National
Despite ‘relentless attacks,’ optimism for future of LGBTQ movement
National LGBTQ Task Force leaders address Creating Change Conference
Despite being hit with an unprecedented 300 or more anti-LGBTQ bills introduced in U.S. state legislatures over the past two years, the nation’s LGBTQ community at the same time has seen some important advances and there is reason for optimism, according to a March 19 LGBTQ State of the Movement address delivered by two key movement leaders.
Kierra Johnson and Mayra Hidalgo Salazar, executive director and deputy executive director of the National LGBTQ Task Force, offered a detailed assessment of where things stand today for LGBTQ people in the United States during the organization’s 22nd Annual Creating Change Conference, which was held virtually March 19-20.
Since it began in 1987, Task Force officials have said the Creating Change Conference has served as the LGBTQ movement’s preeminent organizing, skills-building, and networking event.
Johnson and Salazar said the political attacks on LGBTQ rights and other progressive causes coming in the midst of the COVID-19 pandemic have forced LGBTQ leaders and activists to adopt new strategies for responding to the attacks.
“We are doing this in the face of storms that have kept coming,” Salazar said. “In just the last year, there have been relentless attacks to gut voting rights, the right to protest, abortion access, and trans youth health and rights,” she stated in the address delivered jointly by the two women.
“There have been 100 anti-trans bills and over 300 anti-LGBTQ bills considered in state legislatures across the nation,” she continued, adding that a record number of deportations of immigrants, a “barrage” of racial injustice in the U.S. and abroad, and new and ongoing wars and conflicts, “have left many of us feeling afraid, disconnected, and powerless.”
Johnson continued those thoughts by saying, “We know that you are tired. Many of you are afraid and rightfully so…But I know that I’m talking to a group of people who know that these events, these feelings, they’re no reason to stop the work – anything but,” Johnson said. “These are the reasons we do the work. This is why what we do is so important, why you are showing up today, and tomorrow and it is the difference between the light at the end of the tunnel going out entirely and growing brighter and nearer for us and for generations to come.”
Salazar cited what she called optimistic data showing that more people are coming out as LGBTQ than ever before at an earlier age, with young people identifying in greater numbers as bisexual and nonbinary.
“Now some of you may be wondering, is there something in the water?” she continued. “Of course, the answer is no! But more people coming out and the fluidity in how they identify has everything to do with the work you and we have done and do every single day to build a world where people can embrace themselves – and be embraced – in every aspect of their lives.”
As a further sign of optimism, Johnson noted the political climate for LGBTQ people coming from the White House has changed for the better since January 2021.
“After four years of relentless attacks on LGBTQ+ rights, the Biden-Harris administration has brought more LGBTQ+ visibility and begun undoing the damage of Trump’s anti-LGBTQ policies – from protecting the civil rights of every LGBTQ+ person, to ensuring that LGBTQ+ Americans are leaders at every level of the federal government,” Johnson said.
“Together with you, we have successfully backed more queer, women, people of color candidates to join the White House than ever before,” Johnson told conference participants.
Among the LGBTQ White House appointees, she and Salazar said, are Gina Ortiz Jones, a lesbian and Iraq war veteran serving as the U.S. Undersecretary of the Air Force; Pete Buttigieg, who is serving as the first openly gay Cabinet Secretary confirmed by the U.S. Senate; Admiral Dr. Rachel Levine, who is serving as director of the U.S. Public Health Service at the Department of Health and Human Services and who became the first openly transgender person ever confirmed by the U.S. Senate; Reggie Greer, a Black gay man serving as White House Director of Priority Placement and Senior Adviser on LGBTQ+ Engagement; Ambassador Chantale Yokmin Wong, the U.S. Director of the Asian Development Bank who became the first out lesbian and first LGBTQ person of color with the rank of ambassador in U.S. history; and Mehgan Maury, a former National LGBTQ Task Force official now serving as Senior Adviser to the Director of the U.S. Census Bureau and the first nonbinary member of the Biden administration.
“Contrary to what many would have us believe, we have also made progress in the states,” Johnson stated in her remarks. She and Salazar pointed to bills providing various types of LGBTQ supportive services or protections that have passed in New Jersey, Oregon, Colorado, Washington State, and New Mexico in the past two years.
“And finally, to those of you – advocates, organizers, change makers – in Florida, Georgia, Ohio, Texas and Michigan – thank you for your tireless work and non-stop efforts to stop the devastating bills ravaging their way through your state legislatures and making their way to the desks of your governors,” Johnson said.
“You are showing the country and the world that trans kids matter, that Black Lives Matter, that saying Trans and Bi and Lesbian and Gay matters,” added Johnson. “While we’ve had some setbacks in these sessions, the work you’ve done means those losses are temporary. You are building long-term sustainable power,” Johnson said.
“Together we will use all the tools in our toolbox – from the streets to the courts to the pews and pulpits, to the media to the ballot box – to overturn and overcome these wretched attacks and take back our democracy from extremists who will do anything to sustain the status quo or worse, roll back the gains we’ve won,” according to Johnson.
Following is the text of the full remarks delivered by Kierra Johnson and Mayra Hidalgo Salazar in their LGBTQ State of the Movement Address on March 19 before the Creating Change Conference as provided by the National LGBTQ Task Force:
Johnson: Welcome to the State of the Movement 2022. Convening virtually was not what we envisioned for Creating Change this year. Like you, last spring we were hopeful that we would soon turn a corner and leave our COVID-19 lives behind. Then Delta and Omicron dished a dose of reality that was more devastating than we thought possible. We saw the light at the end of the tunnel, and then swiftly the tunnel got longer, until the light was all but impossible to see.
Johnson: We are now beginning our third year under the cloud of a global pandemic. While we’ve necessarily become pros at adapting to these changing conditions: moving the work forward, getting our kids to school, taking care of elders, navigating other health crises and wearing masks everywhere we go, COVID continues to have a deep impact on our health and well-being and on our community’s ability to fight back. Like you, we also hold the tension of trying to stay focused on how we show up in our work to build a different world, while acknowledging the challenges of shouldering sickness, the passing of friends and family, and the frustration of dreams deferred.
Salazar: And, because we are brilliant, creative and resourceful, we also found new and beautiful ways of building and being in community – like virtual events with magical moments we only dreamed possible, became reality.
Salazar: We are doing this in the face of storms that have kept coming. In just the last year, there have been relentless attacks to gut voting rights, the right to protest, abortion access, and trans youth health and rights. There have been 100 anti-trans bills and over 300 anti LGBTQ bills considered in state legislatures across the nation. And if that wasn’t enough to overwhelm us, the record deportations of immigrants under the Biden administration, the barrage of racial injustice here at home and abroad, and new and ongoing wars and conflicts, have left many of us feeling afraid, disconnected, and powerless. At any given moment, we are experiencing changes moving at an unbearable pace.
Johnson: We know that you are tired. Many of you are afraid and rightfully so. Be tired. Be angry. Be frustrated, confused, sad, be ALL of those things. But I know that I’m talking to a group of people who know that these events, these feelings; they’re not a reason to stop the work — anything but. These are the reasons we do the work. This is why what we do is so important, why you are showing up today, and tomorrow and it is the difference between the light at the end of the tunnel going out entirely, and growing brighter and nearer for us and for generations to come.” Congresswoman Ocasio Cortez recently reminded us that a resigned cynical working class that has given up is exactly what our opponents want. But she also reminds us that things are changing and that it is up to us to share good news and enjoy the good news and remind each other that we are having success and we are winning.
Salazar: Data is showing us that more people are coming out as LGBTQ than ever before and they are coming out earlier, with young people identifying in higher numbers as bisexual and nonbinary. Now some of you may be wondering, is there something in the water?! Of course, the answer is no! But more people coming out and the fluidity in how they identify has everything to do with the work you and we have done and do every single day to build a world where people can embrace themselves—and be embraced—in every facet of their lives.
Johnson: After four years of relentless attacks on LGBTQ+ rights, the Biden-Harris administration has brought more LGBTQ+ visibility and begun undoing the damage of Trump’s anti-LGBTQ policies— from protecting the civil rights of every LGBTQ+ person, to ensuring that LGBTQ+ Americans are leaders at every level of the federal government Together with you, we have successfully backed more queer, women, people of color candidates to join the White House than ever before including:
Salazar: Gina Ortiz Jones, a gay woman and Iraq veteran serves as the 27th U.S. Under Secretary of the Air Force – she identifies as an Ilocano, a member of a Filipino ethnolinguistic group. KJ: Secretary of Transportation Pete Buttigieg, who is the first openly gay Cabinet Secretary confirmed by the U.S. Senate MHS: Admiral Dr. Rachel Levine, Head of U.S public health efforts at the Department of Health and Human Services, who is the first openly transgender person ever confirmed by the U.S. Senate.
Johnson: Reggie Greer, a Black gay man now serves as White House Director of Priority Placement and Senior Advisor on LGBTQ+ Engagement. MHS: Ambassador Chantale Yokmin Wong U.S. Director of the Asian Development Bank, the first out lesbian and first LGBTQ person of color with the rank of ambassador in U.S. history.
Johnson: AND our own Mehgan Maury, who led our Queer the Census campaign and now serves as Senior Advisor to Director Robert Santos at the Census Bureau, the first non-binary member of the administration’s team.
Salazar: And we need more action, support, and resources from the White House to address the escalating attacks on our humanity and our rights. We need progress that goes beyond the pre[1]Trump status quo. The rights of LGBTQ+ people must be solidified to capture the full breadth of our experiences and face the onslaught of growing racism, xenophobia, homophobia and transphobia. MHS: And there is a bill in congress right now — The Equality Act – that if passed would move us forward in holding elected officials accountable at the federal level and in every state, expanding and protecting the civil rights of LGBTQ people, people of color and women.
Johnson: With each year more cross-movement, cross issue, cross community partnerships are created, and they are deepening. Whether creating new messages and frames to engage the community and address the state attacks on LGBTQ people, to creating interfaith strategies to assert a progressive religious and spiritual perspective to beat back discriminatory religious exemptions, to inspiring and supporting more BIPOC, Young People and Queer people to vote Commented [MS1]: i don’t want to uplift this as a win, especially while we are at/on the brink of another war Commented [MS2]: moving and advocate directly with legislators, we are fortifying our foundation for the hard work ahead!
Johnson: Contrary to what many would have us believe, we have also made progress in the states! New Jersey enacted a law that adds gender nonbinary to medical data collection. Oregon passed a law to add LGBTQ people to priority populations definition for workforce development programs and increases funding. Colorado passed a bill to support older people from diverse, racial, cultural, socioeconomic, gender and ability groups in community planning; health services and infrastructure.
Salazar: Washington State passed two bills – one that preserves a person’s ability to access abortion care, making the language trans-inclusive. And another that makes incarcerated folx medical records confidential, including for trans-affirming care and gender identity. New Mexico passed a bill to stop LGBTQ people from being blamed for people assaulting or murdering them, barring use of the so-called Panic defense.
Johnson: And finally, to those of you—advocates, organizers, change makers—in Florida, Georgia, Ohio, Texas and Michigan – thank you for your tireless work and non-stop efforts to stop the devastating bills ravaging their way through your state legislatures and making their way to the desks of your Governors. You are showing the country and the world that trans kids matter, that Black lives matter, that saying Trans and Bi and Lesbian and GAY matters. While we’ve had some setbacks in these sessions, the work you’ve done means those losses are temporary. You are building long term sustainable power. Together we will use all the tools in our toolbox— from the streets to the courts to the pews & pulpits, to the media to the ballot box—to overturn and overcome these wretched attacks and take back our democracy from extremists who will do anything to sustain the status quo or worse roll back the gains we’ve won.
Salazar: We are far from powerless. From weighing in on presidential appointments to engaging with civil rights leaders on strategies to ensure that our communities have access to the right to vote. We have been connecting with national and state partners, advising hill staff and Members of Congress and engaging LGBTQ people in a range of issues including the Equality Act and the Texas abortion ban. We have won protections in the workplace and nondiscrimination policies continue to pass in cities and states across the country. Actors, Athletes and musicians are exclaiming their pride and queering the media at every turn igniting a new force of queer and allied activism. Carl Nassib, Kal Penn, Tommy Dorfman, Hikaru Utada, Kehlani and Billy Porter are just a few of the celebrities that have come out in the last year as trans, non-binary, queer, HIV positive, and Pansexual. They are showing up and out as queer pop icons, public figures for a new generation looking for themselves boldly reflected in media, culture and politics. We must remember how we got here. We must celebrate our successes as forward momentum. We have much to be proud of…But we are FAR from done.
Salazar: In January of this year, Gov. Kristi Noem (R-SD) signed into law the first anti-trans bill of 2022. In doing so, she banned transgender girls from playing school sports. From there it has
been almost impossible to keep up with the barrage of attacks. Arizona, Alabama, Indiana, Kentucky, Oklahoma, New Hampshire and South Dakota and just a few of the states that introduced measures that target trans and nonbinary youth, their families and their communities.
Johnson: As if that wasn’t enough, in addition to the unabated and unrelenting state attacks on LGBTQ+ legislation, our communities have also been hit with attacks on reproductive rights, voting rights, and the erasure of the history and impact of BIPOC people in this country. In states across the country, the legislature has waged a triple threat of bad bills targeting our access to information, bodily autonomy, and ability to participate in our democracy. These are the foundation of personal, community and political power!
Salazar: The far-right has bemoaned for years that progressives have been trying to “censor” them, it is indeed the far-right taking steps to censor content of all kinds – from critical race theory to LGBTQ inclusive curricula, effectively erasing the diversity of people in this country and any accurate or inclusive understanding of our shared history. Book bans, which seem like an outdated tactic of fascist dictators, are back in style. The simple act of have a rainbow flag or Black Lives Matter sticker on your classroom door, meant to communicate a safe space, is now off the table. Imagine how our young people must feel as they are stripped of the symbols and information that made them feel safe and affirmed.
Johnson: Access to our most basic right to engage in our democracy is also at stake. The right to vote, our right to protest is being suppressed, curtained, blocked and gerrymandered at every turn.
Salazar: Finally, our self-determination and personal agency is also being threatened. Given the sharp rise in anti-LGBTQ laws passed over the last 8 years and what we are seeing now, it is no surprise we’re now experiencing what the American Medical Association has declared “an epidemic of violence against the transgender community,” most notably the skyrocketing rate of murders against trans women of color. The ability to make decision about who you are, how you walk through the world in your truth and have control over your own body are at the core of the anti-trans bills mentioned above and all the attempts to restrict abortion rights and access to reproductive related healthcare.
Johnson: If this feels familiar there is a reason – 40 years ago it was gay & lesbian teachers that were being targeted — today it’s trans kids and their parents.
Salazar: 40 years ago, it was Anita Bryant who was pulling out worn out tropes about “grooming” – and today it is Governors like DeSantis and Abbott recycling these tropes to spread misinformation about our community.
Johnson: 20 years ago, it was gay, lesbian and bisexual people being accused of trying to destroy the sanctity of (Christian) marriage and today it is loving families and allies of LGBTQ youth being accused of taking away “parental rights” when working for the safety and futures of all youth.
Johnson: Any historian or longtime Movement activist will tell you this cycle Is just that – a constant, sometimes subtle, sometimes direct, concerted effort to use queer people, reproductive freedom and democracy as the bait to push the buttons of conscious and unconscious homophobia, transphobia, sexism, misogyny, racism, Christian hegemony and classism in our country.
Johnson: This is our time, our opportunity to commit to building deeply and broadly across movements. To collaborate across issues and communities. We cannot win if we continue to organize in silos and ignore the WHOLE chess board. There is an opportunity to build intersectional partnerships, engage a larger base, and create solutions that have greater impact on more people. We must fight back. Now, for the remainder of this important election year, in every state facing anti-LGBTQ, anti-choice and anti-voting rights legislation.
Johnson: There is a lot at stake in this time but where there are challenges there are opportunities for us to learn, grow and succeed! Our political success will only ever be temporary if we’re not invested in building the power of the people. We win because more and more people are in coalition with us. But we know from the movements that came before ours that to hold onto those successes, our institutions and those in power must be willing to take action with us and we must be vigilant in holding them accountable.
Salazar: Today we are launching Queer the Vote and commit to building a robust and connected base of voters working across issues across communities to rebuild and strengthen our democracy. It is critical that queer people and our allies mobilize to take action, build power and create change whether that’s contacting your elected officials, providing testimony, or donating money and resources. And of course, above all else, if you are eligible, make sure you are registered to vote and turn out at the polls. Claim your power, use your voice, support your community and Queer the Vote!
The kind of change we imagine can take generations, and the Task Force is in this for the long haul – we’ve been at it for almost 50 years, and we won’t stop until we are all free. The pathway to liberation is long and if we are going to make it we must remember what we are working towards. We are organizing for our civil rights. We are demanding that our full humanity is honored and affirmed. And we are fighting for our democracy.
Johnson: We have already imagined the world we want…the world we deserve. Now we must have courage to act with and for our community to bring it into existence. The theme of CC22 is Remixed. A remix: a piece of media which has been altered or contorted from its original state by adding, removing, and/or changing pieces of the item. Our 2022 Creating Change theme Remixed refers not only to having pivoted from an in-person event to a digital one. Remixed is also a vision for how we can evolve as a movement. We have an opportunity to experiment and to play. To be responsive to what is new while benefiting from the wisdom, expertise, and talent of the past. I can’t wait to get back into the studio with you! We look forward to creating new sounds, covering some old tunes and remixing a new movement for the future…by us and for us. Forever together, we are powerful!
Johnson: Be You, Be Well and enjoy the rest of your Creating Change ‘22 remixed experience!
Salazar: Sea tú. Y que lo pasen delicioso. [Be you. And have a delicious time.]
The White House
Trump will refuse to sign voting bill without anti-trans provisions
Measure described as ‘Jim Crow 2.0’
President Donald Trump said he will refuse to sign any legislation into law unless Congress passes the “SAVE Act,” pressuring lawmakers to move forward with the controversial voting bill.
In posts on Truth Social and other social media platforms, the 47th president emphasized the importance of Republican lawmakers pushing the legislation through while also using the opportunity to denounce gender-affirming care.
“I, as President, will not sign other Bills until this is passed, AND NOT THE WATERED DOWN VERSION — GO FOR THE GOLD,” Trump posted. “MUST SHOW VOTER I.D. & PROOF OF CITIZENSHIP: NO MAIL-IN BALLOTS EXCEPT FOR MILITARY — ILLNESS, DISABILITY, TRAVEL: NO MEN IN WOMEN’S SPORTS: NO TRANSGENDER MUTILIZATION FOR CHILDREN! DO NOT FAIL!!!”
The proposed Safeguard American Voter Eligibility (SAVE) Act would amend the National Voter Registration Act of 1993 to require in-person proof of citizenship for anyone seeking to vote in U.S. elections. Trump has also called for the legislation to include a ban on gender-affirming medical care for transgender minors, even with parental consent.
“This is a huge priority for the president. He added on some priorities to the SAVE America Act in recent days, namely, no transgender transition surgeries for minors. We are not gonna tolerate the mutilation of young children in this country. No men in women’s sports,” White House Press Secretary Karoline Leavitt said. “The president putting all of these priorities together speaks to how common sense they are.”
The comments mark the first time the White House has publicly confirmed that Trump is pushing to attach anti-trans policies to the SAVE Act.
The bill would also require the removal of undocumented immigrants from existing voter rolls and allow election officials who fail to enforce the proof-of-citizenship requirement to be sued.
It is already illegal for noncitizens to vote in federal elections. Current safeguards include requirements such as providing a Social Security number when registering to vote, cross-checking voter rolls with federal data and, in some states, requiring identification at the polls.
Trump began pushing for the legislation during his State of the Union address last month, where he singled out Senate Majority Leader John Thune (R-S.D.) by name while criticizing the lack of movement on the bill.
Senate Minority Leader Chuck Schumer (D-N.Y.) has denounced the legislation as “Jim Crow 2.0” and said it has little chance of advancing through the Senate, calling it “dead on arrival.”
In remarks on the Senate floor, Schumer said “the SAVE Act includes such extreme voter registration requirements that, if enacted, could disenfranchise 21 million American citizens.”
Trump has repeatedly used political messaging around trans youth and gender-affirming care as part of broader cultural and policy debates during his presidency — most recently during his State of the Union address, where he cited the case of Sage Blair, a Virginia teenager whose school allegedly encouraged her to transition without her parents’ consent.
LGBTQ advocates — including those familiar with Blair’s story — say the situation was far more complex than described and argue that using a single anecdote to justify sweeping federal restrictions could place trans people, particularly youth, at greater risk.
Health
Too afraid to leave home: ICE’s toll on Latino HIV care
Heightened immigration enforcement in Minneapolis is disrupting treatment
Uncloseted Media published this article on March 3.
This story was produced in collaboration with Rewire News Group, a nonprofit publication reporting on reproductive and sexual health, rights and justice.
This story was produced with the support of MISTR, a telehealth platform offering free online access to PrEP, DoxyPEP, STI testing, Hepatitis C testing and treatment and long-term HIV care across the U.S. MISTR did not have any editorial input into the content of this story.
By SAM DONNDELINGER and CAMERON OAKES | For two weeks, Albé Sanchez didn’t leave their house in South Minneapolis.
“[I was] forced into survival mode,” Sanchez told Uncloseted Media and Rewire News Group (RNG). “I felt like there was an invisible wall [to the outside world] that I couldn’t cross unless I really wanted to put myself in a place where there was a chance that I might not be able to come back.”
Queer and Mexican American, Sanchez was afraid of being targeted by the Immigration and Customs Enforcement presence in their neighborhood, even though they are a U.S. citizen.
“Every day is a risk,” they say, adding that even if they have paperwork, if they fit the profile, they are a target, making it scary to go even to work or the grocery store.
Sanchez, a 30-year-old sexual health care educator, has been taking oral PrEP, the daily preventive medication for HIV, for over a decade. But the mounting stress of ICE raids has made it harder to keep up with dosing.
“A missed dose here and there pushed me to make the appointment [for something more sustainable],” they say.
Sanchez says they felt like somebody would have their back at their local clinic. It was only a 10-minute drive from where they worked, they knew its staff from previous visits and community outreach, and they could count on finding Spanish-speaking staff and providers of Latino heritage. But not everybody has had that same experience accessing care.
Since ICE’s Operation Metro Surge began in early December, an increasing number of Latino patients in Minnesota are delaying or canceling what can be lifesaving care for the prevention and treatment of HIV.
These findings are particularly alarming for Latino communities, who, as of 2023, are 72 percent more likely than the general U.S. population to be diagnosed with HIV. And while overall infections have decreased, cases among Latinos increased by 24 percent between 2010 and 2022.
“I’m very concerned that there is going to be a sharp uptick in transmission,” says Alex Palacios, a community health specialist in the Minneapolis area.
In a January 2026 declaration as part of a lawsuit seeking to end Operation Metro Surge in the days following Renee Nicole Good’s killing, the commissioner of the Minnesota Department of Health said HIV testing among Latino populations has “dropped dramatically” and that “although grantee staff continue to go into the community to promote and provide testing, people are not showing up.”
Local clinics are reporting the same thing. The Aliveness Project, a community wellness center in Minneapolis specializing in HIV care, told Uncloseted Media and RNG they have seen more than a 50 percent decrease in new clients. The clinic serves a large number of Latino and undocumented clients, and while it usually sees 750 people walk through their door each week, according to providers, it reported seeing 100 fewer people each week since December.
Red Door, Minnesota’s largest STI and HIV clinic, has had a “modest uptick” in no-shows and missed appointments since December.
What happens when treatment stops
Today, there are multiple medications available that work to prevent HIV and dozens that treat it once a person tests positive. Many people who consistently take their medication have such low levels of the virus that they can’t transmit it through sex. But becoming undetectable requires patients to stay on their medication; otherwise, the virus replicates and mutates, weakening the immune system and increasing the risk of life-threatening infections.
“If patients aren’t on their medicines consistently, HIV can learn about the medication and become resistant to them. When this happens, the medicine will not work for the patient, and the new resistant virus could potentially be passed on to others,” says George Froehle, a physician assistant and provider at Aliveness Project. “Medication adherence is one of the most important aspects of HIV care.”
To maintain care and prevent dangerous, untreatable strains from spreading in Minnesota, providers at Aliveness Project have begun delivering medication to patients when possible, offering telehealth when they can, and pausing routine lab work to limit in-person appointments.
“The most important thing we can do from a public health perspective is to keep people undetectable so they don’t transmit HIV,” Froehle says, adding that providers in other cities targeted by ICE will need to make plans for missed injection visits, pivot to telehealth and prepare their teams for the “trauma that can occur.”
Sanchez understands the risks of inconsistent treatment, which is why they opted for the injectable preventative medication.
“I have a lot of risk [to HIV in my community],” Sanchez says. “With so much uncertainty about the future and whether HIV care will remain stable, I realized I couldn’t let this opportunity pass.”
But injectable HIV treatments are commonly dosed at two weeks to six months apart, and the medication must be administered in a clinic — a setting many patients are avoiding, according to providers.
“They have a two-week window” to get their shots, according to Froehle, who added that because patients are afraid to come in person, they have had to transition people off of their injectable HIV treatments. This has caused patients to return to oral HIV treatments without the testing they would normally receive had ICE not been in Minneapolis. “[Oral treatments] weren’t super successful [for these patients] to begin with and that’s why they were on injectables.”
Oral HIV medications, too, must be taken consistently to work. In response, providers have urged patients to have their pills with them at all times in case they get deported or detained.
The caution is not unfounded. Federal immigration facilities have a history of denying adequate medical care to people living with HIV, despite internal standards that require them to comply. Since 2025, at least two men living with HIV have been denied access to their medication in a Brooklyn jail, according to lawsuits obtained by THE CITY. One man said he was only given his medication after his lips broke open and he developed an open pustule on his leg. And in January 2025, another man died of HIV complications while in ICE custody in Arizona.
Beyond being detained without proper medication, patients are at risk of being deported to countries with limited access to HIV care, like Honduras and Venezuela, experts say.
“A lot of men [from Venezuela] told me they left because it wasn’t safe to be gay there and because they struggled to access HIV care,” says Froehle. “It’s a little heartbreaking to see new folks not only face the threat of deportation, but to places where they didn’t feel safe medically or identity-wise.”
“Some of these patients will die in their home country,” says Anna Person, the chair of the HIV Medicine Association. “It’s a death sentence.”
A ‘cascading disaster’
While ICE’s presence is threatening the infrastructure of HIV care that Minneapolis has built over decades, experts say there has always been a blind spot in HIV care for the city’s Latino community.
Vincent Guilamo-Ramos, executive director of the Institute for Policy Solutions at the Johns Hopkins University of Nursing, describes HIV in Latino communities as a “cascading disaster,” the result of years of compounding inequities.
“There’s been an invisible crisis among Latinos that hasn’t gotten traction,” he says. “The numbers have consistently gone up in terms of new infections, while nationally they’ve gone down. … That should be a big alarm.”
Numbers are rising because structural barriers and stigma are preventing Latinos from receiving care. A 2022 report from the Centers for Disease Control and Prevention found that between 2018 and 2020, nearly 1 in 4 Hispanic people living with HIV reported experiencing discrimination in health care settings. Lack of representation among providers, language barriers and deep-rooted medical mistrust further complicate access to care, according to Guilamo-Ramos.
Beyond the medical system, stigma within Latino communities can be equally damaging. According to Human Rights Campaign data, more than 78 percent of Latino LGBTQ youth reported experiencing homophobia or transphobia within the Latino community in 2024.
Sanchez agrees that stigma and bias are already massive barriers to care, citing the strict gender norms and Catholic beliefs many Latino communities hold. They say ICE’s presence is threatening already delicate access to HIV care.
“This has caused so much damage to people,” Sanchez says. “Not being able to access your health care appointments is such a stab in the side. … Being able to navigate any of these things in normal circumstances already has so much difficulty to it.”
Palacios, who is Afro-Latine and living with HIV, says the heightened ICE presence is worsening barriers that have long undermined the Latino community’s access to HIV care.
“The horizon has always been stark and dim,” they say. “And this just feels like one more thing to address and to fight back against.”
Sliding backwards
Navigating HIV care is becoming more difficult across the board, as the federal government has decimated HIV funding, compromising decades of progress made in the fight against the virus since Donald Trump retook office just over a year ago.
In February 2026, three months into Operation Metro Surge, the Trump-Vance administration proposed slashing $600 million in HIV-related grants, targeting four blue states, including $42 million for Minnesota programs. A federal judge has temporarily blocked the cuts.
“This would completely decimate and gut all of our HIV prevention,” says Dylan Boyer, director of development at Aliveness Project. “That’s the reality that we live in.”
“We have all the tools, and yet we are staring down this rollback of infrastructure and research dollars, prevention efforts, treatment efforts, that are going to put us squarely back in the 1980s,” says Person, a national HIV expert who grew up in Minnesota. “[There] seems to be no other rationale for that besides cruelty, to be quite frank, since there’s no scientific reason for it.”
Repair and representation
Jenny Harding, director of advancement at a Minneapolis-area supportive housing program for people living with HIV, says that while ICE’s presence is lessening in the Twin Cities, the “damage is done.”
Person says that this mending will take time, especially between the medical community and patients, since HIV providers can have a “very fragile” relationship with their clients.
“It takes, sometimes, years to build that level of trust. And I do worry that folks are just going to say, ‘I don’t feel safe here anymore. The system does not have my best interest at heart, and I’m not coming back,’” she says. “This is not something that you can flip a switch and everything will go back to normal.”
“We need to hold our federal government accountable, particularly HHS, [and] we need to ensure that HIV funding remains intact,” Guilamo-Ramos says, adding that in order to lower rates of HIV in the Latino community, there should be more specialized efforts: such as bilingual and culturally aligned health care providers, community-based outreach programs co-located where risk is highest, trust-building initiatives to address medical mistrust, mobile clinics, and targeted programs to re-engage patients who have fallen out of care.
Aliveness Project’s patient numbers have increased in the last few weeks as the ICE operation has waned, but the clinic staff is keeping “a watchful eye” and is having “difficulty reaching folks who are understandably scared.”
“Our biggest focus right now is reconnecting with people through our outreach so no one has a lapse in their HIV medications or prevention care,” Boyer, of Aliveness Project, says.
For Sanchez, seeing providers who speak Spanish and are of Latin heritage at Aliveness Project built enough trust for them to reach out and make an appointment despite the risks. Sanchez feels optimistic about their new injectable prevention strategy with the support of their clinic.
“There’s many places where you can receive care here in the Twin Cities where you might not see your skin tone. … There’s still a lot of health care professionals that unfortunately carry bias. … Aliveness is the opposite of that,” they say. “Seeing that representation and knowing someone has that cultural context of how to meet you in moments of sensitivity, it’s crucial.”
Florida
Fla. Senate passes ‘Anti-Diversity’ bill that could repeal local LGBTQ protections
Bipartisan coalition urges Florida House to reject ‘extremism’ measure
The Florida Senate on March 4 voted 25-11 to approve an “Anti-Diversity in Local Government” bill that critics have called a sweeping and extreme measure that, among other things, could repeal local LGBTQ rights protections.
According to Equality Florida, a statewide LGBTQ advocacy organization, if approved by the Florida House of Representatives and signed by Republican Gov. Ron DeSantis, the bill “would ban, repeal, and defund any local government programming, policy, or activity that provides ‘preferential treatment or special benefits’ or is designed or implemented’ with respect to race, color, sex, ethnicity, sexual orientation, or gender identity.”
In a March 4 statement, Equality Florda added that the bill would also threaten city and county officials with removal from office “for activities vaguely labeled as DEI,” with only limited exceptions.
The Florida House was scheduled to vote on the bill on Monday, March 9, with opponents hopeful that a broad coalition of both Democratic and Republican lawmakers would secure enough votes to defeat the bill.
“Once again, Gov. DeSantis and Florida lawmakers are advancing one of the most sweeping and extreme bills in the country — this time threatening decades of local progress supporting diverse communities, including the LGBTQ community,” said Equality Florida Senior Political Director Joe Saunders. “This legislation is a sledgehammer aimed at cities and counties that recognize and address the diversity of the people they serve,” he said.
Among the LGBTQ organizations that could be adversely impacted by the bill is the highly acclaimed Stonewall National Museum, Archives and Library located in Fort Lauderdale.
Robert Kesten, the Stonewall organization’s president and CEO, told the Washington Blade the organization receives some funding from Broward County, in which Fort Lauderdale is located, and the city of Fort Lauderdale has provided support by purchasing tables at some of the museum’s fundraising events.
“Based on this legislation, hose things would be gone,” he said. “We also are based in a government building. So, we don’t know what potential side effects that could have.” He noted that the building in question is owned by Broward County and leased by Fort Lauderdale, with the bill’s vaguely worded provision making it unclear whether Stonewall would be forced to leave its building.
“It’s unknown, and we’re really in unchartered waters,” he said.
-
Florida4 days agoFla. Senate passes ‘Anti-Diversity’ bill that could repeal local LGBTQ protections
-
Uganda4 days agoUgandan activist named Charles F. Kettering Foundation fellow
-
Celebrity News4 days agoLiza Minnelli makes surprise appearance at GLAAD Media Awards
-
Opinions4 days agoCapital Pride must be transparent about sexual misconduct investigation
