California Congresswoman Barbara Lee on Sept. 22 said the President’s Emergency Plan for AIDS Relief is “more in peril” now than at any point since its launch two decades ago.

“This program is reauthorized every five years, but it’s always on a bipartisan basis,” said Lee during a panel at the Congressional Black Caucus Foundation’s Annual Legislative Conference that took place at the Walter E. Washington Convention Center in D.C. “As we approach the benchmark of an AIDS-free generation by 2023, it is unfortunately more in peril now than ever before.”

Then-President George W. Bush in 2003 signed legislation that created PEPFAR.

Lee noted PEPFAR as of 2020 has provided nearly $100 billion in “cumulative funding for HIV and AIDS treatment, prevention and research.” She said PEPFAR is the largest global funding program for a single disease outside of COVID-19.

New PEPFAR strategy includes ‘targeted programming’ for marginalized groups

The panel took place amid the continued push for Congress to reauthorize PEPFAR for another five years. The federal government will shut down on Oct. 1 if Congress does not pass an appropriations bill.

Secretary of State Antony Blinken last December at a World AIDS Day event in D.C. acknowledged HIV/AIDS continues to disproportionately impact LGBTQ and intersex people and other marginalized groups. A new PEPFAR strategy the Biden-Harris administration announced that seeks to “fill those gaps” over the next five years includes the following points:

• Targeted programming to help reduce inequalities among LGBTQ and intersex people, women and girls and other marginalized groups

• Partnerships with local organizations to help reach “hard-to-reach” communities.

• Economic development and increased access to financial markets to allow countries to manufacture their own antiretroviral drugs, tests and personal protective gear to give them “the capacity to meet their own challenges so that they’re not dependent on anyone else.”

The Family Research Council Action in an email to supporters urged them to tell Congress to “stop Biden from hijacking PEPFAR to promote its radical social policies overseas.” Family Watch International has said PEPFAR “has been hijacked to advance a radical sexual agenda.”

“Please sign the petition to tell the U.S. Congress to ensure that no U.S. funds go to organizations that promote abortion, LGBT ideology, or ‘comprehensive sexuality education,'” said the group in an email to its supporters. 

A group of lawmakers and religious leaders from Kenya and other African countries in a letter they wrote to members of Congress in June said PEPFAR, in their view, no longer serves its original purposes of fighting HIV/AIDS because it champions homosexuality and abortion.

“We wrote that letter to the U.S. Congress not to stop PEPFAR funding to Kenya, but to demand the initiative to revert to its original mission without conditioning it to also supporting LGBTQ as human rights,” it reads.

Biden in 2021 signed a memo that committed the U.S. to promoting LGBTQ and intersex rights abroad as part of his administration’s overall foreign policy.

American officials earlier this year postponed a meeting on PEPFAR’s work in Uganda in order to assess the potential impact the country’s Anti-Homosexuality Act will have on it. The law, which Ugandan President Yoweri Museveni signed on May 29, contains a death penalty provision for “aggravated homosexuality.”

Biden in his U.N. General Assembly speech last week noted LGBTQ and intersex rights and highlighted PEPFAR. Family Watch International in its email to supporters included a link to the letter from the African lawmakers and religious leaders.  

The Southern Poverty Law Center has designated both the FRC and Family Watch International as anti-LGBTQ hate groups.

“[PEPFAR is] not about abortions,” said Lee.

U.S. Agency for International Development Administrator Samantha Power during the panel referenced Bush’s recent op-ed in the Washington Post that urged lawmakers to reauthorize PEPFAR.

“The way he put it is no program is more pro-life [than] one that has saved more than 25 million lives,” said Power.

Power referenced the “manufactured controversy that is making it difficult to get this reauthorization.” U.S. Global AIDS Coordinator Dr. John Knengasong said a failure to reauthorize PEPFAR would weaken “our own foreign policy and diplomacy.”

“Once again the United States will be missing in action,” stressed Lee.

Assistant Health and Human Services Secretary for Legislation Melanie Egorin and Kenny Kamson, a Nigerian HIV/AIDS activist, also spoke on the panel that MSNBC host Jonathan Capehart moderated. 

The U.S. Census Bureau on Tuesday asked the Biden administration to sign off on plans to test questions on sexual orientation and gender identity for respondents aged 15 and older on the agency’s annual American Community Survey.

Data on these metrics will help inform civil rights and equal employment enforcement, the Census Bureau said in a notice published on the Federal Register.

Testing will help the agency determine wording, response categories and placement of the questions on the survey — its most comprehensive, covering 3.5 million households each year.

A key unknown will be how answers will be provided by proxies such as parents, spouses or others in a household who isn’t the person about whom the question is asked.

“Younger LGBT people might not yet be out to their parents or others who are answering these questions as a proxy reporter, so the quality of the data might not be as good for younger people,” M. V. Lee Badgett, an economics professor at the University of Massachusetts Amherst, told PBS News.

Currently, the Census Bureau and its annual American Community Survey only ask questions about same-sex couples who are married or cohabitating.

“We anticipate having much more info about the LGBT people than is currently available — including about the demographic and socioeconomic status of LGBT people who aren’t in same-sex couple households, including occupational status, industry and wages, and about LGBT people who were born outside the U.S. and LGBT people with disabilities, and their families,” Kerith Conron, research director of the Williams Institute at UCLA School of Law, told the Associated Press.

The U.S. Department of Defense announced plans to restore honor to service members who were kicked out of the military over their sexual orientation, the agency announced on Wednesday, the 12^th anniversary of the repeal of “Don’t Ask, Don’t Tell.”

“Over the past decade, we’ve tried to make it easier for service members discharged based on their sexual orientation to obtain corrective relief,” U.S. Secretary of Defense Lloyd Austin said in a statement.

“While this process can be difficult to navigate, we are working to make it more accessible and efficient,” he said, adding, “in the coming weeks, we will be initiating new outreach campaigns to encourage all service members and veterans who believe they have suffered an error or injustice to seek correction to their military records.”

The move follows a class action lawsuit filed last month by LGBTQ veterans against the Pentagon for allegedly failing to remedy “ongoing discrimination,” including biased language in the discharge papers of LGBTQ veterans.

CBS News has investigated the Pentagon’s handling of service records of veterans who were kicked out of the military because of their sexual orientation, revealing the broad scope of discrimination experienced by these LGBTQ veterans — finding, for instance, that more than 29,000 were denied honorable discharges.

Also on Wednesday, U.S. Reps. Mark Takano (D-Calif.) and Sara Jacobs (D-Calif.), along with U.S. Sen. Richard Blumenthal (D-Conn.) re-introduced a bill that would establish “a commission to investigate the historic and ongoing impacts of discriminatory military policies on LGBTQ service members and veterans.”

“This commission would study the impact of these bigoted rules” barring LGBTQ troops from serving “and forge a more welcoming future in the military and at the VA,” said Takano, who serves as ranking member of the House Committee on Veterans’ Affairs and co-chair of the Congressional Equality Caucus.

“Our country has never made amends for official discriminatory policies like ‘Don’t Ask, Don’t Tell’ and the transgender military ban – and that failure still haunts today’s service members and veterans,” said Jacobs.

“That’s why I’m so proud to co-lead this bicameral legislation that will right these historic wrongs, investigate the past and present impact of anti-LGBTQ+ policies, and help us move forward to build and sustain a diverse, inclusive, strong, and welcoming military.”  

“This commission would be an important step to understand the full scope of the harms caused by policies like Don’t Ask, Don’t Tell, and to ensure a more equitable future for all who serve our country in uniform,” Blumenthal said.