News
Black gay lawmakers lead call to require insurers to cover injectable PrEP
Apretude approved by FDA in December
A pair of the openly gay Black members are leading a group of 58 House Democrats in calling on the Biden administration to require medical insurers to cover PrEP in its recently FDA-approved form as an injectable HIV preventative drug.
In a letter dated Feb. 4 and made public on Thursday, Reps. Ritchie Torres (D-N.Y.) and Mondaire Jones (D-N.Y.) lead colleagues in urging the Centers for Medicare & Medicaid and the Centers for Disease Control to issue the new requirements for Apretude, which the Food & Drug Administration approved for use in December.
“To ensure that this life-saving medication is as accessible as possible to the people who need it most, particularly LGBTQ+ people and people of color, we urge you to ensure that public and private insurance plans cover Apretude at no cost to patients — just like the other forms of PrEP,” the letter says.
While PrEP has emerged in recent years as an HIV prevention treatment in the form of a daily pill, commonly Truvada, the injectable drug offers patients as potential alternative or those who may experience pill fatigue with a shot expected to be taken one month apart, and then every two months thereafter, according to the FDA. ViiV is the manufacturer of Apretude and expects to start shipping it to wholesalers and distributors early this year, according to the company website.
If the U.S. government were to issue rules requiring insurers to cover injectable PrEP, it would follow-up on earlier actions to make HIV prevention drugs more widely available. The CDC under the Trump administration made free PrEP available to those without insurance coverage, while the Biden administration issued requirements to make insurers include PrEP as part of their coverage.
According to a statement accompanying the letter, however, significant racial disparities remain in PrEP use: “While the HIV infection rate among Black Americans is eight times as high as among white Americans, just nine percent of the Black Americans for whom PrEP is recommended have been prescribed the medication, compared to 66 percent of their white counterparts. Similarly, while the HIV infection rate among Hispanic Americans is four times as high as among white Americans, only 16 percent of recommended Hispanic Americans have been prescribed PrEP.”
The Washington Blade has placed a request in with the Centers for Medicare & Medicaid and the Centers for Disease Control seeking comment on the letter.
Maryland
Baltimore Heritage wants Md. LGBTQ historical sites added to National Registry
Mary Elizabeth Garrett’s Mount Vernon home among historical sites
Baltimore Heritage is continuing its mission to preserve Maryland’s LGBTQ history.
The group, using documentation, is attempting to get statewide LGBTQ historical sites listed on the National Registry of Historic Places. Kentucky was the first state to make this effort, using a similar study to Maryland, which outlined a comprehensive list of LGBTQ heritage sites.
Baltimore Heritage, a local non-profit, 15 years ago began its efforts to promote LGBTQ heritage within the local community, mainly with walking tours to sites important to LGBTQ history. Preservation Maryland in 2018 received a grant, and Susan Ferentinos spent two years compiling a comprehensive list of LGBTQ historical sites, later published in 2022.
Suffragist Mary Elizabeth Garrett’s Mount Vernon home is one of the examples of the LGBTQ historical sites.
Although Garrett never labeled herself, she was involved in same-sex relationships, was a leader in the feminist movement, and played a large role in advancing education for women.
Although the effort has been ongoing, Baltimore Heritage Executive Director Johns Hopkins explained that Baltimore Heritage and its partners’ goal is to add Maryland to the public conversation on LGBTQ history.
“Bringing a little bit of a spotlight to some of the sites that are important, locally and nationally, would be meeting a goal of trying to have a broader, more in-depth public discussion around LGBTQ history, so we all know where we’re coming from,” said Hopkins.
State Department
Democracy Forward files FOIA request for State Department bathroom policy records
April 20 memo outlined anti-transgender rule
Democracy Forward on Tuesday filed a Freedom of Information Act request for records on the State Department’s new bathroom policy.
A memo titled “Updates Regarding Biological Sex and Intimate Spaces, Including Restrooms” that the State Department issued on April 20 notes employees can no longer use bathrooms that correspond with their gender identity.
“The administration affirms that there are two sexes — male and female — and that federal facilities should operate on this objective and longstanding basis to ensure consistency, privacy, and safety in shared spaces,” State Department spokesperson Tommy Piggot told the Daily Signal, a conservative news website that first reported on the memo. “In line with President Trump’s executive order this provides clear, uniform guidance to the department by grounding policy in biological sex as determined at birth.”
President Donald Trump shortly after he took office in January 2025 issued an executive order that directed the federal government to only recognize two genders: male and female. The sweeping directive also ordered federal government agencies to “effectuate this policy by taking appropriate action to ensure that intimate spaces designated for women, girls, or females (or for men, boys, or males) are designated by sex and not identity.”
Democracy Forward’s FOIA request that the Washington Blade exclusively obtained on Tuesday is specifically seeking a copy of the memo that details the State Department’s new bathroom policy. Democracy Forward has also requested “all” memo-specific communications between the State Department’s Bureau of Global Public Affairs and the Daily Signal from April 1-21.
Federal Government
House Republicans push nationwide ‘Don’t Say Gay’ bill
Measures would restrict federal funding for LGBTQ-affirming schools
Republicans have been gaining ground in reshaping education policy to be less inclusive toward LGBTQ students at the state level, and now they are turning their focus to Capitol Hill.
Some GOP lawmakers are pushing for a nationwide “Don’t Say Gay” bill, doubling down on their commitment to being the party of “traditional family values” by excluding anyone who does not identify with their sex at birth.
The largest anti-LGBTQ education legislation to reach the House chamber is House Bill 2616 — the Parental Rights Over the Education and Care of Their Kids Act, or the PROTECT Kids Act. The PROTECT Kids Act, proposed by U.S. Rep. Tim Walberg (R-Mich.), and co-sponsored by U.S. Reps. Burgess Owens (R-Utah), Mary Miller (R-Ill.), Robert Onder (R-Mo.), and Kevin Kiley (R-Calif.), would require any public elementary and middle schools that receive federal funding to require parental consent to change a child’s gender expression in school.
The bill, which was discussed during Tuesday’s House Rules Committee hearing, would specifically require any schools that get federal money from the Elementary and Secondary Education Act of 1965 — which was created to minimize financial discrepancies in education for low-income students — to get parental approval before identifying any child’s gender identity as anything other than what was provided to the school initially. This includes getting approval before allowing children to use their preferred locker room or bathroom.
It reads that any school receiving this funding “shall obtain parental consent before changing a covered student’s (1) gender markers, pronouns, or preferred name on any school form; or (2) sex-based accommodations, including locker rooms or bathrooms.”
LGBTQ rights advocates have criticized both national and state efforts to require parental permission to use a child’s preferred gender identity, as it raises issues of at-home safety — especially if the home is not LGBTQ-affirming — and could lead to the outing of transgender or gender-curious students.
A follow-up bill, HB 2617, proposed by Owens, one of the bill’s co-sponsors, prevents the use of federal funding to “advance concepts related to gender ideology,” using the definition from President Donald Trump’s 2025 Executive Order 14168, making that an enshrined definition in law of sex rather than just by executive order. There is also a bill making its way through the senate with the same text— Senate Bill 2251.
Advocates have also criticized this follow-up legislation, as it would restrict school staff — including teachers and counselors — from acknowledging trans students’ identities or providing any support. They have said that this kind of isolation can worsen mental health outcomes for LGBTQ youth and allows for education to be politicized rather than being based in reality.
David Stacy, the Human Rights Campaign’s vice president of government affairs, called this legislation out for using LGBTQ children as political pawns in an ideology fight — one that could greatly harm the safety of these children if passed.
“Trans kids are not a political agenda — they are students who deserve safety and affirmation at school like anyone else,” Stacy said in a statement. “Despite the many pressing issues facing our nation, House Republicans continue their bizarre obsession with trans people. H.R. 2616 does not protect children. It targets them. This bill is cruel, and we’re prepared to fight it.”
This is similar to Florida House Bills 1557 and 1069, referred to as the “Don’t Say Gay” bill and “Don’t Say They” bill, respectively, restricting classroom discussions on sexual orientation and gender identity, prohibiting the use of pronouns consistent with one’s gender identity, expanding book banning procedures, and censoring health curriculum.
The American Civil Liberties Union is tracking 233 bills related to restricting student and educator rights in the U.S.
