Virginia
VCU halts gender-affirming care
Broader healthcare threats loom as White House threatens to withhold federal funding
On Tuesday, Virginia Commonwealth University announced it would stop providing and researching gender-affirming care at the Children’s Hospital of Richmond at VCU for anyone under the age of 19.
In a post on the hospital’s website, it said the decision was made to stay within federal and state directives and was a result of “a thoughtful and thorough assessment that revealed no other viable options at this time.”
VCU staff — part of one of the largest healthcare providers in the state — were notified by email of the change, which announced they would “wind down these services,” a claim the hospital has made before.
In January, President Donald Trump signed the “Protecting Children From Chemical and Surgical Mutilation” executive order which is, at its core, designed to vilify transgender people. Since then, VCU stopped providing trans-specific care, then backtracked, allowing doctors to prescribe puberty blockers and hormone therapy, according to Axios.
Wyatt S. M. Rolla, a senior transgender rights tttorney for the American Civil Liberties Union of Virginia, spoke with the Washington Blade about the negative impact VCU’s decision will have on trans children’s healthcare.
“I think a really important starting point is that gender-affirming care is legal in the state of Virginia, including for individuals under the age of 19, and there are doctors, nurses, clinicians across the state that are committed to still providing that care to patients,” Rolla said.
Rolla went on to explain that even though providing gender-affirming care for minors is legal in Virginia, this executive order has a chilling effect on hospitals and is preemptively causing institutions like VCU to stop offering it.
“The primary impact of that executive order was to threaten the disruption of federal funding to hospitals that were providing that care,” they added. “There have been multiple pieces of litigation filed to challenge that threat to disrupt grants to institutions that are providing this care, and the executive order — that provision of it — is actually enjoined by multiple federal courts right now and cannot be used as a basis to terminate federal funding.”
They continued, explaining that this is not the only method of control the Trump-Vance administration is using.
“The Trump administration is weaponizing the Department of Justice, the Department of Health and Human Services, the Federal Trade Commission, [and] other federal agencies to try to bully healthcare providers into discriminating against their patients, and that should disturb everyone, because it won’t stop at trans people.”
These other fears, Rolla explained, could encroach on broader issues of bodily autonomy and safety that Republicans deem “controversial” — especially if medical boards, which are supposed to be non-political, are affected by orders like this one.
“I mean, it is setting a really dangerous precedent for all Virginians,” Rolla said. “And I think it’s not just a question of how other hospitals in Virginia will respond regarding gender-affirming care. Tomorrow, this could be a conversation about reproductive health services or HIV treatment or other vital health care that someone has decided is politically controversial. It’s really important to recognize the threat of undermining public trust in our medical institutions and endangering the communities that they’re meant to serve by refusing to provide medical care that providers have determined is necessary.”
When asked what the ACLU of Virginia hopes children seeking gender-affirming care will know, Rolla said:
“I want those young people and their families to know that again, there are doctors, nurses, clinicians across the state that are working around the clock to make sure they are able to provide you the care that you need, and there are advocates [and] community members that are going to fight on every terrain necessary to preserve the legal ability of those health care providers to do that. So while those young people are being cynically targeted for political advantage, I want them to know that they’re not alone and that there is a deep bench of people that are fighting to have for them to access the resources they need to thrive and grow into the beautiful adults that we know they deserve to be.”
The ACLU also sent a statement condemning the actions of VCU.
Equality Virginia, He She Ze and We, Side by Side, Planned Parenthood Advocates of Virginia, the Transgender Assistance Program of Virginia, Seven Hills Family Medicine, Health Brigade, Thriving Trans Men of Color, Virginia LGBTQ+ Bar Association, the Calos Coalition, the Shenandoah LGBTQ Center, Progress Virginia, and the Campaign for Southern Equality co-signed the statement. They claim VCU’s decision is a direct result of Trump and the Republican Party’s “hateful political agenda” and has nothing to do with healthcare.
“We see the political strategy. We reject it. We’ll keep fighting for trans youth, their families, and providers who support them,” reads the statement.
Virginia
Spanberger signs bill that paves way for marriage amendment repeal referendum
Proposal passed in two successive General Assembly sessions
Virginians this year will vote on whether to repeal a state constitutional amendment that defines marriage as between a man and a woman.
Democratic Gov. Abigail Spanberger on Friday signed state Del. Laura Jane Cohen (D-Fairfax County)’s House Bill 612, which finalized the referendum’s language.
The ballot question that voters will consider on Election Day is below:
Question: Should the Constitution of Virginia be amended to: (i) 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?
Voters in 2006 approved the Marshall-Newman Amendment.
Same-sex couples have been able to legally marry in Virginia since 2014. Former Gov. Glenn Youngkin, who is a Republican, in 2024 signed a bill that codified marriage equality in state law.
Two successive legislatures must approve a proposed constitutional amendment before it can go to the ballot.
A resolution to repeal the Marshall-Newman Amendment passed in the General Assembly in 2025. Lawmakers once again approved it last month.
“20 years after Virginia added a ban on same-sex marriage to our Constitution, we finally have the chance to right that wrong,” wrote Equality Virginia Executive Director Narissa Rahaman on Friday in a message to her group’s supporters.
Virginians this year will also consider proposed constitutional amendments that would guarantee reproductive rights and restore voting rights to convicted felons who have completed their sentences.
Lieutenant Gov. Ghazala Hashmi on Monday opened Equality Virginia’s annual Lobby Day in Richmond.
The Lobby Day was held at Virginia’s Capitol and was open to the public by RSVP. The annual event is one of the ways that Equality Virginia urges its supporters to get involved. It also offers informational sessions and calls to action through social media.
Hashmi, a former state senator, has been open about her support for the LGBTQ community and other marginalized groups. Her current advisor is Equality Virginia Executive Director Narissa Rahaman, and the group endorsed her for lieutenant governor.
Hashmi historically opposes anti-transgender legislation.
She opposed a 2022 bill that sought to take away opportunities from trans athletes.
One of the focuses of this year’s Lobby Day was protecting LGBTQ students. Another was protecting trans youth’s access to gender-affirming care.
Advocates spent their day in meetings and dialogues with state legislators and lawmakers about legislative priorities and concerns.
Virginia
From the Pentagon to politics, Bree Fram fighting for LGBTQ rights
Transgender veteran running for Congress in Va.
After being ousted from military service, Col. Bree Fram — once the highest-ranking openly transgender officer in the Pentagon — is now running for Congress.
Fram, who lives in Reston, Va., brings more than two decades of public service to her campaign. From the battlefield to the halls of the Pentagon, she spent more than 20 years working inside the federal government, often advocating for LGBTQ people and other marginalized communities from within the system.
Fram spoke with the Washington Blade about her decision to run amid sustained attacks against her — and against the LGBTQ community more broadly — from the Trump-Vance administration and far-right officials.
She said her commitment to public service began more than 22 years ago, shaped in large part by watching the Sept. 11, 2001, terrorist attacks.
“I had grown up expecting that there was this beautiful American peace stretching into the world for the foreseeable future, and that kind of image was shattered,” Fram told the Blade. “I realized that there was a continuous price to be paid to protect our democracy, to protect our freedoms. To be able to play a small part in defending those freedoms was incredibly important to me — to be part of something larger than myself.”

Commissioned through the U.S. Air Force Officer Training School in 2003, Fram served as an astronautical engineer and rose to the rank of colonel in the U.S. Air Force before later serving in the U.S. Space Force. She remained on active duty until 2025, when she was forced out following the Trump-Vance administration’s reinstated ban on trans military service.
Fram has been married for 20 years to her spouse, Peg Fram, and they have two children.
Beyond her military service, Fram has long been involved in advocacy and leadership. She has been a member of SPARTA, a trans military advocacy organization, since 2014, served on its board of directors beginning in 2018, and was president of the organization from 2021-2023.
Most recently, Fram served as chief of the Requirements Integration Division at Headquarters, Space Force, and as co-lead of the Joint Space Requirements Integration Cell in collaboration with the Joint Staff. Previously, she was chief of the Acquisition Policies and Processes Division for the assistant secretary of the Air Force for space acquisition and integration.
Earlier in her career, Fram served as a materiel leader at the Air Force Research Laboratory, overseeing the development of counter-small unmanned aerial systems and offensive cyberspace technologies in support of Pentagon and intelligence community priorities, managing an annual budget exceeding $100 million.
Her previous assignments also included oversight of Air Force security cooperation in four strategically significant Middle Eastern countries and 258 foreign military sales cases valued at $15.79 billion; serving as executive officer to the Air Force director of strategic plans, where she helped integrate the 30-year, $3.6 trillion Air Force Plan; a legislative fellowship on Capitol Hill with then-U.S. Del. Madeleine Bordallo (D-Guam), handling military, veterans, and foreign affairs issues; and a program management role at the National Reconnaissance Office, where she led a $700 million multi-agency engineering and IT contract overseeing more than 500 personnel and supporting $40 billion in assets.
Fram also directed 24/7 worldwide operations and maintenance of mission data processing for space-based and airborne national intelligence assets and co-led the Department of the Air Force’s LGBTQ+ Initiatives Team and Barrier Analysis Working Group from 2023-2025.
She holds a master’s degree from the Air Force Institute of Technology and is a distinguished graduate of the Naval War College. Fram deployed in support of Operation Iraqi Freedom, where she worked on airborne counter-improvised explosive device technologies.
In January, Fram, alongside four other trans military officers, was given a special retirement ceremony by the Human Rights Campaign — a direct result of President Donald Trump’s 2025 Executive Order 14183, titled “Prioritizing Military Excellence and Readiness.” The policy directed the Pentagon to adopt measures prohibiting trans, nonbinary, and gender-nonconforming people from serving in the military.
Under Virginia’s current congressional maps, Fram would challenge Congressman James Walkinshaw in a Democratic primary in the 11th Congressional District, which includes the city of Fairfax and most of Fairfax County. However, the district’s boundaries could change pending ongoing redistricting discussions in the state.
Fram emphasized that her decades working within the executive branch shaped her understanding of what it means to take — and uphold — an oath to the Constitution, even when those in power later forced her out of service solely because of her identity, not her performance.
“Through 23 years of service, I learned what it meant to fulfill that oath to the Constitution, and I wanted to continue serving,” she said. “But when this administration came in and labeled me and others like me ‘dishonorable’ and ‘disciplined liars who lack the humility required for military service,’ it hit hard. When the Supreme Court then agreed to let the administration fire all of us, I had to figure out what would allow me to continue my service in a way that was meaningful and lived up to that oath.”
After being told she would have to retire from a career she describes as her life’s calling, Fram said she began searching for another way to serve — a path that ultimately led her to run for Congress.
“I had done the work over the past couple of decades to understand the America that I believe in, that America I believe we all can be,” Fram said. “That’s where this decision came from. I believe I can fight back and fight forward for Virginians — with the knowledge I have and with a vision of the America we can be.”
That vision, she said, is one that has yet to be fully realized — despite decades of promises from Democratic leaders across all branches of government.
“This is about protecting our fundamental rights — freedom of speech, freedom to assemble, bodily autonomy, a woman’s right to choose, and the ability for queer people to live our best lives,” Fram said. “Right now, our government is throwing barriers up in front of many people. They’re strengthening them, building walls higher, and actively damaging lives.”

Fram said her leadership philosophy was shaped by watching strong, effective leaders during her time in the Air Force and Space Force — leaders who reinforced her belief that true leadership means expanding opportunity, not restricting it.
“Leadership is about tearing barriers down — not climbing over them and forcing others to suffer through the same things,” she said. “It’s about making sure the people coming up behind us have even more opportunity to go further, faster. How do we be better tomorrow than we are today? How do we fulfill our founding promise of life, liberty, and the pursuit of happiness?”
One way Fram said Congress could help dismantle those barriers is by passing the Equal Rights Amendment, enshrining constitutional protections for all people — particularly LGBTQ Americans.
“Getting the Equal Rights Amendment into the Constitution is absolutely critical to the future of queer rights,” she said. “Voting rights must also be clearly protected.”
Protecting democracy itself is also among her top priorities, Fram said.
“We need to take control of the House so we can put real checks on this administration,” she said. “That allows the American people to see how this administration is actively making their lives worse and less affordable — and it’s how we ultimately throw them out and get back to making life better.”
Fram said her experience working under four presidents — including during Trump’s first term — reinforced her belief that opposition to efforts curtailing civil liberties is essential.
“The primary thing we can do to protect democracy is to get rid of this administration,” she said. “Taking control of the House gives us true investigative power. Under every rock, there is likely an impeachable offense because they are failing to faithfully execute the laws of the United States.”
For her, the message Trump is sending is clear — he and others close-minded to the LGBTQ community are threatened by the possibility of what someone truly dedicated to service can become.
“One of the reasons this administration had to throw us out and silence us was because we were an example of what was possible. We shined so brightly by meeting or exceeding every standard that they couldn’t hide us away by any other means except kicking us out.”
Fram acknowledged that her identity has been a political target since 2016, but said those attacks have never been grounded in her ability to lead or accomplish complex missions over more than two decades of service.
“If others want to attack me on my identity, I welcome it,” she said. “I’m focused on whether people can afford groceries or feel safe in their communities.”
“I’m happy to be a lightning rod for those kinds of attacks,” she added. “If it allows Democrats to advance an agenda that makes life better for Americans, they can come after me all day long. They attacked me while I was in the military, before I was ever running for office.”
On policy, Fram said affordability, health care, and safety are at the center of her agenda.
“No one should be afraid to go to the doctor or fear surprise medical bills that put them into debt,” she said. “Every American deserves access to affordable, high-quality health care.”
She also emphasized a willingness to work across party lines — even with those who previously politicized her identity — if it means delivering results for constituents.
“If someone wants to work together to make people’s lives better, I’ll work with them,” she said. “If they want to come after me based on who I am, they can waste their energy on that.”
Asked how she defines hope in the current political moment, Fram rejected the idea of passive optimism.
“Hope isn’t naive optimism,” she said. “Hope is doing the work — engaging people and bending the moral arc of the universe toward justice.”
She added that representation itself can be transformative.
“Just being in Congress changes the narrative,” Fram said. “It lets a kid say, ‘Oh my God — I could do that too.’”
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