Connect with us

News

Senate may cue up marriage vote soon, but 60 votes not assured

Some Republican leaders doubt there’s sufficient support

Published

on

From left, Sen. Charles Schumer (D-N.Y.), Sen. Tammy Baldwin (D-Wis.) and Sen. Susan Collins (R-Maine). (Blade file photos by Michael Key)

Legislation seeking to codify same-sex marriage may be cued up as soon as this week in the U.S. Senate after lawmakers returned from August recess, although reaching the 60-vote threshold to end a filibuster is unassured.

Senate Majority Leader Charles Schumer (D-N.Y.) took to the Senate floor on Wednesday to make the case for the Respect for Marriage Act, which he said was needed in the aftermath of the U.S. Supreme Court’s decision overturning Roe v. Wade.

“Over the past few months, both sides have engaged in good-faith conversations about how to pass marriage equality into law,” Schumer said. “I truly hope – for the sake of tens of millions of Americans — that there will be at least ten Republicans who will vote with us to pass this important bill soon. Democrats are ready to make it happen — and willing to debate reasonable compromises on the specifics — so I urge my colleagues on the other side to join us.”

The likeliest scenario, as of Wednesday, was for Senate Democrats to start the procedural process Thursday to set up for votes on the Respect for Marriage Act early next week, two Democratic aides familiar with the bill told the Blade.

Sen. Tammy Baldwin (D-Wis.), the only open lesbian in the Senate, has been a proponent of the legislation and would be a likely candidate to go to the floor to seek a vote on the legislation.

Whether or not there are 60 votes in the Senate to end a filibuster is another matter. Supporters of the legislation have been bullish about obtaining 10 Republican votes to aid the united Democratic caucus in cutting off debate to move forward with the bill, but only four Republicans have signaled support in some capacity: Susan Collins (Maine), Rob Portman (Ohio), Thom Tillis (N.C.) and Ron Johnson (Wis).

“As for vote count, still the same,” one Senate Democratic aide told the Blade on Wednesday. “We don’t have 10 firm commitments from Republicans, but we are close and believe that the votes are there without the firm commitments.”

Johnson also has indicated his support would be conditional upon the inclusion of language to accommodate objections to same-sex marriage on religious grounds. Language being drafted by Baldwin and Collins for such an amendment, Democratic aides familiar with the bill told the Blade, would affirm the 1993 Religious Freedom Restoration Act, but go no further.

A competing amendment on religious exemptions, however, is expected to come from Sen. Mike Lee (R-Utah), according to a report in Politico. His office didn’t immediately respond Wednesday to the Blade’s request to comment on the nature of the amendment or the support obtained for the measure.

Concerns that there aren’t enough votes to advance the Respect for Marriage Act were piqued last week in the aftermath of an article in Politico with the headline: “Same-sex marriage bill teeters on verge of GOP filibuster.” The article points out numerous Republicans who are possible “yes” votes, such as Sens. Mitt Romney (R-Utah), Pat Toomey (R-Pa.) and Lisa Murkowksi (R-Alaska), have yet to declare outright support for the legislation.

Murkowski, who was an early Republican supporter of same-sex marriage, stands out in the group as among the Republicans who have yet to declare a position on the Respect for Marriage Act, although a spokesperson for the Alaska Republican confirmed to the Blade she remains undecided.

“Sen. Murkowski has long supported marriage equality,” said Hannah Ray, a Murkowksi spokesperson. “She is reviewing the House-passed bill and tracking negotiations in the Senate over possible modifications to the text of the Respect for Marriage Act introduced by Sens. Baldwin and Collins, so at this time she has not announced how she will vote.”

The conclusion of the Politico article that sufficient support remains in question, however, appears largely based on quotes from senior Republicans in the Senate who reportedly cast doubt about whether enough members of their caucus would break away to support the bill. Senate Minority Whip John Thune (R-S.D.) was quoted as saying right now no one knows “the exact answer” on the number of votes; he reportedly added he hasn’t done a formal whip count.

Sen. John Cornyn (R-Texas) was reportedly more blunt in his assessment: “I don’t see 10 Republicans,” Cornyn was quoted as saying. “I assume if people were inclined to support it, they would have already declared in support of it.”

Blade readers will remember Cornyn was the member of the Senate Judiciary Committee who pressed now U.S. Associate Justice Ketanji Brown Jackson during her confirmation hearing about the U.S. Supreme Court’s 2015 decision in favor of same-sex marriage, asking her whether she could understand observers being surprised by the outcome.

Despite Cornyn’s projections, Republicans in the Senate have had a history of keeping their cards close to their vests on measures relating to LGBTQ rights before some ultimately break away to vote in the favor of the legislation. Such has been the case in the past 12 years with “Don’t Ask, Don’t Tell” repeal and the Employment Non-Discrimination Act.

Bolstering the prospects for the Respect for Marriage Act is that the bill would reaffirm existing law as opposed to make changes. The legislation also wouldn’t codify same-sex marriage into the U.S. code, but rather repeal from the books the Defense of Marriage Act, which the Supreme Court struck down in 2013, and require states to recognize same-sex marriages performed elsewhere.

A final push for the legislation among its supporters was evident in recent days as expectations for a vote increased. The Human Rights Campaign was set on Thursday to deliver to the Pittsburgh office of the undecided Toomney letters urging him to support the Respect for Marriage Act

Within the Republican Party, more than 400 prominent Republicans signed a letter organized by the LGBTQ group Freedom for All Americans and issued on Tuesday urging support for the Respect for Marriage Act. Among the co-signers are former Republican National Committee chair Ken Mehlman, who’s gay; Mehmet Oz, the Republican Senate nominee in Pennsylvania; and former president George W. Bush’s daughter Barbara Bush.

“As Republicans and conservatives, we believe strong families and lasting relationships strengthen communities, and civil marriage is a fundamental freedom central to individual liberty and the pursuit of happiness,” the letter says. “We stand with the 71 percent of Americans today, including a majority of registered Republicans, who support the freedom to marry for all Americans.”

Baldwin, for her part, said in a statement to the Blade on Wednesday she continues to remain optimistic about reaching the necessary 60 votes on the Respect for Marriage Act and work continues behind the scenes on those efforts.

“I am continuing my work to build the Republican support needed to pass our bipartisan legislation to protect marriage equality and ensure Americans in same-sex and interracial marriages are guaranteed the same rights and freedoms of every other marriage,” Baldwin said. “These loving couples deserve this certainty and the American people overwhelmingly agree.”

Advertisement
FUND LGBTQ JOURNALISM
SIGN UP FOR E-BLAST

2026 Midterm Elections

LGBTQ Victory Fund looks beyond Washington for change in 2026

Vice President of Political Programs Daniel Hernández spoke with Blade

Published

on

Former Arizona state Rep. Daniel Hernández, right, campaigning for Joe Biden in 2020. (Photo courtesy of Daniel Hernández)

As the Trump-Vance administration enters its second year, LGBTQ people from around the country are running for public office amid fears of the removal of federal civil rights laws that could lead to rollbacks in protections.

The Washington Blade sat down with Daniel Hernández Jr., the newly made vice president of political programs for the LGBTQ Victory Fund, a nonpartisan political action committee dedicated to electing openly LGBTQ individuals to all levels of government, to discuss why now is more important than ever to actualize LGBTQ political power.

Hernández is often credited with saving the life of then-U.S. Rep. Gabrielle Giffords (D-Ariz.) while working as her 20-year-old intern in Tucson, Ariz., in 2011. He served on the Pima County School Board and in the Arizona House of Representatives from 2017-2023, advocating for LGBTQ rights, healthcare access, and education.

Founded in 1991, the Victory Fund was created by a group of prominent LGBTQ political voices, including Dallas gay rights activist William Waybourn and former Human Rights Campaign Fund Executive Director Vic Basile, who were inspired by the success of EMILY’s List, a PAC that works to elect Democratic women to office.

Since its founding, the Victory Fund has worked with LGBTQ advocates and LGBTQ-supportive donors who recognized the need to prepare LGBTQ people to run for office nationwide.

When asked where LGBTQ people and allies need to focus looking ahead, Hernández emphasized that 2026 will be won or lost at the state and local level.

“One of the bigger things that people may not be paying as close attention to as we really should is the impact of state and local races. Federal races are crucial, obviously, but the folks who are actually able to have an impact in a meaningful way right now are not the people in the U.S. House or Senate,” Hernández said. “It can take years before a bill even moves through Congress. Meanwhile, state and local leaders are the ones standing up and fighting for our rights today. Especially during this Trump administration, that’s where the real action is happening.”

He expanded on that point, saying that at this moment in the U.S. political landscape, statewide races matter far more than they are often given credit for — particularly as 2026 is a midterm year under President Donald Trump. People who win elected office in midterm years, Hernández explained, are many times viewed as legislators pushing back against the administration at the top.

“Looking at 2026 in particular, because it’s a midterm year, people sometimes forget just how many critical statewide races are on the ballot. We have people like Chris Mayes in Arizona, who won by less than 300 votes in a battleground state and is now running for reelection,” he said. “These are the races that protect democracy and protect people’s rights in real time. If we ignore them, we’re doing so at our own peril. Statewide offices are where so much power actually lives.”

Hernández also urged LGBTQ voters and donors to think critically about where their time, money, and energy are going — particularly as resources remain limited heading into 2026 and not every race is winnable.

“I think one thing we don’t do enough as a community is pause and ask whether our resources are actually going where they can have an impact. If someone is running against a Republican in a plus-20 Republican state that hasn’t elected a Democrat in decades, do I really need to give my limited resources there? Or does it make more sense to support candidates in competitive states like Arizona or Wisconsin? In 2026, we have to be more strategic, because our resources are not unlimited. Winning matters.”

That calculation, Hernández said, also means moving away from what he described as emotionally driven donations and toward a more deliberate strategy.

“Our community is incredible at rallying when we’re angry, and I call that ‘rage giving.’ Someone awful is in office, a challenger pops up, and we all open our wallets. But what we really need to be doing is asking where that money will actually move the needle. In 2026, it’s not enough to feel good about donating — we have to make sure those donations help candidates who can realistically win. That’s how we protect LGBTQ rights long term.”

Asked how the Victory Fund determines which candidates receive endorsements — especially amid a growing field of openly LGBTQ contenders — Hernández emphasized that viability is central to the organization’s approach in 2026.

“One of the things we’re really focused on in 2026 is viability. We’re not endorsing people who have a zero-percent chance of winning. We’re looking at candidates who are running strong campaigns, who have plans, who are fundraising, and who are doing the work. That’s important because our community deserves guidance it can trust. When you see a Victory endorsement, it means we believe that candidate can actually win.”

Hernández also pushed back on the long-standing notion that being openly LGBTQ is a political liability — an argument that has resurfaced amid right-wing attacks on LGBTQ candidates.

“There’s been this long-standing perception that being LGBTQ is a liability and that it can cost Democrats elections. But when you actually look at the data, that just isn’t true. The reality is that being LGBTQ is not a risk — it’s often a strength. Voters care about roads, health care, affordability, and jobs, not fear-based caricatures. In 2026, we’re seeing more LGBTQ candidates than ever because people understand that now.”

That shift, he added, has helped reframe what LGBTQ candidates are actually campaigning on — despite efforts by conservatives to reduce them to culture-war issues.

“The so-called ‘gay agenda’ is not bathrooms. It’s making sure people have access to health care, that roads are safe, and that families can afford to live. LGBTQ candidates are talking about the same bread-and-butter issues as everyone else. That’s why the idea that LGBTQ candidates cost elections just doesn’t hold up. In fact, we’re seeing them lead on some of the most important issues facing voters right now.”

As misinformation and fear-based narratives continue to dominate right-wing messaging, Hernández said openly LGBTQ elected officials play a crucial role in countering those attacks — both through policy and presence.

“First and foremost, any elected official’s responsibility is to their constituents. That’s what we’re seeing from LGBTQ officials who are focused on affordability, health care access, and consumer protections while Republicans obsess over culture-war nonsense,” Hernández said. “But there’s also a responsibility to be authentic. Being honest about who you are and why you fight matters. That authenticity cuts through fear-based disinformation.”

Looking ahead to 2026, Hernández pointed to transgender elected officials as a particular source of momentum and optimism, even amid intensified political attacks.

“Our trans elected officials are honestly at the forefront of some of the biggest battles we’re facing right now. Despite relentless attacks and vilification, they are still delivering results for their communities. That tells me something incredibly powerful about where the country is headed. Even in this political climate, trans leaders are winning and governing. That gives me a lot of hope for 2026.”

Ultimately, Hernández said the stakes of the upcoming cycle extend far beyond a single election, shaping the future of LGBTQ political leadership nationwide.

“The leaders we elect at the state and local level today are the members of Congress and senators of tomorrow. People don’t just wake up one day and run for Congress — they come from city councils, state legislatures, and school boards. That’s why 2026 is so important. If we invest now, we’re not just defending our rights in the moment, we’re building the next generation of LGBTQ leadership.”

Victory Fund’s endorsed candidates

Incumbents Endorsed: January 2026

  • Helen Grant (they/them) – Norman City Council, Ward 4, Okla.
  • Louie Minor (he/him) – Bell County Commission, Precinct 4, Texas
  • Jonathan West (he/him) – Manchester Selectboard, Vt.
  • George Leach (he/him) – Court of Common Pleas, Franklin County Judge, Ohio
  • John Fredrickson (he/him) – Nebraska State Senate, District 20
  • Ben Bowman (he/him) – Oregon House of Representatives, District 25
  • Jeffrey Prang (he/him) – Los Angeles County Assessor, Calif.
  • Amie Carter (she/her) – Sonoma County Superintendent of Schools, Calif.
  • Elinor Levin (she/her) – Iowa House of Representatives, District 89
  • Ken Carlson (he/him) – Contra Costa County Supervisor, District 4, Calif.
  • Emma Pinter (she/her) – Adams County Commission, District 3, at-large, Colo.
  • Justin Chenette (he/him) – York County Commission, District 3, Maine
  • Kris Fair (he/him) – Maryland House of Delegates, District 3
  • Jennifer Cornell (she/her) – Ann Arbor City Council, Ward 5, Mich.
  • Darlene Martinez (she/her) – Constable, El Centro – Downtown Phoenix, Ariz.
  • Brian Garcia (he/him) – Arizona House of Representatives, District 8
  • Christian Phelps (he/him) – Wisconsin State Assembly, District 93
  • Jack Patrick Lewis (he/him) – Massachusetts House of Representatives, 7th Middlesex
  • Will Brownsberger (he/him) – Massachusetts State Senate, Suffolk and Middlesex Counties
  • Julian Cyr (he/him) – Massachusetts State Senate, Cape & Islands District
  • CM Hall (she/they) – Newport City Council, Ore.
  • Jimmy Mack (he/him) – Southampton Town Trustee, N.Y.
  • Michael Vargas (he/him) – Elk Grove USD Board of Education, Area 2, Calif.
  • Lisa Grafstein (she/her) – North Carolina State Senate
  • Hector Bustos (he/him) – Trustee, Santa Ana Unified School District, Calif.

Newly Endorsed Candidates – January 2026

  • Kirk McPike (he/him) – Virginia House of Delegates, District 5
  • Winn Decker (he/him) – North Carolina House of Representatives, District 37
  • Jonathan Lambert-Melton (he/him) – Wake Co. Board of Commissioners, At-Large, N.C.
  • Karen Stegman (she/her) – Orange County Board of Commissioners, At-Large, N.C.
  • Landon Campbell (he/him) – Hays County Criminal District Attorney, Texas
  • Christine Castillo (she/her) – Bexar County District Clerk, Texas
  • Nicholas “Nico” Costilla (he/him) – Hays County Clerk, Texas
  • Davis Mendoza Darusman (he/him) – Harris Co. Justice of the Peace, Pct. 5, Pl. 2, Texas
  • Nicholas Palmer (he/him) – Justice, Fifth Court of Appeals, Texas
  • José “Che-Che” Wilson (he/him) – Cook County Board of Commissioners, District 12, Ill.
  • Sarah Bury (she/her) – Metropolitan Water Reclamation District Board of Commissioners, Ill.

For more information of the LGBTQ Victory Fund’s endorsments, qualifications, or on how to register to receive an endorsement, visit the organization’s website at victoryfund.org

Continue Reading

Congress

New Equality Caucus vice chair endorses Equality Act, federal trans bill of rights

Salinas talks about her personal road to LGBTQ advocacy

Published

on

Rep. Andrea Salinas (D-Ore.) (Screen capture via Congresswoman Andrea Salinas/YouTube)

Rep. Andrea Salinas, the new vice chair of the Equality Caucus, sat down with the Blade to discuss the battles ahead as she demands protections for LGBTQ Americans.

Salinas is no stranger to government service. The daughter of a Mexican immigrant, she graduated from the University of California, Berkeley, and soon became a valued member of multiple Democratic offices — including working as a congressional aide to U.S. Sen. Harry Reid (D-Nev.) and U.S. Reps. Pete Stark (D-Calif.) and Darlene Hooley (D-Ore.). From there, she served six years in the Oregon House of Representatives before being elected to Congress, representing areas south of Salem and parts of southern Portland. With her new role in the Equality Caucus, Salinas vows to push protections for LGBTQ Americans in every room she enters.

The Washington Blade spoke with Salinas last week following her leadership announcement to discuss what the role means to her, why she — as a straight woman— feels it is her duty to fight for LGBTQ protections, and how she views the current state of the country.

When asked why she decided to take on a leadership role within the Equality Caucus, Salinas explained that she was already doing the work — but that the timing of the caucus’s outreach, coupled with what she described as a growing threat posed by the Trump-Vance administration, made the moment feel especially urgent.

“I was actually asked to take on this role because of the work I’ve already been doing. I didn’t seek out a title— the Congressional Equality Caucus came to me, and I was honored by that,” the Oregon representative told the Blade. “I’ve been a lifetime advocate, first as a mother and then as a legislator. With Trump back in office and the shackles off, kids are vulnerable right now, and they’re being attacked. We need champions, and with or without a title, I was going to do this work anyway.”

That work includes passing LGBTQ-related education policy during her time in the Oregon House of Representatives, requiring the Oregon Department of Education to train teachers on how to better support LGBTQ students. She also backed legislation aimed at preventing LGBTQ-related bullying and harassment, while using her platform to ensure educators had the skills needed to address trauma in the classroom. Salinas also pushed for Oregon’s 2013 conversion therapy ban and played a role in defending it.

Salinas said her personal motivation for expanding and protecting LGBTQ rights is rooted in the experiences of her daughter, Amelia.

“My daughter is queer, and she has known who she is since she was a child,” Salinas said. “She presents very masculine, and I’ve had to advocate for her her entire life — from whispers on soccer sidelines to fears about using the bathroom when she was just three or four years old. That kind of bullying and harassment stays with you as a parent. It became part of who I am, part of my ‘mama bear’ advocacy. When I entered public office, continuing that fight was the most natural thing in the world.”

That “mama bear” advocacy, she said, now extends far beyond her own family.

“Across this country, kids are vulnerable right now, and Trump is attacking them,” she said. “My daughter was devastated after the 2024 election— she said, ‘They’re coming after us,’ and she was right. That fear is real, especially for transgender youth. Civil rights should be expanding, not being stripped away from certain communities. That’s why this fight feels so urgent.”

Since returning to the White House in 2024, the Trump administration has moved to roll back anti-discrimination protections, particularly those affecting transgender people. These efforts include barring transgender people from serving openly in the military, blocking access to gender-affirming medical care in federal health programs, challenging state laws that protect transgender students on religious grounds, and arguing that the Constitution entitles employers to discriminate against LGBTQ people based on religious beliefs — even in states with nondiscrimination laws.

For Salinas, the Equality Caucus’s most urgent task under the Trump-Vance administration is advancing what she called a long-sought but non-negotiable priority: the Equality Act.

The Equality Act would add explicit protections based on sexual orientation and gender identity to federal law. Despite more than five decades of debate on Capitol Hill, no version of the bill has yet become law.

“We have to keep pushing the Equality Act— there’s no way around that. No one should be discriminated against in housing, employment, credit, or healthcare because of who they are,” Salinas said. “Republicans are making LGBTQ identity a political wedge because they think it’s expedient, and that’s unacceptable. Sexual orientation and gender identity should not matter in determining someone’s access to opportunity. Yet here we are, still having to fight for that basic principle.”

Salinas added that advancing legislation like the Equality Act requires compassion— even when that compassion is not returned— and a commitment to education.

“We have to meet people where they are— Democrats, Republicans, independents, all of them. Until you know a family, or understand someone’s lived experience, it can feel abstract and overwhelming,” she said. “Education, compassion, and empathy are essential to moving the dial. When people understand this is about human rights, not politics, conversations start to change. That’s how we build broader support.”

She also emphasized the need for a federal transgender bill of rights, which would provide explicit protections for transgender Americans amid what she described as an increasingly hostile federal environment.

“A transgender bill of rights would clarify that discrimination against transgender and nonbinary people is illegal — in employment, housing, credit, and healthcare,” Salinas said. “What’s happening right now, with efforts to criminalize doctors for providing evidence-based care, is unheard of and dangerous. We also need to ban conversion therapy nationwide, because states are increasingly trying to undo those protections through the courts. These safeguards are about ensuring people can live safely and with dignity. That should not be controversial.”

Mental health is another central focus of Salinas’s work. She said ensuring children have access to support— particularly LGBTQ youth— is critical to their long-term wellbeing.

After the Trump administration eliminated the LGBTQ-specific option from the 988 Suicide and Crisis Lifeline, Salinas said her reaction was one of outrage.

“When Trump shut down the 988 press-three option for LGBTQ youth, I was apoplectic,” she said. “It is one of the simplest, most upstream ways to save lives, and it felt arbitrary, cruel, and inhumane. We know the suicide risk among transgender youth is far higher than among non-LGBTQ kids. Connecting them with someone who understands their experience can be life-saving. This should be bipartisan, and I’m going to keep pushing to restore it.”

“You cannot be what you cannot see….” she added while reflecting on the handful of LGBTQ leaders who have— and continue to— navigate the halls of Congress to protect their community. “When Sarah McBride was elected, my daughter met with her and walked out glowing… joyful, hopeful, and excited about the future. That kind of representation changes lives. Electing LGBTQ leaders changes the trajectory for people across the country. Grassroots organizing and electoral power go hand in hand, and we need both.”

With Salinas’s experience in both the Oregon House of Representatives and the U.S. House of Representatives, she said that while one arena may reach more people, change often begins locally, especially when combating anti-LGBTQ attacks.

“I’ve seen how misinformation fuels fear at the local level— whether it’s school board fights or bathroom debates rooted in baseless claims. There is no data to support these scare tactics,” she said, echoing her past work with the Oregon Department of Education. “What actually helps is facts, education, and training teachers to better support LGBTQ students. I passed legislation in Oregon to give educators real tools to prevent bullying and harassment. That kind of work matters just as much as what we do in Congress.”

Despite just being named vice chair of the Equality Caucus, the Blade asked Salinas what legacy she hopes to leave, particularly when it comes to LGBTQ advocacy.

“I want people to be able to live authentically, without fear from their government or their neighbors. That means passing real legislation— the Equality Act and a transgender bill of rights— so protections are not dependent on who’s in power. Civil and human rights are meant to expand, not contract.

“I’ve been doing this work since I became a mother, and I’ll keep doing it for as long as it takes. My daughter deserves it, and so does every LGBTQ person in this country.”

Continue Reading

District of Columbia

D.C. Council gives first approval to amended PrEP insurance bill

Removes weakening language after concerns raised by AIDS group

Published

on

‘This is a win in the fight against HIV/AIDS,’ said Council member Zachary Parker. (File photo courtesy of Earline Budd)

The D.C. Council voted unanimously on Feb. 3 to approve a bill on its first of two required votes that requires health insurance companies to cover the costs of HIV prevention or PrEP drugs for D.C. residents at risk for HIV infection.

 The vote to approve the PrEP D.C. Amendment Act came immediately after the 13-member Council voted unanimously again to approve an amendment that removed language in the bill added last month by the Council’s Committee on Health that would require insurers to fully cover only one PrEP drug.

The amendment, introduced jointly by Council members Zachary Parker (D-Ward 5), who first introduced the bill in February 2025, and Christina Henderson (I-At-Large), who serves as chair of the Health Committee, requires insurers to cover all U.S. Food and Drug Administration approved PrEP drugs.  

Under its rules, the D.C. Council must vote twice to approve all legislation, which must be signed by the D.C. mayor and undergo a 30-day review by Congress before it takes effect as a D.C. law.

Given its unanimous “first reading” vote of approval on Feb. 3, Parker told the Washington Blade he was certain the Council would approve the bill on its second and final vote expected in about two weeks.

Among those who raised concerns about the earlier version of the bill was Carl Schmid, executive director of the D.C.-based HIV+Hepatitis Policy Institute, who sent messages to all 13 Council members urging them to remove the language added by the Committee on Health requiring insurers to cover just one PrEP drug.

The change made by the committee, Schmidt told Council members, “would actually reduce PrEP options for D.C. residents that are required by current federal law, limit patient choice, and place D.C. behind states that have enacted HIV prevention policies designed to remain in effect regardless of any federal changes.”

Schmid told the Washington Blade that although coverage requirements for insurers are currently provided through coverage standards recommended in the U.S. Affordable Care Act, known as Obamacare, AIDS advocacy organizations have called on D.C. and states to pass their own legislation requiring insurance coverage of PrEP in the event that the federal policies are weakened or removed by the Trump administration, which has already reduced or ended federal funding for HIV/AIDS-related programs.

“The sticking point was the language in the markup that insurers only had to cover one regimen of PrEP,” Parker told the Blade in a phone interview the night before the Council vote. “And advocates thought that moved the needle back in terms of coverage access, and I agree with them,” he said.

In anticipation that the Council would vote to approve the amendment and the underlying bill, Parker, the Council’s only gay member, added, “I think this is a win for our community. And this is a win in the fight against HIV/AIDS.”

During the Feb. 3 Council session, Henderson called on her fellow Council members to approve both the amendment she and Parker had introduced and the bill itself. But she did not say why her committee approved the changes that advocates say weakened the bill and that her and Parker’s amendment would undo. Schmid speculated that pressure from insurance companies may have played a role in the committee change requiring coverage of only one PrEP drug. 

“My goal for advancing the ‘PrEP DC Amendment Act’ is to ensure that the District is building on the progress made in reducing new HIV infections every year,” Henderson said in a statement released after the Council vote. “On Friday, my office received concerns from advocates and community leaders about language regarding PrEP coverage,” she said.

“My team and I worked with Council member Parker, community leaders, including the HIV+Hepatitis Policy Institute and Whitman-Walker, and the Department of Insurance, Securities, and Banking, to craft a solution that clarifies our intent and provides greater access to these life-saving drugs for District residents by reducing consumer costs for any PrEP drug approved by the U.S. Food and Drug Administration,” her statement concludes.

In his own statement following the Council vote, Schmid thanked Henderson and Parker for initiating the amendment to improve the bill. “This will provide PrEP users with the opportunity to choose the best drug that meets their needs,” he said. “We look forward to the bill’s final reading and implementation.”

Continue Reading

Popular