National
Bisexuals: The neglected stepchild of the LGBTQ rights movement?
Activists say disparaging views from gays and straights are lessening, but bias continues
Bisexual rights advocates point out that a recent Gallup Poll using scientifically proven polling techniques shows that 58.2 percent of people in the U.S. who make up the LGBTQ community identify as bisexual.
And for many years, bi activists say, earlier polling data have shown that people who self-identify as bi have comprised close to 50 percent of the overall LGBTQ population.
Yet in spite of this, a half dozen prominent bisexual rights activists interviewed by the Washington Blade who have been involved in the LGBTQ movement for 20 years or longer say bisexuals for the most part have been neglected and treated in a disparaging way in the early years of the post-Stonewall LGBTQ rights movement.
Things began to improve in the past 15 years or so, but misconceptions and biased views of bisexuals among lesbians and gays as well as in the heterosexual world continue to this day, according to bisexual rights advocates.
These advocates point to the one major stigma they have had to endure for years—the belief that they cannot make up their minds or they are hiding the fact that they are gay men or lesbian women.
“For the record, I state that bisexuality is not a counterfeit behavior or a phase,” said longtime bisexual rights advocate Cliff Arnesen in a statement to the Blade. “It is a true sexual orientation of physical and emotional attraction to both genders,” he said. “I believe some of the apprehension to a person’s bisexual orientation lies within the mindset of people who oppose the concept of bisexual people having ‘heterosexual privilege,’” Arnesen says in his statement.
Arnesen, 74, a resident of Canton, Mass., is a U.S. Army veteran and has also been an advocate for military veterans, both LGBTQ and straight. He says one of the highlights of his many years of activism took place May 3, 1989, when he became the first known openly bisexual veteran in U.S. history to testify before a committee of the U.S. Congress on behalf of LGBTQ and heterosexual veterans.
Among the issues he discussed in his testimony, Arnesen says, were HIV/AIDS, post-traumatic stress disorder, homelessness, gays in the military, and the then Uniformed Code of Military Justice sodomy law impacting LGBTQ people in the military.
He also told the Subcommittee on Oversight and Investigations of the U.S. House Committee on Veterans Affairs in his 1989 testimony about efforts by him and other LGBT veterans to advocate for the upgrade of less-than-honorable discharges of people in the military based on their sexual orientation.
“Bisexual people have always made enormous contributions of benefit to the larger gay community,” Arneson told the Blade. “Yet historically we are marginalized by many in both the gay community and society,” he said.
“To counter that marginalization, we bisexual people must use the ‘key of visibility’ to enlighten and educate the masses as regards to their preconceived misconceptions of bisexuality.”
Arnesen is among at least five other elder U.S. bisexual rights advocates who told the Blade they are seeing positive changes in recent years for bisexuals, including among the national LGBTQ organizations that, according to these activists, ignored the ‘bi’ in the movement for far too long.
Among them are longtime D.C. residents Loraine Hutchins, who co-founded the organizations BiNet USA and the Alliance of Multicultural Bisexuals, and A. Billy S. Jones-Hennin, who in 1978 helped launch the National Coalition of Black Gays, the nation’s first advocacy organization for African-American lesbians and gay men.
Jones-Hennin is also credited with helping to organize one year later the first national March on Washington for Lesbian and Gay Rights in 1979. During the same weekend of the march, he helped to convene what observers call an historic National Third World (People of Color) LGBTQ Conference at D.C.’s Howard University.
Hutchins, co-editor of the acclaimed 1991 book, “Bi Any Other Name: Bisexual People Speak Out,” holds a doctorate in cultural studies and has taught sexuality and gender and women’s studies at Montgomery College and Towson University in Maryland.
Hutchins is now retired and lives in a retirement community in Montgomery County, Md. She told the Blade she has seen some positive changes in recent years within the overall LGBTQ rights movement and LGBTQ rights organizations toward bisexuals. She notes that the National LGBTQ Task Force’s current executive director, Kierra Johnson, identifies as bisexual.
The Task Force and the Human Rights Campaign, the nation’s largest LGBTQ rights advocacy organization, “have gotten much stronger on understanding bi advocacy or bi education,” Hutchins said.
But despite this, she said, she doesn’t see sufficient advances regarding the needs of bisexual people being fully taken up at the federal policy-making level, including in the administration of President Joe Biden, even though she sees the Biden administration as being better than previous administrations on bisexual issues.
BiPlus Organizing U.S., a national coalition of bisexual rights organizations, reports on its website that bisexual advocates held “three important convenings with the White House” during the Obama administration in 2013, 2015, and 2016. It says a small group of bi activists met with White House officials and officials with the U.S. Department of Health and Human Services in 2022 under the Biden administration during Bisexual Awareness Week.
Fiona Dawson, one of the co-founders of BiPlus Organizing U.S., said the meeting between bi advocates and the Biden administration officials took place at the Department of Health and Human Services offices rather than at the White House.
Dawson, who is from the United Kingdom and now works as a filmmaker based in Austin said the meeting was productive but she and other bi activists would like the Biden White House to hold an official White House reception for the bi community like the reception it holds for the full LGBTQ community.
“We want more bi organizations to contact us,” Dawson said in describing the work of BiPlus Organizing U.S. “I estimate that there are at least 20 bi organizations nationwide,” she said, with most of the groups being locally based. “I see change coming,” she added, saying the younger generation of LGBTQ people, including bisexuals, are becoming more supportive of bi rights.
Many bisexuals now identify as ‘bi-plus’
Jones-Hennin, who attended the first White House meeting with bisexual rights advocates during the Obama administration, said the lack of information about bisexuality in the media and from gay rights groups going back to the 1970s played a role in his own coming out process as a bisexual man.
“I started as straight and then as a gay man,” Jones-Hennin recalls. “I at first did not buy into the idea of being bi,” he said. “Bisexuals have been erased and to a certain degree that’s still happening. We need more visibility of bi,” he said.
Jones-Hennin said he and his husband, who spend part of each year in their homes in Mexico and in D.C., now proudly identify as bi plus.
His reference to the term bi-plus or bi+ is part of the definition of bisexuality that bi rights advocates have been using to be inclusive of those who identify as pansexual as well as those who are both transgender and bisexual.
“Bi+ people may use many terms to describe their own sexual identities, including queer, pansexual, omnisexual, polysexual, and heteroflexible,” according to T.J. Jourian, Ph.D., and author of a January 2022 article on bisexuality for the publication Best Colleges.
In his article, Jourian quotes Massachusetts-based longtime bisexual rights advocate and author Robyn Ochs as providing her own interpretation of being bi.
“I call myself bisexual because I acknowledge that I have in myself the potential to be attracted – romantically and/or sexually – to people of more than one sex and/or gender, not necessarily at the same time, not necessarily in the same way, and not necessarily to the same degree,” Ochs says in a statement.
Bisexuals more likely to have mental health problems: study
Hutchins, meanwhile, points to a report released on June 13 by the U.S. Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration (SAMHSA) that shows that adults who identify as lesbian, gay, and bisexual are more likely to have mental health problems than their straight counterparts. But the study also shows that people who identify as bisexual have a higher rate of mental health problems, including suicidal ideation, than gays and lesbians.
LaNail Plummer, a mental health therapist and licensed professional counselor who serves as CEO and clinical director of the D.C.-based Onyx Therapy Group, said she has seen from her therapy and counseling practice that the mental health issues faced by bisexual people are often the result of discrimination and negative treatment they receive from both the heterosexual community and from gays and lesbians.
Plummer, who herself identifies as bisexual, told the Blade in a phone interview that bisexuals often go through a coming out process that’s more complicated and involves less peer support than the coming out process for gay men and lesbians.
“There’s a lot of people who are bisexual in a world that seems to be centered around polarity,” Plummer said. “It is complicated for bisexual folks because bisexual folks can and will likely date people of the opposite sex at different times,” she said, requiring to some degree that they must “come out” in a same-sex relationship and later in an opposite-sex relationship.
Bisexual people face additional “stressors,” Plummer said, when they are in a relationship with a partner of the same sex because that partner sometimes manifests fear that their bi partner will leave them for someone of the opposite sex.
“I have a person I know who identifies as bisexual and she has a wife,” Plummer told the Blade. “And every time the person that I know goes out, the wife, who identifies as lesbian, gives her a really hard time, by asking are you going to be with a man today? What happens if a man comes up and talks to you? How are you going to respond to them?”
That type of dynamic, according to Plummer, often prompts bisexual people to go back into the closet and withhold their identity as bi to someone they are dating or in a relationship with who may be of the same sex or the opposite sex.
Plummer and bisexual rights advocates say this type of stress placed on bi people is usually based on misconceptions and bias against bisexuality that bi advocates say they hope will continue to decline with improved education and understanding of bisexuals.
Elder activists hopeful that bias is declining
Ochs told the Blade in an interview that she has been an activist in support of LGBTQ and bisexual equality for more than 40 years, with a focus on issues of concern to bisexuals.
“And I would say the first 30 of those years I felt we were beating our heads against a stone wall,” she said in describing efforts to advance bisexual rights. “It was so frustrating. I saw little progress. I felt like we were having the same conversations over and over and over,” she said.
“We continued to be ignored in all sorts of media, both mainstream media and LGBTQ media,” she recounted. “It would have been inconceivable up to about a decade ago for an out bisexual person to have ever been appointed as head of any national LGBTQ organization,” she said.
“So, that’s the background. The good part is that’s no longer true,” Ochs said. “There is much more cultural representation now with musicians, politicians and public figures coming out as bisexual and pansexual.”
She pointed to the two prominent national LGBTQ organizations that currently have top leaders who identify as bi+. The two are Kiera Johnson, executive director of the National LGBTQ Task Force, and Erin Uritus, CEO of the national LGBTQ group Out & Equal.
Another longtime bi advocate currently based in San Francisco, Lani Ka’ahumanu, is widely recognized as a leader in national social justice movements, including Native American, feminist, anti-war, and LGBTQ and bisexual rights movements. She is also an acclaimed author and poet whose writings appear in 20 books, including the book she co-edited with Loraine Hutchins, “Bi Any Other Name: Bisexual People Speak Out.”
Her online biography says Ka’ahumanu, like other bi activists, evolved from a suburban housewife in a heterosexual marriage with children in the 1960s and an amicable divorce with her husband before she came out as a lesbian.
“I was a lesbian for four years in the ‘70s,” she told the Blade in a phone interview. “And then I fell in love with a bisexual man and came out in 1980 as bi,” she said, adding that she continued, sometimes despite fellow activists who were skeptical about bisexuality, in her involvement in the feminist and LGBTQ rights movements.
She became the first known out bisexual to serve on the board of directors of a national LGBTQ rights organization in 2000, when she was appointed to the board of the National LGBTQ Task Force, where she served until 2007.
Ka’ahumanu agrees with other bi rights advocates that things have improved in recent years for the bisexual community in the political and social landscape. But she said she was startled earlier this year when expressions of bias toward bisexuals surfaced, of all places, at the National LGBTQ Task Force’s annual Creating Change Conference held in San Francisco last February.
In her role as an elder and mentor to young bi activists, she said, she attended one of the conference’s bisexual workshops. “And hearing what some people said, it was the same stories from the ‘80s and 90s,” she recounted. “You know, you need to make up your mind. People were still being trashed for being bisexual within the lesbian and gay community,” said Ka’ahumanu.
“And that part kind of threw me,” she recounted. “I said, are we still in this place of being invisible?” she asked. “A lot of people still can’t step outside of that either or thing.”
Ka’ahumanu made it clear that most of the other sessions of the Creating Change Conference, which marked the beginning of the Task Force’s 50th anniversary, appeared supportive of the LGBTQ organization’s progressive and supportive views and policies on LGBTQ issues.
Shoshana Goldberg, Public Education and Research Director for the Human Rights Campaign, the nation’s largest LGBTQ political advocacy organization, said that like the LGBTQ community as a whole, recent developments have been “mixed” for bisexuals in the U.S.
“Bisexuals, particularly bisexual women of color, consistently earn less than the average American worker, and even less than their LGBTQ+ peers,” Goldberg said in a statement. “Many of the health disparities seen between LGBTQ+ and cis/het folks are magnified for bisexual people, and bisexuals continue to face biphobia from both straight and queer communities, and bi-erasure from all sectors of daily life,” Goldberg stated.
HRC official Rebecca Hershey, who works on diversity and inclusion issues, said HRC has been addressing issues of concern to the bisexual community through, among other things, its LGBTQ Coming Out Guides, which offer information to “dispel myths and address stereotypes about bisexuality.”
HRC also supports the annual Bisexual Health Awareness Month and in 2019 released its Bi+ youth report, which analyzed a survey HRC conducted of close to 9,000 teens to “help shed light” on the experiences of bi+ youth nationwide.
Bi rights advocates say the national LGBTQ organization GLAAD, which focuses on improving fairness in media and entertainment industry portrayals of LGBTQ people, has also acted as a strong advocate for bisexuals. In the 11th edition of its Media Reference Guide, GLAAD includes a detailed write-up on how the news and entertainment media should report on or portray bisexual people.
“By being more cognizant of the realities facing bisexual people and the community’s many diversities, and by fairly and accurately reporting on people who are bisexual, the media can help eliminate some of the misconceptions and damaging stereotypes bisexual people face on a daily basis,” GLAAD’s Media Reference Guide states.
Arnesen, the elder bisexual rights advocate who his bi colleagues refer to as an icon in the bi movement, sums up his sentiment as a bisexual advocate in his statement to the Blade.
“As a Bisexual human being, I am mindful that I stand upon the shoulders of the innumerable and courageous GLBT+ pioneers and advocates for ‘equality’ who came before me,” he wrote. “Fate just happened to put me in the right place, at the right time to advocate for ‘equality’ on behalf of my bisexual brothers and sisters; and our country’s GLBT and Heterosexual veterans of the U.S. Armed Forces,” he states.
“Today, the love of my life of 33 years is a heterosexual woman named Claudia, whom I love with all my heart and soul,” he says. “As a bisexual person I have been doubly blessed to know the love of both men and women during my life’s journey, and I cherish those memories within my heart.”
Additional information about bisexual rights issues and the state of the bi movement can be accessed through BiPlus Organizing US and its member organizations:
• BiPlus Organizing US
• Bisexual Resource Center, biresource.org
• Bisexual Organizing Project
• Los Angeles Bi+ Task Force, labitaskforce.org
• Bi Women Quarterly, BiWomenQuarterly.com
Florida
AIDS Healthcare Foundation sues Fla. over ‘illegal’ HIV drug program cuts
Tens of thousands could lose access to medications
Following the slashing of hundreds of thousands of dollars from Florida’s AIDS Drug Assistance Program, AIDS Healthcare Foundation filed a lawsuit against the Florida Department of Health over what it says was an illegal change to income eligibility thresholds for the lifesaving program.
The Florida Department of Health announced two weeks ago that it would make sweeping cuts to ADAP, dramatically changing how many Floridians qualify for the state-funded medical coverage — without using the formal process required to change eligibility rules. As a result, AHF filed a petition Tuesday in Tallahassee with the state’s Division of Administrative Hearings, seeking to prevent more than 16,000 Floridians from losing coverage.
The medications covered by ADAP work by suppressing HIV-positive people’s viral load — making the virus undetectable in blood tests and unable to be transmitted to others.
Prior to the eligibility change, the Florida Department of Health covered Floridians earning up to 400 percent of the federal poverty level — or $62,600 annually for an individual. Under the new policy, eligibility would be limited to those making no more than 130 percent of the federal poverty level, or $20,345 per year.
The National Alliance of State and Territorial AIDS Directors estimates that more than 16,000 patients in Florida will lose coverage under the state’s ADAP because of this illegal change in department policy. Florida’s eligibility changes would also eliminate access to biktarvy, a widely used once-daily medication for people living with HIV/AIDS.
Under Florida law, when a state agency seeks to make a major policy change, it must either follow a formal rule-making process under the Florida Administrative Procedure Act or obtain direct legislative authorization.
AHF alleges the Florida Department of Health did neither.
Typically, altering eligibility for a statewide program requires either legislative action or adherence to a multistep rule-making process, including: publishing a Notice of Proposed Rule; providing a statement of estimated regulatory costs; allowing public comment; holding hearings if requested; responding to challenges; and formally adopting the rule. According to AHF, none of these steps occurred.
“Rule-making is not a matter of agency discretion. Each statement that an agency like the Department of Health issues that meets the statutory definition of a rule must be adopted through legally mandated rule-making procedures. Florida has simply not done so here,” said Tom Myers, AHF’s chief of public affairs and general counsel. “The whole point of having to follow procedures and rules is to make sure any decisions made are deliberate, thought through, and minimize harm. Floridians living with HIV and the general public’s health are at stake here and jeopardized by these arbitrary and unlawful DOH rule changes.”
AHF has multiple Ryan White CARE Act contracts in Florida, including four under Part B, which covers ADAP. More than 50 percent of people diagnosed with HIV receive assistance from Ryan White programs annually.
According to an AHF advocacy leader who spoke with the Washington Blade, the move appears to have originated at the state level rather than being driven by the federal government — a claim that has circulated among some Democratic officials.
“As far as we can tell, Congress flat-funded the Ryan White and ADAP programs, and the proposed federal cuts were ignored,” the advocacy leader told the Blade on the condition of anonymity. “None of this appears to be coming from Washington — this was initiated in Florida. What we’re trying to understand is why the state is claiming a $120 million shortfall when the program already receives significant federal funding. That lack of transparency is deeply concerning.”
Florida had the third-highest rate of new HIV infections in the nation in 2022, accounting for 11 percent of new diagnoses nationwide, according to KFF, a nonprofit health policy research organization.
During a press conference on Wednesday, multiple AHF officials commented on the situation, and emphasized the need to use proper methods to change something as important as HIV/AIDS coverage availability in the sunshine state.
“We are receiving dozens, hundreds of calls from patients who are terrified, who are confused, who are full of anxiety and fear,” said Esteban Wood, director of advocacy, legislative affairs, and community engagement at AHF. “These are working Floridians — 16,000 people — receiving letters saying they have weeks left of medication that keeps them alive and costs upwards of $45,000 a year. Patients are asking us, ‘What are we supposed to do? How are we supposed to survive?’ And right now, we don’t have a good answer.”
“This decision was not done in the correct manner. County health programs, community-based organizations, providers across the state — none of them were consulted,” Wood added. “Today is Jan. 28, and we have just 32 days until these proposed changes take effect. Nearly half of the 36,000 people currently on ADAP could be disenrolled in just over a month.”
“Without this medication, people with HIV get sicker,” Myers said during the conference. “They end up in emergency rooms, they lose time at work, and they’re unable to take care of their families. Treatment adherence is also the best way to prevent new HIV infections — people who are consistently on these medications are non-infectious. If these cuts go through, you will have sicker people, more HIV infections, and ultimately much higher costs for the state.”
“Patients receiving care through Ryan White and ADAP have a 91 percent viral suppression rate, compared to about 60 percent nationally,” the advocacy leader added. “That’s as close to a functional cure as we can get, and it allows people to live healthy lives, work, and contribute to their communities. Blowing a hole in a program this successful puts lives at risk and sets a dangerous precedent. If Florida gets away with this, other states facing budget pressure could follow.”
The lawsuit comes days after the Save HIV Funding campaign pressed Congress to build bipartisan support for critical funding for people living with or vulnerable to HIV. In May of last year, President Donald Trump appeared to walk back his 2019 pledge to end HIV as an epidemic, instead proposing the elimination of HIV prevention programs at the Centers for Disease Control and Prevention and housing services in his budget request to Congress.
House appropriators, led by the Republican majority, went further, calling for an additional $2 billion in cuts — including $525 million for medical care and support services for people living with HIV.
While Senate appropriators ultimately chose to maintain level funding in their version of the spending bills, advocates feared final negotiations could result in steep cuts that would reduce services, increase new HIV infections, and lead to more AIDS-related deaths. The final spending package reflected a best-case outcome, with funding levels largely mirroring the Senate’s proposed FY26 allocations.
“What the state has done in unilaterally announcing these changes is not following its own rules,” Myers added. “There is a required process — rule-making, notice and comment, taking evidence — and none of that happened here. Before you cut 16,000 people off from lifesaving medication, you have to study the harms, ask whether you even have the authority to do it, and explore other solutions. That’s what this lawsuit is about.”
National
Federal authorities arrest Don Lemon
Former CNN anchor taken into custody two weeks after Minn. church protest
Federal authorities on Thursday arrested former CNN anchor Don Lemon in Los Angeles.
CNN reported authorities arrested Lemon after 11 p.m. PT while in the lobby of a hotel in Beverly Hills, Calif., while he “was leaving for an event.” Lemon’s lawyer, Abbe Lowell, in a statement said his client was in Los Angeles to cover the Grammy Awards.
Authorities arrested Lemon less than two weeks after he entered Cities Church in St. Paul, Minn., with a group of protesters who confronted a pastor who works for U.S. Immigration and Customs Enforcement. (An ICE agent on Jan. 7 shot and killed Renee Good, a 37-year-old Minneapolis woman who left behind her wife and three children. U.S. Customs and Border Protection agents on Jan. 24 shot and killed Alex Pretti, a 37-year-old nurse who worked for the Department of Veterans Affairs, in Minneapolis.)
Lemon insists he was simply covering the Cities Church protest that interrupted the service. A federal magistrate last week declined to charge the openly gay journalist in connection with the demonstration.
“Don Lemon was taken into custody by federal agents last night in Los Angeles, where he was covering the Grammy awards,” said Lowell in his statement. “Don has been a journalist for 30 years, and his constitutionally protected work in Minneapolis was no different than what he has always done. The First Amendment exists to protect journalists whose role it is to shine light on the truth and hold those in power accountable.”
“Instead of investigating the federal agents who killed two peaceful Minnesota protesters, the Trump Justice Department is devoting its time, attention and resources to this arrest, and that is the real indictment of wrongdoing in this case,” Lowell added. “This unprecedented attack on the First Amendment and transparent attempt to distract attention from the many crises facing this administration will not stand. Don will fight these charges vigorously and thoroughly in court.”
Attorney General Pam Bondi on X confirmed federal agents “at my direction” arrested Lemon and three others — Trahern Jeen Crews, Georgia Fort, and Jamael Lydell Lundy — “in connection with the coordinated attack on Cities Church in St. Paul, Minnesota.”
Fort is also a journalist.
At my direction, early this morning federal agents arrested Don Lemon, Trahern Jeen Crews, Georgia Fort, and Jamael Lydell Lundy, in connection with the coordinated attack on Cities Church in St. Paul, Minnesota.
More details soon.
— Attorney General Pamela Bondi (@AGPamBondi) January 30, 2026
Lemon, who CNN fired in 2023, is expected to appear in court in Los Angeles on Friday.
“Freedom of the press is a cornerstone of a free society; it is the tool by which Americans access the truth and hold power to account. But Donald Trump and Pam Bondi are at war with that freedom — and are threatening the fundamentals of our democracy,” said Human Rights Campaign President Kelley Robinson on Friday in a statement. “Don Lemon and Georgia Fort were doing their jobs as reporters. Arresting them is not law enforcement it is an attack on the Constitution at a moment when truthful reporting on government power has never been more important. These are the actions of a despot, the tactics of a dictator in an authoritarian regime.”
The White House
Expanded global gag rule to ban US foreign aid to groups that promote ‘gender ideology’
Activists, officials say new regulation will limit access to gender-affirming care
The Trump-Vance administration has announced it will expand the global gag rule to ban U.S. foreign aid for groups that promote “gender ideology.”
Deputy Secretary of State Christopher Landau in a memo, titled Combating Gender Ideology in Foreign Assistance, the Federal Register published on Jan. 27 notes “previous administrations … used” U.S. foreign assistance “to fund the denial of the biological reality of sex, promoting a radical ideology that permits men to self-identify as women, indoctrinate children with radical gender ideology, and allow men to gain access to intimate single-sex spaces and activities designed for women.”
“Efforts to eradicate the biological reality of sex fundamentally attack women by depriving them of their dignity, safety, and well-being. It also threatens the wellbeing of children by encouraging them to undergo life-altering surgical and chemical interventions that carry serious risks of lifelong harms like infertility,” reads the memo. “The erasure of sex in language and policy has a corrosive impact not just on women and children but, as an attack on truth and human nature, it harms every nation. It is the purpose of this rule to prohibit the use of foreign assistance to support radical gender ideology, including by ending support for international organizations and multilateral organizations that pressure nations to embrace radical gender ideology, or otherwise promote gender ideology.”
President Donald Trump on Jan. 28, 2025, issued an executive order — Protecting Children from Chemical and Surgical Mutilation — that banned federal funding for gender-affirming care for minors.
President Ronald Reagan in 1985 implemented the global gag rule, also known as the “Mexico City” policy, which bans U.S. foreign aid for groups that support abortion and/or offer abortion-related services.
Trump reinstated the rule during his first administration. The White House this week expanded the ban to include groups that support gender-affirming care and diversity, equity, and inclusion programs.
The expanded global gag rule will take effect on Feb. 26.
“None of the funds made available by this act or any other Act may be made available in contravention of Executive Order 14187, relating to Protecting Children From Chemical and Surgical Mutilation, or shall be used or transferred to another federal agency, board, or commission to fund any domestic or international non-governmental organization or any other program, organization, or association coordinated or operated by such non-governmental organization that either offers counseling regarding sex change surgeries, promotes sex change surgeries for any reason as an option, conducts or subsidizes sex change surgeries, promotes the use of medications or other substances to halt the onset of puberty or sexual development of minors, or otherwise promotes transgenderism,” wrote Landau in his memo.
Landau wrote the State Department “does not believe taxpayer dollars should support sex-rejecting procedures, directly or indirectly for individuals of any age.”
“A person’s body (including its organs, organ systems, and processes natural to human development like puberty) are either healthy or unhealthy based on whether they are operating according to their biological functions,” reads his memo. “Organs or organ systems do not become unhealthy simply because the individual may experience psychological distress relating to his or her sexed body. For this reason, removing a patient’s breasts as a treatment for breast cancer is fundamentally different from performing the same procedure solely to alleviate mental distress arising from gender dysphoria. The former procedure aims to restore bodily health and to remove cancerous tissue. In contrast, removing healthy breasts or interrupting normally occurring puberty to ‘affirm’ one’s ‘gender identity’ involves the intentional destruction of healthy biological functions.”
Landau added there “is also lack of clarity about what sex-rejecting procedures’ fundamental aims are, unlike the broad consensus about the purpose of medical treatments for conditions like appendicitis, diabetes, or severe depression.”
“These procedures lack strong evidentiary foundations, and our understanding of long-term health impacts is limited and needs to be better understood,” he wrote. “Imposing restrictions, as this rule proposes, on sex-rejecting procedures for individuals of any age is necessary for the (State) Department to protect taxpayer dollars from abuse in support of radical ideological aims.”
Landau added the State Department “has determined that applying this rule to non-military foreign assistance broadly is necessary to ensure that its foreign assistance programs do not support foreign NGOs and IOs (international organizations) that promote gender ideology, and U.S. NGOs that provide sex-rejecting procedures, and to ensure the integrity of programs such as humanitarian assistance, gender-related programs, and more, do not promote gender ideology.”
“This rule will also allow for more foreign assistance funds to support organizations that promote biological truth in their foreign assistance programs and help the (State) Department to establish new partnerships,” he wrote.
The full memo can be found here.
Council for Global Equality Senior Policy Fellow Beirne Roose-Snyder on Wednesday said the expansion of the so-called global gag rule will “absolutely impact HIV services where we know we need to target services, to that there are non-stigmatizing, safe spaces for people to talk through all of their medical needs, and being trans is really important to be able to disclose to your health care provider so that you can get ARVs, so you can get PrEP in the right ways.” Roose-Snyder added the expanded ban will also impact access to gender-affirming health care, food assistance programs and humanitarian aid around the world.
“This rule is not about gender-affirming care at all,” she said during a virtual press conference the Universal Access Project organized.
“It is about really saying that if you want to take U.S. funds — and it’s certainly not about gender-affirming care for children — it is if you want to take U.S. funds, you cannot have programs or materials or offer counseling or referrals to people who may be struggling with their gender identity,” added Roose-Snyder. “You cannot advocate to maintain your country’s own nondiscrimination laws around gender identity. It is the first place that we’ve ever seen the U.S. government define gender-affirming care, except they call it something a lot different than that.”
The Congressional Equality Caucus, the Democratic Women’s Caucus, the Congressional Hispanic Caucus, the Congressional Asian and Pacific American Caucus, and the Congressional Black Caucus also condemned the global gag rule’s expansion.
“We strongly condemn this weaponization of U.S. foreign assistance to undermine human rights and global health,” said the caucuses in a statement. “We will not rest until we ensure that our foreign aid dollars can never be used as a weapon against women, people of color, or LGBTQI+ people ever again.”
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