Local
D.C. medical marijuana program ‘getting better’
Some say delays in patient approval encouraged street purchases

Although D.C. legalized the production and sale of marijuana for medical purposes just over 20 years ago, activists familiar with the city’s implementation of the program say it has become known for its long delays in approving patients for medical marijuana use.
People following the D.C. Department of Health’s operation of the city’s medical marijuana program say improvements were put in place in the past two months that appear to be streamlining a cumbersome bureaucratic process that they say discouraged many patients in need of medical marijuana.
Patricia Hawkins, a clinical psychologist and former deputy director of D.C.’s Whitman-Walker Health, said city delays in approving a patient’s application for a city approved medical card needed to allow the patient to buy medical marijuana at licensed dispensaries prompted some patients to resort to buying the marijuana from “pop-up” dealers who operate illegally, sometimes selling marijuana on the street.
“That’s the last thing we need them to do,” said Hawkins, who noted that the purity and content of marijuana bought on the black market is unknown and could have harmful additives such as pesticides.
She said street drug dealers also have the reputation for attempting to sell people other harmful drugs such as heroin.
Hawkins noted that LGBT and AIDS activists played an important role in persuading the city to enact the medical marijuana program in the late 1990s just prior to the availability of effective AIDS drugs. She said marijuana treatment was shown to be helpful to AIDS patients suffering from severe weight loss by increasing their appetite.
D.C.’s medical marijuana program is run by the Department of Health’s Division of Medical Marijuana and Integrative Therapy. Under rules established by the DOH, in order to become authorized to buy marijuana for medical purposes a patient must first obtain a written recommendation from his or her primary care physician.
“This recommendation must assert that the use of marijuana is medically necessary for the patient for the treatment of a qualifying medical condition or to mitigate the side effects of a qualifying medical treatment,” a statement on the DOH website says. The statement says the written recommendation must include the physician’s signature and license number.
The physician must then send that to the DOH. The patient is required to submit to the DOH a completed application form that shows proof of residency in D.C. and include a photo copy of a government issued identification document such as a driver’s license. A $100 registration fee is also required, with a $25 fee for a patient that qualifies for low-income status.
One D.C. patient who spoke to the Washington Blade about the process on condition that the patient not be identified said that in the recent past it took between two and four months for the DOH to process the patient’s application and send the needed medical card.
Under the city’s medical marijuana program, the medical card expires after one year and a new application must be submitted to have it renewed along with the $100 fee.
The patient that spoke to the Blade said only a few doctors in the city have the training or the desire to prescribe medical marijuana as a treatment for a medical condition.
“The waiting rooms are overfull and there’s a long time you have to wait to see the doctor,” said the patient.
“And then last year the Department of Health lost my paperwork so I had to go through the whole process again,” said the patient. “It’s just frustrating and annoying. And it’s way more cumbersome and way more bureaucratic than is necessary.”
Under changes made earlier this year, the DOH website now says applications for the medical card are processed within 30 business days.
Linda Green, owner of Anacostia Organics, one of six licensed medical marijuana dispensaries currently operating in the city, said the DOH last month began offering patients the option of submitting their application for the medical card online.
“The processing time has been cut down considerably,” she said. “The DOH says the process now can take just one week. They are saying it takes five to seven days to get your card,” added Green, who said she’s “very hopeful” that the streamlined process will encourage more patients in need of medical marijuana to enter the program.
The National Holistic Healing Center, another D.C. medical marijuana dispensary located near Dupont Circle, told the Blade in a statement there have been “considerable improvements to the process for obtaining a medical card.”
The statement, which doesn’t identify the person who wrote it, says National Holistic has patients who have received their medical card from the DOH in two to three weeks through the online application process.
Green of Anacostia Organics and the National Holistic statement said there are a wide range of different types of cannabis, the preferred name for marijuana by the dispensaries, from which a patient can choose to best meet their medical needs. Experts at the dispensaries will help the patient select the type best for them, some of which are inhaled, ingested, or absorbed through the skin.
DOH spokesperson Alison Reeves told the Blade in a statement the processing time for a medical marijuana card may vary from patient to patient. She said an incomplete patient application form can result in “increased processing time.”
She said the time of year a patient submits their application may also be a factor in the timing. She noted that the largest number of applications are submitted between February and April, with processing time possibly made longer during that peak period.
“It is our policy to process applications and issue cards within 30 business days, however processing time is normally much faster,” Reeves said. “For example, in the first quarter of this year the average processing time for completed applications was 8.5 business days – six days for electronic applications and 11 days for paper applications,” she said.
About nine months ago, according to Reeves, the DOH began accepting credit card payments.
“Originally, many banks would not allow this for any marijuana activities,” she told the Blade. “This change allowed patients to submit and pay online, which greatly decreased processing time.”
The Comings & Goings column is about sharing the professional successes of our community. We want to recognize those landing new jobs, new clients for their business, joining boards of organizations and other achievements. Please share your successes with us at [email protected].
Congratulations to RODRIGO HENG-LEHTINEN on his new role as Trevor Project Senior Vice President of Public Engagement Campaigns. On accepting the position, he said, “My mission has long been to stop LGBTQ, and especially trans, people from being perceived as political footballs and start getting us seen as real people – your friends, your families, your neighbors. Now I get to focus on that 100% at The Trevor Project.”
Prior to this, he was executive director, Advocates for Trans Equality (A4TE), where he co-led the merger of two national transgender rights organizations, NCTE and TDLEF, to create the new organization. He had served as executive director of the National Center for Transgender Equality, leading that organization through a period of growth, restoring organizational size and stability. He had served as deputy executive director prior to that. Previously he served as vice president of Public Education, Freedom for All Americans, where he led a successful campaign for transgender nondiscrimination protections in New Hampshire. He oversaw a full range of legislative lobbying, field organizing, and communications strategies and oganized a leadership coalition, established structure, and divided roles for key committees of 17 state and national partner organizations and local activists.
Heng-Lehtinen conducted English-language interviews with outlets such as The New York Times, CNN, MSNBC, and Politico. He planned a Transgender Leadership Summit for the Transgender Law Center and served as Development & Donor Services Assistant, Liberty Hill Foundation. He earned his bachelor’s degree in Latin American Studies from Brown University.
Local
D.C., Va., Md. to commemorate World AIDS Day
Cathedral of St. Matthew the Apostle will hold a Mass, candlelight prayer vigil
The D.C. area will observe World AIDS Day on Dec. 1 through a variety of community events.
Established by the World Health Organization in 1988, World AIDS Day aims to raise awareness about HIV/AIDS and honor the individuals affected by the epidemic. The global theme for 2025 is “overcoming disruption, transforming the AIDS response.”
Washington
DC Health will host a World AIDS Day event at the Martin Luther King, Jr. Library from noon to 9 p.m on Dec. 1. Attendees can expect live performances, free food and free HIV testing.
The all-day event will also feature community resources from DC Health, DC Public Library, DC Health Link, Serve DC, and the Mayor’s Office of LGBTQ Affairs.
The Lily and Earle M. Pilgrim Art Foundation is partnering with Visual AIDS, a New York-based non-profit that uses art to fight AIDS, to reflect on World AIDS Day with a film screening on Dec. 1.
The David Bethuel Jamieson Studio House at Walbridge in Mount Pleasant will premiere “Meet Us Where We’re At,” an hour-long collection of six videos. The free screening highlights the complexity of drug use in intersection with the global HIV epidemic.
The videos, commissioned by artists in Brazil, Germany, Nigeria, Puerto Rico and Vietnam, showcase the firsthand experience of drug users, harm reduction programs, and personal narratives. The program intends to showcase drug users as key individuals in the global response to HIV.
In addition to streaming the videos, the event will include an evening potluck and conversation led by Peter Stebbins from 6-8 p.m.
The Cathedral of St. Matthew the Apostle will hold a 5:30 p.m. Mass and candlelight prayer vigil at 6 p.m. in honor of World AIDS Day on Dec. 1. The event is open to all and includes a subsequent reception at 6:30 p.m.
The Capital Jewish Museum is hosting a speaker series on Dec. 2 from 6:30-8 p.m. that explores the response to AIDS within the Jewish community. Speakers include LGBTQ psychiatrist Jeffrey Akman, physician assistant Barbara Lewis and Larry Neff, lay service leader at Bet Mishpachah, a synagogue founded by LGBTQ Washingtonians. Heather Alt, deputy director of nursing at Whitman-Walker Health, will moderate the event.
The program is free for museum members. General admission is $10 and Chai tickets, which help subsidize the cost of general admission, are $18. Tickets include access to LGBT Jews in the Federal City, a temporary exhibition that collectively explores Washington, Judaism, and LGBTQ history. The exhibition is on view through Jan. 4, 2026.
Virginia
Alexandria Mayor Alyia Gaskins and local residents will commemorate World AIDS Day on Dec. 1 at the Lee Center.
The event, which is free to attend, will include music, choir performances, educational moments and more. The commemoration will be held from 6:30-8:30 p.m.
Maryland
The Frederick Center will host talks, tabling and a raffle in honor of World AIDS Day. The Frederick County Health Department will conduct free HIV testing.
The event, which is free to attend, will be held on Nov. 30 from 1-4 p.m. The Frederick County Health Department always offers free, walk-in HIV testing on Tuesdays and Fridays from 9 a.m. to 3 p.m.
The Prince George’s County Alumnae Chapter of Delta Sigma Theta Sorority will host a community day of awareness in honor of World AIDS Day on Dec. 6 from 1 a.m. to 2 p.m. The free event will feature free, confidential HIV testing, private talks with medical professionals and health workshops.
The event will be held at Suitland Community Center in Forestville and will include breakfast and snacks.
Damien Ministries is commemorating World AIDS Day on Dec. 1 through the grand opening of the We the People Community & Wellness Collaborative. The event, held at 11:30 a.m. at 4061 Minnesota Avenue, N.E., is free to attend.
Damien Ministries is a faith-based non-profit committed to supporting those with HIV/AIDS.
Begin Anew, a Baltimore non-profit that provides education, outreach and resources to improve public health, wellness and economic stability, is hosting its 4th Annual World AIDS Day Community Celebration on Dec. 1 alongside community partners.
Hosted at the University of Maryland BioPark from noon to 3 p.m., the program will feature keynote speaker Jason E. Farley of the Johns Hopkins School of Medicine. The celebration will also dedicate awards to local heroes focused on fighting HIV/AIDS and promoting health equity.
The free event includes lunch, live entertainment and networking opportunities with health advocates and partners.
District of Columbia
Bowser announces she will not seek fourth term as mayor
‘It has been the honor of my life to be your mayor’
D.C. Mayor Muriel Bowser, a longtime vocal supporter of the LGBTQ community, announced on Nov. 25 that she will not run for a fourth term.
Since first taking office as mayor in January 2015, Bowser has been an outspoken supporter on a wide range of LGBTQ related issues, including marriage equality and services for LGBTQ youth and seniors.
Local LGBTQ advocates have also praised Bowser for playing a leading role in arranging for widespread city support in the city’s role as host for World Pride 2025 in May and June, when dozens of LGBTQ events took place throughout the city.
She has also been credited with expanding the size and funding for the Mayor’s Office of LGBTQ Affairs, which was put in place as a Cabinet level office by the D.C. Council in 2006 under the administration of then-Mayor Anthony Williams.
It was initially called the Office of Gay, Lesbian, and Transgender Affairs. At Bowser’s request, the D.C. Council in 2016 agreed to change the name as part of the fiscal year 2016 budget bill to the Office of Lesbian, Gay, Bisexual, Transgender, and Questioning Affairs.
As she has in numerous past appearances at LGBTQ events, Bowser last month greeted the thousands of people who attended the annual LGBTQ Halloween 17th Street High Heel Race from a stage by shouting that D.C. is the “gayest city in the world.”
In a statement released after she announced she would not run for a fourth term in office; Bowser reflected on her years as mayor.
“It has been the honor of my life to be your mayor,” she said. “When you placed your trust in me 10 years ago, you gave me an extraordinary opportunity to have a positive impact on my hometown,” her statement continues.
“Together, you and I have built a legacy of success of which I am immensely proud. My term will end on Jan. 2, 2027. But until then, let’s run through the tape and keep winning for D.C,” her statement concludes.
Among the LGBTQ advocates commenting on Bowser’s decision not to run again for mayor was Howard Garrett, president of D.C.’s Capital Stonewall Democrats, one of the city’s largest local LGBTQ political groups.
“I will say from a personal capacity that Mayor Bowser has been very supportive of the LGBTQ community,” Garrett told the Washington Blade. “I think she has done a great job with ensuring that our community has been protected and making sure we have the resources needed to be protected when it comes to housing, public safety and other areas.”
Garrett also praised Bowser’s appointment of LGBTQ advocate Japer Bowles as director of the Office of LGBTQ Affairs,
“Under the leadership of the mayor, Japer has done a fantastic job in ensuring that we have what we need and other organizations have what they need to prosper,” Garrett said.
Cesar Toledo, executive director of the D.C. based Wanda Alston Foundation, which provides housing services for homeless LGBTQ youth, credits Bowser with transforming the Office of LGBTQ Affairs “into the largest and most influential community affairs agency of its kind in the nation, annually investing more than $1 million into life-saving programs.”
Toledo added, “Because of the consistent support of Mayor Bowser and her administration, the Wanda Alston Foundation has strengthened and expanded its housing and counseling programs, ensuring that more at-risk queer and trans youth receive the safety, stability, and life-saving care they deserve.”
Gay Democratic activist Peter Rosenstein is among those who have said they have mixed reactions to Bowser’s decision not to run again.
“I am sorry for the city but happy for her that she will now be able to focus on her family, and her incredible daughter,” Rosenstein said.
“She has worked hard, and done great things for D.C,” Rosenstein added. “Those include being a stalwart supporter of the LGBTQ community, working to rebuild our schools, recreation centers, libraries, gaining the RFK site for the city, and maintaining home rule. She will be a very hard act to follow.”
Local gay activist David Hoffman is among those in the city who have criticized Bowser for not taking a stronger and more vocal position critical of President Donald Trump on a wide range of issues, including Trump’s deployment of National Guard soldiers to patrol D.C. streets. Prior to Bowser’s announcement that she is not running again for mayor, Hoffman said he would not support Bowser’s re-election and would urge the LGBTQ community to support another candidate for mayor.
Bowser supporters have argued that Bowser’s interactions with the Trump-Vance administration, including her caution about denouncing the president, were based on her and other city officials’ desire to protect the interests of D.C. and D.C.’s home rule government. They point out that Trump supporters, including Republican members of Congress, have called on Trump to curtail or even end D.C. home rule.
Most political observers are predicting a highly competitive race among a sizable number of candidates expected to run for mayor in the 2026 D.C. election. Two D.C. Council members have said they were considering a run for mayor before Bowser’s withdrawal.
They include Councilmember Janeese Lewis George (D-Ward 4), who identifies as a democratic socialist, and Councilmember Kenyan McDuffie (I-At-Large), who is considered a political moderate supportive of community-based businesses. Both have expressed strong support for the LGBTQ community.
The Washington Post reports that Bowser declined to say in an interview whether she will endorse a candidate to succeed her or what she plans to do after she leaves office as mayor.
Among her reasons for not running again, she told the Post, was “we’ve accomplished what we set out to accomplish.”
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