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Montgomery County summit responds to transgender health care challenges 

Council Vice President Kate Stewart’s son is trans

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Montgomery County Council Vice President Kate Stewart (Public domain photo)

Maryland earns high marks overall from the Movement Advancement Project for its LGBTQ policy protections, including becoming a “shield” state for transgender health care, but a Montgomery County survey that found trans youth face difficulties in accessing care prompted Council Vice President Kate Stewart and a county health nonprofit to convene a virtual roundtable on Saturday. 

“My son transitioned when he was in high school and our local pharmacy regularly did not have the correct size syringes,” Stewart told the Washington Blade during a telephone interview. “I had to take off from work and drive from Takoma Park to Chase Brexton in Howard County. That’s not a quick drive, and not accessible by public transportation.” 

She said Trans Maryland’s work helped make syringes more available now, but more needs to be done to increase access to equitable care at the local level. 

Maryland is one of 15 states, along with D.C., to which the Movement Advancement Project gave a high overall score for its LGBTQ policies. In terms of trans health care equity, 22 states have banned medically advised care for transitioning youth as of 2023, with Missouri banning similar care for adults. In response, D.C. and 14 states, including Maryland, enacted “shield” laws to protect equal access to health care.  

Maryland’s Trans Health Equity Act, effective Jan. 1, requires Medicaid to cover trans-affirming care. However, a Montgomery County survey found 41 percent of those needing such care reported difficulty finding it in the county.

While the report listed three clinics — Planned Parenthood, Mary’s Center and CCI Health Services — trans residents were unaware of their services or where to look for them locally. More familiar were services provided by Chase Brexton Health and Johns Hopkins in Baltimore, and D.C.’s Whitman-Walker Health, mostly due to their long histories of work and advocacy across the region. But for the gender-diverse leaders on the panel, equity meant having local access to health care.

“Those without transportation or wealth aren’t able to receive transition health care in their community,” said Rev. Ali K. C. Bell, a minister for Congregational Life at Cedar Lane Unitarian Universalist Church. 

Bell said he was privileged to be able to travel to Baltimore for the health care he needed but was disappointed by the economic disparity. 

CCI Health Services, a community health center with a decades-long history in the area, joined with Stewart in hosting the roundtable to address the issues raised by the report. 

CCI Chief Medical Officer Dr. Will Giodano-Perez announced a new clinic specializing in sexual and minority health, but acknowledged more could be done to address legacy discrimination and abuse. 

“Our mission is to promote excellent health care for everyone,” Giodano-Perez said. “We have to be aware of what kinds of conversations we are not having with our patients and to focus on [addressing] our own biases.”

Trans Maryland Executive Director Lee Blinder spoke of their experiences often educating health care professionals while being treated. 

“One day I’m going to invoice that doctor about ‘training’ them on how to treat me and others like me,” said Blinder, who grew up in Montgomery County. “I’d like to have a provider that I don’t have to train. When you’re sitting there in that paper gown, you’re vulnerable.” 

Bell also emphasized everyone in the provider’s office needs to be trained in order for the health care experience to be considered affirming. Looking to the future, Amena Johnson, the LGBTQ liaison for the Montgomery County Office of Community Partnerships, stated that health disparities faced by LGBTQ seniors should be addressed as well. 

“We are not all children or young people. I hope to be an old trans person one day, and it doesn’t look like a great landscape, frankly,” Blinder said before relaying an experience about visiting their grandmothers in retirement facilities and the care teams not being ready to interact with them as a trans grandchild, much less as a future trans resident. 

Giodano-Perez acknowledged the pain caused by these difficult health care experiences, but admitted one health organization cannot handle these issues alone and it would take involvement and support from the community. 

“We are limited with how much time we have,” he explained, noting the frustration of not being able to address all of the social determinants of health, but also not wanting to see “another of our patients pass from suicide.” 

He stated one place to start was to make care respectful and effective for everyone. 

“Sounds basic,” he said, “but we’re going to tackle these things.”

Stewart told the Blade her challenges seeking care for her son showed her health equity was about having access to resources where you lived.

“On a map it may look like, well, we have Chase Brexton over here and Whitman-Walker in D.C.,” she said, “but connecting with people’s everyday experiences … shows how much work we still have to do.”

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Maryland

Advocates for trans students urge Md. to fight White House threats

Four school districts under federal investigation

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(Washington Blade photo by Michael Key)

By JESSICA CALEFATI | Allies of transgender children are urging state education officials to fight back against the Trump-Vance administration, which has threatened to punish a growing number of Maryland school districts over local policies that affirm students’ gender identities.

The advocates testified Tuesday morning before the Maryland State Board of Education — one day after the U.S. Education and Justice departments alleged that Anne Arundel County’s school system violated federal student privacy law by withholding a student’s gender identity from their parents. A spokesperson for the district said Monday legal counsel had not yet reviewed the claims and that the district had no further comment.

School districts in Prince George’s, Montgomery, and Frederick Counties were already under investigation for allegedly violating Title IX, the civil rights law that prohibits sex-based discrimination. The federal government last month threatened to revoke funding from the districts because they allow trans students to use restrooms and locker rooms that align with their identities.

The rest of this article can be read on the Baltimore Banner’s website.

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Maryland

White House threatens Anne Arundel schools over gender identity policy

District faces possible legal action or loss of federal funding

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The U.S. Education and Justice Departments together determined Anne Arundel County’s school system violated federal student privacy law by withholding information about a student’s gender identity from the child’s parents. (Photo by Ulysses Muñoz for the Baltimore Banner)

By JESSICA CALEFATI | The Trump-Vance administration on Monday threatened to punish Anne Arundel County’s school system with legal action or the loss of federal funding for allegedly withholding information about a student’s gender identity and transition from the child’s parents.

The U.S. Education and Justice Departments together determined that the suburban Maryland district treats students’ gender identities as confidential medical information that cannot be shared with parents, in violation of federal student privacy law, according to a news release. A federal lawsuit filed against the district earlier this month made similar claims.

“As a mother and a grandmother, it is unconscionable that any school district would hide the most sensitive information about children in their care from their own parents,” U.S. Secretary of Education Linda McMahon said in a statement. “This is not only an affront to basic moral principles, but also to parents’ rights under federal law.”

The rest of this article can be read on the Baltimore Banner’s website.

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Maryland

Christa Tichy hopes to preserve LGBTQ representation in Md. House of Delegates

Queer Democrat running to succeed retiring state Del. Bonnie Cullison

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Christa Tichy on the campaign trail. She is running to succeed retiring Maryland state Del. Bonnie Cullison (D-Montgomery County). (Photo courtesy of Tichy's campaign)

When longtime Maryland state Del. Bonnie Cullison (D-Montgomery County) announced she would retire, Christa Tichy immediately saw an opportunity.

The queer Democrat advanced from the June primary and will appear on the November ballot, hoping to succeed one of Maryland’s first openly LGBTQ legislators and preserve LGBTQ representation in Annapolis.

“But when Bonnie made that announcement, I knew right away that that’s what I was supposed to do,” Tichy told the Washington Blade during a recent interview. She always felt connected to Cullison’s background, which she said is very similar to her own.

Some of these shared traits include a background in teaching and a strong connection to Leisure World of Maryland. Cullison has inspired her in the past and feels motivated to take her place. She had always hoped to be her successor.

Besides their shared background, she also understands how important it is under the Trump-Vance administration to advocate for LGBTQ rights, as Cullison had in the past.

“I think there’s a lot of fears with the present administration of losing certain rights. And you know, Bonnie was a big advocate for marriage equality. I want to continue that, and you know, make sure that legislation that protects that is in place,” Tichy said.

Beyond specific policy priorities, Tichy said preserving LGBTQ representation in the General Assembly was equally important.

“I mean, of all the candidates that ran, I was the only female. […] I thought we needed that voice. We could not just let that voice be forgotten,” Tichy said.

Tichy said she believes serving in the Maryland General Assembly is where she can have the greatest impact on the issues she cares most about; including education, labor, and working families.

“I knew that this was my passion, and I felt this is where I could be most effective on a state level when it came to education, labor, for working with families,” Tichy said.

Throughout the campaign, Tichy said one unexpected source of enthusiasm came from her personal life. She and her now-wife, Jodie Bekman, were married during the campaign, and constituents closely followed their journey.

“A lot of my constituents knew that I was engaged in getting married, and they met my now wife, and our marriage was like part of the campaign,” Tichy said. “So, like our ring, the date, […], Jodie would come along with me just about at every event, so people got to know her and couldn’t help but like her.”

She believes that openness helped voters connect with her campaign on a personal level.

“I think there was an energy and an excitement to seeing two people that much in love that actually could win. I think that all contributed to it,” Tichy said.

From left: Christa Tichy and her wife, Jodie Bekman (Photo courtesy of Tichy’s campaign)

Tichy also credited support from other LGBTQ elected officials, including state Del. Kris Fair (D-Frederick County), who chairs Maryland’s LGBTQ+ Caucus, and Montgomery County Councilmember Evan Glass. She said Fair was among the first elected officials to publicly endorse her campaign.

She also praised the volunteers who helped propel her through the primary election, from canvassing neighborhoods to enduring rainy weather on Election Day.

“When I think of how they stood out […] in the rain on election day with raincoats and umbrellas pouring down, holding walk cards that were like just folding over. They were so wet and damp. That’s the type of dedication that we had,” Tichy said.

Outside of politics, Tichy has built a career breaking barriers in the skilled trades. She became Maryland’s first female licensed Master Electrician and now teaches electrical trade courses, helping students prepare for careers in the field.

She said many of her students come from underserved communities and that helping them find stable careers has reinforced her commitment to workforce development.

A lot of her policies focus on workforce development and encouraging more women to join career trades. 

Her experiences in the electrical trade also shaped many of her policy priorities. Tichy said she has advocated for better workplace conditions, including properly fitting equipment for women and paid time off for workers who were often reluctant to take leave.

Working in a male-dominated profession, she said, was not always easy.

“I remember how many times I wanted to say, ‘I’m going to give up. I’m not going to do this. It’s too hard,’ and I always thought — I’m a mom. I have, you know, four boys now, but they needed me, and I was all they had, right?” Tichy said.

Looking ahead to November, Tichy said she hopes to continue the success of her campaign thus far and to keep reaching out to her community for support.

“Our diversity is our greatest strength, and by working together, there is no challenge we cannot overcome,” she said in a statement after winning the Democratic primary.

Other LGBTQ candidates also advanced to the general election, which can be found here.

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