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Concerns for future emerge at U.S. Conference on HIV/AIDS

‘I’m done being treated like shit in the country I grew up in’

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Members of the Host Committee gather at the stage of the U.S. Conference on HIV/AIDS. (Washington Blade photo by Michael Key)

More than 2,400 people, including public health experts, scientists, physicians, local government officials, and community activists, turned out for the 29th annual United States Conference on HIV/AIDS, which took place Sept. 4-7 at the Marriott Marquis Hotel in D.C.  

Organized by the D.C.-based group NMAC, formerly known as the National Minority AIDS Council, the conference is considered the nation’s largest and most comprehensive gathering of experts involved in addressing the HIV/AIDS epidemic in the U.S.

NMAC spokesperson Pavni Guharoy said NMAC officials will be completing a final count of the conference participants based on registration numbers later this week, but she said the current estimated attendance was at least 2,500.

The conference included more than 100 workshop sessions that focused on a wide range of issues related to the status of the HIV/AIDS epidemic in the U.S., with a focus on the large and growing number of people living with HIV who are 50 years of age or older.

Information released at the conference shows that as of 2022, of the nearly 1.1 million people living with HIV in the U.S., approximately 54 percent were 50 years of age or older. 

Many of the sessions addressed the needs, concerns and sometimes stigma faced by diverse communities of people living with HIV and those at risk for HIV, including African American, Latinx, and LGBTQ communities, both those who are aging as well as young adults.

The conference also included four plenary sessions in which all conference attendees listened to two-dozen prominent keynote speakers. Among them was former U.S. National Institutes of Health official Dr. Anthony Fauci, who pointed out that continuing advances in HIV research have led to effective medical intervention that changed AIDS from a once fatal illness to a condition in which people with HIV can live “a normal life span.”

Other keynote speakers included Earvin ‘Magic’ Johnson, the acclaimed basketball player who became an advocate for people with HIV after testing positive for HIV 33 years ago, and Dr. Rachel Levine, who made history by becoming the first out transgender person to be confirmed by the U.S. Senate in 2021as an appointee by then-President Joe Biden as a U.S. Assistant Secretary of Health.

Jeanne White-Ginder speaks at the 2025 U.S. Conference on HIV/AIDS. (Washington Blade photo by Michael Key)

Also speaking was Jeanne White-Ginder, the mother of Ryan White, who was diagnosed with AIDS in 1984 at the age of 13 from a blood transfusion. White-Ginder told conference attendees how Ryan faced discrimination when he was initially barred from going to his school in Indiana out of fear that he could transmit the virus to others at school.

In a moving presentation, she told how Ryan became one of the nation’s early advocates for people with HIV/AIDS up until the time of his death in 1990, one month before his high school graduation. She said then-U.S. Sen. Edward Kennedy (D-Mass.) invited her to come to Washington to help lobby for a bill Kennedy introduced and which Congress passed in her son’s honor called the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act in August 1990.

“Now, today, thanks to your hard work and dedication, Ryan’s bill and your bill, too, provides treatment and support to more than half a million Americans in big cities, small towns and rural communities across the country,” she said. “It has dramatically reduced suffering. It has enabled people to live with HIV, to live long and healthy lives.” 

But White-Ginder joined the many conference speakers, including Magic Johnson, in calling on attendees and the public to urge Congress to reject the dramatic cuts in funding for federal AIDS programs, including the Ryan White program, proposed by President Donald Trump and Republican congressional leaders for the Fiscal Year 2026 federal budget.

Among those calling on the AIDS community and allies to speak out against the proposed budget cuts were Paul Kawata, NMAC’s outgoing executive director and CEO, who is retiring Oct. 7, and Harold Phillips, the former director of the White House Office of National AIDS Policy during the Biden administration and current NMAC Deputy Director for Programs who was chosen to succeed Kawata as NMAC CEO.

NMAC officials, led by members of its board of directors, praised Kawata for his 36 years of service as NMAC’s leader and his dedication to the cause of service and support for people with HIV and AIDS.

Kawata reflected on his work at NMAC and his concerns over the current political climate in Washington in a sometimes-emotional farewell address at one of the conference’s plenary sessions on Sept. 5.

“I’ll be honest with you. After 36 years the thought of leaving all of you is much more difficult than I thought it was going to be,” he told the gathering. “You are my family. You are the people that I love,” he said.

“You taught me how to be a better version of me. And I am so extraordinarily grateful for everything that you have given me,” he continued. “And you will always be a part of my heart.”

Pointing to members of the NMAC staff, both current and former members in the audience, Kawata said, “NMAC is NMAC because of what you do every single day with your life. You fight to make a difference in the world. And I am honored and privileged to call you my friends.”

Without mentioning the Trump administration by name, Kawata had harsh words for what he said was happening now in the United States and its impact on people living with HIV.

“I’m not going to lie to you,” he said. “I’m done being treated like shit in the country that I grew up in. I’m done being told that I’m a second-class citizen because of who I love,” he continued. “It’s not my America anymore. And I’m worried for our future.”

He added, “We always talk about the pendulum of justice, about the arc of justice. And I really want you to know in this moment, as difficult and as awful and how hellacious it is, we are on the right side of history. We are the ones who will change the world.”

In his remarks at the conference’s closing Sept. 7 plenary session, Fauci said, “We’re in very difficult times. You don’t need me to tell you that. But we’ve got to continue to put the pressure on what we did in the ‘80s with the activist groups, to make sure we do end the epidemic.”

He noted that he was at his job as director of the U.S. National Institute of Allergies and Infectious Diseases in the early 1980s, when the AIDS epidemic first surfaced and the AIDS patients he and his colleagues cared for, had little chance of survival.

Dr. Anthony Fauci speaks at the 2025 U.S. Conference on HIV/AIDS. (Washington Blade photo by Michael Key)

“Fast forward now, 44 years, extraordinary things have happened,” Fauci said. “We now have drugs that you are all very aware of that can have an individual living with HIV live essentially a normal life span in putting under the care and the availability of drugs,” he continued.

“We know what U equals U – something that we didn’t imagine some years ago. That undetectable equals untransmissible,” he said, referring to the current HIV medication that suppresses the HIV virus to an undetectable level that prevents an infected person from transmitting it to someone else.

“And right now, with these drugs that we have for the prevention of HIV we have what we actually hoped for years ago – and that is to end the HIV epidemic,” he said.

Dr. Rachel Levine, who during the Biden administration served in the dual role as Assistant Secretary of Health at the U.S. Department of Health and Human Services and as director of the U.S. Public Health Service Commissioned Corps, also spoke at the closing session of the conference.

She noted that she began her career as a pediatric physician in 1983 in New York City, at the time of the early stages of the AIDS epidemic. From that time through her years as Assistant Secretary of Health, Levine said she observed first-hand the skills and dedication of doctors, nurses, and others who cared for people with HIV/AIDS who she described as the HIV care workforce.

Dr. Rachel Levine speaks at the 2025 U.S. Conference on HIV/AIDS. (Washington Blade photo by Michael Key)

“The HIV care workforce since that time has been incredibly dedicated, with many people working for decades,” she said. “And working to end the HIV epidemic in the United States and around the world. We applaud you. You are in this room. We applaud you arduously for your dedication and for your passion.”

Levine also noted that the cuts in funding and large-scale federal worker layoffs brought about by the Trump administration have had a direct impact on the HIV care workforce.

“Many dedicated public health leaders, including most of the HIV and infectious disease team who I worked with in my office at HHS have had their positions eliminated,” she said. “These hard-working civil servants went to work every single day to support the health and wellbeing of all Americans, including those living with HIV.”

She added, “And we know that there are shortages in HIV care. And it is so critical at this challenging time that we support you, the HIV care workforce.”

Many conference attendees said Magic Johnson played a leading role in boosting morale and spirit at the 2025 U.S. Conference on HIV/AIDS by his inspirational speech at the Sept. 5 plenary session.

Upon receiving a prolonged, standing ovation after being  introduced as the next speaker, Johnson said, “When I think about 33 years living with HIV in a moment that changed my life forever. And what a blessing to be here 33 years later to tell that story at a time when there was only one drug.”

Earvin ‘Magic’ Johnson speaks at the 2025 U.S. Conference on HIV/AIDS. (Washington Blade photo by Michael Key)

Johnson added, “Wow, and they said it probably is a death sentence for myself, and I had to wrap my arms around making the toughest decision I probably had to make in my life, which was to retire from the NBA.”

Among other things, Johnson said his doctors told him that while he was physically capable of continuing to play basketball, the stress of an 80-game season could impact his immune system and lower his T-cell count.  

With the support of family, friends, and his community, Johnson said he miraculously survived the early days without a known fully effective HIV drug. And at the request of community activists, he agreed to speak out as a well-known figure and a person with HIV to inform “my community,” especially people of color, he said, about how to live with HIV and how uninfected people can lower their risk.

“But what I do, I adhere to my doctor. I take my meds. I work out, and then I love life and myself,” he said. 

In response to the challenge facing people with HIV under the current political situation, Johnson said, “We got to pull ourselves together and continue this fight, because it’s important and we got to keep this at the forefront. Now, HIV and AIDS kind of slipped back. We got to bring it back up.”

Among other things, he said the nonprofit foundation he helped to form has “given away over $15 million” in grants to HIV/AIDS organizations. “And we will continue to do that because of the work you are doing.”

He received another thunderous applause and standing ovation upon the completion of his speech.

Phillips, who will succeed Kawata as NMAC’s CEO on Oct. 7, told the Washington Blade he believes this year’s U.S. Conference on HIV/AIDS was “extraordinary” under difficult circumstances.

NMAC CEO Harold Phillips speaks at the 2025 U.S. Conference on HIV/AIDS. (Washington Blade photo by Michael Key)

“I think so, because this year we did this without a lot of federal support,” he said. “And many of the attendees – the federal government, HRSA, the Ryan White program told them they couldn’t use their grant funds to attend the conference, which was a shame.”

Phillips added, “But I think with a crowd of over 2,400, some people found a way to be here regardless and thought that it was important, and the topic was important enough. And I think our listening sessions, our workshops, our plenaries hopefully gave them what they needed to continue to be activated to serve people living with HIV. “

“And also gave them a sense of hope, especially in these dark times that we can continue to work to end the HIV epidemic,” he said.  

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National

HRC report: LGBTQ students face ‘far greater challenges’ in non-supportive states

Survey finds anti-LGBTQ school harassment, bullying highest in 17 states

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(Washington Blade photo by Michael Key)

The Human Rights Campaign Foundation, the educational arm of the national LGBTQ advocacy organization Human Rights Campaign, has released a report showing LGBTQ public school students are more likely to face bullying, harassment, and “other barriers” in states that have less overall supportive LGBTQ laws and policies.

The report is based on the HRC Foundation’s National Educator Survey of School Climate and Bullying, which was released on Sept. 17.

“The report finds that harassment, bullying, and other barriers to LGBTQ+ inclusion are more prevalent in states with limiting policies, where educators report widespread restrictions on LGBTQ+ resources, visible expressions of support, and assistance for transgender students,” a statement released by HRC says.

“As just one example,” the statement adds, “while 59 percent of educators in states with limiting policies report restrictions on supporting their transgender students, just 6 percent to 8 percent of educators in states with supportive policies report the same, underscoring the impact of these policies on school climate, student well-being, and the stakes of the upcoming midterm elections for LGBTQ+ youth and inclusive classrooms.”

The report says the survey consisted of responses by 826 educators in 42 states who worked as teachers, principals, counselors, administrators, and others who worked in support services. All worked at schools with students from pre-kindergarten to 12th grade, most being public schools and a smaller number being charter schools, the report says.

It says the survey was conducted between April 15 and May 21, 2026, and included a survey questionnaire with about 55 questions covering a wide range of LGBTQ related school issues.

According to the report, its classification of LGBTQ supportive and non-LGBTQ supportive states is based on a detailed analysis of the LGBTQ related laws and policies of all 50 states, D.C., and U.S. territories conducted by the Movement Advancement Project, or MAP, which describes itself as an “independent, nonprofit thinktank.”  

The report includes a chart consisting of 51 boxes representing the 50 states and D.C., with 32 plus D.C. colored as blue and said to have overall LGBTQ supportive policies. The 17 boxes colored in red are said to have overall non-LGBTQ supportive policies and laws, Each of the boxes has the initial of a state or D.C. printed inside it.

In addition to D.C., the chart shows Maryland, Virginia, New York, California, and Massachusetts as among the supportive states. Florida, Texas, West Virginia, and Ohio are among the states shown to be non-LGBTQ supportive.  

The HRC statement includes these “key” findings from the survey:

  • In states with restrictive LGBTQ+ inclusion policies, 59 percent of educators report restrictions on supporting transgender students, compared to just 6-8 percent of educators in states with supportive LGBTQ+ inclusion policies.
  • In states with restrictive policies, nearly 50 percent of educators reported restrictions on LGBTQ+ books or resources, compared to just 7 percent of educators in states with supportive policies.
  • Roughly 32 percent of educators in states with restrictive policies reported anti-LGBTQ+ harassment was a moderate or serious problem, compared with 11 percent of educators in states with supportive LGBTQ+ inclusion policies.
  • In states with restrictive LGBTQ+ inclusion policies, 29 percent of educators were very worried about anti-LGBTQ+ harassment, compared to 15 percent in states with supportive LGBTQ+ inclusion policies.
  • In states with restrictive LGBTQ+ inclusion policies, 36 percent of educators witnessed anti-LGBTQ+ student bullying, compared to 27 percent in states with supportive LGBTQ+ inclusion policies.
  • In states with supportive LGBTQ+ inclusion policies, 75 percent of educators reported no restrictions on LGBTQ+-supportive displays, highlighting a substantially more supportive school environment than in states with restrictive policies.
  • Educators in states with restrictive LGBTQ+ inclusion policies also reported significant harassment of students based on appearance (57 percent), race or ethnicity (43 percent), sexual orientation (42 percent), and gender identity or expression (39 percent). (No direct comparison figure from supportive-policy states is provided in the data above.)

“Every young person deserves to feel safe and supportive at school, but this report makes clear that for too many LGBTQ+ students, especially transgender youth, are being failed by policies designed to exclude them,” said HRC President Kelley Robinson in the HRC statement.

“We know that when students feel seen, supported, and affirmed, they are more likely to thrive, but when schools become places of exclusion or hostility, young people pay the price through lower engagement, missed opportunities to learn, and poorer mental and physical health,” Robinson said.

The HRC statement notes that the survey findings come at a time when a growing number of states have passed laws targeting LGBTQ students and the school officials and teachers who support them. It says that for the first time, the survey found that “educators themselves are also experiencing anti-LGBTQ+ harassment, highlighting the growing impact of these policies on school staff as well as students.”

The full survey findings and report can be accessed here:

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U.S. Supreme Court

Trump asks Supreme Court to allow restrictions on gender-affirming care in prisons

SCOTUS could further restrict rights of trans inmates

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The U.S. Supreme Court with an LGBTQ Pride flag flying in front of it. (Washington Blade Photo by Michael Key)

The Trump administration has asked the Supreme Court to allow its policy limiting gender-affirming treatment for federal inmates to take effect while a legal challenge plays out in court.

U.S. District Judge Royce Lamberth ordered the government to continue providing gender-affirming care, such as hormone therapy, which had become policy nearly a decade ago for inmates who were transitioning.

The Trump administration argues in its application that its policy restricting transgender rights was properly adopted and that the judge overstepped, posing nationwide “security and prison-administrative concerns.”

If allowed, the policy would halt surgeries, hormones and social accommodations such as wigs while allowing mental health therapy to continue as the legality of the policy reversal is litigated.

The government also argues in the application that the Bureau of Prisons had “determined that sex-trait-modification surgeries, hormone interventions in general, and social accommodations could no longer be justified as treatment for gender dysphoria.”

American Civil Liberties Union attorneys for the inmates said the policy is “a direct threat to the well-being of transgender people in federal custody and an open violation of their fundamental rights,” and said withholding necessary gender-affirming healthcare constitutes cruel and unusual punishment.

The Blade has covered the ongoing developments surrounding changes to Federal Bureau of Prisons transgender inmate policy that went into effect earlier in Trump’s term. The changes primarily focus on rolling back Biden-era protections for trans inmates.

Earlier this year, the Blade published a joint letter from multiple senators in response to the rollback of the policy. Multiple senators — including Edward Markey (D-Mass.), Jeffrey A. Merkley (D-Ore.) and Mazie K. Hirono (D-Hawaii) — sent a letter to Attorney General Todd Blanche and Federal Bureau of Prisons Director William Marshall III calling for them to reverse the policy change, saying it endangers inmates’ health and safety.

The senators described how the policy shift, along with President Trump’s Executive Order 14168, titled “Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government,” is forcing policy changes they argued are rooted more in political rhetoric than in medical research or evidence-based correctional practices.

Federal Bureau of Prisons responded to the Blade’s request for comment in May, declining to reconsider its transgender inmate policy.

The Blade reached out to the Federal Bureau of Prisons once again over the application to the Supreme Court, but did not hear back before publication.

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Federal Government

Education Department rolls back protections for LGBTQ students under Title IX

The DoE policy rescinds Biden-era protections

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U.S. Education Secretary Linda McMahon (Washington Blade photo by Michael Key)

The Department of Education rolled back a Biden-era Title IX interpretation on Monday that secured sex-based discrimination protections for students on the basis of sexual orientation and gender identity.

Title IX was established in 1972 as landmark civil rights law. It prohibits sex-based discrimination in any school or any other education program that receives funding from the federal government.

Education Secretary Linda McMahon spoke about the revision of the policy, claiming the decision would explicitly help “women and girls.”

“Thanks to today’s action, the published Title IX regulations faithfully reflect court orders and congressional intent — reducing confusion for parents, students, and educational institutions. We will continue to relentlessly champion equal opportunity for all Americans and hold accountable any school or college that violates the rights, privacy, or athletic opportunities of our women and girls,” McMahon said via press release.

Prior to her work under the Trump-Vance administration, McMahon was a World Wrestling Federation/World Wrestling Entertainment executive before resigning to pursue a career in politics. She was appointed to the Connecticut State Board of Education by then-Gov. Jodi Rell in January 2009, but resigned from her role shortly afterward to run what ultimately became two failed campaigns for Connecticut’s U.S. Senate seat in 2010 and 2012.

A “fact sheet” provided by the Department of Education also called the inclusive sexual assault and gender identity protections expanded under the Biden-Harris unlawful, saying, “This change is necessary to provide clarity in the Code of Federal Regulations so that institutions, administrations, students, and families can see the rules that are actually in force and to help eliminate public confusion about the Biden administration’s unlawful attempt to stretch Title IX’s legal protections to cover ‘sexual orientation’ and ‘gender identity.’”

This is not the first time this policy has faced judicial hurdles. While Biden was still in office, the plan was struck down in multiple courts in Republican states.

Opponents of the move say it will harm transgender athletes and weaken protections for sexual assault victims.

“Sexual harassment and assault continue to be pervasive in schools and, to the fullest extent possible, we should be working to enforce the laws that protect student survivors of sexual violence. Yet, Education Secretary Linda McMahon and the Trump administration have decided to ignore what survivors need, instead weaponizing Title IX to attack trans students,” said Shiwali Patel, senior director of education justice at the National Women’s Law Center.

This is a return to a first Trump term policy after Biden issued an executive order to attempt to curb discrimination for all — especially those with different sexual orientations and gender identities — that had been given a pass during Trump’s first term. Much of Title IX’s policy has a narrow vision of what sex protections look like that often and enthusiastically leave gender-diverse and non-heterosexual people out.

In March 2021, President Joe Biden signed Executive Order 14021, “Guaranteeing an Educational Environment Free From Discrimination on the Basis of Sex, Including Sexual Orientation or Gender Identity,” to attempt to undo some of the flagrantly anti-LGBTQ policy the Trump-Pence administration had set forth relating to Title IX protections for LGBTQ students and sexual assault survivors.

The secretary focused this “win” for the administration as one more step toward restricting transgender students from competing in women’s sports, but the 2020 rule, completed under former Education Secretary Betsy DeVos, didn’t explicitly ban trans students from participating on sports teams consistent with their gender identity. It did limit the types of sexual harassment and assault complaints that schools had to investigate and required live hearings so male students could respond to accusations.

McMahon didn’t discuss those aspects in her statement or in requests for comment. The 2020 rule drew praise from conservatives and intense opposition from advocates who said it downplayed sexual abuse and left victims unprotected.

In a statement, U.S. Rep. Tim Walberg (R-Mich.), who chairs the House Education Committee, said, “Returning to the 2020 regulations restores longstanding protections for women and girls that the Biden-Harris administration attempted to dismantle and realigns Title IX policy with court precedents.”

LGBTQ activists have called this decision a direct attack on LGBTQ safety — particularly for trans students who continue to face a barrage of legislative, executive, and judicial attacks in recent years from the Trump-Vance administration.

Kelley Robinson, president of the Human Rights Campaign, the largest LGBTQ advocacy group in the world, released a statement following the DoE’s announcement.

“Title IX is, quite simply, about protecting students and ensuring that they are safe from abuse, harassment, and discrimination while they pursue their education. But Donald Trump and his cronies aren’t interested in any of that,” Robinson said. “Donald Trump’s Department of Education has completely lost sight of that mission. Instead of enforcing protections for students, they’re rescinding them. They don’t care if sexual harassment and assault go unaddressed. And they’re happy to strip funding away from school districts and states that are actually trying to keep students safe.

“We know who will be hurt: women, girls, and others who are vulnerable to sexual harassment, assault and abuse — including LGBTQ+ students. The fact that they’re dropping this rule into place abruptly, without a comment period, denying families, educators, loved ones, and the students themselves a say in how they should be treated, shows how little they care about the safety of our students.

“This is a monstrous injustice, and it drives home how essential it is that we take action at the polls this November to start bringing some accountability to an administration that has turned its back on the very students Title IX was written to protect,” she added.

The Washington Blade reached out to the DoE for comment and questions on whether Title IX protections still included LGBTQ students, and received this email response from Education Spokesman Sabin Sidney:

“Your questions indicate you are clearly missing the entire point of this Final Rule. The Biden Administration illegally rewrote Title IX to include ‘sexual orientation’ and ‘gender identification’ in the definition of sex-based discrimination. The Trump Administration is rescinding this rule—only after every federal court that heard legal challenges rejected it as unlawful.

“Since January 2025, the Department has been enforcing Title IX consistent with the President’s Executive Order grounded in biological truth that there are only two sexes. The Trump Administration is restoring the original promise of Title IX and providing clarity to students, parents, and educational institutions. We will vigorously defend equal opportunity consistent with the law’s intended purpose.”

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