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New HHS reg seeks non-discrimination in health care as monkeypox spreads

Proposed rule bars strengthens protections for LGBTQ patients

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A new regulation proposed by the Biden administration seeks to ensure non-discrimination in health care settings for women who have had abortions and LGBTQ people at a time when monkeypox cases continue to increase and fears persist after the U.S. Supreme Court overturned Roe v. Wade.

The new regulation, announced Monday by the Department of Health & Human Services, would interpret Section 1557 of the Affordable Care Act to apply more broadly to the definition of sex after the court’s earlier 2016 decision in Bostock v. Clayton County, which determined anti-LGBTQ discrimination was an illegal form of sex discrimination. The rule would enhance the prohibition discrimination on the basis of sex in health care settings and federally funded health care programs consistent with the law.

The regulation also institutes non-discrimination protections for intersex traits; and pregnancy or related conditions, including pregnancy termination; and people with limited English proficiency.

Xavier Becerra, secretary of health and human services, announced the proposed rule on Monday during a conference call with reporters and said it would ensure communities that have had barriers to accessing health care would be able to obtain it.

“Everyone in America should be able to get the care that they need from any health provider in the country, especially if they’re that provider is receiving funding from HHS,” Becerra said. “We want to make sure that Americans are free from discrimination when they try to access the care that they need. Pretty simple proposition.”

Becerra, asked by the Washington Blade how he sees the proposed rule playing out as part of the Biden administration’s approach to the monkeypox outbreak among gay and bisexual men, said the rule makes clear discrimination in health care is unacceptable and enables LGBTQ people to file a complaint with the Office of Civil Rights at the Department of Health & Human Services.

“The reality is that today, the issue of monkeypox, you should not face any discrimination when it comes to the issue of accessing the health care services you might need to address monkeypox,” Becerra said.

The new regulation doesn’t appear to be timed as a means to address monkeypox, but a follow-up to an earlier commitment from the Biden administration to make the change.

The proposed rule is similar to a regulation in the final years of the Obama administration, which interpreted the language of Section 1557 to bar discrimination based on sex stereotypes and gender identity. The rule, however, was rescinded during the Trump administration under HHS Director of the Office of Civil Rights Roger Severino, who bucked the decision in Bostock and reversed the rule pursuant to an earlier lower federal court ruling in Texas.

Melanie Fontes Rainer, now the director of the Office of Civil Rights under the Biden administration, said on the call that restoring non-discrimination protections after they were rescinded makes health care more accessible for everyone.

“The 2020 version of this rule narrowed its scope to cover fewer health programs and activities, limiting vital non-discrimination protections for so many across the country,” Rainer said. “The proposed rule proposes revisions to Section 1557 implementing regulation by restoring and strengthening provisions that protect individuals from discrimination and health programs and activities”

The Biden administration rule, however, is different from the Obama-era rule in key aspects. For starters, the Biden-era rule explicitly prohibits discrimination on the basis of sexual orientation in addition to other sex-based categories that were articulated before, using the Supreme Court’s decision in Bostock as justification.

The newer regulation also contains language that interprets Medicare Part B as federally funded assistance and includes an explicit exemption for health care providers who have objections to certain procedures, such as abortion and gender reassignment surgery. The exact breadth of the religious exemption wasn’t immediately clear.

Becerra said during the call the religious conscience provision was included as a result of stakeholder feedback and is consistent with the Biden administration’s goal to protect the rights of people in health care settings.

“That is also part of the work that we do, and we don’t believe that there’s any inconsistency in making sure that people are accessing care without discrimination,” Becerra said.

Becerra, asked during the call about the timeline for the rule, said he expects it will be made final before the end of this year and after the formal 90-day comment period.

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Eswatini

The emperor has no clothes: how rhetoric fuels repression in Eswatini

King Mswati III’s anti-LGBTQ comments can have deadly consequences

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King Mswati III (Screen capture via Eswatini TV/YouTube)

In an absolute monarchy, the words spoken by the sovereign can swiftly become a baton striking a citizen. When King Mswati III speaks, his words do not simply drift into the air as political “opinion”; they often quickly turn into, sometimes violently, state policy. This reflects the reality of Eswatini, where the right to freedom of expression, including the right to hold dissenting political views, is increasingly being systematically eroded by the very voice that claims to uphold “traditional values.”

To understand the current crisis facing the LGBTIQ+ community in Eswatini, one must view it through the lens of a broader strategy: the weaponization of culture to justify the erosion of democratic institutions, the rule of law, and human rights protections. As observed across Africa, from the streets of Harare and Dar es Salaam to the parliamentary courtrooms of Dakar and Kampala, African leaders are increasingly using the marginalised as an entry point to dismantle civil society. In Eswatini, this strategy has manifest its most brutal expression in the king’s recent harmful rhetoric concerning sexual orientation and gender identity.

The danger of the king’s words lies in how the state apparatus interprets them as a divine mandate for persecution. Recently, we have seen this “Rhetoric-to-Policy Pipeline” operate with chilling efficiency. Shortly after the Minister of Education made public vitriol against the existence of LGBTIQ+ students, reports emerged of children being expelled from schools. In a country where the king is culturally and traditionally called the “ingwenyama” (the lion), the bureaucracy acts as his pride; when leadership suggests that a particular group is “un-African” or “deviant,” the machinery of the state, along with the emboldened segments of the public, moves to purge that group from society.

For an openly gay man who has dedicated most of his adulthood to advancing equality and dignity for all, especially marginalized communities, these are not merely policy changes; they pose existential threats. When a powerful leader speaks, they offer a moral shield for the dogmatist and a legal roadmap for the policeman. In Eswatini, where political parties are banned, and the “tinkhundla” system (constituency-based system) — a system that systematically silences dissent and favors those aligned with the sovereign — is celebrated as the sole “authentic” form of governance, any identity that falls outside the narrow, state-defined “tradition” is seen as treason. By branding LGBTIQ+ rights as “ungodly” and essentially unwelcome in Eswatini, the monarchy effectively views the mere existence of queer Swazis as a subversive act against the crown.

The most harrowing example of this pattern is the assassination of human rights lawyer Thulani Maseko in January 2023. Maseko’s murder did not happen in isolation. It followed a period of heated rhetoric directed at those calling for democratic reforms. The king had publicly warned those demanding change that they would face consequences. On the evening after the king had said, “[t]hese people started the violence first, but when the state institutes a crackdown on them for their actions, they make a lot of noise blaming King Mswati for bringing in mercenaries,” Maseko was shot dead at his home in front of his family.

The parallel here is unmistakable. When the king targets the LGBTIQ+ community with his words, he is aiming at the most vulnerable. If a world-renowned human rights lawyer can be silenced following royal condemnation, what chance does a queer youth in a rural area stand when the king’s words reach the local chief or school head? This is what I call “Chaos as Governance”: a state where the law is replaced by the monarch’s whims, leaving the population in a constant cycle of managed chaos that renders collective opposition nearly impossible. Despite strong condemnation from the organization I founded, Eswatini Sexual and Gender Minorities (ESGM), recent reports already suggest growing support for the rhetoric shared by the king, indicating treacherous weeks and months ahead for ordinary queer people in Eswatini.  

The monarchy’s defense of these actions is almost always based on “African tradition.” As Mswati has shown, the ban on political parties and the suppression of minority rights are framed as a return to indigenous governance, the “tinkhundla” system. But we must ask: whose culture is being defended? Is it a culture that historically valued communal care and diverse social roles, or is it a modern, imported authoritarianism cloaked in the robes of the ancestors?

When he uses his platform at the “sibaya” (traditional gathering) to alienate a segment of his own people, he is not engaging in dialogue; he is delivering a monologue of exclusion. This weaponized version of culture serves a dual purpose. First, it offers a “neocolonial” defense against international criticism, portraying human rights as a foreign threat. Second, it creates an internal enemy, the “terrorist” political dissident or the “immoral” LGBTIQ+ person, to distract from the fact that nearly two-thirds of the population live below the poverty line. In contrast, the royal family resides in obscene luxury, acquiring fleets of expensive vehicles.

The silence of Eswatini’s neighbors worsens its situation. The Southern African Development Community (SADC), a regional organization ostensibly committed to democracy and human rights, has repeatedly allowed Mswati to evade accountability. By agreeing to remove Eswatini from the Organ Troika agenda at the king’s request in 2024, SADC sent a message to every authoritarian in the region. If you conceal your repression behind the guise of tradition, we will not intervene.

The call for freedom of expression, including LGBTIQ+ rights, is a fundamental human right vital for safety and dignity. It demands that a child should not be expelled from school because of who they are. It insists that a lawyer should not be murdered for expressing their beliefs. It states that a king’s word should not be a death sentence. We must resist the “politics of distraction” that portrays the fight for minority rights as separate from the fight for democratic reform. The dissolution of political parties in Burkina Faso, the attack on lawyers in Zimbabwe, and the criminalization of advocacy in Senegal, Tanzania, and Uganda are all parts of the same pattern. They reflect a leadership class that fears its own people.

It is time for the African Union and SADC to decide whether to uphold the ideals of their lofty charters or to prioritize political convenience across Africa. For the people of Eswatini, improving livelihoods and human development can only occur when the king’s words are limited by a constitution that protects every citizen, regardless of whom they love or how they pray. Until then, the chaos is not a failure; it is the purpose. The monarch’s word may be law today, but the universal right to dignity is the only law that will endure. We must demand an Eswatini, and by extension, an Africa that seeks to improve the lives of its people, and where the “lion” protects all his people, rather than hunting those he deems “unworthy” of the shade.

Melusi Simelane is the founder and board chair of Eswatini Sexual and Gender Minorities. He is also the Civic Rights Program Manager for the Southern Africa Litigation Center.

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2026 Midterm Elections

HRC endorses Va. ballot initiative to redraw congressional districts

Referendum to take place April 21

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HRC President Kelley Robinson speaks at the People's State of the Union on the National Mall on Feb. 24, 2026. (Photo by Andrei Nasonov)

The Human Rights Campaign, the nation’s largest LGBTQ civil rights organization, has endorsed a Virginia ballot initiative that would allow the state to redraw its congressional districts this year, ahead of the 2030 Census.

Currently, Virginia’s Redistricting Commission — a legislative body made up of eight legislators and eight citizens, evenly split between Republicans and Democrats — is responsible for redrawing congressional districts every 10 years following the Census. The proposed amendment would temporarily shift that authority to the Virginia General Assembly through 2030, before returning it to the commission in 2031.

Supporters say the push for the amendment comes in response to anti-democratic moves by several Republican-led state legislatures following demands from President Donald Trump, which have resulted in newly gerrymandered congressional maps that advocates argue disenfranchise pro-equality voters.

Under the proposed map in Virginia, Democrats could gain as many as four of the five seats currently held by Republicans in this fall’s midterm elections, when control of the narrowly divided House is up for grabs.

Six states — including Texas, Missouri, and North Carolina on the GOP side — enacted new maps last year at Trump’s behest. The most significant Democratic counter-effort so far has come from California.

HRC President Kelley Robinson issued a statement backing the measure, encouraging Virginia voters who support democracy to vote “yes,” saying it would ensure “the will of the people is heard.”

“Voters should choose their leaders, not the other way around. But anti-equality lawmakers around the country, in service to Donald Trump’s assaults on democracy, are trying to undermine our elections and engineer their preferred outcome in the midterms,” Robinson said. “The American people are ready to take Congress back from the anti-equality, anti-freedom politicians that have been abusing their power to hurt all our communities and bend government to the will of a wannabe king.”

U.S. Rep. Don Beyer, who represents Virginia’s 8th Congressional District that encompasses much of Washington’s suburbs, including Alexandria, Arlington, Falls Church, and parts of eastern Fairfax County — has also voiced support for the measure. He has called Trump’s attempts to influence elections ahead of the November midterms a “betrayal of our democracy,” emphasizing that while the fight is ongoing, this effort is a step toward correcting the situation.

“It’s not a done deal by any means,” Beyer said in an op-ed for the Cardinal News. “We have to effectively make the case that even though this seems unfair in Virginia, it’s totally fair for America, for those of us who believe that taking back the House is the most significant thing we can do to stop Donald Trump.”

Virginia Gov. Abigail Spanberger is another staunch supporter of the amendment, arguing that it would, through bipartisan means, help counterbalance Trump’s efforts in what remains an uphill battle.

“As early voting begins tomorrow on Virginia’s redistricting amendment, voters should know that Virginia’s approach is different. It is temporary, directly responsive to what other states decide to do, and — most importantly — it preserves Virginia’s bipartisan redistricting process for the future,” the first female governor of the state said in a statement. “I supported the formation of Virginia’s bipartisan redistricting commission in 2020, and that support has not changed. What has changed is what we’re seeing in states across the country — and a president who says he is ‘entitled’ to more Republican seats before this year’s midterm elections.”

“Virginians have the opportunity to take action in response to this extraordinary moment in history,” she added. “That’s why, as a Virginia voter, I’m voting in favor of this amendment.”

Virginians for Fair Elections, the group responsible for marketing the initiative, has raised nearly $50 million dollars, according to the Virginia Public Access Project, a nonpartisan organization focusing on sharing public documents related to financial matters of the state. The ads notably feature former President Barack Obama, who supports the measure and has hailed it as a way to “level the playing field.”

In a recent Politico article, a person close to the White House, granted anonymity, suggested the outlook for Trump’s governing majority is weakening — particularly following the unraveling of the Iran war — underscoring why the administration is pushing Republican-led states to maximize their advantage ahead of the midterms.

“This war in Iran almost cements the fact that we lose the midterms in November — the Senate and House,” the person said.

According to The Economist, Trump holds a 37 percent approval rating, with 56 percent of respondents disapproving of his handling of the presidency.

This is not the first time Virginia has held a special election for a statewide ballot initiative. Most recently, in 1956, voters approved a measure that led to the use of public funds to provide tuition grants for students attending nonsectarian private schools.

Early voting is already underway in the Old Dominion, with Election Day set for April 21.

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Politics

Trump’s war threats trigger rare 25th Amendment discussion

President threatened to destroy Iranian civilization in Truth Social post

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Activists march in a 'Trump Must Go' protest outside the White House on Aug. 16, 2025. (Washington Blade photo by Michael Key)

Following multiple brazen Truth Social posts this week related to the ongoing war with Iran — one which he said he could wipe out “a whole civilization,” — Democrats are seizing the opportunity to gain momentum in ousting President Donald Trump from office.

As the war with Iran continues to unfold, Trump appears increasingly frustrated — and willing — to use any means necessary to achieve his goals of ending the country’s nuclear capabilities, destroying its military, and ushering in regime change. So far, none of these goals have been met. As his frustration grows, so do calls to invoke a never-before-used safeguard for the nation—the 25th Amendment.

“A whole civilization will die tonight, never to be brought back again,” Trump posted on Truth Social on Tuesday morning. “I don’t want that to happen, but it probably will.”

This came only days after Trump posted a now-deleted, expletive-filled demand for the country to reopen the Strait of Hormuz on Easter Sunday, saying, “Open the Fuckin’ Strait, you crazy bastards, or you’ll be living in Hell.” On the same day, Trump told The Hill he would not rule out sending ground troops. And he told Fox News Sunday that he’s “considering blowing everything up and taking over the oil” if Iran doesn’t accept his deal.

The president then set a new deadline of 8 p.m. ET on Tuesday for Iran to reach a deal with the U.S., marking yet another extension, which did lead to a two-week ceasefire.

Since the president’s tirade, Democratic legislators in federal office have condemned his words, while Republicans are quietly standing behind him. Former Trump allies are among the loudest voices advocating for invoking the 25th Amendment, as some in international government organizations have sharply called Trump’s threats illegal.

“If there’s an attack on clearly civilian infrastructure, that is not allowed under international humanitarian law,” Stéphane Dujarric, spokesman for the United Nations secretary-general, said last week.

That concern is heightened by the broader human rights landscape in Iran, where violations of international legal standards are already well documented — particularly when it comes to LGBTQ people.

Iran has some of the harshest laws in the world regarding LGBTQ rights, policies that human rights advocates say are themselves in violation of international law.

Under the country’s legal system, all sexual activity outside a traditional Islamic marriage is illegal, including same-sex relations. Sexual activity between members of the same sex is criminalized and, in some cases, punishable by death under Iran’s Islamic Penal Code.

With international officials raising concerns about the legality of Trump’s threats, the conversation in Washington has increasingly shifted from condemnation to potential consequences, namely, whether the 25th Amendment could be used to hold him accountable.

“Section 4 of the 25th Amendment, which has never been invoked, allows for the vice president and a majority of Cabinet secretaries (or another body as Congress may provide) to declare the president unable to discharge the powers and duties of the office,” according to the Bipartisan Policy Center. “The vice president would then immediately assume the role of acting president.”

Although there seems to be momentum from Trump adversaries, this is unlikely, according to PolitiFact.

“For all of the partisan chatter, it is highly unlikely this legal procedure to remove a president will happen,” Louis Jacobson and Amy Sherman wrote for the nonprofit political fact-checking website that is operated by the Poynter Institute.”Trump has the support of Vice President JD Vance, his Cabinet and the majority of Republicans in Congress.”

Delaware Congresswoman — and the first transgender legislator on Capitol Hill — Sarah McBride issued a statement in response to Trump’s words.

“In a political career defined by grotesque statements, this president’s horrifying, illegal, and genocidal threat this morning is among the most dangerous and appalling,” McBride said. “You can’t shout ‘fire’ in a crowded theater, and a president cannot be allowed to threaten genocide with the United States military. Threats of war crimes and disregard for human life must be met with accountability under the law.”

She then, like many others, called for removing the president from office to protect the American people.

“Trump must go — and Republicans, whether in the Cabinet or Congress, must join Democrats in using any and all constitutional powers at our collective disposal to end this illegal war and take the gun out of this madman’s hands,” said McBride, the Congressional Democratic Women’s Caucus whip.

Mark Takano, the first openly gay person of color elected to Congress, pointed out that Trump’s ceasefire is only temporary, and does not ensure that Americans won’t be called to fight in a war they didn’t ask for.

“We heard no plan to end this war and no commitment to keep American boots out of Iran,” Takano said on X.

U.S. Sen. Tammy Baldwin (D-Wis.), the first openly gay member elected to the U.S. Senate, used her platform to remind Trump — and the world — that diplomacy remains critical.

“Diplomacy has always been the answer, which is why the president shouldn’t have gotten us into this war of choice,” a statement read on X. “It’s been reckless, cost U.S. soldiers their lives, and is raising prices on families. A ceasefire is a start, but Congress needs to do our jobs and end this war.”

“The House must pass articles of impeachment, and then the Senate must vote to convict and remove the President,” U.S. Sen. Ed Markey (D-Mass.), vocal supporter of LGBTQ rights wrote in a statement on X. “Or, the Cabinet and vice president, with congressional concurrence, must invoke the 25th Amendment and remove Trump.”

“Donald Trump’s instability is more clear and dangerous than ever,” said former House Speaker Nancy Pelosi (D-Calif.).

Multiple other Democrats also called for removing the president for violating international and constitutional law. U.S. Rep. Ilhan Omar (D-Minn.) called for “this unhinged lunatic” to “be removed from office.” U.S. Rep. Ro Khanna (D-Calif.), said, “Threatening war crimes is a blatant violation of our Constitution and the Geneva Conventions.” U.S. Rep. Yassamin Ansari (D-Ariz.), told Midas Touch Journalist Scott MacFarlane “In the last 48 hours alone, the rhetoric has crossed every line.”

In addition to Democrats, some staunch Trump supporters have also been loudly criticizing the president’s handling of the Iran war.

Conspiracy theorist, former Trump confidant, and $1.3 billion defamation case loser for spreading far-right lies, Alex Jones, asked “How do we 25th Amendment his ass?” on Monday’s InfoWars show.

Georgia Republican, former member of the House of Representatives, and former high-profile MAGA ally Marjorie Taylor Greene called Trump’s post about destroying civilizations “evil and madness” and posted a simple “25TH AMENDMENT!!!”

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