News
Obama admin says insurers can’t discriminate against gay unions
Prohibits discrimination even in non-marriage equality states
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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The Comings & Goings column also invites LGBTQ college students to share their successes with us. If you have been elected to a student government position, gotten an exciting internship, or are graduating and beginning your career with a great job, let us know so we can share your success.
Congratulations to Jamie Leeds, chef extraordinaire, and owner of Hank’s Oyster Bars, as she ventures into some new areas. Leeds is an award-winning Washington, D.C.–area chef, restaurateur, and entrepreneur with more than three decades of experience shaping the region’s dining scene.
Her first new venture is a restaurant opening in Alexandria this week. It will be called Hank’s Pasta Bar, bringing a personalized twist to classic Italian dining with a hiddenrestaurant-inside-a-restaurant in Old Town, Alexandria. The new trattoria is above Hank’s Oyster Bar, and will feature a build-your-own menu, marking a new direction for Leeds in partnership with chef Darren Norris. Norris brings more than three decades of experience to Hank’s Pasta Bar, with a foundation grounded in Italian cooking. The grand opening was scheduled for May 14. The elevated casual eatery blends an inventive chef-driven menu with an easy-going, sit-down dining experience that puts guests in charge. Hank’s Pasta Bar bridges the gap between elevated fast casual, like Norris’s Shibuya, and full-service dining, like Leeds’s Hank’s Oyster Bar. Diners order electronically at the table, but unlike fast casuals, food and beverages are delivered on plate ware, and a server is on site at all times.
The restaurant-inside-a-restaurant, welcomes guests to dine in with a full bar, including Italian wines and craft cocktails, maintaining its focus on traditional Italian fare with contemporary touches, including a build-your-own pasta bowl experience starting at $16. Create your own pasta bowl from seven artisanal pastas (including gluten-free), nine made-in-house sauces, proteins, vegetables, and toppings. Leeds said, “It’s the kind of place you’d find down a side street in a Tuscan hill town, after being tipped off by a friend who says, ‘trust me.’ If you know, you know.”
The restaurant will continue Hank’s community partnerships, including with Real Food for Kids, supporting programs that improve school food and nutrition equity.
In addition to this you should try Jaimie’s other new venture. Back Door Taco at Hank’s in Dupont Circle. You walk down the alley from 17th Street to the back door of Hank’s, and enter a small patio to partake of great tacos and interesting cocktails.
District of Columbia
HIV Vaccine Awareness Day set for May 18
Whitman-Walker joins nationwide recognition of efforts to develop vaccine
Whitman-Walker Health, the D.C.-based community healthcare center that specializes in HIV/AIDS and LGBTQ-related health services, will join health care advocates from across the country to support efforts to develop an HIV vaccine on HIV Vaccine Awareness Day on May 18.
“HIV Awareness Day, observed annually on May 18, was established to recognize and thank the volunteers, scientists, health professionals, and community members working toward a safe and effective prevention HIV vaccine,” Whitman-Walker said in a statement.
“Led by the National Institutes of Health’s National Institute of Allergy and Infectious Diseases (NIAID), the day is also an opportunity to educate communities about the critical importance of preventive HIV vaccine research,” the statement says.
It adds, “The reality is that any new vaccine discovery must be built community by community, institution by institution, and then it must reach everyone – especially the communities who have carried the heaviest burden of this epidemic.”
On its own website, the National Institutes of Health says HIV Vaccine Awareness Day also highlights its longstanding efforts, coordinated by its Office of AIDS Research, to support researchers’ efforts to develop an HIV vaccine.
“Researchers are making promising headway in efforts to develop a safe, effective HIV vaccine,” it says in a statement on its website.
A Whitman-Walker spokesperson said Whitman-Walker was not holding a specific event to observe HIV Vaccine Awareness Day, but it will recognize the day as a way of encouragement for its ongoing work to address the AIDS epidemic and support for vaccine research.
“Today, no one has to die from HIV,” said Whitman-Walker’s Health System division’s CEO, Dr. Heather Aaron in the Whitman-Walker statement. “We have the treatments, the technology, and the research to change outcomes, and yet people in our community are still dying from HIV//AIDS,” she said in the statement.
“That is unacceptable, and it is exactly why our work continues,” she added. “Here in D.C. with more focus on Southeast D.C., the Whitman-Walker Health System remains committed to making a difference through cutting-edge research, policy advocacy, and philanthropy, because fair access to life-saving treatment is not a privilege. It is a right.”
World
This year’s IDAHOBiT to highlight democracy
Criminalization laws, US funding cuts among global movement’s challenges
Activists around the world on Sunday will mark the International Day Against Homophobia, Transphobia, and Biphobia.
The IDAHOBiT Advisory Group — which includes 18 LGBTQ and intersex rights organizations around the world — in a press release notes IDAHOBiT events are expected to take place in more than 60 countries. Advocacy groups are also using IDAHOBiT to highlight discrimination and violence based on sexual orientation and gender identity and other LGBTQ-specific issues.
Caribe Afirmativo, a Colombian advocacy group, on May 8 released a report that notes one LGBTQ person was reported murdered in the country every 32 hours in 2025. Caribe Afirmativo also said the Colombian government has not done enough to address anti-LGBTQ violence.
“The evidence is clear: violence against LGBTIQ+ persons in Colombia does not begin with homicide, but with tolerated prejudice and ignored threats,” reads Caribe Afirmativo’s report. “In 2025, the State not only failed to protect — it also failed to count, investigate, and sanction. The crisis is not invisible. It is structural. And it requires an urgent, comprehensive, and sustained response.”
The Initiative for Equality and Discrimination, a Kenyan group known by the acronym INEND, issued a report that details how the country’s law enforcement treats LGBTQ and intersex people. “A widespread pattern of arbitrary arrests, extortion, and both physical and sexual violence” are among the abuses the INEND report notes.
“These abuses not only inflict severe physical and psychological trauma but also foster a widespread distrust of the law enforcement, further marginalizing the community and hindering its ability to seek justice, access essential services such as healthcare, and fully enjoy fundamental freedoms,” it reads.
IDAHOBiT commemorates the World Health Organization’s declassification of homosexuality as a mental disorder on May 17, 1990. This year’s IDAHOBiT theme is “At the Heart of Democracy.”
This year’s IDAHOBiT will take place against the continued impact that the lack of U.S. funding is having on the global LGBTQ and intersex rights movement.
The IDAHOBiT Advisory Group notes consensual same-sex sexual relations remain criminalized in 65 U.N. member states, and the number of countries with criminalization laws increased in 2025. The IDAHOBiT Advisory Group also indicates more than 60 countries have laws that restrict “freedom of expression related to sexual and gender diversity issues.”
“No matter where we live, who we are, or the faiths that drive us, most people want to nurture neighborhoods and communities where every life can bloom,” said the IDAHOBiT Advisory Group. “But today, reactionary governments worldwide are poisoning our gardens with the invasive weeds of their authoritarian policies and exclusionary legislations.”
‘Progress is still happening’
Activists around the world since last year’s IDAHOBiT have seen several legal and political victories.
New Hungarian Prime Minister Péter Magyar on April 12 defeated his predecessor, Viktor Orbán, whose government faced widespread criticism over its anti-LGBTQ crackdown.
The Eastern Caribbean Supreme Court last July struck down St. Lucia’s colonial-era laws. The Dominican Republic’s Constitutional Court a few months later ruled the country’s National Police and Armed Forces cannot criminalize consensual same-sex sexual relations among its members. Botswana late last month repealed a provision of its colonial-era penal code that criminalized homosexuality.
A Hong Kong judge last September ruled in favor of a lesbian couple who sought parental recognition for their son. The European Union Court of Justice over the last year issued two landmark decisions: one said EU countries must recognize same-sex marriages legally performed in other member states and another directed member states to allow transgender people to legally change their name and gender on ID documents.
“Time and again, LGBTQIA+ people have resisted, rolled up their sleeves together with all the good people caring about their communities, and sowed the seeds of change,” said the IDAHOBiT Advisory Group in its press release.
Honey, have we been priced out of gay paradise?
Comings & Goings
IDAHOBiT a reminder we all must stand up against transphobia
Disillusioned about democracy? Think of it as a community garden
‘The Inheritance’ is most-nominated at this year’s Helen Hayes Awards
Jason Collins dies at 47
European Commission says all EU countries should ban conversion therapy
Pride faith services in Washington, D.C.
Blade Foundation awards 9th journalism fellowship to AU student
