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LGBTQ elder care facilities open nationwide, but discrimination persists

Advocates say seniors face challenges despite groundbreaking advances

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The Ariadne Getty Foundation Senior Housing facility opened this week in Los Angeles. (Blade file photo)

Marsha Wetzel, an out lesbian, shared her life with her partner of 30 years, Judith Kahn, at the couple’s home in Illinois until Kahn died in 2013 of colon cancer.

As is the case with some same-sex couples who never married, Kahn’s family took legal possession of the couple’s home several years later, forcing Wetzel, who suffered from severe arthritis, to move into the Glen St. Andrew Living Community, a retirement and assisted living facility in Niles, Ill.

According to a lawsuit filed on her behalf in 2016 by the LGBTQ litigation group Lambda Legal, when word got out that Wetzel was a lesbian after she disclosed her sexual orientation to a fellow resident, she was called homophobic slurs, spat on, and assaulted on several occasions by other residents of the facility. The lawsuit, which later resulted in a court ruling in Wetzel’s favor, charged that officials at the Glen St. Andrew facility illegally failed to take action to prevent Wetzel from being subjected to abuse and threats by fellow residents and retaliated against her when she complained.

Lambda Legal announced one year ago, on Nov. 20, 2020, that Wetzel passed away at the age of 73 of natural causes after a landmark 2018 appeals court ruling in her favor affirmed that residential facilities such as the one in which she lived are legally responsible for the safety of tenant residents.

“Marsha spent the rest of her days in a senior living community where she was out and affirmed,” said Lambda Legal attorney Karen Loewy, who represented Wetzel in the lawsuit.

Advocates for LGBTQ seniors were hopeful that the 2018 U.S. Court of Appeals for the Seventh Circuit ruling in the Wetzel case would speed up the gradual but steady advances in the rights of LGBTQ elders in long-term care facilities and in society in general.

A short time later, the New York City-based national LGBTQ elder advocacy group SAGE expanded its programs providing cultural competency training for the nation’s long-term care residential facilities. And in some cities, including New York, Los Angeles, and San Francisco, LGBTQ specific retirement and long-term care facilities began to open to provide LGBTQ elders with a wide range of “wrap around” services in addition to a safe place to live.

But LGBTQ elder advocates were taken aback in October of this year when news surfaced that transgender U.S. Army veteran Lisa Oakley, 68, was denied placement in more than two-dozen long-term care facilities in Colorado in 2020 and earlier this year.

“When they found out I was transgender, a lot of the facilities didn’t want me,” Oakley told USA Today. “A lot of transgender people, I’m sure, face the same thing,” she said. “We’re humans, just like everybody else.” 

Oakley told other media outlets her ordeal in trying to gain admission to a residential care facility began in October 2020, when she became unable to care for herself due to complications from diabetes. Her first choice was a facility in her hometown in rural Craig, Colo., where she had lived for the previous 25 years. She believes that facility turned her down because of her gender identity.

A social worker who assisted in Oakley’s applications for long-term care facilities said the facility in Craig said Oakley would have to be placed in a private room, which was at the time unavailable, “because she still has her ‘boy parts’ and cannot be placed with a woman” in a shared room. 

Many other Colorado facilities to which Oakley applied for admission, according to social worker Cori Martin-Crawford, cited the COVID pandemic as the reason for not accepting new residents. But as COVID related restrictions began to subside, other facilities continued to deny Oakley admission.

With Martin-Crawford’s help, Oakley finally found a facility that is LGBTQ supportive in Grand Junction, Colo., which is nearly three hours away from her hometown of Craig, where she had hoped to remain.

LGBTQ activists expressed concern that the discrimination that Oakley faced took place in the state of Colorado, which has a state law that bans discrimination based on sexual orientation and gender identity. Experts familiar with long-term care facilities for older adults have said many private elder care facilities can get around state LGBTQ nondiscrimination laws by claiming other reasons for turning down an LGBTQ person.

Michael Adams, the CEO of SAGE, told the Blade that the wide range of programs and initiatives put in place by SAGE and other groups advocating for LGBTQ elders in recent years have resulted in significant changes in support of LGBTQ seniors.

“It is the case now that in almost all states there are one or more elder care facilities that have been trained through our SAGECare program,” Adams said. “But it’s nowhere near what it needs to be,” he said. “It needs to be that there are welcoming elder care facilities in every single community in this country” for LGBTQ elders.

Adams was referring to the SAGE program started recently called SAGECare that arranges for employees and other officials at elder care facilities throughout the country to receive LGBTQ competency training. The facilities that participate in the program are designated “SAGECare credentialed,” and are included in SAGE database lists available to LGBTQ elders looking for a safe facility in which to reside.

SAGE spokesperson Christina Da Costa provided the Blade with data showing there have been 136,975 professionals trained at a total of 617 SAGECare credentialed organizations nationwide. Out of 617 organizations, 172 are residential communities. Also, out of the total of 617 are 167 Area Agencies on Aging, Aging and Disability Resource Centers, Senior Centers, and senior Ombudsman offices.

Da Costa said 278 of the credentialed entities that have received the SAGECare training throughout the country are “other aging focused nonprofit and for-profit businesses.”

According to SAGE, there are 12 SAGECare credentialed elder care facilities or service providers operating in the D.C. metropolitan area, with two located in D.C. One of the D.C. facilities is Ingleside at Rock Creek, located in Northwest D.C., which is a residential facility. The other is Options for Senior America, a company that provides in-home care services for seniors, including seniors living in D.C.

A SAGE list of the D.C.-area SAGECare credentialed facilities shows that three are in Rockville, Md.; two are in Gaithersburg, Md.; and one each are in Bethesda, Md.; Arlington, Va.; and Alexandria, Va. The list shows that one of them that provides services to elders in the D.C. area is based in North Carolina.

SAGE has a separate list of the 15 elder care residential facilities in the U.S. created specifically to serve LGBTQ residents. 

None are in D.C., Maryland, or Virginia. However, SAGE says it has been working in cooperation with Mary’s House for Older Adults, a D.C.-based LGBTQ organization that advocates for LGBTQ seniors and is in the process of opening LGBTQ elder residential facilities in D.C. and others in the surrounding suburbs.

Mary’s House founder and CEO Dr. Imani Woody couldn’t immediately be reached to determine when the organization expects to open its first residential facility. 

While a residential LGBTQ elder facility has yet to open in the D.C. area, activists note that in addition to Mary’s House, services and amenities for LGBTQ elders in the area are currently being provided by the D.C. Center for the LGBT Community and Whitman-Walker Health, the LGBTQ supportive health center, which also has a legal services branch.

Adams of SAGE said the Los Angeles LGBTQ Center opened the nation’s first LGBTQ elder residential facility over eight years ago called Triangle Square. He said the L.A. Center opened a second LGBTQ elder residential facility a short time later. And this week, the L.A. Center announced it has opened a third LGBTQ elder residential facility in Hollywood that is part of a larger “intergenerational campus” that will bring together LGBTQ seniors and LGBTQ youth. 

SAGE, meanwhile, operates two LGBTQ elder long-term care residential facilities in New York City, one in Brooklyn called the Stonewall House and one in the Bronx called Pride House. 

The other U.S. cities with LGBTQ elder residential facilities include: Philadelphia, Minneapolis, Chicago, Cleveland, San Francisco (which has two such facilities), San Diego, Houston, Fort Lauderdale, and Islip, N.Y.

Adams said the LGBTQ elder residential facilities range in size, with the largest – New York’s Stonewall House – having 143 apartments that can accommodate 200 residents. He said others vary from 40 or 50 residential units to 120.

Advocates for LGBTQ elders point to what they consider another important breakthrough for LGBTQ elders this year in the release of a joint SAGE-Human Rights Campaign Long-Term Care Equality Index report for 2021. Adams said the report is the first of what could become an annual report and rating and scorecard for long-term care elder residential facilities and other elder facilities. 

The 2021 report includes a self-reporting assessment of elder care facilities that the facilities themselves completed through a questionnaire in which many disclosed they have LGBTQ nondiscrimination policies for elders around admission to the facility and for practices by staff for those residing in their facilities.

The report includes a chart showing that 158 elder care facilities in 31 states responded positively to the outreach to them by organizers of the Long-Term Care Equality Index.

“We are thrilled to be working with SAGE and to be working with the Human Rights Campaign who are developing the Long-Term Care Equality Index,” said Nii-Quartelai Quartey, who serves as senior adviser and LGBTQ liaison for the American Association of Retired Persons or AARP.

“There is a great deal of work that we’re doing in the area of LGBTQ older adults nationwide,” Quartey told the Blade. “And AARP has been engaged with the LGBTQ community nationwide for many years now,” he said.

“In recent years, we’ve turned up the volume in working more closely with organizations like SAGE and Lambda Legal and the Victory Fund Institute, the Center for Black Equity, the National Queer Asian Pacific Islander Alliance, and the Hispanic Federation.”

According to Quartey, a recent AARP study of LGBTQ elders called Maintaining Dignity shows that longstanding concerns of discrimination remain despite the many advances in support for LGBTQ seniors in recent years.

He said a survey that was part of the study found that 67 percent of the LGBTQ elders who responded, “were concerned about neglect in a long-term care setting.” Over 60 percent feared verbal or physical harassment in a long-term care setting and over half “felt forced to hide or deny their identity” as an LGBTQ person, Quartey said.

Another recent survey of LGBTQ elders conducted by SAGE asking them how they feel about the use of the word “queer” in descriptions of LGBTQ people yielded findings that came as a surprise to some, according to Adams. A large majority of those surveyed from across the country said they are “comfortable at this point using that word and reclaiming that word, which is different from what we had heard historically,” Adams said.

He said in response to those findings SAGE will now as an organization gradually shift to using the term LGBTQ instead of its past practice of using LGBT.

Although Congress has yet to pass the Equality Act, last year under the Trump Administration, Congress acted in a rare bipartisan way to approve the required five-year reauthorization of the U.S. Older Americans Act with new language supportive of LGBTQ older adults. President Trump signed the legislation.

The language includes a mandate for outreach to and reporting about services provided to LGBTQ older adults in federally funded programs. It also opens the way for LGBTQ older adults to be designated in a category of “greatest social need.” Under that category, older adults receive a higher priority in the allocation of resources by the federal government.

“We’ve come a long way, but we still have a way to go to get over the finish line,” said the AARP’s Quartey. “And aside from passing legislation federally and on the state and local level, we absolutely need to continue the hard work of changing hearts and minds,” he said.

Longtime gay activist and writer Brian McNaught, whose latest book, “On Being Gay and Gray – Our Stories, Gifts, and the Meaning of Our Lives,” was just released, says his own very informal survey of LGBTQ elders found there is a need for intimacy that may be too controversial for the establishment LGBTQ elder groups.

“I’m a SAGE volunteer and the 81-year-old man with whom I was working after his husband of 47 years died, said after his grieving process, ‘I want to be hugged and kissed. Does that make me a bad person?’”

McNaught told the Blade he assured the man those feelings do not make him a bad person. McNaught said the man’s comment prompted him to conduct further research, in which he found that some gay male elders in the Fort Lauderdale, Fla., area who often need assisted living support would like to patronize gay bathhouses or seek the services of an escort agency. He said he determined that any LGBTQ elder group providing such services would trigger “a huge uproar of protests” and most likely a loss of funding.

“We don’t want to talk about sexuality and aging,” McNaught said.

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What to watch for in 2026: midterms, Supreme Court, and more

Federal policy battles carry grave implications for LGBTQ Americans

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House Minority Leader Hakeem Jeffries could become the nation’s first Black elected House Speaker if Democrats retake the chamber this year. (Washington Blade file photo by Michael Key)

With the start of a new year comes a new slate of legal and political developments poised to change our world. From consequential Supreme Court cases and a potential House of Representatives leadership flip to preparations for the United States’s 250th anniversary, 2026 is expected to be a critical year—particularly as LGBTQ rights, and transgender rights specifically, remain a focus of national debate.

Across Congress, the courts, federal agencies, and statehouses, decisions made this year are poised to shape the legal and political landscape for LGBTQ Americans well beyond the next election cycle.

Congress

(Washington Blade photo by Michael Key)

In 2026, a sizable number of federal seats will be up for grabs. All 435 districts in the U.S. House of Representatives will be on the ballot, offering Democrats a chance to flip the chamber and reclaim a measure of control from Republicans, who have held the House since 2022. Control of the House will be especially critical as lawmakers weigh legislation tied to civil rights, health care access, and the scope of federal protections for LGBTQ Americans.

A Democratic majority would also determine committee leadership, oversight priorities, and the ability to block or advance legislation related to transgender health care, education policy, and federal nondiscrimination protections.

Several House races are expected to be particularly significant for LGBTQ representation and leadership, including contests in Texas’s 32nd Congressional District, New York’s 17th, and Illinois’s 9th.

In Texas’s 32nd District, Democratic incumbent Julie Johnson is seeking reelection in the northeastern Dallas-area seat. Johnson is the first openly LGBTQ person ever elected to Congress from Texas or the South, according to her congressional website. Her reelection bid comes amid Republican efforts to redraw the district to consolidate GOP power, following demands from President Trump — moves that have made the race increasingly challenging.

While in office, Johnson has pushed for expanded Medicare access, stronger LGBTQ rights protections, and broader health care equity. The race has become a key test case for LGBTQ incumbents navigating increasingly hostile political and electoral environments, particularly in southern states.

In New York’s 17th Congressional District, Democrat Cait Conley is mounting a challenge against Republican incumbent Mike Lawler in the lower Hudson Valley, just north of New York City. Conley is a former active-duty Army officer who was deployed six times and has leaned into that experience to connect with the district’s mixed constituency.

The district has frequently flipped between parties and includes a politically influential conservative Hasidic community, making it one of the more competitive seats in the region. An out lesbian, Conley has spoken forcefully in support of LGBTQ rights and has received the endorsement of LPAC, positioning herself as a pro-equality candidate in a closely watched race that could help determine control of the House.

The Illinois 9th Congressional District is also shaping up to be a competitive open-seat contest. The district spans parts of Cook, Lake, and McHenry counties and includes much of Chicago’s North Side. In 2025, Democratic Rep. Jan Schakowsky announced she would not seek reelection after representing the district since January 1999.

Mike Simmons, who was elected to the Illinois State Senate in 2021, is seeking the seat. Simmons was the first openly LGBTQ person and the first Ethiopian American elected to the state Senate, where he has focused on expanding LGBTQ rights, strengthening democratic institutions, and addressing cost inequities in health care, housing, and support for community-based organizations. Given the district’s suburban makeup, the race could emerge as a frontline contest for pro-equality legislative influence.

If Democrats are successful in reclaiming control of Congress, the outcome would reshape leadership at the highest levels. One potential result would be Hakeem Jeffries becoming the first elected Black Speaker of the House, a historic milestone with implications for legislative priorities, representation, and the direction of Democratic leadership.

Beyond the House, control of the U.S. Senate will also be in play. In total, 35 of the Senate’s 100 seats will be up for election in 2026. Of those, 33 are regularly scheduled races, with two additional special elections set to take place in Florida and Ohio. Several of these contests are expected to hinge on issues such as abortion access, federal oversight, judicial confirmations, and the future of LGBTQ protections at the national level. Political observers view the Senate as a tougher flip for Democrats but not an impossible task.

Governorships

Gubernatorial races will further shape the policy environment across the country. A total of 36 states and three U.S. territories could elect new governors in 2026, many of whom will have significant influence over education policy, health care access, and the enforcement—or rollback—of civil rights protections.

One notable development is Republican Sen. Marsha Blackburn’s entry into Tennessee’s gubernatorial race. Blackburn has been an outspoken opponent of LGBTQ rights and has previously proposed constitutional amendments aimed at banning same-sex marriage, making the race one to watch closely for LGBTQ advocates.

Two races to watch

Gov. Jared Polis (D-Colo.) (Washington Blade photo by Michael Key)

Colorado governor’s race:

Jared Polis made history in 2018 as the first openly gay man elected governor in U.S. history, but his tenure in the Mile High State is coming to a close. Polis cannot run for reelection in 2026 because of term limits. U.S. Sen. Michael Bennet and Colorado Attorney General Phil Weiser are the Democratic frontrunners in a race that could determine whether the state continues its trajectory on LGBTQ-inclusive policy.

Iowa Senate seat:

Zach Wahls is running for Iowa’s U.S. Senate seat. An Iowa State Senator, Wahls has built a record focused on expanding health care access, minimizing government corruption, and protecting LGBTQ equality. Wahls, who was famously raised by two lesbian moms, has frequently pointed to his family as shaping his advocacy, positioning his campaign around personal experience as well as legislative record.

SCOTUS

Demonstrators stand outside of the United States Supreme Court on Oct. 7 during oral arguments for Chiles v. Salazar. (Washington Blade Photo by Michael Key)

The Supreme Court is expected to issue several rulings this year that could have far-reaching consequences for LGBTQ rights nationwide. Two of the most closely watched issues involve transgender athletes in school sports and the legality of conversion therapy bans.

Two cases heard in 2025 involving transgender athletes in school sports—West Virginia v. B.P.J. and Little v. Hecox—are expected to receive rulings later this year. Oral arguments are scheduled for Jan. 13, with the Court poised to determine whether states can ban transgender girls and women from participating on girls’ sports teams.

Legal experts have warned that the decisions could carry broader civil rights implications beyond athletics, potentially reshaping interpretations of sex discrimination and Title IX protections across education and employment.

The Court is also expected to rule on the future of conversion therapy bans and whether such restrictions are protected under the First Amendment. In October 2025, the justices heard oral arguments in Chiles v. Salazar, a case that will determine whether state and local bans on conversion therapy for LGBTQ youth violate free speech or free exercise of religion protections. A ruling in favor of the plaintiffs could weaken or overturn bans that have been enacted in dozens of states and municipalities.

Federal policy changes

Several new federal policies are being implemented as the year takes shape, with some of the most immediate impacts falling on LGBTQ people. One of the most significant changes is the elimination of gender-affirming care coverage for federal employees.

The policy, put into place by President Trump’s Office of Personnel Management, eliminates health insurance coverage for most gender-affirming medical care in the Federal Employees Health Benefits (FEHB) and Postal Service Health Benefits (PSHB) programs. The change affects hundreds of thousands of federal workers and their families.

The Human Rights Campaign has filed a lawsuit against the OPM policy, alleging that the change violates Title VII’s ban on sex discrimination in employment. Advocates argue that the policy not only limits access to medically necessary care but also signals a broader federal retreat from LGBTQ-inclusive health protections.

Similar proposals are under consideration for the broader American public, including efforts to restrict Medicaid and Medicare coverage for gender-affirming care—moves that could disproportionately impact low-income transgender people, people with disabilities, and those living in rural areas.

Historic anniversaries

In 2026, several historic anniversaries will take place nationwide. The most prominent is the United States’ Semiquincentennial, marking 250 years since the Declaration of Independence. Events are planned across the country, from small-town commemorations to large-scale national celebrations in Washington, D.C.

Among the most anticipated events is the July 4 celebration commemorating 250 years since independence from Great Britain, which is expected to be one of the largest national events of the year.

However, the anniversary planning has already created ripple effects. Capital Pride—Washington’s annual Pride celebration—was forced to move from the second week of June to the third week after the White House announced plans for a large June 14, 2026 celebration on the South Lawn marking President Trump’s 80th birthday.

The White House said the event will include a large-scale Ultimate Fighting Championship (UFC) exhibition involving boxing and wrestling competitions, a decision that has drawn scrutiny from LGBTQ advocates amid ongoing concerns about federal priorities and messaging during a landmark year for the nation.

It also marks 11 years since SCOTUS ruled same-sex marriage is legally protected nationwide with Obergefell v. Hodges.

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Tim Walz drops out of Minn. governor’s race

The longtime LGBTQ ally and Democratic party figure blames ongoing fraud investigations supported by Trump and the GOP for his withdrawal.

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Gov. Tim Walz (D-Minn.) speaks at the 2024 Democratic National Convention in Chicago on Wednesday, August 21. (Washington Blade photo by Michael Key)

Minnesota Gov. Tim Walz announced Monday that he is withdrawing from the 2026 Minnesota governor’s race, citing what he described as political interference and attacks from Republican Party leaders. 

Walz made the announcement on social media, where the post quickly gained traction, drawing more than 30,000 likes on Instagram and 23,000 reactions on Facebook

In his statement, the incumbent governor directly blamed President Donald Trump and his allies, both in Washington and in Minnesota, for fueling what he characterized as politically motivated accusations of widespread fraud tied to federal nutrition programs in the state.

According to a 2024 ABC News story, more than 70 people have been charged as part of a “wide-ranging criminal conspiracy” that allegedly exploited two federally funded nutrition programs during the COVID-19 pandemic, resulting in more than $250 million in fraudulent claims.

“I won’t mince words here,” Walz wrote. “Donald Trump and his allies — in Washington, in St. Paul, and online — want to make our state a colder, meaner place. They want to poison our people against each other by attacking our neighbors. And, ultimately, they want to take away much of what makes Minnesota the best place in America to raise a family.”

In his announcement, Walz also cited recent reports from Somali American child care center operators in Minnesota who said they have faced violent threats and vandalism after right-wing YouTuber Nick Shirley posted a video alleging fraud at their facilities. Following the video’s release, the Trump-Vance administration cut federal child care funding nationwide.

Walz also criticized the federal government’s decision to withhold child care funding from states amid the allegations.

“They’ve already begun by taking our tax dollars that were meant to help families afford child care,” he added. “And they have no intention of stopping there.”

Last week, a Department of Health and Human Services official confirmed that the Trump administration is pausing child care funding to all states following the Minnesota allegations, stating that funds will be released “only when states prove they are being spent legitimately.”

“Republicans are playing politics with the future of our state,” Walz said. “And it’s shameful.”

Walz previously served as the Democratic vice presidential nominee alongside then–Vice President Kamala Harris during her unsuccessful 2024 presidential campaign.

Meanwhile, longtime Trump ally and MyPillow CEO Mike Lindell announced in December that he is running for Minnesota governor and has already received Trump’s endorsement.

Walz has been a longtime ally of the LGBTQ community, dating back to 1999, when he served as a football coach and teacher at Mankato West High School in Mankato, Minnesota, about 80 miles southwest of Minneapolis.

It is also possible that U. S. Sen. Amy Klobuchar (D-Minn.) is considering entering the race to succeed him.

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Top 10 LGBTQ national news stories of 2025

Trump, Supreme Court mount cruel attacks against trans community

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(Washington Blade photos by Michael Key)

President Trump’s anti-LGBTQ agenda dominated national news in 2025, particularly his cruel attacks on trans Americans. Here are our picks for the top 10 LGBTQ news stories the Blade covered in 2025.

10. Trump grants clemency to George Santos

George Santos (Washington Blade photo by Michael Key)

President Donald Trump granted clemency to disgraced former Long Island Rep. George Santos. Santos was sentenced to 87 months in federal prison after pleading guilty to wire fraud and aggravated identity theft and had served just 84 days of his more than seven-year sentence. He lied to both the DOJ and the House Ethics Committee, including about his work and education history, and committed campaign finance fraud.

9. U.S. Olympics bans trans women athletes  

The United States Supreme Court decided in 2025 to take up two cases — Little v. Hecox and West Virginia v. B.P.J.— both of which concern the rights of transgender athletes to participate on sports teams. The cases challenge state laws under the Equal Protection Clause of the 14th Amendment, which prevents states from offering separate boys’ and girls’ sports teams based on biological sex determined at birth. Both cases are set to be heard in January 2026. The developments follow a decision by the United States Olympic & Paralympic Committee to change eligibility rules to prohibit transgender women from competing in women’s sporting events on behalf of the United States, following Trump’s Executive Order 14201, “Keeping Men Out of Women’s Sports.”

8. FDA approves new twice-yearly HIV prevention drug

The U.S. Food and Drug Administration on June 18 approved a newly developed HIV/AIDS prevention drug that needs to be taken only twice a year, with one injection every six months. The new drug, lenacapavir, is being sold under the brand name Yeztugo by pharmaceutical company Gilead Sciences. According to trial data, 99.9 percent of participants who received Yeztugo remained HIV negative. This emerging technology comes amid direct cuts to HIV/AIDS research measures by the Trump–Vance administration, particularly targeting international HIV efforts such as PEPFAR. 

7. LGBTQ people erasedfrom gov’t reports

Politico reported in March that the Trump–Vance administration is slashing the State Department’s annual human rights report, cutting sections related to the rights of women, people with disabilities, the LGBTQ+ community, and more. Members of Congress objected to the removal of the subsection on “Acts of Violence, Criminalization, and Other Abuses Based on Sexual Orientation, Gender Identity or Expression, or Sex Characteristics (SOGIESC)” from the State Department’s Annual Country Reports on Human Rights Practices.

In a Sept. 9 letter to Secretary of State Marco Rubio, U.S. Reps. Robert Garcia (D-Calif.), Julie Johnson (D-Texas), and Sarah McBride (D-Del.) urged the department to restore the information or ensure it is integrated throughout each report, noting that the reports serve as key evidence for asylum seekers, attorneys, judges, and advocates assessing human rights conditions and protection claims worldwide.

6. Trump admin redefines ‘sex’ in all HHS programs

President Trump took office in January and immediately unleashed a torrent of attacks on trans Americans. (Blade photo by Michael Key)

The Trump administration canceled more than $800 million in research into the health of sexual and gender minority groups. More than half of the National Institutes of Health grants scrapped through early May involved studies of cancers and viruses that disproportionately affect LGBTQ people.

The administration is also pushing to end gender-affirming care for transgender youth, according to a new proposal from the Department of Health and Human Services, NPR reported. The administration is considering blocking all Medicaid and Medicare funding for services at hospitals that provide pediatric gender-affirming care. “These rules would be a significant escalation in the Trump administration’s attack on access to transgender health care,” said Katie Keith, director of the Center for Health Policy and Law at Georgetown University.

5. FBI plans to label trans people as violent extremists

The Human Rights Campaign, Transgender Law Center, Equality Federation, GLAAD, PFLAG, and the Southern Poverty Law Center condemned reports that the FBI, in coordination with the Heritage Foundation, may be working to designate transgender people as “violent extremists.” The concerns followed a report earlier this month by independent journalist Ken Klippenstein, who cited two anonymous national security officials saying the FBI is considering treating transgender subjects as a subset of a new threat category.

That classification—originally created under the Biden administration as “Anti-Authority and Anti-Government Violent Extremists” (AGAAVE) — was first applied to Jan. 6 rioters and other right-wing extremists. Advocates said the proposal appears to stem from the false claim that the assassination of Charlie Kirk was committed by a transgender person.

4. Pentagon targets LGBTQ service members

Defense Secretary Pete Hegseth undertook a series of actions targeting LGBTQ service members in 2025. (Blade photo by Michael Key)

Acting in agreement with the growing anti-LGBTQ sentiment from the Trump administration, during a televised speech to U.S. military leaders at Marine Corps Base Quantico in late September, Defense Secretary Pete Hegseth denounced past military leadership for being too “woke,” citing DEI initiatives and LGBTQ inclusion within the Department of Defense. During the 45-minute address, Hegseth criticized inclusive policies and announced forthcoming directives, saying they would ensure combat requirements “return to the highest male standard only.”

Since 2016, a Navy replenishment oiler had borne the name of gay rights icon Harvey Milk, who served in the Navy during the Korean War and was separated from service under other than honorable conditions due to his sexuality before later becoming one of the first openly LGBTQ candidates elected to public office. In June 2025, the ship was renamed USNS Oscar V. Peterson.

The U.S. Air Force also announced that transgender service members who have served between 15 and 18 years would be denied early retirement and instead separated from the military without benefits. Transgender troops will be given the option of accepting a lump-sum payout offered to junior service members or being removed from service.

In February, the Pentagon said it would draft and submit procedures to identify transgender service members and begin discharging them from the military within 30 days.

3. Trump blames Democrats, trans people for gov’t shutdown

Republicans failed to reach an agreement with Democrats and blamed them for the government shutdown, while Democrats pointed to Republicans for cutting health care tax credits, a move they said would result in millions of people paying significantly higher monthly insurance premiums next year. In the White House press briefing room, a video of Democrats discussing past government shutdowns played on a loop as the president continued to blame the Democratic Party and “woke” issues, including transgender people.

“A lot of good can come from shutdowns. We can get rid of a lot of things. They’d be Democrat things,” Trump said the night before the shutdown. “They want open borders. Men playing in women’s sports. They want transgender for everybody.”

2. Supreme Court joins attacks on LGBTQ Americans

(Washington Blade photo by Michael Key)

The U.S. Supreme Court issued multiple rulings this year affecting LGBTQ people. In Mahmoud v. Taylor (6–3), it ruled that public schools must give parents advance notice and the option to opt children out of lessons on gender or sexuality that conflict with their religious beliefs. The case arose after Montgomery County, Md., schools added LGBTQ-inclusive storybooks to the elementary curriculum.

In June, the court upheld Tennessee’s ban on gender-affirming care for transgender minors, protecting similar laws in more than 20 states. Lawmakers and advocates criticized the ruling, and a coalition of seven medical associations warned it strips families of the right to direct their own health care.

The Court also allowed the Trump administration to enforce a ban on transgender military personnel and to implement a policy blocking passports with “X” gender markers, with the federal government recognizing only male and female designations.

1. Trump inaugurated for second time

President Donald Trump became the 47th president after winning Wisconsin, securing 277 of the 270 electoral votes needed. His guidebook, Project 2025, outlined the Republican Party’s goals under his new leadership, with a particular focus on opposing transgender rights.

Trump nominated openly gay hedge fund executive Scott Bessent as U.S. Treasury Secretary, a role he eventually assumed. Bessent became the highest-ranking openly gay U.S. government official in American history.

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

Honorable mention: The war on rainbow crosswalks escalates around the country

Florida Gov. Ron DeSantis (R) ordered state transportation officials to remove a rainbow-colored crosswalk in Orlando next to the Pulse gay nightclub, where 49 mostly LGBTQ people were killed in a 2016 mass shooting. The move follows a July 1, 2025, announcement by U.S. Transportation Secretary Sean Duffy that, with support from President Trump, the department adopted a “nationwide roadway safety initiative” that political observers say could be used to require cities and states to remove rainbow street crosswalks.

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