Virginia
Virginia governor vetoes bill barring discrimination against PrEP users
Youngkin’s move disproportionately impacts LGBTQ community
Virginia Gov. Glenn Youngkin this week vetoed a bill that would have made it illegal for health and life insurance companies to discriminate against individuals who have taken pre-exposure prophylaxis (PrEP) for HIV prevention.
House Bill 2769, titled Life or Health Insurances; Unfair Discrimination, Pre-Exposure Prophylaxis for Prevention of HIV, was passed by both chambers of the Virginia General Assembly. The bill cleared the Virginia House of Delegates with 53 yeas and 44 nays and the Senate of Virginia with 24 yeas and 15 nays.
Under the Affordable Care Act, PrEP is covered by most insurance companies, meaning the medication should be available through employer-sponsored private health insurance plans, individual healthcare plans purchased via HealthCare.gov or state-based marketplaces, as well as Medicaid expansion coverage.
If the Virginia General Assembly fails to override Youngkin’s veto, insurance companies operating in Virginia will be allowed to continue discriminating against PrEP users by charging them higher premiums or even denying them coverage altogether.
According to recent data from UNAIDS, gay men and other men who have sex with men are 7.7 times more likely to contract HIV. Since the first cases of HIV were reported, 78 million people have been infected with the virus, and 35 million have died from AIDS-related illnesses.
Currently, there are three FDA-approved forms of PrEP: Truvada (emtricitabine/tenofovir disoproxil fumarate), available for individuals of all genders; Descovy (emtricitabine/tenofovir alafenamide), approved for use by individuals assigned male at birth; and Apretude (cabotegravir), an injectable PrEP administered every other month by a healthcare professional.
According to the FDA, PrEP reduces the risk of acquiring HIV from sex by about 99% when taken as prescribed and lowers the risk by at least 74% among people who inject drugs. Since its approval, the World Health Organization (WHO) estimates that 3.5 million people received PrEP at least once in 2023.
Despite the bill’s passage in the Democratic-controlled General Assembly, Youngkin vetoed the legislation, a move that disproportionately impacts the LGBTQ community and others at higher risk of HIV.
The Washington Blade reached out to Youngkin’s office for comment but has not received a response.
A gay man was murdered in Petersburg, Va., on March 13.
Shyyell Diamond Sanchez-McCray, who was also known as Saamel and Mable, was a drag queen who won the Miss Mayflower EOY pageant in 2015. Reports also indicate Sanchez-McCray, 42, was a well-known community activist in Virginia and in North Carolina.
Local media reports indicate police officers found Sanchez-McCray shot to death inside a home in Petersburg.
Sanchez-McCray’s brother, Jamal Mitchell Diamond, in a public statement the Washington Blade received from Equality Virginia and GLAAD, said Sanchez-McCray was not transgender as initial reports indicated.
“Our family has always embraced the fullness of who he was. He used the names Saamel, Shyyell, and Mable interchangeably, and we honor all of them. There is no division within our family regarding how he is being represented — only a shared commitment to preserving his truth with love and respect,” said Diamond.
“He was also deeply committed to community work through Nationz Foundation, where he worked and completed multiple state-certified programs to support marginalized communities,” added Diamond. “That work meant a great deal to him.”
Authorities have not made any arrests.
The Petersburg Bureau of Police has asked anyone with information about Sanchez-McCray’s murder to call Petersburg-Dinwiddie Crime Solvers at 804-861-1212.
Virginia
Virginia General Assembly’s 2026 legislative session ends
Voters in November will consider repealing marriage amendment
The Virginia General Assembly’s 2026 legislative session ended on March 14.
Lawmakers have yet to approve a budget, but they did pass a resolution that paves the way for a referendum on whether to repeal the state’s constitutional amendment that defines marriage as between a man and a woman. Lawmakers also advanced House Bill 60, which would protect PrEP users from insurance discrimination.
Democratic Gov. Abigail Spanberger has until April 13 to decide to pass, amend, or veto legislation before it goes back to the House of Delegates on April 22.
Spanberger on Feb. 6 signed the bill that sets the stage for the marriage amendment referendum. Voters will consider whether to “remove the ban on same-sex marriage; (ii) affirm that two adults may marry regardless of sex, gender, or race; and (iii) require all legally valid marriages to be treated equally under the law?”
Equality Virginia has been working during this legislative cycle to urge lawmakers to allocate funding towards LGBTQ rights. The budget would expand funding for schools, competency training for the 988 suicide hotline, and funding to provide gender affirming care to LGBTQ youth.
“As the budget moves through conference and the Reconvene Session approaches on April 22, Equality Virginia remains focused on ensuring our victories this session translate into durable protections,” Equality Virginia Executive Director Narissa Rahaman told the Washington Blade in a statement. “Progress on marriage equality, nondiscrimination protections, and HIV care funding was essential, but Virginia must do more.”
Virginia
Va. lawmakers consider partial restoration of Ryan White funds
State Department of Health in 2025 cut $20 million from Part B program
The Virginia General Assembly is considering the partial restoration of HIV funding that the state’s Department of Health cut last year.
The Department of Health in 2025 cut $20 million — or 67 percent of total funding — from the Ryan White Part B program.
The funding cuts started with the Trump-Vance administration passing budget cuts to federal HIV screening and protection programs. Rebate issues between the Virginia Department of Health and the company that provides HIV medications began.
Advocates say the funding cuts have disproportionately impacted lower-income people.
The Ryan White HIV/AIDS Program, a federal program started in 1990, provides medical services, public education, and essential services. Part B offers 21 services, seven of which remained funded after the budget cuts.
Equality Virginia notes “in 2025, a 67 percent reduction severely destabilized HIV services across the commonwealth.”
Virginia lawmakers have approved two bills — House Bill 30 and Senate Bill 30 — that would partially restore the funding. The Ryan White cuts remain a concern among community members.
Both chambers of the General Assembly must review their proposed changes before lawmakers can adopt the bills.
“While these amendments aren’t a full restoration of what community-based organizations lost, this marks a critical step toward stabilizing care for thousands of Virginians living with HIV,” said Equality Virginia Executive Director Narissa Rahaman. “Equality Virginia plans to continue their contact with lawmakers and delegates through the conference and up until the passing of the budget.”
“We appreciate lawmakers from both sides of the aisle who recognized the urgency of this moment and will work to ensure funding remains in the final version signed by the governor,” added Rahaman.
