Local
Md. bans gender transition exclusions in insurance
Advocates applaud state entity for changes

Patrick A. Paschall, executive director of FreeState Legal and Equality Maryland, applauded the Maryland Insurance Administration. (Photo courtesy Patrick Paschall)
FreeState Legal and Equality Maryland announced on Wednesday that the Maryland Insurance Administration has issued bulletins prohibiting individual, small-group, and student health insurance plans sold in Maryland from excluding coverage for health care for the purpose of gender transition. This announcement follows longstanding advocacy by FreeState Legal and Equality Maryland, most recently including a request to the federal Center for Consumer Information and Insurance Oversight asking federal regulators to require Maryland to prohibit transition-related care exclusions from appearing in these state-regulated insurance plans that are governed by the federal Affordable Care Act.
“We applaud the Maryland Insurance Administration for prohibiting this discriminatory exclusion that has become a fixture in health insurance plans and that does significant harm to the transgender community,” said Patrick A. Paschall, executive director of FreeState Legal and Equality Maryland.
“Transition-related care exclusions serve no other purpose than to discriminate against transgender people. To deny life-saving medical care to an entire population based solely on the fact that they identify as transgender is not only unconscionable, but we believe a violation of federal law. We are glad that the Maryland Insurance Administration agrees that transition-related care exclusions violate federal law and has taken action to ensure that the individual, small-group, and student plans it regulates no longer discriminate on the basis of gender identity.”
The Maryland Insurance Administration bulletins, issued on Dec. 7 and 10, 2015, inform health insurers that transition-related care exclusions will no longer be permitted as the agency reviews and approves individual and small-group health plans for the 2017 plan year and student health plans for the 2016-17 school year. The bulletins require carriers to update their plans, and clarify that the requirement applies to plans that are sold either through the ACA exchange or off the exchange.
The administration based its decision on an existing federal regulation, 45 CFR § 156.200(e), issued in 2012, that prohibits discrimination in qualified health plans on the basis of personal characteristics such as gender identity. In the recent bulletins, the Maryland Insurance Administration ruled that transition-related care exclusions can no longer appear in small-group, individual, and student plans because “federal guidance has determined that this type of exclusion is a discriminatory benefit design,” prohibited by the federal regulation.
“We hope this sends a clear message to insurers that denial of transition-related health care solely because the patient is transgender is unlawfully discriminatory, and that the federal regulations on which the agency based its decision are currently in effect,” said Paschall. “We believe that discrimination against transgender people in all health insurance plans is against the law, and we at FreeState Legal and Equality Maryland will continue to bring legal action against insurers that discriminate and employers that choose discriminatory plans. We will not stop until all transgender people in Maryland have full and equal access to the health care they need.”
This action has been applauded by advocates for gender identity equality. “Maryland state regulations continue to fall into line with the civil rights code from the Affordable Care Act,” Dana Beyer, executive director of Gender Rights Maryland, told the Blade. “Thanks to Free State Legal and its dogged and skillful pursuit of these benefits for Maryland residents!”
District of Columbia
Blade contributor, husband exchange vows in D.C.
Yariel Valdés and Kevin Vega held ceremony at Jefferson Memorial on March 23
Washington Blade contributor Yariel Valdés and his husband, Kevin Vega, exchanged vows at the Jefferson Memorial on March 23.
The couple married in Fort Lauderdale, Fla., on Nov. 24, 2025. The Jefferson Memorial ceremony — which Blade International News Editor Michael K. Lavers and Samy Nemir Olivares officiated — coincided with the third anniversary of Yariel and Kevin’s first date.
Yariel in 2019 asked for asylum in the U.S. because of the persecution he suffered as a journalist in his native Cuba. He spent nearly a year in U.S. Immigration and Customs Enforcement custody before his release on March 4, 2020.
Yariel wrote a series of articles about his time in ICE custody that the Blade published. The series was nominated for a GLAAD Media Award in 2022.
Yariel and Kevin live in South Florida.
District of Columbia
‘Out for McDuffie’ event held at D.C. gay bar
Mayoral candidate cites record of longtime support for LGBTQ rights
More than 100 people filled the upstairs room of the D.C. gay bar Number 9 on Thursday night, March 26, to listen to D.C. mayoral candidate Kenyan McDuffie at an event promoted as an “Out for McDuffie” meet and greet session.
Several local LGBTQ activists who attended the event said they support McDuffie, a former D.C. Council member, in his run for mayor while others said they had not yet decided whom to vote for in the June 16 D.C. Democratic primary election.
As of March 27, eight other Democrats were competing against McDuffy in the June 16 primary, including D.C. Council member Janeese Lewis George (D-Ward 4), considered McDuffie’s lead opponent. Lewis George also has a record of strong support on LGBTQ issues.
Most political observers consider McDuffie and Lewis George the two lead candidates in the race, with the others having far less name recognition.
The two lead organizers of the Out for McDuffie event were LGBTQ rights advocates Courtney Snowden, a former D.C. deputy mayor in the administration of Mayor Muriel Bowser, and Cesar Toledo, a local LGBTQ youth housing services advocate.
“I’m a candidate for mayor of Washington, D.C. and I’m running for mayor because I love this city,” McDuffie told the gathering after being introduced by Snowden. “And now more than ever we need leadership to take us to the future,” he said, adding that he and his administration would “stand up and fight” against President Donald Trump’s efforts to intervene in local D.C. affairs.
“Our strength is in the 700,000 beautifully diverse residents of Washington, D.C.” he told the gathering. “And as Courtney said, I didn’t just show up and run for mayor and then start saying that I’m going to be an ally for the queer community, for the LGBTQ+ community,” he said, “I’ve lived my entire professional life fighting for justice and fighting for fairness.”
Following his speech, McDuffie told the Washington Blade, “We’re going to fight to protect our LGBTQ+ community every single day. That’s what I’ve spent my career doing, making sure we have a beautifully diverse and inclusive city.”
He remained at Number 9, located at 1435 P St., N.W., for nearly an hour after he spoke, chatting with attendees.
District of Columbia
‘No Kings’ protests set for D.C.
Anti-Trump demonstrations to take place across country on Saturday
As President Donald Trump and his administration escalate rhetoric targeting transgender youth and student athletes, push efforts to restrict voting access for millions of Americans, and pursue foreign policy decisions that critics say bypass congressional authority, organizers across the country are once again mobilizing in protest.
For many LGBTQ advocates, the moment feels especially urgent.
In recent months, activists have pointed to a surge in anti-trans legislation, attacks on gender-affirming care, and efforts to roll back nondiscrimination protections as direct threats to the safety and visibility of queer and trans communities. Organizers say the demonstrations are not just about policy, but about defending the right of LGBTQ people — particularly trans youth and people of color — to live openly and safely.
Thousands of “No Kings” protests are planned nationwide, with multiple demonstrations set to take place in D.C.
One of the primary events, “No Kings Washington,” will be held in Anacostia, an overwhelmingly Black area of D.C. that is often at the center of conversations around racial justice, policing, and access to resources in the nation’s capital.
The protest in Anacostia is focused on what organizers describe as the “power behind the throne,” specifically Stephen Miller, the White House Deputy Chief of Staff for Policy and Homeland Security Advisor. Miller has been closely associated with the administration’s “zero tolerance” immigration policy, including the family separation practice that resulted in thousands of children being separated from their parents at the Southern border.
Activists have also linked immigration enforcement policies to broader concerns about LGBTQ migrants, including queer asylum seekers who often face heightened risks of violence and discrimination both in their home countries and within detention systems.
Anacostia protest details:
Participants are asked to gather starting at 1:30 p.m. on the southeast side of the Frederick Douglass Bridge. The closest Metro station is Anacostia on the Green Line, about an 8-minute walk from the starting point. Organizers strongly encourage attendees to use public transportation, as street parking is limited.
The march will proceed past Fort McNair and conclude near the Waterfront Metro station.
D.C. icon and LGBTQ activist Rayceen Pendarvis is set to speak at the protest around 2 p.m.
Kalorama protest details:
A separate protest will take place earlier in the day in Kalorama, a neighborhood long associated with political power and home to presidents, cabinet officials, and foreign ambassadors. Demonstrators are expected to gather at 10 a.m., with a march running until approximately noon near the intersection of Connecticut Avenue and Kalorama Road.
Arlington/National Mall protest details:
Another group is expected to assemble at Memorial Circle near Arlington National Cemetery at 10 a.m. before crossing the Memorial Bridge into D.C., passing the Lincoln Memorial and continuing on to the Washington Monument. Organizers say the march is intended to defend “American democracy, the rule of law, and a healthy planet.”
Unlike last June — when organizers discouraged large-scale demonstrations in D.C. due Trump’s military/birthday parade — activists are now explicitly calling on people to show up in the nation’s capital and surrounding areas.
The protests also coincide with Transgender Day of Visibility weekend, which includes additional gatherings and celebrations on the National Mall. At the same time, peak bloom for the National Cherry Blossom Festival is expected to draw large crowds to the city. With multiple major events happening simultaneously, officials and organizers anticipate significant congestion, increased traffic, and crowded public transit throughout the weekend.
Organizers are urging participants to plan ahead and come prepared.
“Bring your signs, noisemakers, music, and creative ideas, and gather in joyful, nonviolent protest,” they said. “Children are very welcome.”
For more information, visit nokings.org.
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