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Biden seeks to ramp up money to beat HIV/AIDS in budget request

$267 million increase sought to end domestic epidemic

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President Biden’s formal budget proposal for the U.S. government in the upcoming fiscal year has advocates in the fight against HIV/AIDS cheering over the commitment to increase funds to confront the domestic epidemic, although one group is criticizing the proposal for seeking to flat-fund international programs.

The fiscal year 2022 proposal, unveiled last Friday, would afford an additional $246 million for domestic HIV testing, prevention and treatment programs for the Ending the HIV Epidemic initiative, which seeks to end HIV by 2030, and would also provide a general boost of $46 million to Ryan White HIV/AIDS programs and $20 million for HUD’s Housing Opportunities for People with AIDS (HOPWA).

Carl Schmid, executive director of the HIV + Hepatitis Policy Institute, said in a statement Biden is “demonstrating his commitment to ending HIV in the United States” in the budget request to Congress.

“While it falls short of what is needed and the community has requested, if this funding is realized it will continue the momentum already created and make further progress in ending HIV in the U.S. Efforts to end HIV will help eradicate an infectious disease that we have been battling for the last 40 years and help correct racial and health inequities in our nation,” Schmid said.

The total $670 million requested by the White House for the Ending the HIV Epidemic initiative breaks down as follows:

  • Centers for Disease Control & Prevention:  $100 million in new money for a total of $275 million;
  • Ryan White:  $85 million in new money for a total of $190 million;
  • Community Health Centers for PrEP:  $50 million in new money for a total of $152 million;
  • National Institues of Health:  $10 million in new money for a total of $26 million;
  • Indian Health Services: $22 million in new money for a total of $27 million.

Counterinituitively, each of those numbers is actually below what the Trump White House proposed in the previous administration’s final budget request, with the exception of the proposed increase in money for Community Health Centers for PrEP and flat-lining for money for Indian Health Services.

The requested increase in funds for the Ending the HIV Epidemic was expected. Biden had signaled he’d seek the additional $267 million in funding in the “skinny budget” issued by the White House in February that preceded the more formal and detailed request to Congress last week.

Biden requests the increase in funds after he campaigned on ending the domestic HIV epidemic by 2025, an ambitious goal many advocates in the fight against HIV/AIDS were skeptical about achieving.

Nick Armstrong, the AIDS Institute’s manager of advocacy and government affairs and co-chair of the AIDS Budget & Appropriations Coalition, said in a statement the time to ramp up efforts against HIV has come as the nation emerges from the coronavirus pandemic.

“Public health departments have made herculean efforts to battle COVID over the past year,” Armstrong said. “But now it is time to reinvigorate neglected efforts to end the HIV, opioid, and viral hepatitis epidemics. Congress must go above and beyond what the president has proposed to bolster our critical public health infrastructure to protect Americans against infectious disease.”

The budget now goes on to Congress, which has authority on whether or not to appropriate funds consistent with the president’s request. Congress could either meet, short fund or even exceed in money the request by Biden as part of that process.

Schmid said via email to the Blade he’s optimistic about getting an agreement from Congress for an increase in funds to fight HIV/AIDS based on the “strong bipartisan support the proposal has enjoyed in the past.

“We still have work to do with the Congress due to so many demands on the budget but I am fairly confident Congress will support it, they have been anxious to see what the Biden administration does with the program in his budget and we have the answers now,” Schmid said. “The Biden-Harris administration firmly supports ending HIV.”

Although Biden was lauded for the increase in funds in domestic HIV programs, international programs are a different matter. The White House has essentially flat-funded programs designed to fight the global HIV epidemic, including the President’s Emergency Plan for AIDS Relief, or PEPFAR, or the Global Fund to Fight AIDS, Tuberculosis & Malaria.

Matthew Rose, director of U.S. Policy and Advocacy at the New York-based Health GAP, said in a statement Biden’s budget proposal “displays a lack of bold leadership motivated to end the HIV pandemic.”

“If the U.S. had continued fully funding PEPFAR since 2003 instead of letting funding levels slip into a flat-line for more than a decade, the HIV pandemic would look remarkably different today,” Rose said. “This is not a budget to end AIDS – and it could have been. This is not a budget to end the COVID-19 pandemic – and it could have been. The unconscionable lack of political will in recent years has created a world in which people cannot get access to the life-saving services they need.”

Health GAP is calling on Congress to approve a budget with at least a $750 million increase for PEPFAR and $2.5 billion in increased funding over the next four years to scale up HIV prevention and treatment and mitigate harms to the HIV response done by the COVID-19 pandemic, the statement says.

Additionally, Health GAP is calling on Biden to name “a highly qualified nominee” to serve as the U.S. Global AIDS Coordinator, the statement says.

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Obituary

Thomas A. Decker of Arlington dies at 73

Active in visiting AIDS patients, urging Congress to fight HIV

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Thomas A. Decker Jr.

Thomas A. Decker Jr, of Arlington, Va., died March 3, 2026 following an extended illness, according to a statement released by his family. He was 73.

Born and raised in Canton, Ohio, Decker attended the University of Akron and earned his bachelor’s degree in political science. He then moved to the Washington, D.C. area and accepted a position with Beaver Press where he worked for 32 years, according to the statement. 

He later worked in the Inova Juniper Program working with HIV/AIDS clients to assist them with support services and was active as a volunteer visiting AIDS patients in the hospital or advocating on Capitol Hill for HIV funding.

Tommy, as he was called by family, is survived by three sisters, a sister-in-law and two brothers-in-law: Carol Decker and Kathryn Kramer of West Newbury, MA, Margaret and Thomas Williams of Bluffton, SC, Mary Sue and Timothy Desiato of New Philadelphia, Ohio, Niece’s Trina and Chad Wedekind of Jacksonville Fl and great niece Isabella, Lindsay and Will Burgette of Dublin, Ohio and great nephews Colin and Luke and Nephews David Williams of Jacksonville, Florida, and Michael and Lucy Desiato of Dublin, Ohio and great nieces Lena and Stella. In accordance with Tom’s wishes, he will be buried at Calvary Cemetery in Massillon, Ohio.

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District of Columbia

Gay candidate running for D.C. congressional delegate seat

Robert Matthews among 19 hoping to replace Eleanor Holmes Norton

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Robert Matthews (Photo courtesy of Matthews’s campaign website)

Robert Matthews, a former director of the D.C. Child and Family Services Agency, is running in the city’s June 16 Democratic primary for the D.C. Congressional Delegate seat as an openly gay candidate, according to a statement released by his campaign to the Washington Blade.

Matthews is one of at least 19 candidates running to replace longtime D.C. Congressional Del. Eleanor Holmes Norton (D), who announced earlier this year that she is not running for re-election.  

Information about the candidates’ campaign financing compiled by the Federal Elections Commission, which oversees elections for federal candidates, shows that Matthews is one of only six of the candidates who have raised any money for their campaigns as of March 17.  

Among those six, who political observers say have a shot at winning compared to the remaining 13, are D.C. Council members Brooke Pinto (D-Ward 2) and Robert White (D-At-Large). Both have longstanding  records of support for LGBTQ rights and the community.

The FEC campaign finance records show Matthews was in fourth place regarding the money raised for his campaign, which was $49,078 as of March 17. The FEC records show Pinto’s campaign in first place with $843,496 raised, and White in third place with $230,399 raised.

The Matthews campaign statement released to the Blade says Matthews’s “commitment to the LGBTQ community is not a campaign position. It is the foundation of his life and his life’s work.”

The statement adds, “As the former director of D.C.’s Child and Family Services Agency, Robert led the District’s child welfare system with an explicit commitment to LGBTQ-affirming care.” It goes on to say, “He ensured that LGBTQ, trans, and nonbinary youth in foster care — among the most vulnerable young people in our city — were served with dignity, cultural humility, and genuine support.”

Among his priorities if elected as Congressional delegate, the statement says, would be “fighting to end homelessness among queer and trans seniors and youth,” opposing “federal roadblocks” to LGBTQ related health services, and defending D.C.’s budget and civil rights laws “from federal interference that directly threatens LGBTQ  residents.”

 The other three candidates who the FEC records show have raised campaign funds and observers say have a shot at winning are:

 • Kinney Zalesne, former deputy national finance chair at the Democratic National Committee and an official at the U.S. Justice Department during the Clinton administration, whose campaign is in second place in fundraising with $593,885 raised.  

 • Gordon Chaffin, a former congressional staffer whose campaign has raised $17,950.

 • Kelly Mikel Williams, a podcast host and candidate for the Congressional Delegate seat in 2022 and 2024, whose 2026 campaign has raised  $3,094 as of March 17.

The Blade reached out to the Zelesne, Chaffin, and Williams campaigns to determine their position on LGBTQ issues. As of late Wednesday, the Zelesne campaign was the only one that responded.    

“Kinney believes LGBTQ  rights are fundamental civil rights and central to what makes Washington, D.C. a strong and vibrant community,” a statement sent by her campaign says. “At a time when LGBTQ people (especially transgender and nonbinary neighbors) are facing escalating political attacks across the country, she believes the District must continue to lead in protecting dignity, safety, and freedom for all,” it says.

The statement adds, “Throughout her career in government, business, and nonprofit leadership, Kinney has worked alongside LGBTQ and queer advocates and leaders. She is committed to maintaining an active partnership with the community to make sure LGBTQ voices remain central to the District’s future.” 

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Idaho

Idaho advances bill to restrict bathroom access for transgender residents

HB 752 passed in state House of Representatives on Monday

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The Idaho Capitol building in downtown Boise. (Photo by Rigucci/Bigstock)

The Idaho House of Representatives passed House Bill 752 on Monday, a measure that would make it a crime for a person to use a bathroom other than the one designated for their “biological sex.”

The story was first reported by the Idaho Capitol Sun after the bill cleared the House.

House Bill 752 would make it a criminal offense — either a misdemeanor or a felony, depending on the number of prior offenses — for individuals who “knowingly and willfully” enter a bathroom or changing room designated for the opposite sex.

The bill would apply to public buildings, including government-owned spaces, and places of “public accommodation,” a category that includes private businesses.

According to the bill’s text, it would “prohibit a person from entering a restroom or changing room designated for the opposite sex; provide a penalty; provide exceptions; define terms; and declare an emergency and provide an effective date.”

A first offense would be a misdemeanor, punishable by up to one year in prison. A second or subsequent offense within five years would be a felony, punishable by up to five years in prison.

The bill passed in a 54–15 vote on Monday. Six Republicans broke with their party’s majority to join nine Democrats in opposing the measure.

The bill’s sponsor, state Rep. Cornel Rasor, a Republican from Sagle near the Washington-Idaho border, told House lawmakers that the legislation is intended to protect women and girls.

“It prevents discomfort and voyeurism escalation and assaults, while preserving single-user options and narrow exceptions so no one is denied access for emergency aid,” Rasor said.

State Rep. Chris Mathias, a Democrat from Boise, disagreed, arguing that the legislation would unfairly target transgender Idahoans.

“The truth of the matter is — and I know a lot of people don’t want to say it — but forcing people who don’t look like the sex they were assigned at birth, or transgender folks, to use other people’s bathrooms is going to put a lot of people in danger,” Mathias said.

The Idaho American Civil Liberties Union made a statement about the bill following its passage.

“Idaho lawmakers continue pushing these harmful, invasive bathroom laws, yet cannot present credible evidence that transgender people using gender-aligned bathrooms threaten public safety,” the Idaho ACLU said. “The bill does nothing to address real criminal acts, such as sexual assault or voyeurism, and disregards concerns from law enforcement about the burden enforcement would place on local resources.”

In addition to human rights advocates, who have spoken out against similar bills advancing in state legislatures across the country, Idaho law enforcement groups have also opposed the measure. They argue that the way the legislation is written would “pose significant practical enforcement challenges,” noting that officers are tasked with maintaining public safety — not conducting gender checks or policing bathroom access.

During a committee hearing last week, law enforcement representatives and several trans Idahoans testified that the bill would make many residents less safe.

“Officers responding to a complaint would be placed in the difficult position of determining an individual’s biological sex in order to enforce the statute,” Idaho Fraternal Order of Police President Bryan Lovell wrote. “In many circumstances, there is no clear or reasonable way for officers to make that determination without engaging in questioning or investigative actions that could be viewed as invasive and inappropriate.”

The Idaho Sheriffs’ Association requested that lawmakers amend the bill to require that individuals be given an opportunity to leave a bathroom immediately before facing potential prosecution.

The bill now heads to the Idaho Senate for consideration. To become law, it must pass both chambers and avoid a veto from the governor.

A separate bathroom bill, House Bill 607, which would be enforced through civil lawsuits, passed the House last month but has not yet received a committee hearing in the Senate.

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