Local
Growing number of care providers catering to LGBTQ seniors
SAGE highlights unique needs of community at Virginia event
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.
Rehoboth Beach
Women’s FEST returns to Rehoboth Beach next week
Golf tournament, mini-concerts, meetups planned for silver anniversary festival
Women’s+ FEST 2026 will begin on Thursday, April 9 at CAMP Rehoboth Community Center.
The festival will celebrate a remarkable milestone in 2026: its silver anniversary. For 25 years, Women’s+ FEST has brought fun and entertainment for all those on the spectrum of the feminine spirit. There will be a variety of events including a golf tournament, mini-concerts and happy hour meetups.
For more information, visit Camp Rehoboth’s website.
District of Columbia
How new barriers to health care coverage are hitting D.C.
Federally qualified health centers bracing for influx of newly uninsured patients
Washington, D.C. has the second-lowest rate of people who lack health insurance in the country, but many residents are facing new barriers to health care due to provisions of the sweeping federal law passed in July, which threatens access for thousands.
Changes to insurance eligibility and the rising cost of premiums, which kicked in for some in October and others more recently, are expected to leave many more patients uninsured or unable to afford medical care. Federally qualified health centers, including D.C.’s Whitman-Walker Health, where 10 to 12 percent of patients are uninsured, are bracing for an influx of newly uninsured patients while facing their own financial challenges.
Even in D.C., where uninsured rates have been among the lowest in the country, changes brought on by the passage of the Republican mega bill (known as the “Big Beautiful Bill”) will have major effects.
The changes from the bill affect Medicaid, which is free to low-income patients, and subsidies for insurance that people buy on the health insurance exchanges that were started under the Affordable Care Act, which were allowed to expire on Dec. 31.
Erin Loubier, vice president for access and strategic initiatives at Whitman-Walker Health, says some Whitman-Walker Health patients have received notices about premium increases, including several who say the increases are up to 1,000 percent more than they were paying.
“That is like paying rent,” she says. “We live in an expensive city, so any increases are going to be really, really hard on people.”
Whitman-Walker Health and other healthcare providers are expecting the changes to have multiple effects — some patients may not be able to afford coverage or may avoid going to the doctor and allow health conditions to worsen because they can’t afford care, and many more will be seeking care who don’t have insurance.
“I’m worried that we’re going to not just have people who can’t get care, but that they delay care until they’re really sick, and then the care is not as effective because they might have waited too long, and then we may have a less healthy population,” Loubier says.
Loubier says delaying care, and serving more people without insurance has major implications for Whitman-Walker Health and other health centers serving the community.
“There’s going to be a lot of pressure on us to try to find and raise more money, and that’s going to be harder, because I think all organizations who provide health care are going to be facing this,” she says.
The U.S. health care system is the most expensive in the world, and has much higher out-of-pocket costs for individuals. But in other countries like the United Kingdom, Australia, Canada, and many others, health care is much less expensive — or even free.
Even though the U.S. has a high-priced healthcare system, critics say there are still ways to bring down costs by forcing insurance and pharmaceutical companies to absorb more of the costs, rather than transferring the costs to patients.
“In the U.S., they end up trying to cut costs at the person’s level, not at the level of the different corporations or structures that are making a lot of money in healthcare,” said Loubier. “Our system is so complicated and there is probably waste in it, but I don’t think that that cost and waste is at the ‘people’ level. I think it’s higher up at the system level, but that is much, much harder to get people to try to make cuts at that end.”
Ultimately at Whitman-Walker Health, healthcare providers and insurance navigators are planning to help with everyday necessities when it comes to healthcare coverage and striving to provide healthcare in partnership with patients, said Loubier.
“The key here is we’re going to have a lot of people who may lose insurance, and they’re going to rely on places like Whitman-Walker Health and other community health centers, so we have to figure out how we keep providing that care,” she said.
(This article was written by a student in the journalism program at Bard High School Early College DC. This work is part of a partnership between the Washington Blade Foundation and Youthcast Media Group, funded through the FY26 Community Development Grant from the Office of D.C. Mayor Muriel Bowser.)
District of Columbia
Mayor Bowser signs bill requiring insurers to cover PrEP
‘This is a win in the fight against HIV/AIDS’
D.C. Mayor Muriel Bowser on March 20 signed a bill approved by the D.C. Council that requires health insurance companies to cover the costs of HIV prevention or PrEP drugs for D.C. residents at risk for HIV infection.
Like all legislation approved by the Council and signed by the mayor, the bill, called the PrEP D.C. Amendment Act, was sent to Capitol Hill for a required 30-day congressional review period before it takes effect as D.C. law.
Gay D.C. Council member Zachary Parker (D-Ward 5) last year introduced the bill.
Insurance coverage for PrEP drugs has been provided through coverage standards included in the Affordable Care Act, known as Obamacare. But AIDS advocacy organizations have called on states and D.C. to pass their own legislation requiring insurance coverage of PrEP as a safeguard in case federal policies are weakened or removed by the Trump administration, which has already reduced federal funding for HIV/AIDS-related programs.
Like legislation passed by other states, the PrEP D.C. Amendment Act requires insurers to cover all PrEP drugs approved by the U.S. Food and Drug Administration.
Studies have shown that PrEP drugs, which can be taken as pills or by injection just twice a year, are highly effective in preventing HIV infection.
“I think this is a win for our community,” Parker said after the D.C. Council voted unanimously to approve the bill on its first vote on the measure in February. “And this is a win in the fight against HIV/AIDS.”
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