Local
Casa Ruby grant for trans people with HIV extended
30 clients faced losing access to services

Casa Ruby founder Ruby Corado expressed concern about the status of a D.C. DOH grant for HIV prevention-related services. (Washington Blade photo by Michael Key)
The possibility that as many as 30 transgender women with HIV would lose access to life-sustaining services provided by the D.C. group Casa Ruby on March 1 was averted this week when the D.C. Department of Health extended funding for a Casa Ruby case management program.
DOH spokesperson Jasmine Gossett said DOH was unable to renew a grant that funded the Casa Ruby program for the past three years because the U.S. Department of Health and Human Services, which provided the funds for the grant, changed its eligibility requirement for the grant.
According to Gossett, HHS discontinued funding for non-medical case management services that Casa Ruby has been providing and limited its grant funds to only medical case management services, which involve work by physicians, nurses and other trained medical professionals.
As a stop gap measure, Gossett said DOH this week awarded Casa Ruby a “transition grant” that will use D.C. funds to enable Casa Ruby to continue its case management services to transgender clients with HIV until at least June of this year.
“The transition grant will run through June and then after that we’ll be working to identify other funding so there should never be a lapse,” Gossett told the Washington Blade. “We value the work that she does so there was never a time when we would let this lapse,” Gossett said, referring to Casa Ruby founder and executive director Ruby Corado.
Corado said she was pleased over the news that funding for the trans case management program would be continued but said she was concerned about the status of another D.C. DOH grant for HIV prevention-related services targeting LGBT youth. Corado said DOH officials told her in October, when that grant was scheduled to expire, that they would renew the grant, saying they were pleased with the work Casa Ruby was doing.
But in what appears to be a misunderstanding, Corado said she interpreted a verbal commitment to renew the grant to give her the go-ahead to continue performing the services, which included paying the salary for two employees conducting the work. On Tuesday, Corado said, a DOH official told her Casa Ruby could not be reimbursed for the services it carried out from October to this month because the grant had not been officially approved and the paperwork completed until this week.
“They said we never gave you a written grant,” Corado said. “I kept the staff and continued with the project.”
DOH spokesperson Gossett told the Blade on Wednesday that DOH is not legally authorized to release funds for a grant that has not been officially completed and approved. She said that legal requirement applies to all grant recipients, not just Casa Ruby.
“They were never told to go ahead with this before the paperwork was completed,” Gossett said.
Rehoboth Beach
Women’s FEST returns to Rehoboth Beach next week
Golf tournament, mini-concerts, meetups planned for silver anniversary festival
Women’s+ FEST 2026 will begin on Thursday, April 9 at CAMP Rehoboth Community Center.
The festival will celebrate a remarkable milestone in 2026: its silver anniversary. For 25 years, Women’s+ FEST has brought fun and entertainment for all those on the spectrum of the feminine spirit. There will be a variety of events including a golf tournament, mini-concerts and happy hour meetups.
For more information, visit Camp Rehoboth’s website.
District of Columbia
How new barriers to health care coverage are hitting D.C.
Federally qualified health centers bracing for influx of newly uninsured patients
Washington, D.C. has the second-lowest rate of people who lack health insurance in the country, but many residents are facing new barriers to health care due to provisions of the sweeping federal law passed in July, which threatens access for thousands.
Changes to insurance eligibility and the rising cost of premiums, which kicked in for some in October and others more recently, are expected to leave many more patients uninsured or unable to afford medical care. Federally qualified health centers, including D.C.’s Whitman-Walker Health, where 10 to 12 percent of patients are uninsured, are bracing for an influx of newly uninsured patients while facing their own financial challenges.
Even in D.C., where uninsured rates have been among the lowest in the country, changes brought on by the passage of the Republican mega bill (known as the “Big Beautiful Bill”) will have major effects.
The changes from the bill affect Medicaid, which is free to low-income patients, and subsidies for insurance that people buy on the health insurance exchanges that were started under the Affordable Care Act, which were allowed to expire on Dec. 31.
Erin Loubier, vice president for access and strategic initiatives at Whitman-Walker Health, says some Whitman-Walker Health patients have received notices about premium increases, including several who say the increases are up to 1,000 percent more than they were paying.
“That is like paying rent,” she says. “We live in an expensive city, so any increases are going to be really, really hard on people.”
Whitman-Walker Health and other healthcare providers are expecting the changes to have multiple effects — some patients may not be able to afford coverage or may avoid going to the doctor and allow health conditions to worsen because they can’t afford care, and many more will be seeking care who don’t have insurance.
“I’m worried that we’re going to not just have people who can’t get care, but that they delay care until they’re really sick, and then the care is not as effective because they might have waited too long, and then we may have a less healthy population,” Loubier says.
Loubier says delaying care, and serving more people without insurance has major implications for Whitman-Walker Health and other health centers serving the community.
“There’s going to be a lot of pressure on us to try to find and raise more money, and that’s going to be harder, because I think all organizations who provide health care are going to be facing this,” she says.
The U.S. health care system is the most expensive in the world, and has much higher out-of-pocket costs for individuals. But in other countries like the United Kingdom, Australia, Canada, and many others, health care is much less expensive — or even free.
Even though the U.S. has a high-priced healthcare system, critics say there are still ways to bring down costs by forcing insurance and pharmaceutical companies to absorb more of the costs, rather than transferring the costs to patients.
“In the U.S., they end up trying to cut costs at the person’s level, not at the level of the different corporations or structures that are making a lot of money in healthcare,” said Loubier. “Our system is so complicated and there is probably waste in it, but I don’t think that that cost and waste is at the ‘people’ level. I think it’s higher up at the system level, but that is much, much harder to get people to try to make cuts at that end.”
Ultimately at Whitman-Walker Health, healthcare providers and insurance navigators are planning to help with everyday necessities when it comes to healthcare coverage and striving to provide healthcare in partnership with patients, said Loubier.
“The key here is we’re going to have a lot of people who may lose insurance, and they’re going to rely on places like Whitman-Walker Health and other community health centers, so we have to figure out how we keep providing that care,” she said.
(This article was written by a student in the journalism program at Bard High School Early College DC. This work is part of a partnership between the Washington Blade Foundation and Youthcast Media Group, funded through the FY26 Community Development Grant from the Office of D.C. Mayor Muriel Bowser.)
District of Columbia
Mayor Bowser signs bill requiring insurers to cover PrEP
‘This is a win in the fight against HIV/AIDS’
D.C. Mayor Muriel Bowser on March 20 signed a bill approved by the D.C. Council that requires health insurance companies to cover the costs of HIV prevention or PrEP drugs for D.C. residents at risk for HIV infection.
Like all legislation approved by the Council and signed by the mayor, the bill, called the PrEP D.C. Amendment Act, was sent to Capitol Hill for a required 30-day congressional review period before it takes effect as D.C. law.
Gay D.C. Council member Zachary Parker (D-Ward 5) last year introduced the bill.
Insurance coverage for PrEP drugs has been provided through coverage standards included in the Affordable Care Act, known as Obamacare. But AIDS advocacy organizations have called on states and D.C. to pass their own legislation requiring insurance coverage of PrEP as a safeguard in case federal policies are weakened or removed by the Trump administration, which has already reduced federal funding for HIV/AIDS-related programs.
Like legislation passed by other states, the PrEP D.C. Amendment Act requires insurers to cover all PrEP drugs approved by the U.S. Food and Drug Administration.
Studies have shown that PrEP drugs, which can be taken as pills or by injection just twice a year, are highly effective in preventing HIV infection.
“I think this is a win for our community,” Parker said after the D.C. Council voted unanimously to approve the bill on its first vote on the measure in February. “And this is a win in the fight against HIV/AIDS.”
