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Growing number of care providers catering to LGBTQ seniors

SAGE highlights unique needs of community at Virginia event

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More healthcare providers are recognizing the unique challenges faced by LGBTQ elders. (Photo courtesy of Bigstock)

An event scheduled for Nov. 17 in Sterling, Va., described as ‘Giving Thanks to LGBTQ+ Elders: SAGE Table’ was expected to draw attention to the growing number of organizations and senior care facilities in Northern Virginia and in the D.C. metro area in general that are supportive of LGBTQ seniors.

The New York City-based national LGBTQ seniors advocacy group SAGE launched what it called SAGE Tables in 2017 as a gathering to share a meal among people of all ages to support their LGBTQ friends and family members who are seniors, in part, to alleviate social isolation.

SAGE has said hundreds of such gatherings have taken place across the country since SAGE Table events began.

The Sterling, Va., SAGE Table event was being co-hosted by five Northern Virginia-based senior care organizations or facilities that are welcoming to LGBTQ seniors, according to Karen McPhail, the CEO of Eldementals, LLC, one of the senior care providers hosting the event.

McPhail is also the founder and director of Aging Rainbows, a Great Falls, Va.-based group that advocates for LGBTQ seniors, and which is also one of the five co-hosts of the SAGE Table event in Sterling.

The other co-hosts include Insight Memory Care, a seniors care facility in Sterling where the SAGE Table event was to be held; Care Connect Nova of Purcellville, Va., a lesbian-owned company that provides in-home concierge senior care services in all parts of Northern Virginia; and Retirement Unlimited, Inc. (RUI), a Richmond, Va.-based company that provides both independent and assisted living residential facilities for seniors in Northern Virginia.

“Come enjoy an evening of dining and conversation,” a statement released by organizers of the Sterling SAGE Table event says. “SAGE Table events bring together people of all ages to share a meal and conversation,” it says. “The transformative relationships formed around a SAGE Table can alleviate social isolation and its consequences.”

McPhail said that while the senior care operators co-hosting the SAGE Table, including her company, are supportive and knowledgeable of the needs of LGBTQ seniors, not all such facilities have that knowledge and provide that support. She said she was prompted to form Aging Rainbows after witnessing first-hand inappropriate treatment toward one of her clients who is transgender.

“One of my transgender clients fell,” McPhail said. “She had a neck fracture. She had been doing well, independent, no problems before the fall,” McPhail told the Blade. “She is 63 years old and all of a sudden, she’s going to skilled nursing rehab. And they wanted to put her in a gender inappropriate room,” McPhail continued.

“And it took me hours of shielding her from what I thought was inappropriate, and educating and advocating to find the appropriate room,” she said. “I had to work over weeks to educate people who had no idea of her needs. And at that point, I sat down at my desk and said, enough. So, I created at that time all the information for starting Aging Rainbows.”

Among other things, McPhail said, Aging Rainbows advises senior care facilities she works with to enroll employees and officials in an LGBTQ competency training program operated nationally by SAGE. The facilities and organization participating in the program, called SAGECare, are designated “SAGECare credentialed” and are included in SAGE database lists available to LGBTQ elders looking for a safe and supportive facility in which to reside.

“It is the case now that in almost all states there are one or more elder care facilities that have been trained throughout our SAGECare program,” SAGE CEO Michael Adams told the Blade in a recent interview. “But it’s nowhere near where it needs to be,” he said. “It needs to be that there are welcoming elder care facilities in every single community in this country” for LGBTQ elders.

Insight Memory Care and Eldementals are SAGECare Platinum credentialed, according to SAGE spokesperson Christina Da Costa.

Da Costa told the Blade this week that there are currently 17 SAGECare credentialed organizations or facilities in the D.C. metro area. Among them is the Ingleside at Rock Creek residential seniors facility in D.C.

Under the SAGECare program, there are now 174,699 professionals trained and 748 SAGECare credentialed organizations or facilities nationwide, Da Costa said.

As of one year ago, SAGE said there were 15 elder care residential facilities in the U.S. created specifically to serve LGBTQ seniors. They are located in several of the nation’s large cities, including New York, San Francisco, and Los Angeles. But none are located in D.C., Virginia or Maryland.

Aging Rainbows, meanwhile, is among several D.C.-area organizations that provide support and services for LGBTQ seniors. The D.C. Center for the LGBT Community and Whitman-Walker Health, D.C.’s LGBTQ supportive healthcare center, have provided programs and services for LGBTQ seniors for more than a decade.

Among the regular events offered by Center Aging, the D.C. Center’s seniors program are its weekly Monday morning Coffee and Conversation gathering and its weekly Friday afternoon Tea Time gathering. Both are currently held via Zoom.

As part of its ongoing special events, the Center Aging program held an event on Saturday, July 21 called Intergenerational Hangout in which LGBTQ older adults and LGBTQ younger adults came together for a discussion about “everything and anything in the hopes of building bridges between generations and providing some laughs along the way,” according to a D.C. Center announcement of the event.

Abby Fenton, a spokesperson for Whitman-Walker Health, said the LGBTQ supportive health center has long provided supportive and affirming medical care for LGBTQ seniors who make up a large number of its patients.

Fenton said “quite a few” of Whitman-Walker’s LGBTQ seniors patients are longtime HIV survivors who feel comfortable coming to a healthcare provider with expertise and understanding of how best to keep people with HIV healthy.

Whitman-Walker Health also co-coordinates at least four peer-led support groups for LGBTQ seniors called Silver Circles, that meet once a week, according to Michael Mitchell, the Whitman-Walker coordinator of the Silver Circles program. Mitchell said the program is operated jointly by Whitman-Walker and Iona Senior Services, a D.C.-based nonprofit organization that provides services for seniors, including LGBTQ seniors.

“Iona is proud to offer programs specifically created for LGBTQ older adults, in addition to our other programs that are open to everyone, regardless of sexual orientation or gender expression,” Iona says on its website.

Mitchell said the Silver Circles groups discuss a wide range of issues of interest to LGBTQ seniors, including the subject of sex.

He said the program is supported financially by the D.C. Department of Aging and Community Living, which lists on its website community-based organizations, including Whitman-Walker, Iona, and the D.C. Center that provide services for LGBTQ seniors.

Also providing support and services for LGBTQ seniors is Capitol Hill Village, a nonprofit organization serving older adults in Capitol Hill and surrounding neighborhoods, a statement on organization’s website says. The statement says the group’s focus is on helping seniors “age in place” in their own homes by providing services from its volunteers such as home maintenance and transportation.

Like the D.C. Center’s LGBTQ seniors gathering events on Mondays and Fridays, Mitchell said all the Silver Circle gatherings continue to meet virtually via Zoom.

Longtime D.C. LGBTQ seniors advocate Ron Swanda said he is disappointed that the D.C. Center’s seniors gatherings as well as other local seniors events have continued to meet virtually.

“I’d rather do these things face to face because I learn better and I like to get the feel for the people involved,” he said. “When I do it online I don’t,” said Swanda, who told the Blade he has withdrawn from participating in most Zoom events.

Mitchell of Whitman-Walker said that although participants in the LGBTQ seniors programs yearn for the pre-COVID, in-person gatherings, most have adjusted to the Zoom meetings, and some prefer them.   

“Initially, we were concerned that our senior Circle folks wouldn’t necessarily get the technology,” Mitchell said in referring to the use of online programs like Zoom. “But they’ve glommed onto the technology pretty quickly,” he said.

“And what we have found is that they do miss meeting in person, as isolation is one of the things we’re trying to tackle, but not having to come downtown, find parking, be out after dark, be on icy sidewalks in the winter, that kind of thing has actually been very helpful for a lot of these folks,” according to Mitchell.

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District of Columbia

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

Removes weakening language after concerns raised by AIDS group

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‘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, Schmid 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.”

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Maryland

4th Circuit dismisses lawsuit against Montgomery County schools’ pronoun policy

Substitute teacher Kimberly Polk challenged regulation in 2024

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(Photo by Sergei Gnatuk via Bigstock)

A federal appeals court has ruled Montgomery County Public Schools did not violate a substitute teacher’s constitutional rights when it required her to use students’ preferred pronouns in the classroom.

The 4th U.S. Circuit Court of Appeals in a 2-1 decision it released on Jan. 28 ruled against Kimberly Polk.

The policy states that “all students have the right to be referred to by their identified name and/or pronoun.”

“School staff members should address students by the name and pronoun corresponding to the gender identity that is consistently asserted at school,” it reads. “Students are not required to change their permanent student records as described in the next section (e.g., obtain a court-ordered name and/or new birth certificate) as a prerequisite to being addressed by the name and pronoun that corresponds to their identified name. To the extent possible, and consistent with these guidelines, school personnel will make efforts to maintain the confidentiality of the student’s transgender status.”

The Washington Post reported Polk, who became a substitute teacher in Montgomery County in 2021, in November 2022 requested a “religious accommodation, claiming that the policy went against her ‘sincerely held religious beliefs,’ which are ‘based on her understanding of her Christian religion and the Holy Bible.’”

U.S. District Judge Deborah Boardman in January 2025 dismissed Polk’s lawsuit that she filed in federal court in Beltsville. Polk appealed the decision to the 4th Circuit.

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District of Columbia

Norton hailed as champion of LGBTQ rights

D.C. congressional delegate to retire after 36 years in U.S. House

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Del. Eleanor Holmes Norton announced she will not seek re-election; her term ends January 2027. (Washington Blade file photo by Drew Brown)

LGBTQ rights advocates reflected on D.C. Congressional Del. Eleanor Holmes Norton’s longstanding advocacy and support for LGBTQ rights in Congress following her decision last month not to run for re-election this year. 

Upon completing her current term in office in January 2027, Norton, a Democrat, will have served 18 two-year terms and 36 years in her role as the city’s non-voting delegate to the U.S. House.

LGBTQ advocates have joined city officials and community leaders in describing Norton as a highly effective advocate for D.C. under the city’s limited representation in Congress where she could not vote on the House floor but stood out in her work on House committees and moving, powerful speeches on the House floor.

 “During her more than three decades in Congress, Eleanor Holmes Norton has been a champion for the District of Columbia and the LGBTQ+ community,” said David Stacy, vice president of government affairs for the Human Rights Campaign, the D.C.-based national LGBTQ advocacy organization.

“When Congress blocked implementation of D.C.’s domestic partnership registry, Norton led the fight to allow it to go into effect,” Stacey said. “When President Bush tried to ban marriage equality in every state and the District, Norton again stood up in opposition. And when Congress blocked HIV prevention efforts, Norton worked to end that interference in local control,” he said.

Del. Eleanor Holmes Norton (D-D.C.) (Washington Blade photo by Jeff Surprenant)

In reflecting the sentiment of many local and national LGBTQ advocates familiar with Norton’s work, Stacy added, “We have been lucky to have such an incredible champion. As her time in Congress comes to an end, we honor her extraordinary impact in the nation’s capital and beyond by standing together in pride and gratitude.”

Norton has been among the lead co-sponsors and outspoken supporters of LGBTQ rights legislation introduced in Congress since first taking office, including the currently pending Equality Act, which would ban employment discrimination based on sexual orientation and gender identity. 

Activists familiar with Norton’s work also point out that she has played a lead role in opposing and helping to defeat anti-LGBTQ legislation. In 2018, Norton helped lead an effort to defeat a bill called the First Amendment Defense Act introduced by U.S. Sen. Mike Lee (R-Utah), which Norton said included language that could “gut” D.C.’s Human Rights Act’s provisions banning LGBTQ discrimination.

Norton pointed to a provision in the bill not immediately noticed by LGBTQ rights organizations that would define D.C.’s local government as a federal government entity and allow potential discrimination against LGBTQ people based on a “sincerely held religious belief.”

“This bill is the latest outrageous Republican attack on the District, focusing particularly on our LGBT community and the District’s right to self-government,” Norton said shortly after the bill was introduced. “We will not allow Republicans to discriminate against the LGBT community under the guise of religious liberty,” she said. Records show supporters have not secured the votes to pass it in several congressional sessions.

In 2011, Norton was credited with lining up sufficient opposition to plans by some Republican lawmakers to attempt to overturn D.C.’s same-sex marriage law, that the Council passed and the mayor signed in 2010.   

In 2015, Norton also played a lead role opposing attempts by GOP members of  Congress to overturn another D.C. law protecting LGBTQ students at religious schools, including the city’s Catholic University, from discrimination such as the denial of providing meeting space for an LGBTQ organization.

More recently, in 2024 Norton again led efforts to defeat an attempt by Republican House members to amend the D.C. budget bill that Congress must pass to eliminate funding for the Mayor’s Office of LGBTQ Affairs and to prohibit the city from using its funds to enforce the D.C. Human Rights Act in cases of discrimination against transgender people.

“The Republican amendment that would prohibit funds from being used to enforce anti-LGBTQ+ discrimination regulations and the amendment to defund the Mayor’s Office of LGBTQ+ Affairs are disgraceful attempts, in themselves, to discriminate against D.C.’s LGBTQ+ community while denying D.C. residents the limited governance over their local affairs to which they are entitled,” Norton told the Washington Blade.

In addition to pushing for LGBTQ supportive laws and opposing anti-LGBTQ measures Norton has spoken out against anti-LGBTQ hate crimes and called on the office of the U.S. Attorney for D.C. in 2020 to more aggressively prosecute anti-LGBTQ hate crimes.

Del. Eleanor Holmes Norton marches in the 1995 AIDS Walk. (Washington Blade archive photo by Clint Steib)

“There is so much to be thankful for Eleanor Holmes Norton’s many years of service to all the citizens and residents of the District of Columbia,” said John Klenert, a member of the board of the LGBTQ Victory Fund. “Whether it was supporting its LGBTQ+ people for equal rights, HIV health issues, home rule protection, statehood for all 700,000 people, we could depend on her,” he said.

Ryan Bos, executive director of Capital Pride Alliance, the group that organizes D.C.’s annual LGBTQ Pride events, called Norton a “staunch” LGBTQ community ally and champion for LGBTQ supportive legislation in Congress.

“For decades, Congresswoman Norton has marched in the annual Capital Pride Parade, showing her pride and using her platform to bring voice and visibility in our fight to advance civil rights, end discrimination, and affirm the dignity of all LGBTQ+ people” Bos said. “We will be forever grateful for her ongoing advocacy and contributions to the LGBTQ+ movement.”

Howard Garrett, president of D.C.’s Capital Stonewall Democrats, called Norton a “consistent and principled advocate” for equality throughout her career. “She supported LGBTQ rights long before it was politically popular, advancing nondiscrimination protections and equal protection under the law,” he said.

“Eleanor was smart, tough, and did not suffer fools gladly,” said Rick Rosendall, former president of the D.C. Gay and Lesbian Activists Alliance. “But unlike many Democratic politicians a few decades ago who were not reliable on LGBTQ issues, she was always right there with us,” he said. “We didn’t have to explain our cause to her.”

Longtime D.C. gay Democratic activist Peter Rosenstein said he first met Norton when she served as chair of the New York City Human Rights Commission. “She got her start in the civil rights movement and has always been a brilliant advocate for equality,” Rosenstein said.

“She fought for women and for the LGBTQ community,” he said. “She always stood strong with us in all the battles the LGBTQ community had to fight in Congress. I have been honored to know her, thank her for her lifetime of service, and wish her only the best in a hard-earned retirement.”

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