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Obama admin says insurers can’t discriminate against gay unions

Prohibits discrimination even in non-marriage equality states

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Centers for Medicare & Medicaid Services, gay news, Washington Blade
Centers for Medicare & Medicaid Services, gay news, Washington Blade

The Centers for Medicare & Medicaid has issued guidance clarifying insurers can’t discriminate against same-sex couples. (Image public domain)

The Obama administration clarified on Friday that insurers are prohibited from discriminating against same-sex marriages for the purposes of non-grandfathered family coverage — even if applicants are applying in non-marriage equality states.

In guidance dated March 14, the Centers for Medicare & Medicaid says existing provisions in the health care reform law prohibiting discrimination by insurers on the basis of gender — which the Obama administration has interpreted to extend non-discrimination protections based on sexual orientation and gender identity — also requires insurers not to refuse family coverage for married same-sex couples.

The guidance is set up as Q&A. The question is “If a health insurance issuer in the group or individual market offers coverage of an opposite-sex spouse, may the issuer refuse to offer coverage of a same-sex spouse?” The response starts off simply, “No.”

“This section prohibits an issuer from choosing to decline to offer to a plan sponsor (or individual in the individual market) the option to cover same-sex spouses under the coverage on the same terms and conditions as opposite sex-spouses,” the guidance states.

Alicia Hartinger, a CMS spokesperson, said the guidance spells out that non-discrimination is the rule for insurers — both on and off the health insurance exchanges — when selling policies.

“CMS recognizes the importance of all Americans and their families having access to quality, affordable coverage,” Hartinger said. “Today’s guidance clarifies that issuers may not choose to treat same-sex spouses differently from opposite-sex spouses. If an issuer offers opposite-sex spouse coverage, it may not choose to deny the same coverage to a same-sex spouse. We will continue to work with states and issuers to help ensure all Americans have an equal opportunity to purchase the new coverage options available to them.”

The guidance says insurers cannot refuse family coverage to married same-sex couples even if they live in — or the insurance is sold in — a non-marriage equality state that doesn’t recognize those unions.

Additionally, the guidance acknowledges insurers may not have realized this prohibition when designing their policies for the 2014 coverage year. Accordingly, while encouraging immediate compliance, CMS says insurers need not begin adhering to this policy until Jan. 1, 2015. The guidance also directs states to begin enforcing the regulations no later than Jan. 1, 2015.

The guidance doesn’t address whether it requires CMS to provide coverage to same-sex couples in domestic partnerships or civil unions. A CMS official said the guidance applies only to marriages, not these other unions.

LGBT advocates praised the new guidance as a step toward ensuring that married same-sex couples have the same access to health insurance as their opposite-sex counterparts.

Rea Carey, executive director of the National Gay & Lesbian Task Force, earlier said her group wanted the Obama administration to make the clarification and upon news of the guidance said it would help same-sex couples “hurting right now” because they were denied health insurance.

“Today’s important HHS announcement will help remove this type of discrimination by requiring the health insurance industry to treat us the same as straight married couples — even if the states where we live do not recognize marriage equality,” Carey said. “While insurers are not required to be in compliance with the new rules until January 2015, we urge the industry to act now — as affordable health care delayed is affordable health care denied.”

There have been reported incidents of married gay couples being unable to receive family coverage in the aftermath of the implementation of the Affordable Care Act. In February, a gay couple — Alfred Cowger and Anthony Wesley of Gates Mills, Ohio — filed a federal lawsuit charging that they were unable to obtain family coverage because their state doesn’t recognize their marriage.

In January, Blue Cross and Blue Shield canceled family insurance policies it sold to same-sex couples under the Affordable Care Act in North Carolina. Following news reports about the cancellations, the insurer changed course and agreed to offer family coverage on the health insurance exchange to same-sex couples.

Kellan Baker, director of the LGBT State Exchanges Project for the Center for American Progress, said the new guidance is important because research shows LGBT families have trouble accessing health insurance.

“Research has shown that same-sex couples, as well as transgender people and other members of the lesbian, gay, bisexual, and transgender, or LGBT, communities, frequently face obstacles to affordable, comprehensive insurance coverage,” Baker said. “My colleagues and I look forward to working with HHS to ensure that this guidance is fully implemented in a timely manner and that similar action is taken to remove other barriers to coverage, such as discriminatory insurance exclusions that target transgender people.”

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District of Columbia

Pride faith services in Washington, D.C.

Almost half of all LGBTQ adults in the U.S. are religious

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Westminster Presbyterian will host a celebration of life for legendary DC trans rights activist SaVanna Wanzer. (Washington Blade photo by Michael Key)

Are you an LGBTQ person of faith or someone exploring spirituality? It is more common than people realize. According to a Williams Institute study published in October 2020, almost half of all LGBTQ adults in the United States are religious. This may seem counterintuitive as any LGBTQ people have complicated relationships with faith because of very real histories of abuse, trauma, and violence. 

This violence still continues in the United States, especially following the Supreme Court’s March 2026 decision in Chiles v. Salazar, who ruled Colorado’s ban on conversion therapy for minors violates the First Amendment, but not everyone has encountered this violence, nor do people who have faced it, separate themselves completely from religion. Many people may seek out affirming faith traditions which are prevalent in the DMV area.

For individuals seeking out faith services during Pride 2026, please check out the list below, which will be updated as more events are publicized.

Memorial Service for SaVanna Wanzer

May 17th at 1 pm

Westminster Presbyterian Church (400 I St SW, Washington, DC 20024)

Westminster Presbyterian will host a celebration of life for legendary DC trans rights activist and founder of DC Trans Pride and Black Trans Pride SaVanna Wanzer who was a long-time member of the church. Live music will begin at 12:15 pm before the start of the memorial service. The service will be livestreamed on the Westminster DC Facebook page. A meal will follow the Sunday service.

There will also be a celebratory vigil held on Saturday, May 16th from 6:30-8 pm for friends and family at the church led by LGBTQ organizer Raycee Pendarvis.

Doesnt God Love Me Too?

May 23th at 11 am

Downtown Westin (999 9th Street NW, Washington, DC 20001)

This intimate conversation is hosted by Janeé Lee, founder of Queer Ministry, between Black trans and queer people who are surviving religious trauma and navigating their relationship with the church. The workshop, hosted as part of Trans Pride DC, is a chance for people to share their stories at the intersection of queerness and spirituality and to walk away with a spiritual healing guide with affirming scriptures and inclusive theology.

DC Black Pride Worship Service

May 24th at 10 am

Remnant Christian Center (120 West Hampton Avenue, Capitol Heights, MD)

Hosted by The Community Church of Washington DC-UCC, this service will feature speakers and sessions on Black queer faith and unity, including host and speaker Robert D. Wise Jr. for a powerful Pentecost Unity Service. Attendees are encouraged to come dressed in and white. 

Pride Shabbat + Dinner

June 5th at 7 pm

Sixth & I (600 I Street, NW, Washington, DC 20001)

Join Rabbi Jenna will be leading an inclusive, musical service celebrating the diversity of Jewish life in Washington, DC. Happy Hour, which is limited to people 21 and older, will start at 6 pm. The service will start at 7 pm, with dinner at 8:15 pm. The service is free but registration is required, and the kosher-style pescatarian meal does cost money. Register online here.

Muslim Pride

June 14th at 5 pm

Black Cat (1811 14th St NW, Washington, DC 20009)

Muslim Pride is a community-led and funded grassroots performance series centering queer and trans Muslim artists through music, drag and dance. The series was originally founded in 2020 as a way to create affirming spaces where faith, culture, and queerness can coexist. This year’s series features Mercedes Iman Diamond. This year, Muslim Pride expands to Washington, DC, New York City, and Los Angeles. Buy tickets here.

Pride Celebrations and Sunday Worship Service

June 14th all day

Riverside Baptist Church (699 Maine Avenue SW, Washington, DC 20024)

Join Riverside Baptist Church for a day-long Pride celebration beginning with Pride Weekend/Musical Theater Sunday worship service at 10 am. Later that morning and early afternoon, from 11:30 am to 1:30 pm, the church will be hosting a Pride Pageant, a technicolor celebration featuring a runway showcase, line dancing, food, and refreshments. 

Pride Interfaith Service 

June 22nd at 7 pm

St. Mark’s Episocpal Church (301 A Street, SE, Washington, DC 20003)

Join this interfaith service celebrating affirming faith traditions and intertradition dialogue hosted by queer and trans faith leaders. The interfaith service has been hosted annually for over 40 years, and first began back in the 1980s with faith leaders and queer people of faith coming together to mourn and pray at the site of the AIDS Memorial Quilt on the National Mall. Learn more about the history of the interfaith service here.

6th Annual Pride Mass

June 23rd at 6 pm 

Holy Trinity Catholic Church (3513 N St NW, Washington, DC 20007)

Holy Trinity will be hosting its 6th annual Pride Mass. After its debut this past summer, the Pride Mass choir will be singing at the Pride Mass in June, and following the Mass, there will be an annual reception with ice cream and other goodies. Learn more about attending the reception and Holy Trinity’s LGBTQ+ Ministry. 

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European Union

European Commission says all EU countries should ban conversion therapy

Recommendation ‘an important step forward for LGBTI rights across Europe’

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(Photo by axelbueckert/Bigstock)

The European Commission on Wednesday said all European Union countries should ban so-called conversion therapy.

The recommendation comes weeks after the European Parliament voted in favor of prohibiting the widely discredited practice across the EU. More than 1.2 million people signed a campaign in support of the ban that ACT (Against Conversion Therapy) LGBT launched in 2024 through the EU’s European Citizens Initiative framework.

“We warmly welcome today’s commitment from the European Commission to a recommendation on ending conversion practices, an important step forward for LGBTI rights across Europe,” said ILGA Europe in a statement.

Seven EU countries — Belgium, Cyprus, France, Malta, Norway, Portugal, and Spain — have banned conversion therapy outright.

Greece in 2022 banned the practice for minors. German lawmakers in 2020 passed a law that prohibits conversion therapy for minors and for adults who have not consented to undergoing the widely discredited practice.

ILGA Europe said the European Commission’s recommendation “highlights how much work remains to be done.”

“Ending conversion practices cannot stop at symbolic commitments or fragmented national approaches,” stressed the advocacy group. “We need coordinated EU action, proper training for professionals, and survivor-centered support systems that recognize the serious harm these practices cause.”

“More than one million people supported the European Citizens’ Initiative calling for change,” added ILGA Europe. “The message is clear: conversion practices are not therapy or belief, they are a form of violence that Europe can and should end.”

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Delaware

Blade Foundation awards 9th journalism fellowship to AU student

Thomas Weaverling will cover LGBTQ issues in Delaware this summer

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Thomas Weaverling

The Blade Foundation this week announced the recipient of its 2026 Steve Elkins Memorial Fellowship in Journalism is Thomas Weaverling, who is scheduled to graduate from American University with a degree in communication, language, and culture this month.

He will cover issues of interest to Delaware’s LGBTQ community for 12 weeks this summer. The fellowship is named in honor of Steve Elkins, a journalist and co-founder of the CAMP Rehoboth LGBTQ community center. Elkins served as editor of Letters from CAMP Rehoboth for many years as well as executive director of the center before his death in March of 2018.

Kevin Naff, editor of the Blade, welcomed Weaverling and will introduce him to the Rehoboth Beach community at an event this week. 

“If the applicants to our fellowship program are any indication, the future of American journalism is very bright,” Naff said. “Thomas stood out for his broad skillset and strong writing and reporting skills and we’re all excited to work with him this summer.”

Weaverling is the ninth recipient of the Elkins fellowship, which is funded by community donations at the Blade Foundation’s annual fundraiser in Rehoboth Beach. This year’s event is scheduled for May 15 at Diego’s and includes a generous sponsorship from Realtor Justin Noble and remarks from Ashley Biden accepting an award on behalf of her brother Beau Biden for his LGBTQ advocacy while serving as Delaware’s attorney general.

“I am incredibly honored and excited to receive the Steve Elkins Memorial Fellowship in Journalism,” Weaverling said. “Writing for the Washington Blade has been a goal of mine since I began my freshman year of college and I could not be more thrilled to have this opportunity. I am looking forward to getting to know the LGBTQ+ community in Rehoboth Beach and throughout Delaware.”

Weaverling is graduating cum laude with a concentration in journalism and Spanish. He studied in Spain in 2025 and worked in the office of Rep. Bonnie Watson Coleman (D-N.J.) as a policy intern.

For more information on the fellowship program or to donate, visit bladefoundation.org.

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