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How new barriers to health care coverage are hitting D.C.

Federally qualified health centers bracing for influx of newly uninsured patients

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Erin Loubier, vice president for access and strategic initiatives at Whitman-Walker Health. (Courtesy photo)

Washington, D.C. has the second-lowest rate of people who lack health insurance in the country, but many residents are facing new barriers to health care due to provisions of the sweeping federal law passed in July, which threatens access for thousands. 

Changes to insurance eligibility and the rising cost of premiums, which kicked in for some in October and others more recently, are expected to leave many more patients uninsured or unable to afford medical care. Federally qualified health centers, including D.C.’s Whitman-Walker Health, where 10 to 12 percent of patients are uninsured, are bracing for an influx of newly uninsured patients while facing their own financial challenges. 

Even in D.C., where uninsured rates have been among the lowest in the country, changes brought on by the passage of the Republican mega bill (known as the “Big Beautiful Bill”) will have major effects. 

The changes from the bill affect Medicaid, which is free to low-income patients, and subsidies for insurance that people buy on the health insurance exchanges that were started under the Affordable Care Act, which were allowed to expire on Dec. 31. 

Erin Loubier, vice president for access and strategic initiatives at Whitman-Walker Health, says some Whitman-Walker Health patients have received notices about premium increases, including several who say the increases are up to 1,000 percent more than they were paying. 

“That is like paying rent,” she says. “We live in an expensive city, so any increases are going to be really, really hard on people.”

Whitman-Walker Health and other healthcare providers are expecting the changes to have multiple effects — some patients may not be able to afford coverage or may avoid going to the doctor and allow health conditions to worsen because they can’t afford care, and many more will be seeking care who don’t have insurance. 

“I’m worried that we’re going to not just have people who can’t get care, but that they delay care until they’re really sick, and then the care is not as effective because they might have waited too long, and then we may have a less healthy population,” Loubier says.

Loubier says delaying care, and serving more people without insurance has major implications for Whitman-Walker Health and other health centers serving the community.

“There’s going to be a lot of pressure on us to try to find and raise more money, and that’s going to be harder, because I think all organizations who provide health care are going to be facing this,” she says. 

The U.S. health care system is the most expensive in the world, and has much higher out-of-pocket costs for individuals. But in other countries like the United Kingdom, Australia, Canada, and many others, health care is much less expensive — or even free.

Even though the U.S. has a high-priced healthcare system, critics say there are still ways to bring down costs by forcing insurance and pharmaceutical companies to absorb more of the costs, rather than transferring the costs to patients.

“In the U.S., they end up trying to cut costs at the person’s level, not at the level of the different corporations or structures that are making a lot of money in healthcare,” said Loubier. “Our system is so complicated and there is probably waste in it, but I don’t think that that cost and waste is at the ‘people’ level. I think it’s higher up at the system level, but that is much, much harder to get people to try to make cuts at that end.”

Ultimately at Whitman-Walker Health, healthcare providers and insurance navigators are planning to help with everyday necessities when it comes to healthcare coverage and striving to provide healthcare in partnership with patients, said Loubier.

“The key here is we’re going to have a lot of people who may lose insurance, and they’re going to rely on places like Whitman-Walker Health and other community health centers, so we have to figure out how we keep providing that care,” she said. 

(This article was written by a student in the journalism program at Bard High School Early College DC. This work is part of a partnership between the Washington Blade Foundation and Youthcast Media Group, funded through the FY26 Community Development Grant from the Office of D.C. Mayor Muriel Bowser.)

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District of Columbia

Man charged with anti-gay assault in D.C. accepts plea offer

Community service offered in exchange for dismissing hate crime charge

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(Photo by Sergei Gnatuk via Bigstock)

A Germantown, Md., man arrested by D.C. police on a charge of simple assault with a hate crime designation for allegedly assaulting a gay man while using “homophobic slurs” has agreed to an offer by prosecutors to plead guilty to simple assault without the hate crime designation and with the promise of having the charge dismissed if he completes, among other requirements, 48 hours of community service work.

Dean Edmundson, 26, standing beside his attorney, officially accepted the offer of a Deferred Sentencing Agreement at an Aug. 18 status hearing in D.C. Superior Court after Senior Judge Hiram Puig-Lugo explained the details of the agreement and confirmed Edmundson’s decision to waive his right to a trial.

Among other things, the judge said the agreement offered by prosecutors with the Office of the United States Attorney for D.C. includes the requirement that he successfully completes 48 hours of community service work, stays away from the victim of the assault, writes a letter of apology to the victim, and does not violate any other laws or get into trouble for the next 12 months.

Puig-Lugo then announced he scheduled a sentencing hearing for Edmundson for Aug. 18, 2027, at which time a determination will made on whether he has fulfilled all the requirements under the agreement and whether the simple assault charge will be dismissed. The judge added that if it is determined that Edmundson did not fulfil the terms of the agreement the charge would remain in place and he could be sentenced to a possible maximum penalty of 180 days in jail and a $1,000 fine.

Edmundson, who appeared in court wearing a business suit with a dress shirt and tie, was released on his own recognizance following his arrest by D.C. police on Feb. 7, 2026.

Police and court records show he was initially charged by arresting officers with simple assault with a hate crime designation. In a statement announcing the arrest, D.C. police said, “On Saturday, Feb. 7, 2026, at approximately 7:45 p.m. the victim and suspect were in the 1500 block of 14th Street, Northwest. The suspect requested a ‘high five’ from the victim. The victim declined and kept walking,” the statement says.

A follow-up arrest affidavit filed by police states that Edmundson followed the victim and called him “bald, ugly, and gay,” and then “pushed the victim with both hands, shoving them, causing the victim to feel the force of the push.” The affidavit adds, “The victim stated that they felt offended and that they were also gay.”

According to the court records, the Office of the U.S. Attorney filed its official charge of simple assault against Edmunson on Feb. 9 without the hate crime designation. The office has not responded to a request by the Washington Blade for its reason for dropping the hate crime designation. The office has also not immediately responded to a follow-up inquiry from the Blade this week asking if prosecutors consulted the victim to obtain the victim’s thoughts about the plea offer.

The Blade, which has a policy of not disclosing the identify of crime victims in cases like this without their consent, could not immediately obtain contact information to reach the victim for comment.

Court records show that Edmundson rejected an earlier plea agreement offer by prosecutors and he was scheduled for a non-jury trial on Aug. 18. The records show his attorney filed a motion earlier this month asking the judge to convert the trial into status hearing on that same day after his client accepted the Deferred Sentencing Agreement offer by the U.S. Attorney’s office. The judge approved the motion without objection from prosecutors.

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District of Columbia

Comings & Goings

SMYAL names new program, development leaders

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From left, Carla Lester and Tad Czyzewski

The Comings & Goings column is about sharing the professional successes of our community. We want to recognize those landing new jobs, new clients for their business, joining boards of organizations and other achievements. Please share your successes with us at [email protected]

Congratulations to Carla Lester, LICSW on her new position as Chief Program Officer with SMYAL. Upon accepting the position she said, “SMYAL deeply aligns with my passion for honoring, protecting, and upholding the rights of all individuals, particularly LGBTQ+ youth and others who have been historically underserved, to belong to communities that affirm their identities, treat them with dignity and respect, and support their well-being. At this point in my career, I was ready to transition to an organization whose mission more closely reflected my values and was rooted in the community. SMYAL offered the opportunity to serve both an organization and a population whose mission not only resonates deeply with me but also intersects with my own multiple identities.”

Lester is a healthcare and human services executive with more than 20 years of experience in behavioral health, federal and state health insurance programs, housing, health care, education, and community-based services. She has held senior roles at Carelon Behavioral Health, Pathways to Housing and N Street Village, leading clinical programs, Housing First initiatives, homeless outreach, trauma-informed services, and integrated case management.

She earned master’s degrees in Social Work and Divinity, and maintains active clinical social work licenses in D.C. and Maryland.

Congratulations also to Tad Czyzewski on his new position as Chief Development Officer at SMYAL. On accepting the position, he said, “While I’ve spent much of my nonprofit career in the arts, the current social and political environments made me want to apply my skills and passion more directly toward supporting and strengthening our community. SMYAL and this role felt like the right place to do that.”

Czyzewski brings more than two decades of experience in nonprofit leadership and strategy, fundraising, and business development. Prior to joining SMYAL, he served for eight years as executive director of The Choral Arts Society of Washington, where he led fundraising, financial management, and community engagement. During his tenure, he helped raise more than $15 million in contributed revenue. He guided the organization through a major rebrand and the COVID-19 pandemic. 

Prior to that Czyzewski served as Business and Development Director for Washington Revels, and held leadership and advisory roles with Chorus America, the DC Commission on the Arts and Humanities, and the National Endowment for the Arts. He began his career in the corporate sector, including at Capital One, where his work in product development and marketing contributed to new financial products and more than $2 billion in deposits. 

Czyzewski is a lifelong musician, has performed professionally as a classical singer, including with the Washington National Opera and the National Symphony Orchestra. 

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District of Columbia

Gay ANC commissioner sues D.C. over police ‘failure’ to pay reward money

Lawsuit says information led to conviction in murder, armed robbery cases

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D.C. Advisory Neighborhood Commissioner Tom Donohue (Washington Blade photo by Lou Chibbaro, Jr.)

Gay D.C. Advisory Neighborhood Commissioner Tom Donohue on Aug. 11 filed a lawsuit in D.C. Superior Court charging that D.C. police acted improperly and violated a local law by not paying him $30,000 in reward money for his role in helping police identify and arrest — and obtain the subsequent conviction — of one man charged with murder and another man charged with armed robbery in separate cases.

Although the lawsuit alleges improper action by D.C. police in carrying out the city’s Crime Solvers reward program, it names as defendants the District of Columbia and the Office of the Attorney General for D.C., which, among other things, defends the city against lawsuits.

Donohue, who is a member of the city’s ANC Rainbow Caucus consisting of LGBTQ elected ANC members, held a news conference outside the D.C. Superior Court building on Aug. 11 to talk about the lawsuit before entering the courthouse to officially file it.

The lawsuit states that Donohue “provided key video evidence that led to the arrest and conviction” of a man initially charged with first degree murder for allegedly running over a bicyclist with his car after the two got into an argument.

The lawsuit states that police had offered a $25,000 reward for information leading to the arrest and conviction of the defendant in that case, but police “arbitrarily slashed the payment to $5,000 without prior notice or policy justification.”

Court records show that D.C. resident Eric Beasley was charged with first degree murder for killing David Farewell, 45, by hitting him with his car on Sept. 4, 2020, on the 2100 block of Young Street, S.E. The records show the evidence for the case was based in large part on video camera footage of the incident obtained by police. Donohoe has said he provided that video camera evidence.

The records show that during Beasley’s October 2023 trial a jury was unable to reach the required unanimous verdict, and the judge declared a mistrial.

According to the records, Beasley later agreed to an offer by prosecutors to plead guilty to a lesser charge of involuntary manslaughter and was sentenced in September 2024 to eight years in prison, a development that angered the victim’s family members who called it a “slap on the wrist,” according to a Fox 5 News report.

Donohue’s lawsuit says the second case in which he provided police with pivotal information involved a series of armed robberies known as the Fairlawn Serial Armed Robbery Spree that occurred in the Fairlawn neighborhood in Southeast D.C. in 2023 near where Donohue lives.   

The lawsuit says evidence consisting of video surveillance footage provided by Donohue to police enabled police to determine they initially wrongfully arrested an 18-year-old male for the robberies. “Using Plaintiff’s security video, MPD identified, arrested, and convicted the actual robber, David Crocker, who was sentenced to 18 years in federal prison,” the lawsuit states.

It says one of the detectives investigating the case recommended a $10,000 reward for Donohue’s help in the case based on the police Crime Solvers reward program. The detective’s recommendation was approved by then-Assistant D.C. Police Chief Kyle Ramey on Aug. 4, 2025, according to the lawsuit. 

But it adds, “Nevertheless, MPD improperly withheld payment.” 

When contacted by the Washington Blade for comment on Donohue’s lawsuit allegations, a D.C. police spokesperson said “MPD does not comment on pending or ongoing litigation.” 

Gabriel Shoglow-Rubenstein, who serves as press secretary for the D.C. Office of the Attorney General, which will be defending the city against the Donohue lawsuit, said he would look into obtaining a possible comment but said the office has a similar longstanding policy of not commenting on pending litigation.

“This action arises from the District of Columbia Metropolitan Police Department’s arbitrary, bad-faith, and legally unsupportable failure to honor its public reward promises and administrative obligations to Plaintiff,” the lawsuit states.

It says the MPD violated the city’s Freedom of Information Act or FOIA law by not responding to Donohue’s request for information and documents related to the decision not to pay him the full reward money.

“MPD’s reduction of Plaintiff’s homicide reward from $25,000 to $5,000, and its withholding of his approved $10,00 robbery reward, were undertaken completely devoid of written standards, making such decisions inherently arbitrary, capricious, and an abuse of administrative discretion,” it says.

It calls for Donohue to be awarded $30,000 in compensatory damages consisting of the $20,000 “unpaid balance” for the homicide case reward and $10,000 for the robbery case reward. It also calls for reimbursement for “reasonable” litigation costs and attorney’s fees. Donohue told the Washington Blade that at this time he is representing himself without an attorney.

Donohue told the Blade that the refusal by D.C. police to pay him the full reward money also limited his plans to donate some of that money to the family of murder victim David Farewell to help pay for a burial stone. He said that due to the family’s limited resources Farewell is buried in an unmarked grave

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