National
Lawmakers warn of HIV crisis as federal support collapses
NMAC hosted Capitol Hill event on Wednesday
NMAC, formerly known as the National Minority AIDS Council, a nonprofit organization that works for health equity and racial justice to end the HIV epidemic, held its 6th annual Hill Champions reception on Wednesday in the Rayburn House Office Building to honor federal legislators who have worked to stop the spread of HIV/AIDS in the U.S. and around the world.
Currently there are an estimated 40.8 million people worldwide living with HIV, with about 1.2 million people in the U.S. with the disease. While there is no cure, there are highly effective treatments that can control the virus and allow people to live long, healthy lives called antiretroviral therapy that can reduce the amount of virus in the body to an undetectable level, which also prevents the spread of HIV to others.
This year, NMAC’s reception featured a slew of current policymakers who use their national platforms to push for expanding HIV funding in Congress. This year’s honorees were three congresswomen who are active voices for HIV/AIDS on the House floor: U.S. Reps. Jasmine Crockett (D-Texas), Sara Jacobs (D-Calif.), and Delia Ramirez (D-Ill.).
The awards presented to the representatives are named after three congressional icons who have dedicated their lives to ensuring the voices of the most marginalized are heard, seen, and helped.
Crockett received the John Lewis Good Trouble Award, Jacobs received the Barbara Lee Courage in HIV/Advocacy Award, and Ramirez received the Elijah Cummings Award for Minority Health Equity.
NMAC CEO Harold J. Phillips, the former director of the White House Office of National AIDS Policy under President Joe Biden, was one of the first to speak at the event. He congratulated the honorees, highlighted work accomplished this past year in the fight against HIV/AIDS, and outlined what lies ahead as the current president continues to slash funding for public health initiatives worldwide.
“Tonight, we gather to celebrate what’s possible when courage meets commitment, when leaders refuse to let politics stand in the way of saving lives, we’re in a critical moment. Political uncertainty threatens the very programs that have transformed HIV into a manageable condition, but a crisis creates an opportunity for collective action,” Phillips said. “For more than 40 years, the HIV movement has thrived because of bipartisan leadership, leaders who understood that public health transcends party lines. Now more than ever, we need advocates on the hill.”
He continued, spotlighting actions taken by the honorees for the HIV movement during a time when some of the highest officials in government refuse to acknowledge it.
“What unites these champions is their understanding that HIV advocacy is not political — it is moral. They show us what it looks like when leaders treat public health as a responsibility, not a bargaining chip.”
Jacobs and Ramirez attended in person, while Crockett, who was unable to be there, sent a video.
In her speech after receiving the Barbara Lee Courage in HIV/Advocacy Award, Jacobs emphasized that the policies and initiatives put forward through the HIV Caucus and public health organizations in the U.S. have global impact — particularly regarding PEPFAR. Jacobs has been a consistent champion for people living with HIV, military service rights, and protecting the U.S. Agency for International Development.
“PEPFAR has saved over 25 million lives, but cuts are already causing catastrophic setbacks,” Rep. Jacobs said, explaining that even with progress made due to PEPFAR funding, places like Malawi reaching the 95-95-95 goal (95 percent of all people with HIV knew their status, 95 percent of those diagnosed were on lifesaving antiretrovirals, and 95 percent of those on medication were unable to transmit HIV) will continue to suffer. “In Malawi, where services for LGBTQ people, sex workers, young women, and other marginalized groups have been eliminated, it’s no longer a question of if transmission rates will rise — but when. We cannot leave communities behind or allow preventable deaths because of political decisions made in Washington.”

“I know that people of color, immigrants and trans people, have all been let down by our mainstream approach to HIV prevention and everything, I see seven barriers they face in accessing health care, the stigma surrounding disease and the lack of awareness from people in power,” the San Diego congresswoman said. “I want to say to those in that community, I will not let you fall through the cracks. I will not let you become another statistic, and I will keep working to make sure your voice is heard and that you can live a full and healthy life.”
Crockett, who addressed the crowd via video, emphasized her award’s namesake, explaining that the “good trouble” she gets into on the House floor and in committees can be deemed too much even by those in her own party, but that she remains committed to making HIV treatment accessible to all, regardless of background.
“To receive an award named after John Lewis is an honor all on its own. It means being bold, speaking up when others are scared to and standing firm when the truth makes people uncomfortable. And y’all know me — I don’t mind stirring a little trouble, especially when I am stirring trouble that is good trouble — but I never do it alone. I do it with the strength of the communities I represent. I do it with the stories of the folks who feel unheard. I do it for the people who depend on someone in those halls of Congress to fight for them. So this award isn’t just mine. It belongs to every advocate pushing for access to health care, every person navigating their own health journey, every organizer who refuses to give up.”
She continued, without directly calling out the White House, making allusions to pushing back against the recent emergence of budget cuts.
“I promise to keep fighting for funding, for research, for resources ,and for every community that needs a champion, because getting into good trouble isn’t just a phrase, it’s a calling, a calling we all share in this room,” Crockett said. “Thank you again for this honor, and thank you for your leadership, your fight and your refusal to back down. Now, let’s keep getting into that good trouble.”
Ramirez, who represents a part of Chicago, was previously in the Illinois House of Representatives, where she co-sponsored legislation to allow minors to access HIV and STI testing, prevention, and treatment without parental consent. She was also a chief co-sponsor in securing $10 million in state funding for this initiative in Illinois, and was the House chief co-sponsor for the “disrupting disparities for LGBTQ+ older adults and older adults living with HIV” initiative.
“I am clear more than ever that a commitment to ending the HIV and AIDS epidemic must continue to be our priority, and we must demonstrate that priority not through words, my friends, but through action — fighting for and protecting our neighbors, living with HIV or AIDS, including our LGBTQI plus neighbors,” Ramirez said. “It means showing up, telling our stories, celebrating each other and fighting side by side for that collective liberation, which only makes me more grateful for the people in this room.”
She also used the platform to criticize how some of Trump-Vance administration’s cuts to healthcare coverage funding were directed at underserved communities within the U.S. — namely undocumented immigrants like her parents.
“I want you to know that as members of Congress, we cannot go through day to day as business as usual, today is the time to demand that our siblings living with HIV and AIDS, no matter their sexual orientation, no matter their gender expression, no matter their zip code, their background or their citizenship status, that they get everything that they deserve, every Damn thing, so that they can live a healthy and thriving life.”
While the event was intended to celebrate the accomplishments of legislators, advocates, and supporters of the fight against HIV/AIDS, the tone of the night was noticeably more charged following the Trump-Vance administration’s refusal to acknowledge World AIDS Day — and the reported directive instructing federal employees not to comment about it on any channels, including social media and traditional media.
Speaker Emerita Nancy Pelosi (D-Calif.) made a surprise appearance, celebrating the three legislators while emphasizing the critical importance of supporting HIV/AIDS research now that the White House has refused to acknowledge it.
“It’s really important this year, because this is the first time in a very long time that we have had World AIDS Day when the president of the United States has said, we can’t really talk about it and we certainly should not observe it for two days. On Sunday and Monday in San Francisco, we did exactly that. We talked about it, and we observed it, and here we are talking about it here, because, as Congressman Crockett said, and we all know, we’re here to fight for funding. We’re fighting for research, prevention, and all of that, but we’re also here to fight against discrimination and stigma anybody wants to attach to this, and that starts with you in the White House,” Pelosi said. “We have a fight on our hands, because this isn’t over.. [to] make sure that any discussion of HIV ends up in the dust bin of history, an ancient malady when our children, grandchildren all grow up. ‘What was that?’ It was something that doesn’t exist anymore because of the goodness of others, because of the National Minority AIDS Council.”
Maxine Waters slams Trump
U.S. Rep. Maxine Waters (D-Calif.) also made an appearance and delivered an unfiltered, passionate speech praising NMAC’s efforts and calling out Trump for ending funding for HIV/AIDS worldwide while simultaneously accepting donations to rebuild the White House as he sees fit.
“I want to tell you when they asked, how was I doing when I came in, really, I was thinking about the president of the United States and what’s going on now, it’s so troubling. And I find myself not sleeping as well as I normally sleep. I find myself trying to believe that what I see is happening is absolutely happening,” Waters said. “Many of our people with HIV and AIDS are homeless, and they’re not being taken care of, and they’re going to die with the cuts that are being made. Unfortunately, we just got to say it.”
She continued, calling out Trump’s lack of focus on domestic issues like HIV/AIDS that directly impact American citizens, instead prioritizing issues unrelated to the public’s welfare.
“The fact that the president of the United States is killing people in international waters in Venezuela, not knowing whether or not they’re drug dealers or not, not caring, and I think about two people, two men hanging on the side of the boat who had escaped the bomb that hit, and they said, kill him, and they shot him down and killed it’s hard to live with this. It’s hard to understand how all of this is happening. And so Trump refused to commemorate World AIDS Day, and his State Department instructed employees and grantees to refrain from publicly promoting World AIDS Day through any communication channels, including social media, media engagements, speeches or other public facing messaging let’s just be an honorary Why would he be focused on us celebrating or working with World AIDS Day and helping people to understand that HIV and AIDS is still a big problem in this country, and we have to spend money. We have to do what it takes in order to provide the medicine and the health care that they need. Why would he just be against that? He’s already cutting the funds. But just go even further and say and don’t even promote World AIDS Day. It’s bothersome. Trump halted funds for PEPFAR, the President’s Emergency Plan for AIDS Relief, which was created under the leadership of former Congresswoman Barbara Lee, the co-founder of the Congressional HIV AIDS Caucus.”
“There’s a very rich man that paid attention to what was going on with HIV and AIDS, and that was Bill Gates. And I’d like to quote him and what he said. ‘We’re already seeing the tragic impact of reductions in aid, and we know the number of date deaths will continue to rise.’ Here in the United States, where Nancy and I just talked about the creation of Minority AIDS Initiative to address AIDS disparities, and where the initiative has grown from 156 million when we first started in 1999 to more than 400 million per year. Today, Donald Trump is waging an all out war on people living with HIV. Trump’s budget proposal completely eliminated HIV prevention funding at the Centers for Disease Control and Prevention, and he slashed the funds from Ryan White AIDS care and HIV research. We cannot allow, we cannot allow these devastating cuts to be implemented, and so we’re doing everything that we possibly can to fight Donald Trump on all of these issues. I want you to know that this attack on many of our friends who happened to come from other countries is just outrageous, and what he said about Somalia today just cannot be understood or accepted. And so for all of the nice people in the room, get mad, get angry. Do a little cursing. Tell people what you think about it, because if you’re too nice, nobody believes you. You got to kick a little butt. You got to make sure that they understand we’re in this fight and we’re not going to go away. I know he’s the president of the United States, but he shouldn’t be. He’s the president of the United States with a cabinet that knows nothing and cares nothing about anybody. I dare anybody to talk about minorities and want to know whether or not we’re qualified. Hell, they have the most unqualified people that you’ve ever witnessed in your life, anytime, anyplace, anywhere. We want to get rid of all of them dealing with this public policy, doing everything that we can, educating people. Don’t forget, you got to get them to vote.”
She spoke for 17 minutes, touching on many current events but repeatedly returning to the point that the president is supposed to represent the people — not his own interests.
“I came here to talk about AIDS, but I wasn’t going to let you go without talking about some other stuff too. And I’m going to leave you with saying, not only are we concerned and we’re upset about the kind of cuts that are made, whether we’re talking about health care, we’re talking about AIDS in particular, whether we’re talking about Section Eight, whether we’re talking about food stamps, this crazy man is destroying the White House — bulldozes the East Wing. Why would he do that? And why would he spend over $300 million to do that while he’s cutting all of these programs? Well, he’ll say it’s being donated. Well, get it donated to AIDS. You know what I’m saying. Why are you getting it donated? And then, last of all, which pisses me off, you. Definitely, and I just think it’s crazy and outrageous. He wants to take the John F. Kennedy Center and name it after Melania. What the hell?”
In a moment when federal silence grows louder, the advocates in that room offered a counterpoint — a reminder that community, courage, and persistence still drive the fight to end HIV.
A Wider Bridge on Friday announced it will shut down at the end of the month.
The group that “mobilizes the LGBTQ community to fight antisemitism and support Israel and its LGBTQ community” in a letter to supporters said financial challenges prompted the decision.
“After 15 years of building bridges between LGBTQ communities in North America and Israel, A Wider Bridge has made the difficult decision to wind down operations as of Dec. 31, 2025,” it reads.
“This decision comes after challenging financial realities despite our best efforts to secure sustainable funding. We deeply appreciate our supporters and partners who made this work possible.”
Arthur Slepian founded A Wider Bridge in 2010.
The organization in 2016 organized a reception at the National LGBTQ Task Force’s Creating Change Conference in Chicago that was to have featured to Israeli activists. More than 200 people who protested against A Wider Bridge forced the event’s cancellation.
A Wider Bridge in 2024 urged the Capital Pride Alliance and other Pride organizers to ensure Jewish people can safely participate in their events in response to an increase in antisemitic attacks after Hamas militants attacked Israel on Oct. 7, 2023.
The Jewish Telegraphic Agency reported authorities in Vermont late last year charged Ethan Felson, who was A Wider Bridge’s then-executive director, with lewd and lascivious conduct after alleged sexual misconduct against a museum employee. Rabbi Denise Eger succeeded Felson as A Wider Bridge’s interim executive director.
A Wider Bridge in June honored U.S. Rep. Debbie Wasserman Schultz (D-Fla.) at its Pride event that took place at the Capital Jewish Museum in D.C. The event took place 15 days after a gunman killed two Israeli Embassy employees — Yaron Lischinsky and Sarah Milgrim — as they were leaving an event at the museum.
“Though we are winding down, this is not a time to back down. We recognize the deep importance of our mission and work amid attacks on Jewish people and LGBTQ people – and LGBTQ Jews at the intersection,” said A Wider Bridge in its letter. “Our board members remain committed to showing up in their individual capacities to represent queer Jews across diverse spaces — and we know our partners and supporters will continue to do the same.”
Editor’s note: Washington Blade International News Editor Michael K. Lavers traveled to Israel and Palestine with A Wider Bridge in 2016.
The White House
‘Trump Rx’ plan includes sharp cuts to HIV drug prices
President made announcement on Friday
President Donald Trump met with leaders from some of the world’s largest pharmaceutical companies at the White House on Friday to announce his new “Trump Rx” plan and outline efforts to reduce medication costs for Americans.
During the roughly 47-minute meeting in the Roosevelt Room, Trump detailed his administration’s efforts to cut prescription drug prices and make medications more affordable for U.S. patients.
“Starting next year, American drug prices will come down fast, furious, and will soon be among the lowest in the developed world,” Trump said during the meeting. “For decades, Americans have been forced to pay the highest prices in the world for prescription drugs by far … We will get the lowest price of anyone in the world.”
Trump signed an executive order in May directing his administration “to do everything in its power to slash prescription drug prices for Americans while getting other countries to pay more.”
“This represents the greatest victory for patient affordability in the history of American health care, by far, and every single American will benefit,” he added.
Several pharmaceutical executives stood behind the president during the announcement, including Sanofi CEO Paul Hudson, Novartis CEO Vas Narasimhan, Genentech CEO Ashley Magargee, Boehringer Ingelheim (USA) CEO Jean-Michel Boers, Gilead Sciences CEO Dan O’Day, Bristol Myers Squibb General Counsel Cari Gallman, GSK CEO Emma Walmsley, Merck CEO Robert Davis, and Amgen Executive Vice President Peter Griffith.
Also in attendance were Health and Human Services Secretary Robert F. Kennedy Jr., Commerce Secretary Howard Lutnick, Centers for Medicare and Medicaid Services Administrator Mehmet Oz, and Food and Drug Administration Commissioner Marty Makary.
Under the Trump Rx plan, the administration outlined a series of proposed drug price changes across multiple companies and therapeutic areas. Among them were reductions for Amgen’s cholesterol-lowering drug repatha from $573 to $239; Bristol Myers Squibb’s HIV medication reyataz from $1,449 to $217; Boehringer Ingelheim’s type 2 diabetes medication jentadueto from $525 to $55; Genentech’s flu medication xofluza from $168 to $50; and Gilead Sciences’ hepatitis C medication epclusa from $24,920 to $2,425.
Additional reductions included several GSK inhalers — such as the asthma inhaler advair diskus 500/50, from $265 to $89 — Merck’s diabetes medication januvia from $330 to $100, Novartis’ multiple sclerosis medication mayzent from $9,987 to $1,137, and Sanofi’s blood thinner plavix from $756 to $16. Sanofi insulin products would also be capped at $35 per month’s supply.
These prices, however, would only be available to patients who purchase medications directly through TrumpRx. According to the program’s website, TrumpRx “connects patients directly with the best prices, increasing transparency, and cutting out costly third-party markups.”
Kennedy spoke after Trump, thanking the president for efforts to lower pharmaceutical costs in the U.S., where evidence has shown that drug prices — including both brand-name and generic medications — are nearly 2.78 times higher than prices in comparable countries. According to the Pharmaceutical Research and Manufacturers of America, roughly half of every dollar spent on brand-name drugs goes to entities that play no role in their research, development, or manufacturing.
“This is affordability in action,” Kennedy said. “We are reversing that trend and making sure that Americans can afford to get the life-saving solutions.”
Gilead CEO Dan O’Day also spoke about how the restructuring of drug costs under TrumpRx, combined with emerging technologies, could help reduce HIV transmission — a virus that, if untreated, can progress to AIDS. The LGBTQ community remains disproportionately affected by HIV.
“Thank you, Mr. President — you and the administration,” O’Day said. “I think this objective of achieving the commitment to affordability and future innovation is extraordinary … We just recently launched a new medicine that’s only given twice a year to prevent HIV, and we’re working with Secretary Kennedy and his entire team, as well as the State Department, as a part of your strategy to support ending the epidemic during your term.
“I’ve never been more optimistic about the innovation that exists across these companies and the impact this could have on America’s health and economy,” he added.
Trump interjected, asking, “And that’s working well with HIV?”
“Yes,” O’Day replied.
“It’s a big event,” Trump said.
“It literally prevents HIV almost 100 percent given twice a year,” O’Day responded.
A similar anti-HIV medication is currently prescribed more than injectable form mentioned by O’Day. PrEP, is a medication regimen proven to significantly reduce HIV infection rates for people at high risk. Without insurance, brand-name Truvada can cost roughly $2,000 per month, while a generic version costs about $60 per month.
Even when medication prices are reduced, PrEP access carries additional costs, including clinic and laboratory fees, office visits, required HIV and sexually transmitted infection testing, adherence services and counseling, and outreach to potentially eligible patients and providers.
According to a 2022 study, the annual total cost per person for PrEP — including medication and required clinical and laboratory monitoring — is approximately $12,000 to $13,000 per year.
The TrumpRx federal platform website is now live at TrumpRx.gov, but the program is not slated to begin offering reduced drug prices until January.
The White House
EXCLUSIVE: Democracy Forward files FOIA lawsuit after HHS deadnames Rachel Levine
Trans former assistant health secretary’s name changed on official portrait
Democracy Forward, a national legal organization that works to advance democracy and social progress through litigation, policy and public education, and regulatory engagement, filed a lawsuit Friday in federal court seeking to compel the U.S. Department of Health and Human Services to release information related to the alteration of former Assistant Secretary for Health Adm. Rachel Levine’s official portrait caption.
The lawsuit comes in response to the slow pace of HHS’s handling of multiple Freedom of Information Act requests — requests that federal law requires agencies to respond to within 20 working days. While responses can take longer due to backlogs, high request volumes, or the need for extensive searches or consultations, Democracy Forward says HHS has failed to provide any substantive response.
Democracy Forward’s four unanswered FOIA requests, and the subsequent lawsuit against HHS, come days after someone in the Trump-Vance administration changed Levine’s official portrait in the Hubert H. Humphrey Building to display her deadname — the name she used before transitioning and has not used since 2011.
According to Democracy Forward, HHS “refused to release any records related to its morally wrong and offensive effort to alter former Assistant Secretary for Health Admiral Rachel Levine’s official portrait caption.” Levine was the highest-ranking openly transgender government official in U.S. history and served as assistant secretary for health and as an admiral in the U.S. Public Health Service Commissioned Corps from 2021 to 2025.
Democracy Forward President Skye Perryman spoke about the need to hold the Trump-Vance administration accountable for every official action, especially those that harm some of the most targeted Americans, including trans people.
“The question every American should be asking remains: what is the Trump-Vance administration hiding? For an administration that touts its anti-transgender animus and behavior so publicly, its stonewalling and silence when it comes to the people’s right to see public records about who was behind this decision is deafening,” Perryman said.
“The government’s obligation of transparency doesn’t disappear because the information sought relates to a trailblazing former federal official who is transgender. It’s not complicated — the public is entitled to know who is making decisions — especially decisions that seek to alter facts and reality, erase the identity of a person, and affect the nation’s commitment to civil rights and human dignity.”
“HHS’s refusal to respond to these lawful requests raises more serious concerns about transparency and accountability,” Perryman added. “The public has every right to demand answers — to know who is behind this hateful act — and we are going to court to get them.”
The lawsuit also raises questions about whether the alteration violated federal accuracy and privacy requirements governing Levine’s name, and whether the agency improperly classified the change as an “excepted activity” during a lapse in appropriations. By failing to make any determination or produce any records, Democracy Forward argues, HHS has violated its obligations under federal law.
The case, Democracy Forward Foundation v. U.S. Department of Health and Human Services, was filed in the U.S. District Court for the District of Columbia. The legal team includes Anisha Hindocha, Daniel McGrath, and Robin Thurston.
The Washington Blade reached out to HHS, but has not received any comment.
The lawsuit and four FOIA requests are below:
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