Local
Will health reform make AIDS groups obsolete?
HIV clinics face new competition as clients obtain insurance by 2014
‘Health care reform has been a real motivator around us improving the quality of what we do because we know we’re going to have to get better,’ said Don Blanchon, executive director of Whitman-Walker Clinic. (Washington Blade photo by Michael Key)
When the AIDS epidemic burst on the scene in the 1980s, a cadre of volunteers –many from the LGBT community — emerged to provide compassionate and dedicated care for the sick and dying, services that government agencies and existing charitable groups were not providing.
Since that time, the mostly volunteer-driven, community-based AIDS clinics and advocacy groups created back then have evolved into professionally run facilities receiving millions of dollars in state and federal funds. Like the Whitman-Walker Clinic in D.C., many of the clinics and advocacy groups provide a vast array of services for people with HIV and AIDS, most of whom can’t afford private health insurance.
But in March, Congress approved and President Obama signed into law a sweeping health care reform measure called the Patient Protection and Affordable Care Act. Obama administration officials say it will result in more than 94 percent of all Americans being covered by some form of private or public health insurance by 2014.
Although most AIDS activists and officials with local and national AIDS organizations have hailed the health care reform measure as an unprecedented benefit to people with HIV and AIDS, some believe the law could prompt large numbers of patients to leave the community-based clinics and seek medical care elsewhere.
With a possible loss of clients, community AIDS clinics would be in jeopardy of losing government funding, which is based on the number of clients served. It would be ironic, some have said, if the benefits of healthcare reform result in the closing of community institutions that have served people with AIDS during a time of need.
“The LGBT community and people living with HIV are going to have options that they may not have now,” said Don Blanchon, executive director of the Whitman-Walker Clinic, which has served people with HIV and AIDS since the epidemic began.
“And so for us, health care reform has been a real motivator around us improving the quality of what we do because we know we’re going to have to get better,” Blanchon said. “We know at some point in time almost every District resident is going to have some type of public or private insurance, which means they, in theory, are going to be able to go to a lot of different places for their care.”
Blanchon noted that a financial crisis that Whitman-Walker faced four years ago forced it to take steps that have placed it in an excellent position to flourish under the health care reform law. The Clinic’s board hired Blanchon, a managed care expert, to help the Clinic survive at a time when private donations and fundraising efforts were faltering.
With the board’s full approval and over the objections of some of the Clinic’s longtime supporters and volunteers, Blanchon transformed the Clinic from a volunteer model operation into a managed care type facility with the status known as a “federally qualified health center look alike.”
According to Blanchon and other Clinic officials, the new status enables the Clinic to accept a greater number of Medicaid patients as well as patients with a wide range of private health insurance. Patients covered by these programs allow the Clinic to obtain reimbursement for its services by doctors, its own pharmacy, and other service providers, eliminating the need to rely more on private donors.
Unlike other community-based AIDS clinics, Whitman-Walker will be in an excellent position to take on new patients or retain its existing ones as the new health care reform measure enables the majority of patients to obtain private insurance or Medicaid.
Under the Patient Protection and Affordable Care Act, all lower income individuals, including people with HIV, will be eligible for Medicaid coverage if they fall below 133 percent of the federal poverty level, where an individual has an income of about $15,000 a year or lower.
Under current federal law, low-income people with full-blown AIDS are already eligible for Medicaid coverage. For years, Congress has declined to pass legislation proposed by AIDS advocacy groups calling for Medicaid coverage for low-income people with HIV, with the intent of providing medical services to prevent them from advancing to AIDS.
The new law makes that legislation unnecessary after 2014, when the Medicaid provision takes effect.
Jeffrey Crowley, director of the White House Office of National AIDS Policy, calls the Patient Protection and Affordable Care Act one of the nation’s most significant advances for the care and treatment for people with HIV/AIDS.
“It will fundamentally expand access to insurance coverage for people living with HIV,” he said. “Much of that will be through the mandatory expansion of the Medicaid program.”
He said that similar to all Americans, people with HIV will also be eligible for private insurance coverage through a variety of options based on their income. Among the options will be the purchase of insurance coverage through competitive insurance exchanges. He noted that by 2014, no insurance company can deny coverage based on pre-existing conditions such as HIV or other illnesses.
Keith Maley, a spokesperson for the U.S. Department of Health and Human Services, which will administer most of the provisions of the new health care law, said people with HIV and other illnesses could be immediately eligible for private insurance coverage through high-risk pools.
Those eligible for the immediate coverage must show that they have had no health insurance coverage for six consecutive months, have a chronic health condition, and are not eligible for employer provided insurance or Medicaid.
Crowley noted that the new law has other immediate benefits for people with HIV and other chronic health conditions. As of July 1, private health insurers can no longer use a rescission, a practice that cancels a policy when someone gets sick and needs expensive treatment.
He said the law also immediately prohibits insurers from imposing a lifetime “cap” on insurance benefits. Annual limits on coverage or benefits will end in 2014, he said.
Crowley, a gay man who previously worked for the National Association of People with AIDS before joining the White House staff, said he expects most community-based AIDS clinics and local and national AIDS advocacy organizations to continue to exist after the health care law is fully implemented in 2014. However, he said most will have to change the way they do business.
“I think we know from our experience with HIV that we’ve built up a great HIV workforce,” he said. “We have a lot of expertise. I want to make sure as we build and expand an insurance system through the Affordable Care Act that these HIV medical providers are making sure that they’re part of this new system.”
“Some of them might only receive funding through the Ryan White programs, and I would say they need to look at their future and say that they need to be part of the new insurance system,” he said. “But there’s no question that we’re going to need their expertise and commitment at providing medical care going forward.”
Crowley’s reference to the Ryan White CARE Act, the largest existing federal program created to provide care for low-income people with HIV/AIDS, is expected to change significantly following the full implementation of the Patient Protection and Affordable Care Act, according to officials with a number of national AIDS groups.
Nearly everyone, including Crowley, agrees that the Ryan White program should remain, but most likely in a scaled back form. Congress passed the act in the 1990s as a means of helping cities and states that were grappling with the enormous burden of providing care for people with HIV/AIDS who lacked health insurance coverage and were overwhelming local and state hospitals and health care facilities.
Carl Schmid, director of federal affairs for the AIDS Institute, a national advocacy organization; Michael Weinstein, executive director of the AIDS Healthcare Foundation, the nation’s largest AIDS-related medical care provider; and Jose Zuniga, executive director of the International Association of Physicians in AIDS Care, each said they believe the Ryan White program will be needed for at least some services the new law does not provide.
“It will not solve all of our access issues,” said Schmid of the new health care measure.
Weinstein said that state programs to expand health insurance have been slow to enroll as many people as expected for a variety of reasons, some bureaucratic in nature.
“So I wouldn’t expect an overnight change in 2014,” he said, pointing to a need to keep the Ryan White program operating for some time after 2014.
Weinstein said that in some states, including California, Medicaid reimbursement for medical services is far lower than that provided by private insurance companies. He predicted that people with HIV or AIDS who obtain coverage under the new law through Medicaid might be turned away by private doctors who declined to take all Medicaid patients.
“The reimbursement that we receive from Medicaid or from private insurance is far below our cost and far below what we get from Ryan White,” he said of the AIDS Healthcare Foundation. “So we will suffer a hit in that regard as well as most providers.”
Weinstein said his organization has a wide variety of income streams and the lower reimbursements under the new law “won’t be a fatal blow to us.”
Blanchon of Whitman-Walker said the benefits of the new law greatly outweigh its possible shortfalls.
“Health care reform is going to be a real help to our patients and clearly to the Clinic because more of our patients are going to be insured under more comprehensive benefit programs,” he said.
“And what that means at the end of the day is the Clinic is not going to have to shell out as much free care. So we’re going to be in a position to be able to offer more services to more patients and keep them healthy, and ultimately that’s what we’re here for.”
The DMV’s own furry group was on full display on the Metro on Sept. 12.
Shutterpaws is a volunteer-led 501(c)(3) non-profit organization located in Maryland.
The furry group has been doing the FurRide event since 2024 and has blown up in popularity for furries around DMV. They showcased themselves on the Silver and Blue Lines near the Smithsonian on Sept. 12.
“A lot of careful planning goes into running these events, with the goal being a seamless and enjoyable experience for everyone who attends,” says Zayre, a Shutterpaws staff member. “There’s a lot that you learn just by trial and error, and as Shutterpaws hosts more and more events, our team of event organizers continues to learn and refine our approach to keep things running smoothly and finding new ways to engage with our community.”
With a larger growth of participation in the community comes many challenges with the group, especially when it comes to the Metro rides and organizing.
“The biggest challenge that we face as organizers is keeping things fresh and finding new and engaging venues to host events,” says Zayre. “Recently we saw a lot of success hosting a meet at On Target Battlezone, an indoor NERF gun battle arena where our crew was welcome to show up and play both with and without a fur suit.”
Nevertheless, Shutterpaws receive overwhelming support from the community and partners.
“Across the DMV there are so many amazing places to host a Shutterpaws event so we can pursue our mission of helping connect fur suiters and photographers, and we’re blown away with the amount of support we’ve received from our community partners,” says Zayre.
Shutterpaws plans to do more events for anyone in the DMV who is interested.
Their next event in collaboration with DC Fur Meet will take place at Pitchers (2317 18th St., N.W.) on Saturday. Visit Shutterpaws’ website for more information.
Delaware
Republican challenger misgenders McBride during forum, forced to leave
Jewish Federation of Delaware hosted event on Thursday
Republican “Dr. Joe” Arminio, the Republican nominee for the First State’s at-large U.S. House of Representatives seat, attempted to misgender the the country’s first and only transgender member of Congress while at a forum on Thursday.
This story was first broken by WDEL out of Wilmington, Del.
Arminio used the terms “his” and later “gentleman” when referring to U.S. Rep. Sarah McBride (D-Del.) during his time on the mic before he was asked to leave the forum, hosted by the Jewish Federation of Delaware at the Siegel Jewish Community Center in Talleyville on Thursday night.
At that point, the crowd of about 100 people largely started booing Arminio, who then finished, “I would like to show respect to the speaker, that would be nice.”
The first time Republican US House candidate “Dr. Joe” Arminio referred to Rep. Sarah McBride (D) as a man during Thursday’s debate at the Siegel Jewish Community Center in Talleyville. He was warned for his comment. #netde https://t.co/j4EaMOL84W
— Sean Greene (@SeanGreeneWDEL) September 18, 2026
Moderator Ken Grant waited until Arminio was finished, then said, “this is your final warning, if you fail to show respect to anyone else on this stage, you’ll be asked to leave.”
During the answer to his next question at the forum, Arminio responded to what he called an “error.”
“I committed an error before, and I do acknowledge it,” Arminio said. “It’s not the first error I’ve made in this campaign, or at any point in my future life.”
Despite the apology and acknowledgement that he had committed what was, at the very least, a social taboo, he did it again 12 minutes later.
While talking about rising healthcare costs being a “catastrophe,” Arminio pointed to U.S. Sen. Chris Coons (D-Del.) and McBride.
“The reason it is is because gentlemen like the two up here with me in the Democratic Party, and the Republican Party … ” Arminio said.
Despite his direct attacks on McBride’s gender identity, she responded to the situation with grace, attempting to intervene to allow Arminio to still have a chance to speak despite not heeding the moderator’s warnings.
“I don’t want this gentleman to not have the ability … ,” McBride began.
However, Republican Senate candidate Michael Katz interrupted her shortly before Arminio was removed from the forum, which was meant to inform the Delaware electorate on the candidates’ issues.
Katz had his opening statement next and directly condemned Arminio’s comments.
“I would like to apologize to everybody here and everybody else on this stage. As a physician, I believe in our common humanity and respect for each other. I feel that pain over those comments, and my apologies.”
Following the forum, Katz called for Arminio to exit the race via social media.
“Those who seek to represent Delaware must demonstrate integrity, judgment, decency, and respect — even toward people with whom they profoundly disagree,” Katz’s post read on Facebook. “For these reasons, I am calling on Joseph Arminio to withdraw his candidacy for the United States House of Representatives.”
This is not the first time McBride has been the victim of misgendering.
In 2025, House Foreign Affairs Committee Chair Rep. Keith Self (R-Texas) introduced the sole representative from Delaware as “Mr. McBride” during a meeting.
This is also not the first time McBride has faced vitriol from the other side of the aisle — both in terms of personal and legislative attacks on her trans identity.
In 2025, the House voted to ban trans girls and women from playing school sports with other girls, while U.S. Rep. Nancy Mace (R-S.C.) pushed for legislation barring trans women from using women’s bathrooms.
House Speaker Mike Johnson (R-La.) instituted a similar rule barring McBride — and all other trans women — from women’s restrooms on Capitol Hill.
McBride has also been a vocal opponent of Executive Order 14168, “Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government,” signed by President Donald Trump on his first day in office. The directive prohibits the federal government from recognizing the gender identity of trans people.
She has criticized Executive Order 14183, “Prioritizing Military Excellence and Readiness,” which would ban trans service members from serving in the Armed Forces. The directive is still being challenged in the courts to determine its constitutional legitimacy, but it has been allowed to remain in effect as the judicial system considers its legality.
The Washington Blade sat down with McBride in May to reflect on a tense year for LGBTQ politics, where she, in typical McBride fashion, answered questions about the hate she has received.
“Our politics are too often defined by hate,” McBride told the Blade. “I’m glad Delaware and Delawareans are showing that a different kind of politics is possible.”
Delaware
Gay man sues Delaware AG for not prosecuting partner in domestic violence case
Also accuses Univ. of Delaware of failing to discipline Ph.D. student named as attacker
Tymothy ‘Ty’ Moyer, a gay former resident of Wilmington, Del., earlier this year filed a lawsuit in federal court charging Delaware Attorney General Kathleen ‘Kathy’ Jennings, one of her deputies, and a state-employed victims advocate with conspiring to deny him “equal protection” under the law because he is African American by declining to prosecute his then domestic partner after the partner’s arrest on Feb. 3, 2024, for assaulting and seriously injuring him, causing a “permanent traumatic brain injury.”
The lawsuit also names as defendants the University of Delaware and one of its officials for allegedly failing to sufficiently discipline Michael Uzu, Moyer’s former partner and alleged attacker, who at the time was a graduate student seeking a Ph.D. in chemistry.
According to the lawsuit, following his arrest on an assault charge, the university conducted an investigation of Uzu and found he violated the university’s policy of student conduct by engaging in domestic violence, but issued a deferred suspension until December 2025, allowing him to continue his studies. Moyer has said the university acted improperly by not expelling Uzu from its Ph.D. program because of the seriousness of the assault.
The lawsuit identifies Uzu, 33, as a citizen of Nigeria with a U.S. student visa. Uzu identifies himself on his LinkedIn page as a chemist who was conducting research for the Delaware-based chemical company Chemours while studying advanced chemistry at the University of Delaware. His LinkedIn page says he received his Ph.D. in 2026.
Moyer, 30, who identifies himself in his lawsuit as African American and a lifelong U.S. citizen, provided the Washington Blade with a statement describing the details of his allegations against Uzu.
“On the late evening of February 2 through the morning of the 3rd, in 2024, I ended the relationship and asked Michel ‘Mike’ Uzu to leave my apartment in Wilmington, Delaware,” his statement says. “I was ending the relationship after months of escalating mistreatment,” the statement says, adding that Uzu refused to leave his apartment and started a confrontation.
“Uzu attacked me,” the statement continues. “He struck me repeatedly with his fists, with my own cell phone, and with a titanium lacrosse stick that he picked up from inside the apartment and used to strike me on the head. I suffered severe facial trauma, swelling, bodily bruising, and required surgical staples to close the lacerations on the top of my skull.”
The statement adds, “During the assault, Uzu told me he would kill me if I told anyone. Outside the apartment building, Uzu picked up a large rock and positioned himself to strike me with it before a bystander intervened.” It says Moyer was then transported to the emergency room of a nearby hospital.
Moyer’s lawsuit says Uzu was arrested by Wilmington police, indicted by a grand jury, and arraigned on felony and misdemeanor assault charges.
In response to an email request from the Blade for comment, Uzu emailed a statement on Sept. 15 denying all of Moyer’s allegations, saying it was he who told Moyer he wanted to end their relationship and it was Moyer who assaulted him.
“He would get drunk and use drugs and pick up fights with me and apologize when he became normal,” Uzu says in his statement. “So, I packed up my things and decided to depart from him,” he said, adding, “The night preceding the day I was moving out he attacked me while I was sleeping, kicked me in the stomach and injured me in my arms, jaw and neck while I was sleeping, that turned into a fight as I was defending myself.”
He said he called the police and before the police arrived Moyer “self-inflicted injury on himself and framed it on me.”
Moyer couldn’t immediately be reached for a response to Uzu’s allegations. But his friend, journalist Scott Davis, who has followed the case and examined the police report and court documents, said none of Uzu’s allegations could be confirmed by police, who arrived on the scene and prepared a report. Among other things, Davis said the investigation conducted by the University of Delaware found Uzu never provided any documentation that he was injured.
Davis said Moyer, who is about 5 feet 7 inches tall and weighs about 160 pounds compared to Uzu, who is over six feet tall and weighed over 200 pounds, was the one found to be suffering serious injuries, with no injuries reported for Uzu.
Moyer’s earlier statement to the Blade says that In September 2024, on the day of his birthday, the lead prosecutor in the case, Deputy Attorney General Claudia Debonte, called him to inform him she was dropping the case. The lawsuit states that the reason given for dropping the case was insufficient evidence based on Uzu’s claim that he acted in self-defense.
“The University’s hearing officer explicitly rejected Uzu’s self-defense claims as ‘inconsistent and unreliable’ and found that Uzu’s account contained ‘multiple irreconcilable inconsistencies’ and ‘material omissions,’” Moyer’s lawsuit states.
Moyer’s lawsuit says the university’s investigative findings and the police report at the time Uzu was arrested, along with a partial video Moyer took with his phone showing Uzu attacking him with the lacrosse stick, clearly provide sufficient evidence for a full prosecution.
Moyer has said the assault left him with permanent brain damage that impaired his vision, forcing him to resign from his career as a financial compliance associate with the BlackRock asset management company.
In response to a request by the Blade for comment on why the Delaware Attorney General’s office, with the approval of Attorney General Jennings, declined to prosecute Uzu for assault, Matt Marshall, a spokesperson for Jennings, sent the Blade a statement.
“While I can’t characterize specific evidence or statements made to police, the State’s analysis included, but was not limited to, the investigation’s finding that the Defendant had a credible claim of self-defense,” according to Marshall’s statement.
“This kind of dynamic is fairly common in domestic violence cases, no less so in same-sex cases,” he said. “A case being unviable at trial does not mean a victim has not been harmed, that we don’t believe them, or even necessarily that a Defendant is innocent,” Marshall’s statement says. “It only means that criminal guilt could not be proven at trial.”
Among other things, he noted that prosecutors must be able to convince a jury that a defendant is guilty beyond a reasonable doubt. In this case, he said, his office did not believe they could overcome “every reasonable doubt, which would include a Defendant’s argument that they acted in self-defense.”
Jennings, a Democrat, who easily won her primary race for re-election to a third four-year term on Tuesday, has a longstanding record of support on LGBTQ rights and progressive causes. She was challenged by two opponents in the Sept. 15, 2026, Delaware Democratic primary. One of the opponents, civil rights attorney Dwayne Bensing, is gay and would have become the nation’s first openly gay state attorney general had he prevailed in the race.
In response to a request from the Blade for comment on Moyer’s lawsuit allegations, Bensing said in a statement that when the Attorney General’s office declines to prosecute a case where an arrest was made it should maintain the public trust by being “transparent” about its decision-making process.
“As Attorney General, I will commit to reviewing how domestic partner violence cases are handled across the state to ensure that prosecutorial decisions are made consistently, transparently, and free from administrative oversight failures,” he said.
Moyer’s lawsuit, which was filed in the U.S. District Court for the District of Delaware on April 16, 2026, calls for a jury trial and requests that the court issue a judgment against each of the defendants, “jointly and severally” finding that they “conspired to deprive Plaintiff of the equal protection of the laws in violation of 42 U.S. Code 1985 (3).”
It calls for compensatory damages and punitive damages against each defendant “in an amount to be determined at trial, including damages for lost wages, medical expenses, legal fees, emotional distress, and pain and suffering.”
Moyer said he is currently representing himself without an attorney.
In an Aug. 28, 2026, “Report and Recommendation,” Magistrate Judge Laura D. Hatcher, who was presiding over the lawsuit case, issued a recommendation that the case be dismissed without prejudice on grounds that Moyer’s complaint “fails to state a claim upon which relief can be granted” based on existing federal law.
Hatcher also recommended that Moyer be “granted leave to amend his complaint within thirty (30) days of the District Court’s adoption of this Report and Recommendation.”
Moyer told the Blade District Judge Gregory B. Williams accepted the recommendation and granted him permission to amend and revise his complaint.
“An amended complaint addressing the Court’s guidance will be filed within the timeframe the Court has provided,” Moyer said. “The Court identified areas where the complaint needed further development, and that development is underway,” he said.
Moyer’s friend, journalist and commentator Davis, said he has conducted research into domestic violence cases in Delaware and reported in articles and commentaries that Delaware is one of the states with the highest rates of domestic violence cases that are not prosecuted.
“In fiscal year 2024, Delaware law enforcement made 5,064 domestic violence arrests,” Davis wrote in a November 2025 commentary entitled, “Was Ty Moyer Too Black and Gay for Delaware AG Kathy Jennings to Prosecute His Attacker?” He added, “Yet Jennings’ office prosecuted only 1,184 cases – a mere 23 percent,” Davis wrote, adding that, “More than three-quarters of domestic violence perpetrators faced no prosecution despite being arrested.”
Davis told the Blade that Jennings’s decision not to prosecute Uzu has raised concerns that she based that decision on political bias. He points out that Jennings has publicly aligned herself with national immigration advocacy efforts, including joining lawsuits against the Trump administration’s immigration policies and its funding freezes against universities, including the University of Delaware.
Davis said Uzu’s academic ties to the University of Delaware and the chemical company Chemours, which Davis says is “politically influential” with its headquarters in Wilmington, has led some to believe that Jennings’s refusal to prosecute Uzu was politically motivated, aimed at preserving her image as a defender of immigrants rather than pursuing justice for a domestic violence victim.
Jennings’s supporters dispute those claims, saying she bases her decisions on whom to prosecute on the available evidence.
As if all that were not enough, Davis said he contacted the U.S. Department of Homeland Security in September 2025 to find out if their strict policy of investigating and deporting immigrants found to have violated U.S. laws, including engaging in violent behavior, might apply to Michael Uzu, who was charged with assault and is in the U.S. on a visa status. Davis said the DHS did not respond to his inquiry.
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