Health
City cautious on medical marijuana
The Whitman-Walker Clinic has joined D.C. Council member David Catania (I-At Large) and city Attorney General Peter NicklesĀ in expressing caution over how and when the city should implement a 1998 law that legalizes medical marijuana in the District.
Congress last week ended its nine-year ban on allowing the law to take effect when it approved a D.C. appropriations bill that didnāt include a rider blocking the law. District voters approved the law in a 1998 ballot initiative that passed with 69 percent of the vote.
āMore than anything else, this is regarded as a very favorable turn of events,ā said Thomas Kujawski, an official with the National Association for People With AIDS.
Kujawski said recent studies have shown that marijuana is especially helpful in alleviating side effects from powerful antiretroviral drugs used by AIDS patients, such as nausea and a painful nerve condition called peripheral neuropathy.
Catania, who chairs the Councilās Committee on Health, has said he favors legal use of marijuana for medical purposes, but believes the Council and the cityās Department of Health should carefully craft implementing rules before rushingĀ to put the law into effect.
Nickles told the Washington Post last week that he has asked his staff to review whether the nine-year lag time since voters approved the law would prevent it from withstanding a legal challenge.
On a separate issue, Nickles and D.C. Council Chair Vincent Gray (D-At Large) said the cityās Home Rule charter requires the city to submit the law to Congress for a required review of 30 legislative days, just as all new D.C. laws must be subjected to such a review.
But D.C. Congressional Delegate Eleanor Holmes Norton (D-D.C.), disputed that view, saying Congressās decision to lift its hold on the law amounted to a tacit approval, and the 30-day review would be an unnecessary redundancy. Congress blocked the law, known as Ballot Initiative 59, before the city had a chance to submit it for the normal congressional review.
Other city hall observers noted that while Gray and Norton hash out whether to send the law to Capitol Hill for congressional review, city officials were quietly expressing concern over whether the city government or private non-profit groups should take the lead in cultivating and distributing marijuana for medical purposes.
According to the text of Initiative 59, āAll seriously ill individuals have the right to obtain and use marijuana for medical purposesā when a licensed physician determines itās necessary for treatment and prescribes its use.
The law says that residents of the city āmay organize and operate non-for-profit corporations for the purpose of cultivating, purchasing, and distributing marijuana exclusively for the medical use of patients.ā It says the director of the D.C. Department of Consumer & Regulatory Affairs shall arrange for such non-profit corporations to be exempt from taxes that for-profit corporations normally must pay.
When asked if the Whitman-Walker Clinic, which serves as the cityās largest treatment facility for people with HIV and AIDS, would consider prescribing medical marijuana for its patients, Clinic spokesperson Chip Lewis told DC Agenda that it was too soon to make such a decision.
āWhitman-Walker Clinic believes that everyone living with HIV/AIDS or other chronic conditions should have access to legal medications under a physicianās care,ā Lewis said. āIf this law does take effect, we will have to do some thoughtful and careful planning, looking at current standards of care, before we could implement any program.ā
Currently, medical marijuana is legal in Alaska, California, Colorado, Hawaii, Maine, Michigan, Montana, Nevada, New Mexico, Oregon, Rhode Island, Vermont and Washington state.
Kujawski pointed to a study reported in the February 2007 edition of the medical journal Neurology, which found that smoked marijuana was āwell toleratedā and āeffectively relieved chronic neuropathic pain from HIV-associated sensory neuropathy.ā
He said the condition typically causes tingling or burning sensations in the limbs of AIDS patients. Experts arenāt sure if the condition is caused by HIV itself or is brought on by various antiretroviral drugs used to treat HIV.
āAnything that is going to result in improved health outcomes for individuals and/or anything thatās going to help support their adherence to their medical treatment regimens, weāre highly supportive of,ā he said.
D.C. gay and AIDS activist Wayne Turner and his late domestic partner, Steve Michael, who died of AIDS months before Initiative 59 came before voters, have been credited with starting efforts to place the issue on the ballot. Turner was among the lead campaign organizers for the initiative.
He praised the Democratic controlled Congress for removing its hold on the law and has called on the city government to put the law in place as soon as possible.
Health
United States Conference on HIV/AIDS grapples with federal budget cuts
Annual gathering is largest of its kind in the country
Advocates, public health experts, and healthcare providers gathered for the United States Conference on HIV/AIDS on Sept. 17 in Anaheim, Calif.
The conference is the largest of its kind in the nation and came amid a wave of new challenges for HIV research and treatment. Since the beginning of the second Trump-Vance administration, federal spending cuts have targeted HIV/AIDS programs, including the gutting of the U.S. Agency for International Development and proposed cuts to PEPFAR, which supports HIV testing and treatment globally, in 2025.
Last year, Congress maintained funding for HIV programs after proposed cuts faced opposition from advocacy groups and bipartisan criticism. Yet, this year Congress has proposed similar cuts to many of the same programs, which would cut nearly one billion dollars in HIV funding. The majority of the cuts would impact HIV prevention and outreach, which includes ending nearly all Centers for Disease Control and Prevention HIV prevention activities.
āIf we continue down this path,ā said Jeremiah Johnson, the executive director of PrEP4ALL, an advocacy group that supports expanding access to HIV prevention. āWe’re going to see more people falling off treatment. We’re going to see more wait lists. That’s going to lead to more people dying from AIDS-related complications.ā
Cuts and challenges
The funding cuts loomed over the conference and inspired protest from activists.
On the first day of USCHA, activists with Save HIV Funding organized a mock funeral outside the convention center. Advocates living with HIV wrote eulogies for themselves, meant to show the consequences of diminished access to treatment. Then activists marched through the conference carrying fake coffins.
Johnson, who helped organize the protest, said that āthe Trump administration has eviscerated global aid ⦠and the fears that many of us are just talking about hypothetically for ourselves at the moment are already happening [internationally]. And so we wanted to place that front and center at this conference.ā
The attacks on funding for HIV research and outreach come at a complicated time for the movement to end the AIDS epidemic. While options for prevention and treatment have never been more accessible, such as PrEP and antiretroviral therapy, there have been some concerning upticks in infections, particularly among communities of color.
Southern states account for the majority of new HIV infections in the country, despite making up only 38 percent of the population. And these infections impact disproportionately Black and Latino communities. According to the CDC, even as overall HIV infections decreased from 2018 to 2022, diagnoses of HIV among Latinos grew by 17 percent, with a majority of this increase happening in the South.
Stigma is still the biggest barrier for people seeking out HIV treatment, said Guillermo Chacón, president of the Latino Commission on AIDS.
āThe progress that we [made] in the past two years has been demolished,ā he said.
Chacón blames the federal government for stigmatizing HIV treatment by using harmful rhetoric about queer people.
āThe level of homophobia and transphobia right now is even higher because it has been used as a political message to create fear and division in our country,ā he said.
Chacón believes that research and outreach must be done to reverse the rising HIV infections among Latinos. However, this is exactly the type of research that the Trump-Vance administration is targeting most intensely. Research into āhealth disparitiesā ā why some health problems impact certain communities more than others ā has been heavily criticized by the White House, along with other research that it considers āwokeā and claims is not supported by science.
Impact felt at conference
The opening plenary for the conference addressed some of the funding challenges the movement was facing but tried to shift the focus to the victories the movement has seen over the years. Speakers highlighted historic successful activist campaigns like ACT UP, and recent improvements in medical care and access to treatment.
Randevyn Pierre, head of U.S. external affairs at ViiV Healthcare, the sponsor of the plenary, took the stage to celebrate the success of the U = U campaign (undetectable viral load =
untransmittable HIV virus), and ViiVās investment of $33 million in HIV community organizations across the U.S. This comes as the Trump-Vance administration has made moves to end direct funding of community-based organizations, opting to give the funding to state healthcare agencies.
The speakers at the conference discussed reducing stigma for those living with HIV and the joy of living authentically. They also emphasized the diverse groups of people that are impacted by HIV and how they can come together to fight for a cure. Longtime AIDS activist Rae Lewis Thorton exclaimed, āWhen they tell me thereās a cure to HIV, Iām gonna take off my 4-inch heels and put on gold slippers,ā to applause from the audience.
The opening plenary also featured song and dance from a variety of artists, many of whom spoke about how HIV has impacted their own lives and how advocacy has uplifted their spirits. However, the joyous atmosphere at the conference would not last.
On the final day of USCHA, Geri Donenberg, the associate director of AIDS research at the National Institutes of Health, took the stage to address the conference.
As she spoke, phones began to buzz around the room with breaking news: the Trump-Vance administration was drafting an executive order to create an external board to oversee NIH grants and screen them for political content. NMAC CEO Harold Philips took the stage after Donenberg to address the crowd. āItās up to us,ā Philips said, āto hold NIH accountable.ā He added that HIV advocates “have supporters inside NIH who are struggling and working to do the right thing. We have to have their back.ā
Chants of āstand up, fight back, fight AIDSā erupted from the crowd as Philips spoke. āWe do have to fight back. We do have to continue to fight,ā Philips replied.
Caleb Kaufman is a California Local News Fellow placed with the Los Angeles Blade. The California Local News Fellowship is a state-funded initiative to support and strengthen local news reporting. Learn more about it at fellowships.journalism.berkeley.edu/cafellows.
Health
AIDS Healthcare Foundation announces 3 million people globally in its care
Los Angeles-based group lauded ‘historic milestone’
The AIDS Healthcare Foundation, a Los Angeles-based nonprofit group founded in 1987 that has become the worldās largest HIV/AIDS organization, has announced it has three million people in care around the world.
In a statement released on May 26, the organization, known worldwide as AHF, said the latest accomplishment reflects its global commitment to HIV prevention, care, and treatment. It says the accomplishment comes at a time when AHF marks the 25th anniversary of its first global programs launched in South Africa and Uganda in early 2001.
The statement says the three million people in care milestone also comes while the group approaches the 40th anniversary of its founding in 1987.
āToday, AHF provides lifesaving services in 50 countries across Africa, the Americas, Asia, and Europe, supporting millions of people living with HIV through a network of 1,056 global clinics, 79 healthcare centers in the U.S., 67 pharmacies, 96 wellness centers, 26 Out of the Closet thrift stores, outreach programs, and community partnerships,ā the statement says.
āThis accomplishment is far more than a number ā it represents 3 million individuals whose lives have been touched by compassion, commitment, and the belief that healthcare is a human right,ā Condessa M. Curley, the AHF board chair, said in a statement. āWe extend our deepest gratitude to every member of the AHF team whose dedication made this milestone possible,ā Curley said.
The AHF website notes the organization was founded in 1987 in Los Angeles as a network of hospices committed to āfighting for the living and caring for the dyingā at a time when there was no effective treatment for HIV/AIDS. A statement on the website says since that time AHF has greatly expanded, converting its hospices into healthcare centers āand building a new paradigm for HIV care both in the United States and around the world.ā
The statement adds, āUnder the leadership of president and co-founder Michael Weinstein, AHF has grown from a group of friends dedicated to creating dignified hospice care to the largest AIDS organization in the world.ā It says Weinstein āhas been at the forefront of creating cutting-edge healthcare and advocacy programs and continues to drive the organization forward with the aim of saving more lives around the world.ā
The statement announcing the milestone has also come at a time when more than 40 million people worldwide are living with HIV, āwhile hundreds of thousands continue to die annually from AIDS-related illnesses despite the availability of effective treatment.ā
It says AHFās response has included an expansion of its prevention and public health programs worldwide. In 2025 alone, according to the statement, AHF and its affiliated programs provided nearly five million free HIV tests globally and distributed more than 54 million free condoms, āunderscoring the organizationās continued emphasis on both prevention and treatment.ā
In D.C. AHF operates health care centers at 1701 K St., N.W., Ste. 400 [202-293-8680], 650 Pennsylvania Ave., S.E., Ste. 310 [202-350-5000], and 1647 Benning Road, N.E., Ste. 300 [202-350-5000].
Cannabis Culture
LGBTQ people, weed, and mental health: what you need to know
Community uses marijuana at much higher rates than general population
Uncloseted Media published this story on May 7.
By SPENCER MACNAUGHTON | In 2025, the global cannabis market size was valued at nearly $103 billion. By 2034, that number is expected to explode by roughly 1,400 percent to more than $1.43 trillion.
In short, as an increasing number of countries legalize marijuana use, everyone is starting to consume a lot more weed. And LGBTQ people tend to use cannabis at much higher rates than the general population. One study found that 55 percent of lesbian and 45 percent of gay young adults use marijuana, compared to about 33 percent and 37 percent, respectively, of their straight counterparts.
As LGBTQ people face a mental health crisis, the mainstream stereotypes that depict weed as an antidote for anxiety, panic and depression arenāt painting the full picture. And that could be exacerbating the mental health struggles so many queer people, and especially youth, face.
Hereās what the research demonstrates about marijuana and its effects on mental health:
- Multiple studies suggest a link between marijuana use and an increased risk of mental health disorders, including schizophrenia, depression and anxiety in individuals who are genetically predisposed.
- One study found that daily marijuana use, especially among younger people, makes some individuals seven times more likely to develop psychosis.
The increase in higher-potency strains of marijuana could pose unknown risks. In 1995, the average content of Tetrahydrocannabinol (THC) in confiscated marijuana was less than 4 percent. In 2022, it was more than 16 percent. Researchers donāt know the full extent of the impact that these higher concentrations can have on mental health and especially on younger people whose brains are still developing.
- A systematic review of studies published between 2013 and 2025 found damning results for the mental health of young cannabis users:
They were 51 percent more likely to experience depression, 58 percent more likely to experience anxiety, between 50 and 65 percent more likely to experience suicidal ideation and 80 to 87 percent more likely to have attempted suicide.
- While the above stats paint a grim picture, there is also some research that suggests benefits of cannabis use:
- A 2025Ā systematic reviewĀ found thatĀ āmedicinalāĀ weed showed some efficacy in relieving withdrawal symptoms of opioid use disorder. THC use has been associated with improvement of post-traumatic stress disorder symptoms, bipolar symptoms and sleep quality.
- Other studies found that THC administered in a controlled setting was associated with a decrease of symptoms and adverse effects for a range of mental health disorders, including schizophrenia, psychotic symptoms, and anorexia nervosa.
Beyond what we pulled from academia, there is an astounding lack of information about the interplay between weed and mental health. As we dive deeper into Mental Health Awareness Month, I hope advocacy organizations, influencers and news outlets ramp up their coverage of this important topic that affects the countless LGBTQ weed smokers, many of whom are already struggling.
