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Where is Chase Brexton Health Care growing?

Changes won’t affect our commitment to LGBT community

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Speak Fire, gay news, Washington Blade
Speak Fire, AIDS Walk, gay news, Washington Blade

Chase Brexton Health Care (Washington Blade file photo by Michael Key)

From unions to patient care, Chase Brexton Health Care has been the topic of much conversation of late. Many have asked: what does the future hold for an organization that has been a beacon of care, hope, and acceptance for Baltimore’s — and, increasingly, all of central Maryland’s — LGBTQ community for almost four decades?

I’ve been told by some that they feel Chase Brexton is growing away from its roots; transforming from an affirming expert in LGBTQ health care into a mainstream  “generic” health care facility. As an openly gay man and a member of Chase Brexton’s leadership team, I’m saddened and frustrated to hear this.

There is no denying Chase Brexton has grown by leaps and bounds in the last five years, but that growth does not diminish our unending commitment to serve as an exemplary LGBTQ provider and resource for our communities.

Chase Brexton was founded in response to the needs of our community; the desire for respect, safety, and care. The volunteers who began the practice as a gay men’s STD clinic in 1978 likely had no idea how long the clinic would last. Unknown to anyone then, the HIV epidemic was also on the horizon.

HIV/AIDS ravaged Baltimore’s LGBT community through the 1980s. After a decade of battling the disease, Chase Brexton’s leadership in the early 1990s was struck by the needs of the community’s families, partners and friends who were not infected with HIV, and were not necessarily LGBT, but were in need of access to affirming, welcoming health care.

To meet those needs, we added behavioral health and case management services to our growing care model. By 1995, Chase Brexton had full primary care services available to anyone in need of care.

This expansion was not intended to minimize our care for our LGBTQ patients. To the contrary, that growth addressed more of our patients’ unique needs. It welcomed those who were yet unable to identify, and it welcomed those who were medically underserved. Ultimately, the intent of Chase Brexton’s growth was, and still is, to build stronger communities for all of us.

In 2000, we provided care to fewer than 1,000 individuals who identified as LGBTQ. Today, that number is close to 5,000. But it doesn’t include the number of individuals who come through our doors for free HIV testing and free education and resources.

In fact, the total number of LGBTQ people we serve has significantly increased, and our growth has allowed us to focus greater resources on their varied needs. By establishing our LGBT Health Resource Center, by creating a dedicated behavioral health team for LGBTQ patients, by adding a pediatric practice for gender-diverse children, and by adding support and training programs for LGBT caretakers and elders, Chase Brexton remains committed to ensuring our community’s needs are met amid the changing face of healthcare.

To the LGBTQ community at large I say: Chase Brexton will always work to meet the needs of our community. We believe the doors must be open for those who have limited access to care and we will do all we can to get them into care. And we will continue to hire and train culturally competent, affirming staff who believe in our mission and vision.

I would be remiss if I didn’t address that last thought a bit more firmly: Our staff of 410  employees across all our five centers, at every level in the organization, are a part of our team for one reason, they are mission-driven.

To put numbers to it, more than half of our provider team has a special focus on LGBT health care. While 4 percent of our total patient population identifies as gender diverse, 15 percent of our providers have a special focus on trans care.

Less than a year ago, a survey of our staff was independently performed by the Society of Human Resources Management. In that survey, 81 percent of respondents said the diversity and inclusiveness of our organization was a highly important factor in why they chose to work here. In addition, 88 percent said the work itself was a key factor in why they sought employment with Chase Brexton.

I have no doubt of the passion shared by everyone at Chase Brexton for the work we do and the patients we care for. Chase Brexton’s team is human, and we are not perfect. As an organization, and as we continue to grow, we will likely run into issues, make mistakes, and stumble. But our first and last thought in all we do is about our patients’ health and how we can provide better care for both our patients and our staff.

Nate Sweeney is executive director of the LGBT Health Resource Center of Chase Brexton Health Care.

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TRAITOR: Treasury Secretary Scott Bessent has blood on his hands

Nation’s highest-ranking gay public official is a MAGA sell out

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Treasury Secretary Scott Bessent (Washington Blade photo by Michael Key)

It’s an odd dichotomy: President Trump appoints the highest-ranking openly gay government official in history in Treasury Secretary Scott Bessent, yet he launches cruel attacks on transgender Americans. 

Make no mistake: Those attacks are claiming lives. Trans people are killing themselves. I know of one trans person who died by suicide on Election Night, overwhelmed by fear of the incoming administration. Trump’s attacks have driven trans Americans and their families to flee the country and move to Canada, as the Blade has reported. 

None of this is hypothetical or melodramatic. It’s real life and happening everywhere. 

And so when Bessent was confirmed as Treasury Secretary, I wrote an op-ed urging him to educate Trump about the plight of trans Americans and the destructiveness of the attacks on the community. I waited 90 days for some sign that Bessent has a heart or at least a modicum of decency but sadly, I must report that he does not. 

The attacks on the LGBTQ community under Trump keep coming. Last week’s news that the U.S. Department of Health and Human Services is planning to retire the national 988 crisis lifeline for LGBTQ youth on Oct. 1 is just the latest evidence that this administration doesn’t just dislike us — they want us dead.

“Ending the 988 Suicide and Crisis Lifeline’s LGBTQ+ youth specialized services will not just strip away access from millions of LGBTQ+ kids and teens — it will put their lives at risk,” Trevor Project CEO Jaymes Black said in a statement.

The service for LGBTQ youth has received 1.3 million calls, texts, or chats since its debut, with an average of 2,100 contacts per day in February.

Make no mistake: cutting this service will kill young LGBTQ people.

Just a couple of weeks earlier, Trump’s administration announced the Office of Infectious Disease and HIV/AIDS Policy would be gutted. 

“In a matter of just a couple days, we are losing our nation’s ability to prevent HIV,” said HIV+Hepatitis Policy Institute Executive Director Carl Schmid.

And prior to that, Trump issued a series of executive orders targeting the trans community — restricting access to affirming healthcare, banning trans service members from the military, barring trans women and girls from playing sports, eliminating the “X” gender marker on passports, and barring students assigned male at birth from using women’s restrooms.  

Let’s be very clear: When you deny someone the ability to use the bathroom, you deny their humanity.

So back to Scott Bessent, the billionaire hedge fund manager now running our economy into the ground. As many Trump protesters have noted: silence is complicity. And Bessent has been silent on all of these horrific attacks on trans Americans and their basic humanity. He is spineless and a traitor to the LGBTQ community. 

Bessent runs the U.S. Treasury and reportedly has Trump’s ear on all matters related to the economy. He could easily push Trump in a better, more compassionate direction, yet there is no evidence he has done that. 

“The LGBTQ+ community is counting on openly LGBTQ+ nominees like Scott Bessent to step up for the community,” said Human Rights Campaign President Kelley Robinson after the inauguration. Sadly, it’s become clear we cannot count on Bessent. As I wrote in January, Trump likes his queer people gay, white, cis, rich, and obedient. 

Bessent has ignored the Blade’s interview requests. (And after this is published, I have no illusions he will change his mind.) The mainstream media, increasingly cowed by Trump, have failed to ask Bessent even the most basic questions about his views on trans equality and Trump’s attacks. 

As a member of the LGBTQ community, Bessent has a responsibility to at least speak up on behalf of trans people who are suffering. But Republicans today have lost their spines. They genuflect before their Dear Leader, line their own pockets, and leave the rest of us to deal with the consequences. 

The crisis is real. People are dying. Trans people especially are suffering. The rest of us must do what we can to mitigate that suffering and to speak out in defense of our trans friends. 


Kevin Naff is editor of the Washington Blade. Reach him at [email protected].

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Congressional Equality Caucus should participate in WorldPride

Make bold statement about our commitment to LGBTQ rights

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(Washington Blade file photo by Michael Key)

The Trump administration, by its actions, has already hurt WorldPride. By attacking trans people, they have gotten many nations to suggest to trans citizens they not come to the United States. Canada’s queer group has said it is advising its people not to come. It is sad in so many ways. But despite what the felon in the White House is doing, WorldPride will be a success. It can be a time to not only have fun, but to make a point to the administration and the world. What was the old saying, “We’re here, we’re queer, and we’re not going anywhere, so get used to it.”  The LGBTQ community in the United States has made great strides since Stonewall in 1969, and there is no way we are going back into the closet. 

One way we can make a strong statement is if every member of the Congressional Equality Caucus would come out and join hands with constituents from their state, who are coming to D.C. for WorldPride. Together, they can take a stand for equality. Together, they can make a statement about our country to the world; that the United States values and supports its LGBTQ community. 

This year from May 17-June, we are anticipating huge crowds in Washington, D.C. for WorldPride. Let us together make sure they are all safe and that they have an exciting and fun time while here. But at the same time we should use this gathering to speak out, for our community here, and the LGBTQ community around the world. 

We must show the felon in the White House, and his MAGA acolytes in Congress, and around the nation, all those who would keep us down, we can, and will, stand up for ourselves. We are only willing to move one way, and that is forward toward full equality. Many years ago, during the early fight for recognition of the HIV/AIDS epidemic, there was an event staged by the group ACT UP, called ‘hands around the White House.’ It is time to stage something like that again. 

With all the attacks on the trans community, and as threats to the entire LGBTQ community continue, we need to stand together, and stay strong. We need to join with everyone else who is fighting back against the felon, and his Nazi sympathizing co-president, in the White House. To join in the demonstrations, fight back, and not fall for the distractions meant to take us from our goals. Those goals must include defeating every Republican in elections in 2025, and taking back Congress in 2026. I say every Republican, only because today there is no longer a rational Republican Party. That party has become a MAGA Party, or ‘Cult of Trump.’ That is sad, but it’s true. It is not up to Democrats, or independents, to change the Republican Party; it is up to us to ensure their defeat until they change themselves. 

Until then we must work hard to elect Democrats across the nation. From school board, to county council, from statehouse to Congress. For the LGBTQ community that is the only way we will move forward on equality. It is the only way we can defeat those who want to ban books about our lives, and try to force us back in the closet. We must say a resounding NO to that. 

We must vote for Democrats because history shows us, any other vote, a vote for a third party, helps Republicans win. The reality, like it or not, is today there are only two parties that can win a general election. Yes, in a few rare districts, a third party has won. But this is rare and let’s not take the chance of that happening if there isn’t a history in your state, or district, or community, where it happened in the past. Be smart! While you may not like everything the Democratic Party stands for, it has proven, its members stand for the rights of the LGBTQ community. The incredible progress since Stonewall has been because the Democratic Party has worked with the activists in our midst, to make that progress. Let’s not give up now and move backwards with the MAGA Party. Together, let’s retake our government, and continue to move forward until we have full equality. That must be the goal we join hands for, and pledge to work toward. 


Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist.

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How I changed my documents

Process in Md. cost around $300

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(Bigstock photo)

With legislation making it more difficult for transgender and gender non-conforming people to change their passports and other documents, it is now a race against the clock to change as many of them as possible. 

Trans Maryland and Advocates for Trans Equality are among the groups that offer workshops and online resources.

Here’s how I did it in Maryland:

A letter from your primary care provider

The first thing you’ll need to get any of this rolling is a document from your primary care provider that shows proof of hormone therapy, gender incongruence, or both. In my experience, this is important to have prior to getting anything started because some states require some sort of proof in order to certify the change.

Some courts may need a therapist’s letter as well, but it depends on what state you live in. With this document, you’ll be able to bring it to the respective offices and it will give a valid reason for you to get your desired gender marker.

A court order

The next thing you will need is a court order that recognizes your gender identity. It is a precaution just to avoid any wasted time or confusion at any offices going forward. You will go to the circuit court website for what state/county you reside in and find a document that is a petition to change your gender. Here is an example from Maryland. 

You will print that document and fill out the petition for your respective titles with or without a name change and take it to the Circuit Court. Some courts may require the appointment. There, you will present the petition and letter and pay a fee — Maryland’s fee is $165, however there are fee waivers for those that apply. After, you will wait some weeks for the court order to show up.

Social Security card

Unfortunately, as of January 2025, the Social Security Administration has ceased any gender changes in their system. As with the fight for passports reflecting the holder’s proper gender identity, the Human Rights Campaign and the American Civil Liberties Union may bring a case to regain access in the future.

Identity card/driver’s license

After getting your primary care letter and court order, make a standard appointment for Identification Services at the local DMV and bring the paperwork. Though the Maryland Court’s website says there is no need to get a court order to change any documents, the clerk at the Maryland Motor Vehicle Administration (Maryland’s DMV) stressed that I needed the updated Social Security card changed in order to get an updated ID.

I was able to get it changed prior to the Trump-Vance administration, however given the current circumstances, if there is any pushback from any clerk or official who say they require a Social Security card, very adamantly cite the official gov website if applicable, and use the court order, despite the fact you should not need one to get your ID updated.

Birth certificate

Should all have gone well with the ID, the last document to amend is the birth certificate. 

Unfortunately, this may be the most difficult document that you are able to amend because it must be done within your home state and some states, such as Oklahoma, Florida, Tennessee, and Texas, have already banned altering birth certificates. 

In D.C., where I changed my own, there have been no known issues or legislation passed for changing the name and gender marker on the document. You will search your state government websites for the vital records department, find a Gender Designation Application and fill out the necessary information. The D.C. application is here:

On D.C.’s application, you must sign the document in front of a notary in order for it to be valid. Several mail offices, such as UPS, offer notary services for relatively cheap. Upon getting the application notarized, you can bring all documents you have already updated along with the court order and primary care letter to an appointment at the vital records office. All the previous work done should make this fairly easy if you are in a state that hasn’t made heavy strides to halt the process. 

All in all, with about a month of your time, about $300, and a state that supports your right to self-actualization, you should still be able to change most of your documents.

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