Politics
EXCLUSIVE: Pelosi reflects on long career, LGBTQ advocacy
Former Speaker credits activists who fought for AIDS funding, marriage equality
Rep. Nancy Pelosi (D-Calif.) sat down with the Washington Blade in her office Tuesday evening for an exclusive interview just weeks after formally stepping down from leadership, having led her party in the House for 20 years, including as Speaker.
Pelosi reflected on the role she has played in landmark legislative achievements, including milestones in the fight for LGBTQ rights. She also addressed some current events that have earned significant attention from political observers and the beltway press.
So much of the historic progress over the past few decades in advancements toward the legal, social, and political equality of LGBTQ Americans, including those living with HIV/AIDS, was facilitated directly or otherwise supported by Pelosi’s leadership in Congress, but she was quick to credit the tireless work of individual activists and LGBTQ, civil rights, and HIV/AIDS advocacy groups.
“I attribute the success with [fighting] HIV/AIDS and everything that came after,” from legislation on hate crimes to marriage equality, “to the outside mobilization” of these activists and organizations, she told the Blade.
Despite positioning herself as an advocate for LGBTQ rights well before that position was popular, Pelosi said she is unaware of any instances where she may have suffered political consequences as a result. Regardless, she said, “I don’t care.”
The more she has been criticized for championing LGBTQ rights in Congress, “the more proud I am” of that work, Pelosi added.
Pelosi has always been a strident LGBTQ ally, guided by her commitment to justice, love, and fairness as ordained by the teachings of her Catholic faith. These ideals are in perfect alignment, she said, as opposed to the position held by many opponents of LGBTQ rights who nevertheless claim to believe we are all created in God’s image.
During an interview with Larry King, when serving as the San Francisco Democratic National Convention host committee chairwoman in 1984, Pelosi said the late television host remarked: “I just don’t understand how a Catholic girl who grew up in Baltimore, Maryland is such a champion for gay rights.”
“You’ve answered your own question,” Pelosi told him, referring to his mention of her Catholicism. “It is our faith that tells us that we’re all God’s children, and we must respect the dignity and worth of every person.”
Pelosi’s time in Congress began with the AIDS crisis, and she has kept up the fight ever since
After committing herself and the Congress to the fight against HIV/AIDS during her first speech from the floor of the House in 1987, Pelosi said some of her colleagues asked whether she thought it wise for her feelings on the subject to be “the first thing that people know about you” as a newly elected member.
They questioned her decision not because they harbored any stigma, but rather for concern over how “others might view my service here,” Pelosi said. The battle against HIV/AIDS, she told them, “is why I came here.”
“It was every single day,” she said.
Alongside the “big money for research, treatment, and prevention” were other significant legislative accomplishments, such as “when we] were able to get Medicaid to treat HIV [patients] as Medicaid-eligible” rather than requiring them to wait until their disease had progressed to full-blown AIDS to qualify for coverage, said Pelosi, who authored the legislation.
“That was a very big deal for two reasons,” she said. First, because it saved lives by allowing low-income Americans living with HIV to begin treatment before the condition becomes life-threatening, and second, because “it was the recognition that we had this responsibility to intervene early.”
Other milestones in which Pelosi had a hand include the Housing Opportunities for People with AIDS program, President Bush’s PEPFAR (President’s Emergency Plan For AIDS Relief) initiative, the Affordable Care Act (which contains significant benefits for Americans living with HIV/AIDS), and funding for the Ending the Epidemic initiative.
The last appropriations bill passed under Pelosi’s tenure as Democratic leader in December contained an additional $100 million boost to HIV/AIDS programs.
These and other hard-won victories over the years – from the biomedical progress made possible by investment in research to foreign aid packages that have saved countless lives overseas – have often come despite staunch opposition from lawmakers, particularly congressional Republicans.
For instance, the late former Sen. Jesse Helms of North Carolina opposed federal funding for HIV/AIDS research because he considered it tantamount to the government’s endorsement of “the homosexual lifestyle” responsible for the spread of the disease in the U.S.
Asked how she might compare anti-LGBTQ members like Helms with whom she worked in the past to those serving today, Pelosi said the most salient difference is the homophobic and transphobic attitudes among lawmakers in previous decades were in many cases borne out of ignorance.
Pelosi said that while the prejudice was “horrible [back] then” and she was “impatient” with lawmakers in the House who exhibited attitudes similar to those expressed by Helms, at that time people who held those views were often “just not up to date on what was happening in the world.”
(Pelosi noted that, for his part, Helms seemed to soften his stance on matters concerning HIV/AIDS. She suspects U2 frontman Bono may have successfully appealed to Helms as a parent, but “I don’t know exactly.”)
By contrast, today’s lawmakers, like the overwhelming majority of Americans, “must have a growing awareness of [LGBTQ] people in their own communities, maybe in their own families,” Pelosi said. “They’re really in a different world,” which means, they “have made a decision that they’re going to be anti-LGBTQ,” she said, adding that hate and prejudice today is most often directed at the trans community. “It’s completely unacceptable.”
Asked to share her thoughts on the many scandals that have unfolded over the past couple of months concerning gay freshman GOP Rep. George Santos of New York, Pelosi pointed out that while the congressman has dominated headlines recently, other members of the House Republican caucus who have weaponized homophobia and transphobia to a far greater extent than he are much more dangerous.
But first, Pelosi said that House Democrats would never do what the Republican leadership has done by tolerating the embattled freshman congressman to protect their slim majority control of the chamber.
Santos is “almost a joke; he’s become a punch line,” Pelosi said. “He’s outrageous, and there’s no way he should be allowed to serve” given the extent to which the congressman has failed to exhibit the “dignity” required of members who are privileged to serve in the House of Representatives.
At the same time, “there are people over there who are more seriously dangerous to the freedoms in our country than him” Pelosi said. She pointed to the hate mongering and fear mongering in which many of Santos’s Republican colleagues have engaged, including “the things that that they say about trans families and, just, the injustice of it all.”
The aim of these far-right lawmakers extends far beyond undermining the rights of LGBTQ people, of course. Pelosi noted that, “you have to remember, with all of these things, whether we’re talking about women’s right to choose – we’ve always expanded freedoms. And now with this Supreme Court, they’re narrowing freedoms with women’s right to choose” by the revocation of constitutional protections for abortion via last year’s ruling in Dobbs v. Jackson Women’s Health Organization.
Breaking the ‘marble ceiling’
During a lecture last year hosted at the University of California, Berkeley, Barbara Boxer, who formerly represented California in the House and then in the Senate, commented on the historic significance of Pelosi’s election to become the first woman Speaker of the House of Representatives in 2006. “The fact that a woman could get into the leadership like this, to win the trust of all these men, it’s more extraordinary than you can imagine,” Boxer said.
Boxer has also been a trailblazer for women in politics. She was the first woman to chair the Marin County Board of Supervisors, and after her election to serve in the upper chamber alongside California’s senior Sen. Dianne Feinstein, the two became the first pair of women to represent any state in the U.S. Senate.
Asked how she managed to secure the votes from, particularly, the older men in her caucus without compromising her values, Pelosi told the Blade, “I just did what I believed” rather than coming to Congress to “change other people’s behavior.”
She said that many of her male colleagues “had to get over their own negative attitudes” concerning the prospect of electing a woman to lead their party in the House, but “I wasn’t going to wait until then.”
At the same time, Pelosi acknowledged that “it took courage to vote for a woman as speaker,” noting that when she was sworn in back in 2007, she took the opportunity to thank the men who had supported her speakership. (She was elected unanimously on the first ballot.)
Pelosi said that prior to her speakership, she had always believed that the prospect of Americans electing a woman president was likelier to happen in her lifetime than members of Congress – who tend to be older men – voting for a woman speaker.
“I thought the American people were more ready than the Congress” to break the “marble ceiling,” she said.
Considering the parallel special counsel investigations into alleged mishandling of classified documents by President Joe Biden and former President Donald Trump, Pelosi has perhaps unwittingly strengthened the case for America to elect a woman president by virtue of her unblemished record as a steward of sensitive, top-secret information.
“I have 30 years of experience in intelligence. I have been on the [House Intelligence] Committee, the top Democrat on the Committee, ex officio on the Committee, a speaker and [Democratic] leader [in the House],” Pelosi said.
She distinguished the rules by which she and other members of Congress are governed, which prohibit the removal or relocation of classified documents, from the policies that the Commander in Chief must follow, which are comparably more permissive.
Regardless, Pelosi said, “the documents are to be respected,” along with the rules and procedures for how they should be handled.
There are also important distinctions to note between the allegations against Trump and Biden, Pelosi said. “When you see the former president obstructing access to the documents, and you see this president saying, ‘I’ve instructed my lawyers to look for whatever is there and make them available to the Justice Department,’ that’s two different things,” she said.
Additionally, Pelosi said, from the information that has been made available so far, it seems that Trump was in possession of a greater volume of documents whose contents were more sensitive than those at issue in Biden’s case.
Pelosi’s LGBTQ fans celebrate her accomplishments
In November, the Human Rights Campaign, America’s largest LGBTQ advocacy organization, issued a statement following Pelosi’s announcement of her plans to step down from Democratic leadership but continue to represent her constituents in California’s 11th Congressional District in the House.
“Speaker Pelosi has been the tip of the spear on watershed advancements for the LGBTQ+ community,” HRC President Kelley Robinson said in a statement, pointing to her 1987 speech on the AIDS crisis and “forceful advocacy for marriage equality long before its mainstream popularity,” both before she was elected as speaker.
The Clinton-era Defense of Marriage Act, which banned federal recognition of same-sex marriages, was signed into law in 1996 with overwhelming support from both parties in both chambers of Congress; 342 members of the House voted for the proposal, with Pelosi joining only 64 other House Democrats, one independent, and one Republican in her opposition.
“During [Pelosi’s] tenure as Speaker,” HRC noted, “the House of Representatives passed an historic hate crimes law [the Matthew Shepard and James Byrd Jr. Hate Crimes Prevention Act], repealed the discriminatory ‘Don’t Ask, Don’t Tell’ law, led the fight to enact the Affordable Care Act, and vocally opposed bans on transgender members serving in our nation’s military.”
Pelosi’s leadership was bookended with Congress’s passage late last year of the Respect for Marriage Act, which is credited as the greatest legislative victory for LGBTQ Americans since the 2010 repeal of “Don’t Ask, Don’t Tell.”
Outside the U.S. Capitol building, Pelosi has also been celebrated by the LGBTQ community for signaling her support through, for example, her participation in some of the earliest meetings of the NAMES Project AIDS Memorial Quilt, her meeting with the survivors of the 2016 Pulse nightclub massacre, and her appearance at a host of LGBTQ events over the years.
Of course, at the same time, Pelosi has been a constant target of attacks from the right, which in the past few years have become increasingly violent. During the siege of the Capitol on Jan. 6, 2021, her office was ransacked by insurrectionists who shouted violent threats against her. A couple of weeks later, unearthed social media posts by far-right Rep. Marjorie Taylor Greene (Ga.) revealed she had signaled support for executing Pelosi along with other prominent House Democrats. And last October, the speaker’s husband Paul Pelosi suffered critical injuries after he was attacked by a man wielding a hammer who had broken into the couple’s San Francisco home.
Pelosi told CNN last week that her husband is “doing OK,” but expects it will “take a little while for him to be back to normal.”
Among her fans in progressive circles, Pelosi – who has been a towering figure in American politics since the Bush administration – has become something of a cultural icon, as well. For instance, the image of her clapping after Trump’s State of the Union speech in 2019 has been emblazoned on coffee mugs.
“What is so funny about it,” Pelosi said, is rather than “that work [over] all these years as a legislator,” on matters including the “Affordable Care Act, millions of people getting health care, what we did over the years with HIV/AIDS in terms of legislation, this or that,” people instead have made much ado over her manner of clapping after Trump’s speech. And while the move was widely seen as antagonistic, Pelosi insisted, “it was not intended to be a negative thing.”
Regardless, she said, “it’s nice to have some fun about it, because you’re putting up with the criticism all the time – on issues, whether it’s about LGBTQ, or being a woman, or being from San Francisco, or whatever it is.”
Congress
EXCLUSIVE: Pelosi reflects on four decades of LGBTQ advocacy
Blade spoke with House speaker emerita before her 2027 retirement
For nearly four decades, House Speaker Emerita Nancy Pelosi (D-Calif.) has been one of the most influential champions of LGBTQ rights in American politics.
The former U.S. House of Representatives speaker helped lead landmark LGBTQ legislation through Congress; including the repeal of “Don’t Ask, Don’t Tell,” passage of the Matthew Shepard and James Byrd Jr. Hate Crimes Prevention Act, and multiple House approvals of the Equality Act. She also played a central role in congressional efforts to combat HIV/AIDS and oppose restrictions targeting transgender Americans.
In an exclusive interview with the Washington Blade; Pelosi reflected on those accomplishments, the role grassroots activists played in achieving them, and the ongoing challenges facing the LGBTQ community during President Donald Trump’s second term.
When asked which LGBTQ-related achievement she is most proud of, Pelosi pointed not to a specific bill, but to the movement that made those victories possible — and the loud, strong-willed grassroots believers in a better America than the one they had found themselves in.
“Anything that we accomplished, whether it was fighting HIV and AIDS, ending discrimination, passing hate crimes legislation, or ending ‘Don’t Ask, Don’t Tell,’ would never have happened without outside mobilization,” Pelosi said, expressing gratitude for those who saw a problem and dared to speak its solution into existence. “Our inside maneuvering was important, but we couldn’t do our best job without the community. Every chance I get, I thank them for their patriotism because they make democracy function.”
Pelosi explained that her initial LGBTQ advocacy efforts were directly shaped by the LGBTQ community in the San Francisco area and by the HIV/AIDS epidemic that decimated the community during the 1980s.
The former speaker recalled arriving in Congress in 1987 and making HIV/AIDS a centerpiece of her agenda from the start.
“My first words on the House floor were that I had come here to fight HIV and AIDS,” Pelosi told the Blade. “People asked why I would make that my first statement. To me, that reaction showed just how much discrimination still existed and how much work remained to be done.”
She continued, explaining that advocating for San Francisco — with its once-vibrant LGBTQ community that was dying more with every passing day — became a joint effort between community-driven activists and government officials trying to manage and mitigate the crisis that claimed more American lives than the Vietnam War.
“When we were trying to bring the Democratic convention to San Francisco, people were saying they couldn’t come because of HIV/AIDS,” she said. “What emerged from that moment was community-based advocacy, community-based care, prevention, and research. Every success we had sprang from the community itself.”
Multiple times during the interview, Pelosi returned to those four pillars of the effort to combat HIV/AIDS: community-based advocacy, community-based care, prevention, and research.
She argued that the epidemic, despite its horrific toll, ultimately helped many Americans better understand and accept LGBTQ people in a society that had not been as tolerant.
“When families learned that a son or daughter was HIV-positive and gay, barriers started to break down,” Pelosi said. “Love prevailed in many cases. I actually give HIV/AIDS some credit for the acceptance of marriage equality because people began seeing these issues through the lens of family.”
Pelosi also highlighted the passage of federal hate crimes legislation as one of her — and the LGBTQ rights movement’s — most defining victories.
“Matthew Shepard’s mother came and spoke to members. (The late-former Massachusetts Congressman) Barney Frank told his story. We had to convince people that leadership means leading, not following,” Pelosi said. “That legislation was incredibly important because it forced people to confront the real consequences of hate.”
She said she refused pressure to remove transgender protections from the bill, despite promises from others that it would pass more easily if lawmakers only protected what they viewed as the least vulnerable groups.
“People told me, ‘You can pass this in a minute if you take out trans,'” Pelosi recalled. “I said, ‘I won’t pass it in 100 years because I’m not ever taking out trans.’ We passed it with trans protections included.”
The Blade also asked Pelosi about the stalled passage of the Equality Act — which would add federal protections for LGBTQ people through amendments to the Civil Rights Act of 1964 that would explicitly prohibit discrimination based on sex, sexual orientation, and gender identity. She expressed confidence that the Equality Act will eventually become law, though she acknowledged the political obstacles that have persisted since its creation in the 1970s.
In her office, among bowls of Ghirardelli chocolates and prints depicting national parks in her district, a large photo hangs on the wall showing Pelosi standing at the House rostrum with LGBTQ advocates beneath the words “#EQUALITY ACT” — photographic proof that she had already passed the landmark legislation in the House, if only the U.S. Senate had agreed.
“We passed it in the House again and again,” she said. “The Senate is more difficult because of the procedural hurdles, but we’re not stopping. We’ll stick with it until the job is done.”
The longtime Democratic leader also credited civil rights icon John Lewis with helping build support for the legislation when others argued the growing LGBTQ rights movement was, as one California Democratic legislator put it, “too fast, too much, too soon.”
“There were people who worried about opening up the Civil Rights Act to include LGBTQ protections,” Pelosi said. “John Lewis told us, ‘We can’t wait. We must do it now.’ He was instrumental in helping move that effort forward.”
Much of the conversation eventually turned to the Trump-Vance administration’s policies affecting trans Americans.
Pelosi argued that Executive Order 14183, “Prioritizing Military Excellence and Readiness,” which puts restrictions on trans military service weakens national security, and efforts to limit gender-affirming healthcare for trans children with the Executive Order “Protecting Children From Chemical and Surgical Mutilation” ignores the needs of families.
“When they diminish the ability of transgender people to serve in the military, they diminish our national security,” she said. “At the same time, families are being told they can’t get the care their children need. That is deeply troubling.”
She recounted hearing testimony from conservative parents whose views changed after their own children came out as trans — a transformation she said changed hearts and minds, even among people she had once seen wearing red MAGA hats.
“One mother told us she was a Trump supporter until her child needed medical care and her state wouldn’t allow it,” Pelosi said. “She said she had to leave Texas to care for her child. Hearing stories like that reminds people that these are families, not political talking points.”
Pelosi described efforts to restrict healthcare access for trans youth as both discriminatory and morally wrong.
“Some of the things they’re doing by refusing to support clinics that meet the needs of trans kids are sinful,” she said. “I’m a religious person, and I believe every child is God’s child. We have a responsibility to meet their needs.”
Asked what she would say to people who oppose LGBTQ equality, Pelosi returned to a theme that surfaced throughout the interview: love.
“I’ve seen families completely transform when these issues become personal,” she said. “People who once opposed HIV/AIDS funding became advocates when someone they loved was affected. Love has a way of changing hearts.”
As for how she hopes history remembers her role in the movement, Pelosi again shifted attention away from herself and toward activists.
“People were dying, and the community demanded action,” she said. “I hope people remember that the progress we made came from the very vocal participation of LGBTQ people and their allies. I was honored that they trusted me to carry that fight in Congress.”
Pelosi, who has announced she will not seek reelection and plans to retire from the House in 2027, said the struggle for equality is far from over.
“Every major expansion of rights in this country has been a long struggle,” she said. “We’ve laid a foundation, but there is still more work to do. We still have to pass the Equality Act.”
When asked what she credits for the change in public understanding and the growth of the LGBTQ movement, she said respect lies at its foundation.
“This month, Pride Month, people would say to me, ‘It’s easy for you because you’re from San Francisco, and San Francisco is so tolerant,'” Pelosi said. “And I would say to them, ‘Tolerant to me is a condescending word.’ Tolerance is a good word writ large, but in terms of the subject, it’s not about tolerance — it’s about respect. Respect is what made it almost inevitable that I would have nothing but enthusiasm for what I was doing. We don’t just respect — we take pride in our community. But that pride springs from respect that people have to have for everything, including the differences that they see.”
Congress
Ogles faces bipartisan backlash over anti-gay social media post
Tenn. congressman blamed the comment on staffer
U.S. Rep. Andy Ogles (R-Tenn.), who represents Tennessee’s 5th Congressional District, is facing backlash from LGBTQ advocates and fellow Republicans after a social media post declared that “homosexuality has no place in America.”
“Homosexuality has no place in America. Happy Nuclear Family Month,” the congressman wrote in a post on X that was later deleted.
According to the Williams Institute at UCLA School of Law, an estimated 6.3 percent of U.S. adults identify as LGBTQ.
Following widespread criticism, Ogles removed the post and blamed it on a staff member.
“The post was stupid, hurtful and a complete distraction from my America First focus. The employee has been reprimanded,” Ogles said in a statement.
The Washington Blade reached out to Ogles’s office for comment but did not receive a response by press time.
Among those condemning the message was U.S. Rep. Mike Lawler (R-N.Y.), who called it “absolutely idiotic” in a social media post.
“Homosexuality exists. In America,” Lawler wrote on X. “In fact, Andy, you have family, friends, neighbors, colleagues, and constituents who are gay and lesbian. It doesn’t make them less than or somehow unworthy of being an American.”
U.S. Sen. Ted Cruz (R-Texas) also criticized Ogles’s remarks.
“For all of recorded history, homosexuals have been a part of humanity,” Cruz told TMZ DC. “I think the behavior of consenting adults is their business.”
Chris Sanders, the executive director for the Tennessee Equality Project and Tennessee Equality Project Foundation provided a statement to the Blade about Ogles’s comment.
“The Tennessee Nuclear Family Month resolution has really backfired on conservatives by ensnaring Congressman Ogles in scandal. He used the resolution as a pretext to say that our community doesn’t belong in America, resulting in incredible backlash from across the partisan divide,” Sanders said. “It is a good opportunity for him to pause and reflect on whether it’s time for him to resign. Fighting one’s own constituents is not the purpose of serving in Congress.”
Human Rights Campaign Senior Press Secretary Jarred Keller provided a statement to the Blade regarding Ogles’s comments.
“LGBTQ+ people are woven into the fabric of America, and any politician who questions that is severely out of touch with reality. When so many people are worried about whether they can afford gas to get to work or groceries for their families, the last thing we need is right-wing Republicans targeting marginalized communities with hateful attacks,” Keller said. “Representative Ogles should spend less time attacking LGBTQ+ people and start addressing the issues that actually matter, because last I checked, our community isn’t the reason families are struggling to make ends meet.”
The controversy comes as Tennessee continues to advance legislation affecting LGBTQ residents. The state already has several laws on the books that LGBTQ advocates have criticized, including the Adult Entertainment Act, enacted in 2023, which restricts certain “adult cabaret performances.”
Lawmakers have also introduced additional measures this legislative session, including the “No Pride Flag or Month Act,” which would prohibit state employees, volunteers, and agents from displaying Pride flags or participating in Pride observances while acting in an official capacity.
Another proposal, the “Banning Bostock Act” would seek to limit the application of state anti-discrimination protections based on the U.S. Supreme Court’s decision in Bostock v. Clayton County. Tennessee lawmakers have also passed other measures restricting LGBTQ rights and access to gender-affirming health care.
Congress
10 HIV/AIDS activists arrested on Capitol Hill
Protesters interrupted Secretary of State Marco Rubio during hearing
U.S. Capitol Police on Tuesday arrested 10 HIV/AIDS activists who protested Secretary of State Marco Rubio during a Senate Foreign Relations Committee hearing.
The activists from Housing Works, Health GAP, the Treatment Action Group, and ACT UP held signs and chanted “Rubio’s Cuts Kill People with AIDS, PEPFAR Saves Lives!” before officers removed them from Dirksen Senate Office Building room where the hearing took place.
A media advisory the Washington Blade received before the protest noted “mounting evidence of Rubio’s attempts to sabotage PEPFAR (the President’s Emergency Plan for AIDS Relief, U.S. bilateral AIDS program) and vital global health programs.” The press release specifically highlighted three specific points:
• Eliminating Centers for Disease Control’s (CDC) lifesaving PEPFAR programs, which currently support approximately 12 million people on HIV treatment across 51 countries. Instead, Rubio intends to dismantle CDC’s current PEPFAR role and stamp out their global footprint in disease outbreak and surveillance for pandemics beyond HIV. Experts including eight former CDC Directors under Republican and Democratic administrations have spoken out against this effort to dismantle PEPFAR. Recent PEPFAR data showed sharp decreases in the numbers of people newly tested, diagnosed, and treated for HIV, but these data would have been even worse if not for CDC’s PEPFAR programs.
• Withholding $2 billion in Congressionally appropriated FY25 funding, including $330 million to combat HIV, $250 million to fight malaria, $320 million for maternal and child health programs, and nearly $650 million in global health security programs.
• Negotiating secret bilateral deals blackmailing African governments by demanding access to critical mineral wealth as a condition of access to HIV treatment and prevention funding.
The groups have staged several protests against the Trump-Vance administration’s HIV/AIDS policies since it took office.
Rubio on Jan. 28, 2025, issued a waiver that allowed PEPFAR and other “life-saving humanitarian assistance” programs to continue to operate during a freeze on nearly all U.S. foreign aid spending. HIV/AIDS service providers around the world with whom the Blade has spoken say PEPFAR cuts and the loss of funding from the U.S. Agency for International Development, which officially closed on July 1, 2025, has severely impacted their work.
The State Department last September announced PEPFAR will distribute lenacapavir in countries with high prevalence rates.
The New York Times last summer reported Vought “apportioned” only $2.9 billion of $6 billion that Congress set aside for PEPFAR for fiscal year 2025. (PEPFAR in the coming fiscal year will use funds allocated in fiscal year 2024.)
Bipartisan opposition in the U.S. Senate prompted the Trump-Vance administration last July withdraw a proposal to cut $400 million from PEPFAR’s budget. Vought a few weeks later said he would use a “pocket rescission” to cancel $4.9 billion for HIV/AIDS prevention and global health programs and other foreign aid assistance initiatives that Congress had already approved.
The White House in January expanded the global gag rule to ban U.S. foreign aid for groups that promote “gender ideology.” President Ronald Reagan in 1985 implemented the original regulation, also known as the “Mexico City” policy, which bans U.S. foreign aid for groups that support abortion and/or offer abortion-related services. Advocacy groups insist the expanded rule will adversely impact HIV prevention efforts around the world.
“Congress must stop Secretary Rubio before he dismantles PEPFAR,” said Treatment Action Group’s Kendall Martinez-Wright. “Rubio continues to defy the will of Congress and the American people who want this program restored and repaired. Under his leadership he is diverting funding and trying to eliminate the essential role of technical experts in global HIV and global health, while program performance is flailing.”
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