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Passports with ‘X’ gender marker to become available on April 11

Secretary of State Antony Blinken made announcement Thursday

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(Big Stock photo)

Secretary of State Antony Blinken on Thursday announced passports with an “X” gender marker will be available on April 11.

Blinken last June announced the State Department will allow passport applicants to ā€œself-select their gender as ā€˜Mā€™ or ā€˜F’ā€

Dana Zzyym, an intersex U.S. Navy veteran who identifies as non-binary, in 2015 filed a federal lawsuit against the State Department after it denied their application for a passport with an ā€œXā€ gender marker. Zzyym last October received the first gender-neutral American passport.

“The Department of State has reached another milestone in our work to better serve all U.S. citizens, regardless of their genderā€Æidentity,” said Blinken on Thursday in a statement.ā€Æ”In June, I announced that U.S. passport applicants could self-select their gender and were no longer required to submit any medical documentation, even if their selected gender differed from their other citizenship or identity documents.” 

“Starting on April 11, U.S. citizens will be able to select an ‘X’ as their gender marker on their U.S. passport application, and the option will become available for other forms of documentation next year,” he added.

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Federal Government

EXCLUSIVE: USAID LGBTQ coordinator visits Uganda

Jay Gilliam met with activists, community members from Feb. 19-27

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U.S. Agency for International Development Senior LGBTQI+ Coordinator Jay Gilliam (Photo courtesy of USAID)

U.S. Agency for International Development Senior LGBTQI+ Coordinator Jay Gilliam last month traveled to Uganda.

Gilliam was in the country from Feb. 19-27. He visited Kampala, the Ugandan capital, and the nearby city of Jinja.

Gilliam met with LGBTQ activists who discussed the impact of the Anti-Homosexuality Act, a law with a death penalty provision for “aggravated homosexuality” that President Yoweri Museveni signed last May. Gilliam also sat down with USAID staffers.

Gilliam on Wednesday during an exclusive interview with the Washington Blade did not identify the specific activists and organizations with whom he met “out of protection.” 

“I really wanted to meet with community members and understand the impacts on them,” he said.

Consensual same-sex sexual relations in Uganda were already criminalized before Museveni signed the Anti-Homosexuality Act. Gilliam told the Blade he spoke with a person who said authorities arrested them at a community meeting for mental health and psychosocial support “under false pretenses of engaging in same-sex relations and caught in a video that purportedly showed him.” 

The person, according to Gilliam, said authorities outed them and drove them around the town in which they were arrested in order to humiliate them. Gilliam told the Blade that prisoners and guards beat them, subjected them to so-called anal exams and denied them access to antiretroviral drugs.

“They were told that you are not even a human being. From here on you are no longer living, just dead,” recalled Gilliam.

“I just can’t imagine how difficult it is for someone to be able to live through something like that and being released and having ongoing needs for personal security, having to be relocated and getting support for that and lots of other personal issues and trauma,” added Gilliam.

Gilliam said activists shared stories of landlords and hotel owners evicting LGBTQ people and advocacy groups from their properties. Gilliam told the Blade they “purport that they don’t want to run afoul of” the Anti-Homosexuality Act.

“These evictions really exacerbate the needs from the community in terms of relocation and temporary shelter and just the trauma of being kicked out of your home, being kicked out of your village and having to find a place to stay at a moment’s notice, knowing that you’re also trying to escape harm and harassment from neighbors and community members,” he said.

Gilliam also noted the Anti-Homosexuality Act has impacted community members in different ways.

Reported cases of violence and eviction, for example, are higher among gay men and transgender women. Gilliam noted lesbian, bisexual and queer women and trans men face intimate partner violence, are forced into marriages, endure corrective rape and lose custody of their children when they are outed. He said these community members are also unable to inherit land, cannot control their own finances and face employment discrimination because of their sexual orientation or gender identity.Ā Ā 

US sanctioned Ugandan officials over Anti-Homosexuality Act

The U.SĀ imposed visa restrictionsĀ on Ugandan officials shortly after Museveni signed the law. The World Bank Group later announcedĀ the suspension of new loansĀ to Uganda.

The Biden-Harris administration last October issued a business advisory that said the Anti-Homosexuality Act ā€œfurther increases restrictions on human rights, to include restrictions on freedoms of expression and peaceful assembly and exacerbates issues regarding the respect for leases and employment contracts.ā€ The White House has also removed Uganda from a program that allows sub-Saharan African countries to trade duty-free with the U.S. and has issued a business advisory for the country over the Anti-Homosexuality Act. 

Secretary of State Antony Blinken on Dec. 4, 2023, announced sanctions against current and former Ugandan officials who committed human rights abuses against LGBTQ people and other groups. Media reports this week indicate the U.S. denied MP Sarah Achieng Opendi a visa that would have allowed her to travel to New York in order to attend the annual U.N. Commission on the Status of Women.

Museveni, for his part, has criticized the U.S. and other Western countries’ response to the Anti-Homosexuality Act. 

Gilliam noted authorities have arrested and charged Ugandans under the law.Ā 

Two men on motorcycles on Jan. 3 stabbed Steven Kabuye, co-executive director of Coloured Voice Truth to LGBTQ Uganda, outside his home while he was going to work. The incident took place months after Museveni attended Uganda’s National Prayer Breakfast at which U.S. Rep. Tim Walberg (R-Mich.) spoke and defended the Anti-Homosexuality Act.

The State Department condemned the attack that Kabuye blamed on politicians and religious leaders who are stoking anti-LGBTQ sentiments in Uganda. Gilliam did not meet with Ugandan government officials while he was in the country.

“We in the U.S. government have already made it clear our stance with government officials on how we feel about the AHA, as well as broader human rights concerns in country,” said Gilliam. “That’s been communicated from the very highest levels.”

The Uganda’s Constitutional Court last Dec. 18 heard arguments in a lawsuit that challenges the Anti-Homosexuality Act. It is unclear when a ruling in the case will take place, but Gilliam said LGBTQ Ugandans with whom he met described the law “as just one moment.” 

“Obviously there is lots of work that has been done, that continues to be done to respond to this moment,” he told the Blade. “They know that there’s going to be a lot of work that needs to continue to really address a lot of the root causes and to really back humanity to the community.” 

Gilliam further noted it will “take some years to recover from the damage of 2023 and the AHA (Anti-Homosexuality Act) there.” He added activists are “already laying down the groundwork for what that work looks like” in terms of finding MPs, religious leaders, human rights activists and family members who may become allies.

“Those types of allyships are going to be key to building back the community and to continue the resiliency of the movement,” said Gilliam.

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Federal Government

VA expands IVF to cover same-sex couples, single veterans

DoD also broadens IVF access for active-duty troops

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U.S. Department of Veterans Affairs Secretary Denis McDonough (Screen capture/YouTube)

The U.S. Department of Veterans Affairs will cover in-vitro fertilization treatments for same-sex couples and single veterans, the agency announced on Monday ā€” a move that comes after lawsuits last year claiming that its policy of only treating legally married partners who could produce their own eggs and sperm was discriminatory.

The department said the change is expected to take effect in coming weeks, with Secretary Denis McDonough pledging to implement the new policy as soon as possible.

ā€œRaising a family is a wonderful thing, and Iā€™m proud that VA will soon help more veterans have that opportunity,ā€ he said. ā€œThis expansion of care has long been a priority for us, and we are working urgently to make sure that eligible unmarried veterans, veterans in same-sex marriages and veterans who need donors will have access to IVF in every part of the country as soon as possible.ā€

Out in National Security, a nonprofit dedicated to serving and empowering queer national security professionals, celebrated the VA’s announcement in a press release proclaiming that “five years of ONS efforts have delivered.”

The group noted that about 2 million LGBTQ veterans are served by the VA, a number that is expected to “substantially increase in this decade.”

Also on Monday, the Defense Department announced its expansion of IVF eligibility requirements, which will now cover assisted reproductive technology for active-duty troops and their spouses, partners, or surrogates.

DoD will allow these service members to “use donor gametes (sperm, egg, or both) and embryos when procured at their own expense.”   

“We continue to identify ways to lean forward as much as we can in support of equity of access to reproductive health care for our service members,” said Kimberly Lahm, a program director in the Office of the Deputy Assistant Secretary of Defense for Health Affairs for Health Services Policy and Oversight.

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Federal Government

New HHS smoking cessation framework is focused on ‘most vulnerable’ populations

Smoking rates are higher for LGBTQ youth and adults

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U.S. Department of Health and Human Services Secretary Xavier Becerra at 2023 HHS Pride Summit (Screen capture/YouTube)

The U.S. Department of Health and Human Services introduced a new 28-page Framework to Support and Accelerate Smoking Cessation on Friday, an effort to support the Biden-Harris administration’s Cancer Moonshot, which aims to cut cancer-related deaths by at least 50 percent over 25 years.

ā€œThis framework focuses on advancing equity, engaging communities, and coordinating, collaborating, and integrating evidence-based approaches across every facet of our government and society,” HHS Secretary Xavier Becerra said in a press release.

“The Biden-Harris Administration will continue these efforts,” he said, “until smoking is no longer the leading cause of preventable death in the United States, and the communities that remain the most vulnerable get the help they need.”

The department’s assistant secretary for health, Adm. Rachel Levine, said, ā€œTodayā€™s announcement marks an important milestone reaffirming our commitment to helping people whoĀ smokeĀ to quit by working to maximize their access to and awareness of evidence-based interventions and programs.ā€

According to the Centers for Disease Control and Prevention, which is a division of HHS, about 15.3 percent of lesbian, gay, and bisexual adults smoke cigarettes, a figure that is “much higher” than the 11.4 percent of heterosexual adults who do. Lesbian, gay, and bisexual middle and high school aged youth are also likelier to smoke than their straight counterparts.

Additionally, a 2017 study in the American Journal of Preventative Medicine found that 39.7 percent of transgender adults reported using cigarettes, cigars, or e-cigarette products in the last 30 days, and use of e-cigarettes is four times higher compared to use by cisgender adults.

As a result, the CDC reports that LGBTQ people “have more risk factors for cardiovascular (heart and blood vessel) disease ā€“ like high blood pressure ā€“ than straight adults.”

The agency warns that “if you are part of the LGBTQ+ community, you likely have seen tobacco ads in magazines, newspapers, and websites directed at you” because “Tobacco companies are focusing their advertising on your communities.”

Evidence suggests LGBTQ smokers may also be less likely to call tobacco quitlines, and fewer are using counseling or smoking-cessation medications.

HHS’s framework document also notes the disparities in cigarette smoking among LGBTQ adults, along with other populations who are likelier to smoke including Black men, blue collar or service industry workers, and adults living in rural areas.

The authors also highlight, in a list of existing HHS programs and activities for smoking cessation, the CDC’s National Networks Driving Action: Preventing Tobacco- and Cancer-Related Health Disparities by Building Equitable Communities.

The program “funds a consortium of national networks to advance the prevention of commercial tobacco use and cancer in populations experiencing tobacco- and cancer-related health disparities” and lists LGBTQ people among the “focus population groups.”

According to the HHS press release, “The Framework is organized around six goals that serve as a foundation for long-standing HHS efforts to support and promote smoking cessation”:

  1. Reduce smoking- and cessation-related disparities.
  2. Increase awareness and knowledge related to smoking and cessation.
  3. Strengthen, expand, and sustain cessation services and supports.
  4. Increase access to and coverage of comprehensive, evidence-based cessation treatment.
  5. Advance, expand, and sustain surveillance and strengthen performance measurement and evaluation.
  6. Promote ongoing and innovative research to support and accelerate smoking cessation.

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