note by ensuring (the) child support and service contractor protection bills will become a reality in June,” she said.
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