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Bill Clinton, Pelosi bring AIDS conference to a close

Former president seeks universal access to treatment for people with HIV

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Former President Bill Clinton speaks at AIDS 2012 (Blade photo by Michael Key)

Former President Bill Clinton on Friday called for a more effective use of resources in the fight against HIV/AIDS.

“We need a new level of openness about how every last dollar is spent by countries, by governments, by NGOs,” he said during the International AIDS Conference’s closing session at the Walter E. Washington Convention Center.

The Clinton Health Access Initiative through the former president’s foundation in 2010 announced a partnership with the South African government to expand access to HIV testing and antiretroviral treatment. More than 400,000 additional South Africans with HIV had received these drugs within a year of the program’s inception. Clinton further pointed out that the initiative has saved the country roughly $700 million over the last two years.

A CHAI and Center for Global Development study of more than 100 health facilities in Ethiopia, Malawi, Rwanda and Zambia in 2011 found it cost an average of $200 — $682 annually in South Africa because of higher health and labor costs — a year to treat a person with HIV. A President’s Emergency Plan for AIDS Relief analysis that was released during the 2010 International AIDS Conference in Vienna placed this figure at $880 a year.

The World Health Organization estimated that 5.2 million of the 15 million people with HIV globally received treatment at the end of 2009. “There is no excuse for failing to provide treatment for the remaining 10 million people in need,” said Clinton, referring to the goal of universal access by 2015.

The international HIV/AIDS community also seeks to virtually eliminate mother-to-child transmissions — Secretary of State Hillary Clinton on Monday announced that the U.S. government would pledge an additional $80 million to achieve this benchmark as part of a broader $157 million pledge towards what she described as an AIDS-free generation. They have also pledged to reduce new HIV infection rates by 50 percent over the next three years.

The former president acknowledged that the global financial crisis has adversely affected the amount of money that donor countries can give — although he noted that the United Kingdom and Ireland are among those that continue to contribute inspire of austerity measures. He further pointed to the Bill and Melinda Gates Foundation and other private foundations and donors that have increased their support of global HIV/AIDS efforts in recent years.

“There’s an enormous amount of private money being raised and spent and there will be more,” said Clinton. “Governments, even in this difficult time, I believe will do more if we prove we’re maximizing the amount of money they have given.”

The former president noted only slightly more than a quarter of the 1.2 million Americans living with HIV “are getting optimum care.” He further cited statistics that new infection rates among young gay men — and particularly among black men under 30 who have sex with men continue to rise. Clinton also spoke about the epidemic’s continued impact on Latinos, Native Americans, Asians and Pacific Islanders.

“Many of them feel that because of the overall progress made in the fight against AIDS, they’re just going to be left out and left behind,” he said.

Clinton also applauded D.C. for efforts to fight HIV. These include the distribution of more than five million male and female condoms last year and a 72 percent decrease in HIV rates among intravenous drug users between 2007 and 2010. Mayor Vincent Gray reiterated at the AIDS Memorial Quilt on the National Mall on Sunday that no baby has been born with HIV in the city since 2009.

“In this city, government and community leadership has been reinvigorated,” said Clinton. “They are making a different.”

 

Pelosi: We have an obligation to continue HIV/AIDS fight

In a separate speech, House Minority Leader Nancy Pelosi (D-Calif.) recalled the epidemic’s early impact in San Francisco.

“It was 31 years ago when we first heard in our community that doctors at UCSF (University of California-San Francisco) were seeing unlike anything they’d seen before, symptoms that harkened back to the Middle Ages,” she said. “Many of you could tell this same story. Quickly, AIDS began to take a terrible toll. Soon, we were going to as many as two funerals a day. Quickly we know that this was an emergency and that we had to pull out all the stops.”

Pelosi’s first speech in Congress after she arrived on Capitol Hill in 1987 was about AIDS. She said that some of her fellow lawmakers questioned why she decided to speak about the issue.

“I said: ‘I said it because that’s what I came here to do,’” recalled Pelosi.  “But recognize that was the sign of the times in Washington, D.C.”

She said she and other San Franciscans saw themselves at the center of the epidemic.

“We were ground zero, as we saw it, of the AIDS assault — on our health, on our economy and on our community; on the lives of our dear friends,” said Pelosi, who later sewed a patch on the AIDS Memorial Quilt in memory of the flower girl at her wedding who lost her battle to the disease. “With death, denial, and discrimination against those with the disease, AIDS was not only a challenge to our scientific and medical professionals; it was a challenge to the conscience of all of us and it remains so to this day. We knew we had to organize, not just agonize — and organize, not agonize, and organize not agonize we did.”

She specifically cited California Congressman Henry Waxman and the late-Massachusetts Sen. Ted Kennedy for their efforts to secure passage of the Ryan White Care Act in 1990. Pelosi praised Clinton and former President George W. Bush for their commitment to the fight against the global AIDS epidemic. And she applauded President Obama for both signing the health care reform bill and repealing the travel ban for people with the virus.

“On the brink of the AIDS-free generation, we must carry on with determination, hope, and courage,” said Pelosi. “Courage is one of the defining qualities that we always must bring to this. In doing so, we will succeed in turning the tide together. Thank all of you, to every one of you for your leadership, your activism, for your commitment to ending HIV/AIDS once and for all.”

Gay News, Washington Blade, HIV/AIDS

House Minority Leader Nancy Pelosi (D-Calif.) speaks at the International AIDS Conference (Blade photo by Michael Key)

 

 

 

 

 

 

 

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District of Columbia

D.C. Council gives first approval to amended PrEP insurance bill

Removes weakening language after concerns raised by AIDS group

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‘This is a win in the fight against HIV/AIDS,’ said Council member Zachary Parker. (File photo courtesy of Earline Budd)

The D.C. Council voted unanimously on Feb. 3 to approve a bill on its first of two required votes that requires health insurance companies to cover the costs of HIV prevention or PrEP drugs for D.C. residents at risk for HIV infection.

 The vote to approve the PrEP D.C. Amendment Act came immediately after the 13-member Council voted unanimously again to approve an amendment that removed language in the bill added last month by the Council’s Committee on Health that would require insurers to fully cover only one PrEP drug.

The amendment, introduced jointly by Council members Zachary Parker (D-Ward 5), who first introduced the bill in February 2025, and Christina Henderson (I-At-Large), who serves as chair of the Health Committee, requires insurers to cover all U.S. Food and Drug Administration approved PrEP drugs.  

Under its rules, the D.C. Council must vote twice to approve all legislation, which must be signed by the D.C. mayor and undergo a 30-day review by Congress before it takes effect as a D.C. law.

Given its unanimous “first reading” vote of approval on Feb. 3, Parker told the Washington Blade he was certain the Council would approve the bill on its second and final vote expected in about two weeks.

Among those who raised concerns about the earlier version of the bill was Carl Schmid, executive director of the D.C.-based HIV+Hepatitis Policy Institute, who sent messages to all 13 Council members urging them to remove the language added by the Committee on Health requiring insurers to cover just one PrEP drug.

The change made by the committee, Schmid told Council members, “would actually reduce PrEP options for D.C. residents that are required by current federal law, limit patient choice, and place D.C. behind states that have enacted HIV prevention policies designed to remain in effect regardless of any federal changes.”

Schmid told the Washington Blade that although coverage requirements for insurers are currently provided through coverage standards recommended in the U.S. Affordable Care Act, known as Obamacare, AIDS advocacy organizations have called on D.C. and states to pass their own legislation requiring insurance coverage of PrEP in the event that the federal policies are weakened or removed by the Trump administration, which has already reduced or ended federal funding for HIV/AIDS-related programs.

“The sticking point was the language in the markup that insurers only had to cover one regimen of PrEP,” Parker told the Blade in a phone interview the night before the Council vote. “And advocates thought that moved the needle back in terms of coverage access, and I agree with them,” he said.

In anticipation that the Council would vote to approve the amendment and the underlying bill, Parker, the Council’s only gay member, added, “I think this is a win for our community. And this is a win in the fight against HIV/AIDS.”

During the Feb. 3 Council session, Henderson called on her fellow Council members to approve both the amendment she and Parker had introduced and the bill itself. But she did not say why her committee approved the changes that advocates say weakened the bill and that her and Parker’s amendment would undo. Schmid speculated that pressure from insurance companies may have played a role in the committee change requiring coverage of only one PrEP drug. 

“My goal for advancing the ‘PrEP DC Amendment Act’ is to ensure that the District is building on the progress made in reducing new HIV infections every year,” Henderson said in a statement released after the Council vote. “On Friday, my office received concerns from advocates and community leaders about language regarding PrEP coverage,” she said.

“My team and I worked with Council member Parker, community leaders, including the HIV+Hepatitis Policy Institute and Whitman-Walker, and the Department of Insurance, Securities, and Banking, to craft a solution that clarifies our intent and provides greater access to these life-saving drugs for District residents by reducing consumer costs for any PrEP drug approved by the U.S. Food and Drug Administration,” her statement concludes.

In his own statement following the Council vote, Schmid thanked Henderson and Parker for initiating the amendment to improve the bill. “This will provide PrEP users with the opportunity to choose the best drug that meets their needs,” he said. “We look forward to the bill’s final reading and implementation.”

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Maryland

4th Circuit dismisses lawsuit against Montgomery County schools’ pronoun policy

Substitute teacher Kimberly Polk challenged regulation in 2024

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(Photo by Sergei Gnatuk via Bigstock)

A federal appeals court has ruled Montgomery County Public Schools did not violate a substitute teacher’s constitutional rights when it required her to use students’ preferred pronouns in the classroom.

The 4th U.S. Circuit Court of Appeals in a 2-1 decision it released on Jan. 28 ruled against Kimberly Polk.

The policy states that “all students have the right to be referred to by their identified name and/or pronoun.”

“School staff members should address students by the name and pronoun corresponding to the gender identity that is consistently asserted at school,” it reads. “Students are not required to change their permanent student records as described in the next section (e.g., obtain a court-ordered name and/or new birth certificate) as a prerequisite to being addressed by the name and pronoun that corresponds to their identified name. To the extent possible, and consistent with these guidelines, school personnel will make efforts to maintain the confidentiality of the student’s transgender status.”

The Washington Post reported Polk, who became a substitute teacher in Montgomery County in 2021, in November 2022 requested a “religious accommodation, claiming that the policy went against her ‘sincerely held religious beliefs,’ which are ‘based on her understanding of her Christian religion and the Holy Bible.’”

U.S. District Judge Deborah Boardman in January 2025 dismissed Polk’s lawsuit that she filed in federal court in Beltsville. Polk appealed the decision to the 4th Circuit.

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District of Columbia

Norton hailed as champion of LGBTQ rights

D.C. congressional delegate to retire after 36 years in U.S. House

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Del. Eleanor Holmes Norton announced she will not seek re-election; her term ends January 2027. (Washington Blade file photo by Drew Brown)

LGBTQ rights advocates reflected on D.C. Congressional Del. Eleanor Holmes Norton’s longstanding advocacy and support for LGBTQ rights in Congress following her decision last month not to run for re-election this year. 

Upon completing her current term in office in January 2027, Norton, a Democrat, will have served 18 two-year terms and 36 years in her role as the city’s non-voting delegate to the U.S. House.

LGBTQ advocates have joined city officials and community leaders in describing Norton as a highly effective advocate for D.C. under the city’s limited representation in Congress where she could not vote on the House floor but stood out in her work on House committees and moving, powerful speeches on the House floor.

 “During her more than three decades in Congress, Eleanor Holmes Norton has been a champion for the District of Columbia and the LGBTQ+ community,” said David Stacy, vice president of government affairs for the Human Rights Campaign, the D.C.-based national LGBTQ advocacy organization.

“When Congress blocked implementation of D.C.’s domestic partnership registry, Norton led the fight to allow it to go into effect,” Stacey said. “When President Bush tried to ban marriage equality in every state and the District, Norton again stood up in opposition. And when Congress blocked HIV prevention efforts, Norton worked to end that interference in local control,” he said.

Del. Eleanor Holmes Norton (D-D.C.) (Washington Blade photo by Jeff Surprenant)

In reflecting the sentiment of many local and national LGBTQ advocates familiar with Norton’s work, Stacy added, “We have been lucky to have such an incredible champion. As her time in Congress comes to an end, we honor her extraordinary impact in the nation’s capital and beyond by standing together in pride and gratitude.”

Norton has been among the lead co-sponsors and outspoken supporters of LGBTQ rights legislation introduced in Congress since first taking office, including the currently pending Equality Act, which would ban employment discrimination based on sexual orientation and gender identity. 

Activists familiar with Norton’s work also point out that she has played a lead role in opposing and helping to defeat anti-LGBTQ legislation. In 2018, Norton helped lead an effort to defeat a bill called the First Amendment Defense Act introduced by U.S. Sen. Mike Lee (R-Utah), which Norton said included language that could “gut” D.C.’s Human Rights Act’s provisions banning LGBTQ discrimination.

Norton pointed to a provision in the bill not immediately noticed by LGBTQ rights organizations that would define D.C.’s local government as a federal government entity and allow potential discrimination against LGBTQ people based on a “sincerely held religious belief.”

“This bill is the latest outrageous Republican attack on the District, focusing particularly on our LGBT community and the District’s right to self-government,” Norton said shortly after the bill was introduced. “We will not allow Republicans to discriminate against the LGBT community under the guise of religious liberty,” she said. Records show supporters have not secured the votes to pass it in several congressional sessions.

In 2011, Norton was credited with lining up sufficient opposition to plans by some Republican lawmakers to attempt to overturn D.C.’s same-sex marriage law, that the Council passed and the mayor signed in 2010.   

In 2015, Norton also played a lead role opposing attempts by GOP members of  Congress to overturn another D.C. law protecting LGBTQ students at religious schools, including the city’s Catholic University, from discrimination such as the denial of providing meeting space for an LGBTQ organization.

More recently, in 2024 Norton again led efforts to defeat an attempt by Republican House members to amend the D.C. budget bill that Congress must pass to eliminate funding for the Mayor’s Office of LGBTQ Affairs and to prohibit the city from using its funds to enforce the D.C. Human Rights Act in cases of discrimination against transgender people.

“The Republican amendment that would prohibit funds from being used to enforce anti-LGBTQ+ discrimination regulations and the amendment to defund the Mayor’s Office of LGBTQ+ Affairs are disgraceful attempts, in themselves, to discriminate against D.C.’s LGBTQ+ community while denying D.C. residents the limited governance over their local affairs to which they are entitled,” Norton told the Washington Blade.

In addition to pushing for LGBTQ supportive laws and opposing anti-LGBTQ measures Norton has spoken out against anti-LGBTQ hate crimes and called on the office of the U.S. Attorney for D.C. in 2020 to more aggressively prosecute anti-LGBTQ hate crimes.

Del. Eleanor Holmes Norton marches in the 1995 AIDS Walk. (Washington Blade archive photo by Clint Steib)

“There is so much to be thankful for Eleanor Holmes Norton’s many years of service to all the citizens and residents of the District of Columbia,” said John Klenert, a member of the board of the LGBTQ Victory Fund. “Whether it was supporting its LGBTQ+ people for equal rights, HIV health issues, home rule protection, statehood for all 700,000 people, we could depend on her,” he said.

Ryan Bos, executive director of Capital Pride Alliance, the group that organizes D.C.’s annual LGBTQ Pride events, called Norton a “staunch” LGBTQ community ally and champion for LGBTQ supportive legislation in Congress.

“For decades, Congresswoman Norton has marched in the annual Capital Pride Parade, showing her pride and using her platform to bring voice and visibility in our fight to advance civil rights, end discrimination, and affirm the dignity of all LGBTQ+ people” Bos said. “We will be forever grateful for her ongoing advocacy and contributions to the LGBTQ+ movement.”

Howard Garrett, president of D.C.’s Capital Stonewall Democrats, called Norton a “consistent and principled advocate” for equality throughout her career. “She supported LGBTQ rights long before it was politically popular, advancing nondiscrimination protections and equal protection under the law,” he said.

“Eleanor was smart, tough, and did not suffer fools gladly,” said Rick Rosendall, former president of the D.C. Gay and Lesbian Activists Alliance. “But unlike many Democratic politicians a few decades ago who were not reliable on LGBTQ issues, she was always right there with us,” he said. “We didn’t have to explain our cause to her.”

Longtime D.C. gay Democratic activist Peter Rosenstein said he first met Norton when she served as chair of the New York City Human Rights Commission. “She got her start in the civil rights movement and has always been a brilliant advocate for equality,” Rosenstein said.

“She fought for women and for the LGBTQ community,” he said. “She always stood strong with us in all the battles the LGBTQ community had to fight in Congress. I have been honored to know her, thank her for her lifetime of service, and wish her only the best in a hard-earned retirement.”

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