Connect with us

News

Obama admin says insurers can’t discriminate against gay unions

Prohibits discrimination even in non-marriage equality states

Published

on

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.”

Advertisement
FUND LGBTQ JOURNALISM
SIGN UP FOR E-BLAST

District of Columbia

D.C. bar, LGBTQ+ Community Center to mark Lesbian Visibility Week

‘Ahead of the Curve’ documentary screening, ‘Queeroke’ among events

Published

on

As You Are is among the D.C. venues that will host Lesbian Visibility Week events. (Washington Blade photo by Michael Key)

2026 Lesbian Visibility Week North America will take place from April 20-26.

This year marks the third annual Lesbian Visibility Week, run by the Curve Foundation. A host of events take place from April 20-26.

This year’s theme is Health and Wellness. For the Curve Foundation, the term “lesbian” serves as an umbrella term for a host of identities, including lesbians, bisexual and transgender women, and anyone else connected to the lesbian community.

The week kicks off with a flag-raising ceremony on April 19. It will take place in New York, but will be livestreamed for the public. 

“Queeroke” is one of the events being held around the country. It will take place at various participating bars on April 23. 

As You Are, an LGBTQ bar in Capitol Hill, is one of eight locations across the U.S. participating. Their event is free and 21+. 

On April 24, the D.C. LGBTQ+ Community Center will hold a screening of “Ahead of the Curve, a documentary about the founder of Curve, Franco Stevens. The event is free with an RSVP. 

April 25, is Queer Women in Sports Day. And on April 26, several monuments in New York will be illuminated. 

Virtual events ranging from health to sports will be made available to the public. Details will be released closer to the start of Lesbian Visibility Week. Featured events can be found on the official website.

Some ways for individuals to get involved are to use #LVW26 and tag the official Lesbian Visibility Week account on social media posts. People are encouraged to display their lesbian flags, and businesses can hand out pins and decorate. They can also reach out to local lawmakers to encourage them to issue an official Lesbian Visibility Week.

Continue Reading

Brazil

Trailblazing trans Brazilian lawmaker refuses to set foot in Trump’s America

Erika Hilton says US president’s rhetoric fuels global wave of transphobic violence

Published

on

Brazilian Congresswoman Erika Hilton presides over a meeting of the Chamber of Deputies' Commission on the Defense of Women's Rights. (Photo by Kayo Magalhães/Chamber of Deputies)

Erika Hilton, the first Black transgender woman elected to the Brazilian Congress, in April 2025 prepared to speak at the annual Brazil Conference at Harvard University and the Massachusetts Institute of Technology in Cambridge, Mass.

As part of her official diplomatic duties, Hilton required a diplomatic visa to enter the U.S. However, the U.S. Embassy in Brasília issued the document with a glaring discrepancy: the congresswoman’s gender was listed as “male,” directly contradicting her official Brazilian identification, which legally recognizes her gender as “female.”

Hilton in response canceled her participation in the conference and filed a formal report with the United Nations, characterizing the incident as a violation of the Brazilian state’s diplomatic prerogatives and an act of institutional transphobia. The Brazilian Foreign Ministry last month issued a new diplomatic passport to the congresswoman in an act of symbolic reparation, a move intended to reaffirm her official status and legal identity in the wake of the U.S. embassy’s actions.

Despite the restorative gesture from the Brazilian government, Hilton told the Washington Blade that she has no intention of entering the U.S. in the near future — at least not while President Donald Trump remains in the White House. 

“I am afraid of what might happen to someone like me under an administration like Donald Trump’s,” Hilton said. “It is an authoritarian, anti-democratic government that has no respect for international law.”

“We’ve seen, for example, how ICE (U.S. Immigration and Customs Enforcement) acted with extreme violence against people who held tourist visas and were simply visiting the country,” she added. “There is a deep-seated fear of how people are treated by immigration authorities and law enforcement. All of this is terrifying, and it has convinced me that I should not set foot in the United States as long as a fascist government is in power.”

While her travel to the U.S. remains on hold, the congresswoman has been exceptionally active in Brazil. 

Hilton last month made history once again by becoming the first trans woman elected to chair the Chamber of Deputies’ Commission on the Defense of Women’s Rights. This appointment marks the first time a trans person has led a standing committee in the Brazilian Congress — the latest milestone in a career defined by its pioneering spirit.

“This is a milestone in my story. It’s a milestone for that dreamy young girl who, at 14, was forced into sex work on a street corner to survive, and who today returns to make peace with her past. But even from where I stand now, I am looking back and pointing toward those who are still out there on those street corners, to remind them: we are capable of so much more. We are capable of building something far greater than the limited spaces that hatred and discrimination have reserved for us,” she told the Blade.

Erika Hilton speaks at a rally for now President Luiz Inácio Lula da Silva in São Paulo on Oct. 5, 2022. She was elected to the Brazilian Congress two days earlier. (Washington Blade video by Michael K. Lavers)

Unlike the Congressional Caucus for Women’s Issues in the U.S., which functions primarily as a platform for advocacy and lobbying, Brazil’s Commission on the Defense of Women’s Rights wields significant institutional power. Within the Brazilian legislative system, this body holds “conclusive authority,” a specialized power that allows it to bypass the general floor of the Chamber of Deputies. If the commission approves a bill, it can be sent directly to the Senate for a vote, bypassing a full house plenary session.

Beyond this autonomy, the commission possesses what is effectively a pocket veto: if it rejects a proposal on constitutional grounds or deems it detrimental to women’s protections, the bill is shelved immediately. This powerful committee has been the primary vehicle for landmark legislation, including the Equal Pay Act (Law 14,611/23) and critical laws targeting the political harassment of women.

Defining womanhood beyond biology

Hilton emphasizes that her election as chair of the Women’s Rights Commission was no easy feat, but a grueling struggle. The battle began within her own party, as she worked to convince colleagues that she was not only a viable candidate but an essential one.

The hostility intensified significantly following her nomination. 

Far-right conservative sectors orchestrated what the congresswoman denounced as a systematic, sponsored wave of attacks that transcended social media, spilling into the very halls of Congress. The rhetoric her opponents used leaned heavily on biological determinism — a strategy that attempts to reduce womanhood to reproductive functions or genetic characteristics.

Hilton’s election on March 11 laid bare a deeply fractured Congress. 

With 11 votes in her favor and 10 lawmakers casting blank ballots, the result served as an explicit form of protest. In the context of these internal elections, the blank votes did not signal indecision; rather, they represented a calculated attempt by the opposition to strip the incoming chair of her political legitimacy. It was a clear warning that Hilton will face fierce institutional resistance throughout her tenure — a reality that has already manifested during her first weeks at the helm of the commission.

Hilton in her inaugural address promised an inclusive leadership. 

“Here we will address the issues facing poor women, Black women, trans women, cis women, mothers, and breastfeeding women. All of them, without exception,” she said.

However, the most resonant moment of her speech was her historic tribute to Sojourner Truth, the Black abolitionist and human rights activist who, in 1851, delivered the iconic “Ain’t I a Woman?” speech at a women’s rights convention in the U.S. Paraphrasing Truth, Hilton argues that contemporary transphobia is deeply rooted in 19th century racism.

“Truth was a cisgender woman and a mother, but in that context, her biology did not grant her legitimacy or the right to challenge the status quo of womanhood because of her race. If we broaden our perspective, we must recall the eugenicist pseudo-science that deemed Black people inferior based on skull measurements, and the brutal gynecological experiments performed on enslaved women. Those women were not considered ‘women’ by the society of that era either,” Hilton told the Blade, explaining the historical framework behind her address.

“We, as trans women and travestis, are the targets of this historical moment,” she added. “I invoked Truth’s words to remind everyone that we are all victims of the same systemic oppression and the same denial of our right to our own identity — this did not start with us. Yesterday, she was targeted because of the color of her skin; today, I am targeted because of my body’s anatomy.”

Hilton concluded her inaugural address by reaffirming that her chairmanship will bring visibility to the identities that the commission has historically neglected. She emphasized that the trans struggle is a matter of survival in a country that leads the world in rates of violence against this community.

“We no longer accept being rendered invisible; we no longer accept having our identities violated. We refuse to live in a country that leads the world in killing us, by shooting us in the face, ripping out our hearts, and dragging us through the streets,” she declared.

Brazilian Congresswoman Erika Hilton presides over a meeting of the Chamber of Deputies’ Commission on the Defense of Women’s Rights. (Photo by Kayo Magalhães/Chamber of Deputies)

Since Hilton became chair, committee sessions have been marked by an atmosphere of turmoil and legislative gridlock — a dire situation for a country that, over the past year, has set records for femicides. In Brazil, femicide is a specific legal classification for the murder of women motivated by gender, designed to ensure harsher criminal penalties. 

Opposition lawmakers, who rarely attended commission sessions before Hilton’s election, have begun showing up en masse to coordinate attacks against her, prioritizing obstructionism over the urgent need to address gender-based violence.

Tensions reached a fever pitch on April 8 when right-wing Congresswoman Rosana Valle threatened Hilton by invoking one of the country’s most significant legal provisions: the Maria da Penha Law. Recognized by the United Nations as one of the most progressive pieces of legislation in the world, the statute was designed specifically to protect women from domestic and family violence. 

In a move that Hilton described as “a mockery,” Valle stated that she would invoke the law against the committee chair herself if Hilton were ever to confront her, claiming that her colleague possessed “the strength of a man.”

“At the end of the day, their goal is to prevent me from delivering results. They work to stall the agenda so they can later claim, ‘Look, she didn’t do anything for women; she didn’t discuss anything relevant.’ It is not a lack of will on my part; it is a coordinated effort to block progress. But I am already developing strategies to overcome this roadblock. We are going to move forward and get the projects that really matter off the ground,” Hilton told the Blade.

The MAGA playbook in Brazil

Transphobia is nothing new in Brazil. 

For years, the country has consistently ranked as the deadliest in the world for trans people; in 2024, according to the National Association of Travestis and Transsexuals (ANTRA), 122 fatalities were recorded. However, the vitriol appearing on social media following Hilton’s election as chair of the women’s commission is strikingly familiar. The arguments and tactics being deployed in Brazil are mirror images of the far-right playbook currently being used in the U.S.

Brazilian lawmakers have deliberately adopted strategies from the “culture wars” that fuel the MAGA movement. This includes stoking moral panic over bathroom access, pathologizing gender identities, and attempting to bar transgender women from competitive sports.

For Hilton, Trump is the catalyst. 

“When a government with the reach and power of the United States uses state institutions to roll back rights, it creates a ripple effect that fuels violence worldwide. It feels as if our historic achievements are being systematically dismantled,” said Hilton.

“Since the day after the inauguration, the Trump administration has signed executive orders denying basic rights and issued official statements that dehumanize the transgender community, branding us as ‘enemies of society,’” she added. “The U.S. government legitimizes, incites, and encourages the hatred directed at a group that is already marginalized. In doing so, it fuels that hatred further, as it takes such rhetoric out of the shadows of anonymity and places it in the mouth of the president of a global superpower.”

Preserving hard-won rights

Brazilians in October will head to the polls for general elections, a high-stakes cycle that will decide the presidency and the makeup of the legislature. 

Hilton predicts an election season marked by escalating violence and targeted attacks against transgender people. She also notes the current global climate demands an even greater mobilization to defend the hard-won rights secured by the LGBTQ community.

“The situation is too volatile and turbulent for us to find even a glimmer of opportunity to establish new rights,” Hilton told the Blade. “For now, we must focus on safeguarding our existing protections so that, further down the road, we have the chance to secure new victories. History is cyclical. First comes a great wave of violence, repression, and attack. But following that, come the waves of victory.”

Hilton, meanwhile, will remain on the front lines of this battlefield, stepping into a spotlight that she knows brings less glory than it does pain and violence. But that does not seem to weigh on her. 

“In a sense, life’s cruelty has been kind to me,” Hilton reflects. “By forcing me to experience that cruelty when I was still a child, it was kind enough to teach me how to survive it. I am immune now, and therefore, I am prepared to face these obstacles.”

Continue Reading

Lebanon

Lebanese LGBTQ group responds to latest war

Helem’s Beirut community center ‘a vital crisis hub’

Published

on

(Image via Helem/Facebook)

A Lebanese advocacy group is providing support to LGBTQ people who have been displaced during the latest war between Israel and Hezbollah.

Helem Executive Director Sandy Mteirik on Monday told the Washington Blade her group, in partnership with another NGO, has “shifted our programs to focus entirely on emergency response.”

Helem has opened what Mteirik described as a “lifesaving, inclusive shelter specifically for transgender individuals who find collective shelters unsafe or inaccessible.”

Mteirik noted Helem’s community center in Beirut, the Lebanese capital, “now serves as a vital crisis hub where” LGBTQ people “can find physical safety, psychological support, and relief assistance.” she told the Blade that Helem is also offering “confidential emotional support, assessing immediate needs, and connecting individuals with emergency housing and protection services.”

“We also continue to monitor and document protection risks to prevent further exclusion and harm,” said Mteirik.

‘Displacement crisis has intensified’

The U.S. and Israel on Feb. 28 launched airstrikes against Iran. One of them killed Supreme Leader Ayatollah Ali Khamenei.

Hezbollah, an Iran-backed Shia militant group the U.S. has designated a terrorist organization, in response launched rockets into Israel. The Jewish State on March 2 began to carry out airstrikes against Hezbollah in Lebanon.

The Lebanese Health Ministry on Tuesday said Israeli airstrikes have killed 2,124 people and wounded 6,921 others. Lebanese officials have also indicated the war has displaced more than 1 million people in the country.

Israeli airstrikes in Beirut and elsewhere in the country on April 8 killed more than 300 people and injured upwards of 1,100.

President Donald Trump the day before said “a whole civilization will die tonight” if Iran did not agree to end the war and end its blockade of the Strait of Hormuz, a strategic waterway that connects the Persian Gulf and the Gulf of Oman through which roughly 20 percent of the world’s crude oil passes.

Trump less than two hours before the deadline announced a two-week ceasefire with Iran that Pakistan helped broker. Trump said the deal did not include Lebanon, even though Pakistan insisted it did.

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.

Lebanese Ambassador to the U.S. Nada Hamadeh Moawad met with Israeli Ambassador to the U.S. Yechiel Leiter on Tuesday at the State Department. The meeting is the first time the two countries have held direct diplomatic talks since 1993.

Mteirik told the Blade that Helem’s community center “has not been damaged yet” in the latest war. She said, however, the impact of the April 8 airstrikes “mirrors the ongoing war Lebanon has endured since 2024.”

“The intensity of these recent strikes and the resulting massacres in ‘relatively’ safe areas of Beirut have been devastating,” said Mteirik.

“With over 300 victims, the displacement crisis has intensified,” she added. “When state responses are not inclusive, LGBTQIA+ individuals face amplified risks, including exclusion from collective shelters, homelessness, exposure to violence, loss of income, and barriers to essential healthcare.”

Helem: Lebanese government war response must be LGBTQ-inclusive

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 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.” Helem’s specific requests include:

• Integrating a rights-based, non-discriminatory approach into all stages of emergency planning.

• Training response staff on protection principles regarding gender-based violence and discrimination.

• Reassessing the “traditional family” shelter model that systematically excludes non-traditional families and individuals.

• Involving specialized civil society organizations in the design and monitoring of response plans.

• Establishing clear accountability standards to prevent discriminatory practices.

“Past experiences show that state response plans often fail to include displaced LGBTQ+ individuals,” said Mteirik.

Mteirik conceded the “conclusion of this conflict remains uncertain.” She stressed Helem “remains committed to standing with our community.”

“In these difficult times, we reaffirm our call for humanitarian solidarity that transcends identities,” said Mteirik. “Our work is an extension of our rejection of violence, occupation, and the exploitation of individuals and their lives.”

Continue Reading

Popular