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.”
The White House
White House counterterrorism strategy targets ‘anti-American, radically pro-transgender’ groups
Administration released document last week
The White House released the “United States Counterterrorism Strategy” last week, introducing enforcement priorities that include references to people with “extreme transgender ideologies.”
The document is the first executive branch counterterrorism strategy released since former President Joe Biden’s 2021 “National Strategy for Countering Domestic Terrorism,” which largely focused on threats tied to domestic extremism and the Jan. 6 Capitol attack. The Trump-Vance administration’s new strategy instead centers heavily on cartels, Islamist organizations, and what it describes as “violent left-wing extremists.”
The report identifies three primary categories of terror threats facing the U.S.: “Narcoterrorists and Transnational Gangs,” “Legacy Islamist Terrorists,” and “Violent Left-Wing Extremists, including Anarchists and Anti-Fascists.” The strategy repeatedly frames those groups as existential threats to the U.S. and outlines a more aggressive, militarized counterterrorism posture.
The introduction to the report closes with a warning from President Donald Trump referencing counterterrorism operations carried out during his second administration: “We will find you and we will kill you.”
In the section outlining the administration’s counterterrorism priorities, the document argues that federal intelligence, and law enforcement agencies under prior administrations focused on the wrong threats while overlooking violence committed by left-wing extremists. The strategy specifically references transgender ideology while discussing political violence.
“As real threats were ignored or underplayed, Americans have witnessed the politically motivated killings of Christians and conservatives committed by violent left-wing extremists, including the assassination of Charlie Kirk by a radical who espoused extreme transgender ideologies.”
Claims tying a trans person to Kirk’s killing have been disputed, however, and multiple news outlets later retracted or corrected early reports that identified the shooter as trans.
The report later expands on that argument, saying the administration will prioritize targeting “violent secular political groups” it describes as anti-American and “radically pro-transgender.”
“In addition to cartels and Islamist terror groups, our national CT activities will also prioritize the rapid identification and neutralization of violent secular political groups whose ideology is anti-American, radically pro-transgender, and anarchist.”
The rhetoric mirrors claims frequently made by Trump allies and conservative commentators linking trans people and left-wing activism to political violence. However, data compiled by researchers and organizations tracking mass shootings does not support the idea that trans people are responsible for a significant share of such attacks.
Factcheck.org says rhetoric from Trump and several far-right political pundits contradicts available data, noting that the percentage of mass shootings committed by trans people is “exceedingly small.”
Despite the lack of evidence supporting generalized claims about trans people, the president’s son Donald Trump, Jr., told Fox News in September 2025 that he could not “name a mass shooting in the last year or two in America that wasn’t committed by, you know, a transgender lunatic.”
Factcheck.org also found that even if cases involving shooters with unclear gender identities were included in statistics about trans mass shooters, the number would still account for only a fraction of a percent.
Mark Bryant, founding executive director of the Gun Violence Archive, said the number of trans mass shooters could be as high as eight, but would still account for less than 0.1 percent of mass shootings over the last 12 years, according to GVA data. He added that the figure would remain below 0.2 percent even when examining incidents from 2018 to the present.
Beyond domestic extremism, the strategy frames the administration’s broader counterterrorism agenda through the lens of “America First” foreign policy and renewed U.S. dominance in the Western Hemisphere. The report repeatedly references the Monroe Doctrine, the nearly 200-year-old policy warning European powers against interference in the Americas.
“After years of neglect, the United States will reassert and enforce the Monroe Doctrine to restore American preeminence in the Western Hemisphere, and to protect our homeland” Trump said in the report.
The document also breaks down counterterrorism priorities by region, including the Middle East, where it argues the U.S. is “no longer as dependent” on the region because of increased domestic energy production.
“Our growing domestic energy production means the Middle East is no longer as central to America’s stability, yet threats from this region remain, and our counterterrorism goals continue to be specific and rooted in realistic threat analysis.”
The statement comes amid rising gas prices tied in part to instability surrounding the war involving Iran, with fuel costs reaching some of their highest levels since 2022. According to AAA, the national average price for gasoline climbed to $4.52 per gallon as the national average rose “$.25 for a second straight week.“
District of Columbia
Anti-LGBTQ violence prevention efforts highlighted at D.C. community fair
Mayor’s Office of LGBTQ Affairs organized May 8 event
Detailed advice on how LGBTQ people can avoid, defend themselves against, and prevent themselves and loved ones from becoming victims of violence, with a focus on domestic and intimate partner violence, was presented at a May 8 LGBTQIA+ Safety in Numbers Community Fair.
The event, organized by the D.C. Mayor’s Office of LGBTQ Affairs, included five workshop sessions and information tables set up by 14 LGBTQ-supportive organizations and D.C. government agencies or agency divisions, including the D.C. Metropolitan Police Department’s LGBT Liaison Unit and the D.C. LGBTQ+ Community Center.
Also playing a lead role in organizing the event was the D.C. LGBTQIA+ Violence Prevention and Response Team, or VPART, a coalition of D.C. officials and leaders of community-based organizations that work with the Office of LGBTQ Affairs.
The event was held in meeting space in the building where the Office of LGBTQ Affairs is located at 899 N. Capitol St., N.E.
The workshop topics included de-escalation training on healthy relationships, bystander intervention, self-defense training, violence prevention grants, and suicide prevention.
“This will be a public safety and violence prevention event where community partners will educate attendees on various methods of violence intervention and trauma-informed practices,” according to a statement released by the Mayor’s Office of LGBTQ Affairs prior to the start of the event.
The statement adds, “We will have live demos, interactive games, and workshops focused on strategies for self-defense, protecting vulnerable communities, increasing access to mental health resources, providing tools for recognizing domestic violence/intimate partner violence signs in intimate relationships, and assistance for substance abuse.”
Sonya Joseph, associate director of engagement for the Office of LGBTQ Affairs, told the Washington Blade that studies have shown rates of domestic or intimate partner violence are higher in the LGBTQ community than in the community at large.
“Domestic violence and intimate partner violence are two very big prevalent issues in the LGBTQ community,” she said, adding that some of the workshops at the event would be providing “training on healthy relationships and how to recognize and prevent intimate partner violence and the signs of it.”
About 35 to 40 people attended the workshop sessions.
Experts specializing in violence impacting the LGBTQ community have said domestic violence refers to violence among people in domestic relationships that can include spouses but also siblings, parents, cousins, and other relatives. Intimate partner violence, according to the experts, refers to violence perpetuated by a partner in a romantic or dating relationship.
These D.C. based organizations or agencies that participated in the LGBTQIA+ Safety in Numbers event, and which can be contacted for assistance, include:
• Defend Yourself
• DC LGBTQ+ Community Center
• American Foundation for Suicide Prevention
• Joseph’s House
• Us Helping Us, People into Living, Inc.
• MCSR (formerly known as Men Can Stop Rape)
• MPD LGBT Liaison Unit
• Volunteer Legal Advocates
• DC SAFE
• Destination Tomorrow
• D.C. Office of Victims Services and Justice Grants
• Life Enhancement Services
• ONYX Therapy Group
• U.S. Attorney’s Office for D.C.
Rehoboth Beach
Celebrated performer Rose Levine plays Rehoboth on May 15
Freddie’s to host Fire Island legend
Rose Levine is a celebrated entertainer best known for her longstanding performances in Cherry Grove, Fire Island, since 1955 where she has become a beloved fixture of the community’s vibrant arts and nightlife scene. With a career spanning decades, Levine has captivated audiences with her cabaret singing shows full of charisma, classic numbers, humor, and unmistakable stage presence—proving that some stars don’t fade, they simply get better lighting.
Levine is also closely associated with the legendary Fire Island Invasion of the Pines, the annual Fourth of July spectacle in which performers and revelers make their grand (and gloriously over-the-top) entrance by boat from Cherry Grove to Fire Island Pines, now a 50-year tradition. Her role in launching and sustaining this tradition has helped make it one of the most iconic—and entertaining—events of the summer season.
A consummate storyteller, Levine brings audiences along for a glittering ride through entertainment history. Rose will sing her Broadway melodies by Jerry Herman, Irving Berlin, Cy Coleman, Cole Porter, and others. With music direction by Mark Hartman the one-night-only event will celebrate Levine’s legendary life in drag, featuring signature crowd-pleasers and celebrity stories. A friend of Broadway composer Jerry Herman, she shares delicious stories of legends like Ethel Merman and recalls a young Barbra Streisand before she became Barbra Streisand while both performing at the famed singing contests at Greenwich Village’s famed Lion nightclub before her big break at the Bon Soir. Her shows are a mix of music, mischief, and memories of old New York and Fire Island — back when Cherry Grove didn’t even have electricity, but somehow still had better nightlife than most cities today.
Her legendary Fire Island home, Roseland, has hosted its fair share of unforgettable gatherings (and likely a few stories that can’t be printed in a family newspaper), making it a cornerstone of the community’s social scene. Levine splits her time between Manhattan and her summer perch on Fire Island—though audiences across the country are grateful she travels.
In fact, she performs at The Green Room and 54 Below in Manhattan, Cherry Grove in Fire Island, Act 2 and The Palm in Puerto Vallarta, Red Dot Cabaret in Hudson, N.Y., and now Freddie’s in Rehoboth Beach—because retirement, frankly, sounds boring. Her place in the Guinness Book of World Records as the oldest continuously performing drag queen in the world only adds to the legend and gives her bragging rights she fully intends to use.
And now, Rehoboth—consider yourself warned.
Don’t miss Rose Levine live on May 15 at Freddie’s Beach Bar. Dinner begins at 6:30 p.m., with the show at 7 p.m. Come for the cocktails, stay for the stories, and leave wondering how one person can have that many fabulous decades.
Levine’s legacy is defined not only by her remarkable career, but by her ability to connect with audiences across generations—usually while making them laugh, gasp, and occasionally blush. Don’t miss this show.
-
District of Columbia5 days agoYour guide to D.C. region’s many Pride celebrations
-
Cannabis Culture4 days agoLGBTQ people, weed, and mental health: what you need to know
-
The Vatican5 days agoNew Vatican report acknowledges LGBTQ Catholics feel isolated in the church
-
Television5 days agoRepression, toxic masculinity fuel intense queer drama ‘Half Man’
