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Md. bans gender transition exclusions in insurance

Advocates applaud state entity for changes

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Patrick Paschall, gay news, Washington Blade
Patrick Paschall, gay news, Washington Blade

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!”

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District of Columbia

New LGBTQ bar Rush set to debut

14th & U picks up a queer lounge, dance spot with a tech focus

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Rush plans to open Saturday.

(UPDATE: Rush owners told the Blade they have postponed the opening of the new bar to Nov. 28.)

The LGBTQ nightlife hotbed at 14th and U is about to get another member. Rush, a bar years in the making, is set to open its doors next week.

Filling the hole left by Lost Society, Rush will be a tech-forward, two-story bar featuring fully integrated light and sound to deliver “an immersive experience,” according to owner Jackson Mosley.

Mosley began conceptualizing such a bar back in 2017. His career linking tech and hospitality stretches even further back, beginning his career at LivingSocial and Uber. And even before that, he moonlighted at Town during his college years, where he developed a passion for drag and LGBTQ nightlife.

Rush is this manifestation of both tech and nightlife coming to fruition, but it hasn’t been without setbacks. Mosley originally planned to open farther east, on 9th and U streets, but received pushback from the building in which it was supposed to be housed. “It was the universe telling me it wasn’t the right spot,” he says. Earlier this year, coming across the Lost Society vacancy, Mosley finally found his host. As the center of LGBTQ nightlife has shifted to 14th Street – as reinforced by this week’s Shakers shuttering – Mosley was eager to join the festive fray.

Rush is in the same building as Bunker, settling on the top two levels of the structure. Across a flexible, indoor-outdoor combination and 6.000 square feet, Rush entirely shakes up its two floors –  “a real reimagining so that it feels entirely new,” he says, with new equipment and a new vision and a capacity of at least 300.

The lower floor leans into a lounge vibe. Relaxed seating and a huge bar dominate the area. It will feature a sound booth, furniture with built-in lighting, and plenty of places to chat.

Upstairs is the club, dance-forward space. It has a “proper drag stage,” Mosley says, one of the largest among fellow LGBTQ bars, at 7.5 feet deep by 22 feet wide. Set up for live performances and painted in matte black, this rooftop level can open the doors to the deck allowing the entire level to participate in performances.

Rush will also boast a full kitchen, distinct from many other LGBTQ bars. Set to start serving in a couple of months, it will serve a large menu of bar food and more, as well as a lively brunch on the rooftop. 

“It’s long overdue to have a brunch with good food at a bar,” he says.

Mosley emphasizes sound and lighting as part of his tech focus. Dropping more than $150,000 on this multi-sensory experience, he realized his “life dream to build out a sound system I love,” he says. “Enough lighting to power Echostage,” he joked. Lasers, hazers, smoke machines, and CO2 cannons are just a few elements. “One piece lacking at a drag show has been integrated light and sound with the performers’ choreo,” he says, like when a queen performs a death drop, there should be a light and sound crescendo.

Rush also differentiates itself with its unique business model. All Rush employees are full-time exempt with benefits like healthcare and PTO. Mosley takes up the CEO position of his firm Momentux, which will operate Rush. Mosley envisions growth to open Rush locations in other cities along the same model. Patrons will swipe their credit cards at the door, reducing the number of swipes for bar staff (and reducing credit card fees), and wear wristbands to track purchases. The approach negates the need – and request – for tips. Service charges will only be levied when patrons don’t close their tabs. “I’m rethinking the role of staff, down to the barback,” he says.

As for what the staff will pour, Rush will slowly roll out an eclectic, cheeky signature cocktail list to be served beyond the usual vodka-sodas. Such drinks might include the “14th & Unhinged,” with tequila, mezcal, tamarind, and lime; the “Power Vers,” with gin, elderflower, lemon, and pink peppercorn foam; and the “Flight Attendant,” which comes with a spread based on the ever-popular in-flight cookie, Biscoff.

The bar’s opening is set for Friday, Nov. 28, with a promising lineup — popular DJ Sidekick, and a trio of local drag favorites: Cake Pop, Druex Sidora, and Mari Con Carne. A social media post promised “good energy, controlled chaos, and hot strangers.”

Rush, says Mosley, might be like “if Taylor Swift and Lady Gaga had a baby, plus drag queens,” he says.

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Most D.C.-area cities receive highest score in HRC Equality Index

‘Record breaking’ 132 jurisdictions nationwide receive top ranking

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Rehoboth Beach, Del., received a perfect 100 score on HRC’s annual Equality Index. (Washington Blade file photo by Daniel Truitt)

The Human Rights Campaign Foundation on Nov. 18 released its 14th annual Municipal Equality Index report showing that a record number of 132 cities across the country, including nine in Virginia and seven in Maryland, received the highest score of 100 for their level of support for LGBTQ equality through laws, policies, and services.

Among the D.C.-area cities and municipalities receiving a perfect score of 100 were Alexandria, Arlington County, Fairfax County in Virginia and College Park, Bowie, Gaithersburg and Rockville in Maryland.

The city of Rehoboth Beach is listed as the only city or municipality in Delaware to receive a score of 100. Rehoboth city officials released a statement hailing the high score as a major achievement over the previous year’s score of 61, saying the improvement came through a partnership with the local LGBTQ advocacy and services group CAMP Rehoboth.

The  HRC Foundation, which serves as the educational arm of the Human Rights Campaign, the nation’s largest LGBTQ advocacy organization, includes the District of Columbia in a separate State Equality Index rating system under the premise that D.C. should be treated as a state and receive full statehood status.

In its 2024 State Equality Index report, D.C. and 21 states, including Maryland, Virginia, and Delaware, were placed in the “highest rated category” called Working Toward Innovative Equality, which does not use a numerical score.

 “The 2025 MEI shows a record breaking 132 cities scoring the highest possible marks on the index, representing a combined population of approximately 49 million people,” the HRC Foundation said in a statement announcing the 2025 report.

“This high-water mark is critical as pressure continues from states that pass laws and policies that seek to shut transgender people – particularly trans youth – out of public life,” the statement continues. It adds that many cities that have put in place trans supportive laws and policies, including health insurance benefits, “are in many cases no longer able to provide that coverage in a meaningful way as a result of discriminatory decisions made by state legislatures.”

The statement goes on to say, “However, more cities than ever are doing what the MEI characterizes as ‘testing the limits of restrictive state laws’ – pushing back against various checks on municipal power or discriminatory state  laws – with nearly 70 cities doing so.” 

The HRC statement notes that this year’s Municipal Equality Index rated a total of 506 cities. It says that number includes the 50 state capitals, the 200 largest cities in the U.S., the five largest cities or municipalities in each state, the cities that are home to the state’s two largest universities, and the 75 cities or municipalities that have high proportions of same-sex couples.

The report shows this year’s index rated 11 cities or municipalities in Virginia with the following rating scores: Alexandria, 100; Arlington County,100; Fairfax County, 100, Richmond, 100; Charlottesville, 100; Chesapeake, 80; Hampton, 100; Newport News, 100; Norfolk, 91, Roanoke, 100, and Virginia Beach, 100.

In Maryland a total of 10 cities were rated: Annapolis, 100; Baltimore, 100; Bowie, 68; College Park, 100; Columbia, 100; Frederick, 100; Gaithersburg, 100; Hagerstown, 75; Rockville, 100 and Towson in Baltimore County, 85.

A total of eight cities were rated in Delaware: Rehoboth Beach, 100; Bethany Beach, 51; Milford, 83; Dover, 69; Wilmington, 76; Newark, 72; Smyrna, 59; and Middletown, 64.

The full 2025 HRC Foundation Equality Index Report can be accessed at hrc.org.

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Repealing marriage amendment among Va. House Democrats’ 2026 legislative priorities

Voters approved Marshall-Newman Amendment in 2006

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(Bigstock photo)

Democrats in the Virginia House of Delegates on Monday announced passage of a resolution that seeks to repeal a state constitutional amendment that defines marriage as between a man and a woman is among their 2026 legislative priorities.

State Del. Mark Sickles (D-Fairfax County) has introduced the resolution in the chamber. State Sen. Adam Ebbin (D-Alexandria) is the sponsor of an identical proposal in the state Senate.

Both men are gay.

Voters approved the Marshall-Newman Amendment in 2006.

Same-sex couples have been able to legally marry in Virginia since 2014. Republican Gov. Glenn Youngkin last year signed a bill that codified marriage equality in state law.

A resolution that seeks to repeal the Marshall-Newman Amendment passed in the General Assembly in 2021. The resolution passed again this year.

Two successive legislatures must approve the resolution before it can go to the ballot.

Democrats on Election Day increased their majority in the House of Delegates. Their three statewide candidates — Gov.-elect Abigail Spanberger, Lt. Gov.-elect Ghazala Hashmi, and Attorney General-elect Jay Jones — will take office in January.

“Virginians elected the largest House Democratic Majority in nearly four decades because they trust us to fight for them and deliver real results,” said House Speaker Don Scott (D-Portsmouth) on Monday in a press release that announced his party’s legislative priorities. “These first bills honor that trust. Our agenda is focused on lowering costs, lifting wages, expanding opportunity, protecting Virginians rights, and ensuring fair representation as Donald Trump pushes Republican legislatures across the country to manipulate congressional maps for partisan gain. House Democrats are ready to meet this moment and deliver the progress Virginians expect.”

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