News
Obama admin says insurers can’t discriminate against gay unions
Prohibits discrimination even in non-marriage equality states

The Centers for Medicare & Medicaid has issued guidance clarifying insurers can’t discriminate against same-sex couples. (Image public domain)
The Obama administration clarified on Friday that insurers are prohibited from discriminating against same-sex marriages for the purposes of non-grandfathered family coverage — even if applicants are applying in non-marriage equality states.
In guidance dated March 14, the Centers for Medicare & Medicaid says existing provisions in the health care reform law prohibiting discrimination by insurers on the basis of gender — which the Obama administration has interpreted to extend non-discrimination protections based on sexual orientation and gender identity — also requires insurers not to refuse family coverage for married same-sex couples.
The guidance is set up as Q&A. The question is “If a health insurance issuer in the group or individual market offers coverage of an opposite-sex spouse, may the issuer refuse to offer coverage of a same-sex spouse?” The response starts off simply, “No.”
“This section prohibits an issuer from choosing to decline to offer to a plan sponsor (or individual in the individual market) the option to cover same-sex spouses under the coverage on the same terms and conditions as opposite sex-spouses,” the guidance states.
Alicia Hartinger, a CMS spokesperson, said the guidance spells out that non-discrimination is the rule for insurers — both on and off the health insurance exchanges — when selling policies.
“CMS recognizes the importance of all Americans and their families having access to quality, affordable coverage,” Hartinger said. “Today’s guidance clarifies that issuers may not choose to treat same-sex spouses differently from opposite-sex spouses. If an issuer offers opposite-sex spouse coverage, it may not choose to deny the same coverage to a same-sex spouse. We will continue to work with states and issuers to help ensure all Americans have an equal opportunity to purchase the new coverage options available to them.”
The guidance says insurers cannot refuse family coverage to married same-sex couples even if they live in — or the insurance is sold in — a non-marriage equality state that doesn’t recognize those unions.
Additionally, the guidance acknowledges insurers may not have realized this prohibition when designing their policies for the 2014 coverage year. Accordingly, while encouraging immediate compliance, CMS says insurers need not begin adhering to this policy until Jan. 1, 2015. The guidance also directs states to begin enforcing the regulations no later than Jan. 1, 2015.
The guidance doesn’t address whether it requires CMS to provide coverage to same-sex couples in domestic partnerships or civil unions. A CMS official said the guidance applies only to marriages, not these other unions.
LGBT advocates praised the new guidance as a step toward ensuring that married same-sex couples have the same access to health insurance as their opposite-sex counterparts.
Rea Carey, executive director of the National Gay & Lesbian Task Force, earlier said her group wanted the Obama administration to make the clarification and upon news of the guidance said it would help same-sex couples “hurting right now” because they were denied health insurance.
“Today’s important HHS announcement will help remove this type of discrimination by requiring the health insurance industry to treat us the same as straight married couples — even if the states where we live do not recognize marriage equality,” Carey said. “While insurers are not required to be in compliance with the new rules until January 2015, we urge the industry to act now — as affordable health care delayed is affordable health care denied.”
There have been reported incidents of married gay couples being unable to receive family coverage in the aftermath of the implementation of the Affordable Care Act. In February, a gay couple — Alfred Cowger and Anthony Wesley of Gates Mills, Ohio — filed a federal lawsuit charging that they were unable to obtain family coverage because their state doesn’t recognize their marriage.
In January, Blue Cross and Blue Shield canceled family insurance policies it sold to same-sex couples under the Affordable Care Act in North Carolina. Following news reports about the cancellations, the insurer changed course and agreed to offer family coverage on the health insurance exchange to same-sex couples.
Kellan Baker, director of the LGBT State Exchanges Project for the Center for American Progress, said the new guidance is important because research shows LGBT families have trouble accessing health insurance.
“Research has shown that same-sex couples, as well as transgender people and other members of the lesbian, gay, bisexual, and transgender, or LGBT, communities, frequently face obstacles to affordable, comprehensive insurance coverage,” Baker said. “My colleagues and I look forward to working with HHS to ensure that this guidance is fully implemented in a timely manner and that similar action is taken to remove other barriers to coverage, such as discriminatory insurance exclusions that target transgender people.”
Obituary
Remembering Elliot Leonard, generous visionary who helped LGBTQ communities thrive
‘You’re only here for a while … make something of it’
Elliot Leonard, the visionary co-founder and founding trustee of the Leonard-Litz LGBTQ+ Foundation, died on June 6 in Easton, Conn., at his home with his husband, Roger Litz, by his side. He left a legacy of generosity and support for LGBTQ+ organizations across the Northeast and beyond, and is remembered as the heart and soul of a mission that sought to uplift people and empower the LGBTQ+ community. Leonard was 88.
“His memory lives on in every small town Pride festival, every weekly support group of a Pride center, every foundation and benefactor that is inspired to follow his example,” the Foundation said in a statement following Leonard’s passing. “His vision lives and breathes in every young person free to discover their identity and in every person of any age who has the freedom and support to continue living their truth.”
Perhaps owing to the loss of his parents at a young age, and having grown up in a time when being young and gay was fraught, Leonard held a special place in his heart for LGBTQ youth. He simply wanted their lives to be better.
“Elliot wanted to do good in the world, and with all the LGBTQ+ folks locally that he became friendly with, he noticed a thread that most of us grew up with and saw, especially those of us of a certain age, where we had to hide our identities,” said Judy Troilo, executive director and trustee of the Leonard-Litz LGBTQ+ Foundation.
“Then when we came out, we dealt with adverse reactions. Kids need to be able to grow up in this very, very dangerous world when you are other than the majority… He also felt strongly about seniors and knew that many were lonely. He was looking at his age, and was very grateful for his life and the fact that he had a partner of 57 years that he loved very much.”
Launched in early 2021, the Leonard-Litz Foundation has granted more than $6 million to about 150 nonprofit organizations since inception – serving the LGBTQ+ community through advocacy, programs, and services that range from youth summer camps to mental health outreach. The Washington Blade Foundation is among those beneficiaries and the Leonard-Litz Foundation has served as a key sponsor of the annual Pride on the Pier celebration that brings tens of thousands of queer Washingtonians together each June.
Leonard measured his success by how many people the Foundation could bring together and how many people they could help, Troilo says.
“And because of all the hostility, anti-LGBTQ legislation and the fight we’re having on so many different levels – from academia to the work environment to government – we’ve widened the help to folks in areas where people are most disenfranchised, especially the trans community.”
With more than 6,000 connections of care made last year alone, the Triangle Community Center, located in South Norwalk, is a welcoming space where LGBTQ+ people feel safe, seen, and supported. TCC provides resources that include peer-to-peer youth support, AA gatherings, housing navigation, laundry and shower facilities, a food pantry, a gender-affirming closet and so much more.
It was Leonard’s involvement with TCC after permanently settling in Connecticut that set the wheels of inspiration in motion for his own foundation. By no means his first foray into charitable giving, as a funder and board member of TCC, Leonard saw the effects of what could be done at the ground level.
“He and Roger saw a great need in the LGBTQ+ community: well-funded community centers dedicated to serving the community, supported by courageous and generous benefactors willing to bring people together. He knew that if someone led the charge, others would follow,” his Foundation said in its tribute.
“He had ideas on how to do good work through a foundation that could have a more immediate and direct impact, and saw that he could really use his voice to make an impact on the LGBTQ community,” recalls Rachel Simon, TCC’s executive director.
Among the countless ways their Foundation helped, Leonard and Litz made it possible for TCC to build out its footprint with a large gathering space. Thanks to that expansion, TCC is now able to host more than 30 events each month, Simon says, including workshops and community dinners where people cultivate friendships, share ideas and network around work and activism.
Leonard was particularly proud to see vision turn to brick and mortar, when the Foundation was able to give Bridgeport – the largest city in Connecticut, and one of the largest in New England – an LGBTQ+ hub of its own. The Bridgeport Pride Center offers comprehensive support services and resources, along with an array of programming and events.
“Growing up in Bridgeport, I never imagined I would one day see a Pride Center or the incredible Pride celebrations our city now has,” said Jason A. Coombs, co-founder and executive director of the Bridgeport Film Fest. “Elliot’s vision, leadership, generosity, and unwavering belief in this community helped make those dreams a reality. As a member of the Bridgeport Pride Center Board, I know firsthand that we would not have the Pride Center we have today without his dedication, generosity and advocacy.”
Leonard’s intense need to support the community took on urgency amid the widespread bans and restrictions unleashed upon our most marginalized in recent years. In June 2026, the Leonard-Litz Foundation provided $25,000 for The Safe Harbor Fund, which assists out-of-state patients seeking reproductive and gender-affirming care that is legal in Connecticut, but would otherwise be unavailable to them in their states of residence.
“Elliot Leonard worked to expand opportunity for all people and remove barriers to their dignity, success, and happiness,” Connecticut State Treasurer Erick Russell shared. “He will be deeply missed, but his vision and generosity will live on through the Leonard-Litz Foundation. We are honored that the Foundation made the inaugural contribution to Connecticut’s Safe Harbor Fund — one of the many ways Elliot’s legacy will continue to impact lives for years to come.”
If there is a resounding motif, it is this: “Elliot didn’t back organizations. Elliot backed people,” Danny Loftus George, president of The Norwalk Conservatory of the Arts, shared at a June 29 gathering of remembrance at TCC. “He believed in people, and he was one of the best judges of character — one of his many superpowers.”
“Elliot believed in me. He changed my life. He changed the Norwalk Conservatory, and because of his contributions at NoCo, he changed the lives of thousands of students, faculty, community, and more.”
Elliot Leonard was born in Brooklyn on March 7, 1938. Before most young people were even beginning to discover who they are, Leonard had already experienced profound loss, Jeff Arnold, board member of TCC, shared at the memorial gathering. “Those early years demanded courage long before anyone should have to find it,” he said. “And rather than allowing hardship to define him, Elliot allowed it to strengthen him.”
After earning a bachelor’s degree from Brooklyn College, and law degree from UCLA, Leonard built an extraordinary career. He practiced corporate and real estate law for 20 years, and, inspired by his clients, became a full-fledged entrepreneur. His portfolio of success included the development of residential and commercial properties in California, and he was a principal founding member of the largest roofing and solar subcontractor company in the state. As a result of his business leadership and advocacy, Leonard was invited to serve on many boards, including the Orange County LGBTQ Center.
“Success came through intelligence, persistence, and an unwavering belief that difficult circumstances never have the final word,” Jeff Arnold said.
But it was not these accomplishments that Leonard was most proud of, Arnold reflected. It was Roger. As Arnold tells it, the two first met in 1970 at a Los Angeles gay bar. Litz didn’t initially think Leonard was his type. But the buttoned-up Leonard was persistent, and upon learning what Litz wanted in a partner—”to be loved, cherished, and adored”— Leonard made it clear that this wouldn’t be difficult to do.
It was the beginning of a 57-year love story that took them from California through countless trips and adventures, ultimately landing in Easton, Conn., where they cultivated the extraordinary gardens they were famously known for, and surrounded themselves with opera and art. As Arnold shared, “perhaps most importantly, [they] lived openly and honestly as gay men during decades when doing so often required tremendous courage.”
Leonard delighted in the untamed beauty of nature, and in time spent with friends amid statues, starlings, and blue jays in his extraordinary botanical landscape. There, Danny Loftus George affectionately recalled, Leonard dared to plant banana trees, simply because he loved them, even while knowing their time was limited in a climate unsuited to their survival.
Leonard also took immense joy from his expansive collection of art that included works from around the world and across a spectrum of styles. “He would collect what he loved,” said Troilo, who admired how Leonard wouldn’t think twice about placing folk art by an unknown young artist next to a Keith Haring. “I think his art represented his diversity as a person, but also his vision of equality,” she said. “He was saying that you’re as important.”
Leonard is remembered for his loving tenacity in challenging others to push harder. “Elliot would lean in with that spark in his eyes and say, ‘What’s next?'” Foundation trustee Andrew Mitchell-Namdar shared. “He never let us get comfortable. He believed right down to his bones that we could always do more. He didn’t just believe it; he modeled it every single day with the same energy and hope he brought to everything he touched.”
As for the man who made Leonard light up whenever he walked into a room, his husband, Roger Litz, told the gathering of chosen family, “Almost anyone could sense that this is a man who got things done and was on the right side. He was on the right side of humanity, and that’s a lot.” Leonard didn’t care for grandiosity, Litz said. If you said something nice to his face, Leonard was likely to get embarrassed. What he wanted to leave people with was this:
“You’re only here for a while, so it’s not a matter of making the best of it. Make something of it.”
Celebrity News
My evening with Madonna
Gay icon headlined the World Pride Music Festival in Amsterdam
Editor’s note: International News Editor Michael K. Lavers and Photo Editor Michael Key will be on assignment in the Netherlands through Aug. 10. They will be covering World Pride in Amsterdam.
AMSTERDAM — Madonna and 6,000 of her closest friends celebrated World Pride at Amsterdam’s AFAS Live concert hall early Sunday morning. I was fortunate enough to be one of them.
Madonna last Wednesday nearly broke the internet when she said on social media in Dutch that “I got somethin’ I wanna talk about,” referring to an opening line in “Danceteria,” one of the tracks on her “Confessions II” album that has received rave reviews since its July 2 release. The track has been on near constant replay on my playlist since I first heard it.
— Madonna (@Madonna) July 28, 2026
MISTR — a telehealth platform that offers free access to PrEP, Doxy PEP, STI testing, and long-term care that has organized Madonna’s Club Confessions shows in the U.S. and the U.K. — later confirmed the rampant speculation. I woke up on July 30 to an email in my inbox from MISTR and the World Pride Music Festival PR team that said I was on the press list.
Madonna was indeed going to headline the World Pride Music Festival that Jake Resnicow and Insomniac produced, and I was going to be there. OMFG!!!!
The gay icon had one more surprise in store.
The Dutch internet on Saturday once again broke over speculation that Kylie Minogue was going to appear alongside Madonna. I was getting ready to leave our hotel in Amsterdam on Saturday night when I saw a video of the two of them together.
“Madonna is now teasing Kylie Minogue on her social media … she may be one of her ‘special guests’ tonight,” I wrote in a text to Washington Blade Editor Kevin Naff at 8:46 p.m.
“Have fun! This is turning into the gayest concert ever,” he responded.
I arrived at AFAS Live shortly before 11 p.m. My press contact walked me and two other Dutch journalists into the venue’s cavernous main room known as the Black Box. We made small talk for a few minutes before I started to walk around and listen to Josh Harrison who was on the decks.
Madonna was scheduled to take the stage at 1:30 a.m., but she is known for being late — she is Madonna and she does what she wants. Hayla, a British singer, and Bebe Rexha are among those who performed ahead of Madonna. Thousands of sweaty men — including a group of Australians next to me who were eagerly awaiting Kylie’s anticipated appearance — packed the Black Box and were dancing, anticipating what was to come.

MISTR CEO Tristan Schukraft at one point came on stage and declared Madonna was indeed in the building. The moment for which we were all eagerly waiting finally came shortly before 2:30 a.m.
“Mother is here and this is gay heaven,” said Madonna when she took the stage.
Stuart Price, who produced her “Confessions on a Dance Floor” album in 2005, manned the decks during Madonna’s set.
She opened it with “I Feel So Free” from “Confessions II.” Madonna then sang “Bring Your Love” and “Danceteria” to which this reporter — and everyone else — sang along.
Madonna then teased a surprise before she began to perform “Love Sensation.” Kylie soon appeared on stage. It was nearly too much for my fellow partygoers from Australia. It was indeed the gayest concert ever!
Madonna and Kylie performed “Love Sensation” together. They then sang “Hung Up” and “Sorry” from “Confessions on a Dance Floor” to round out the set that ended shortly after 3 a.m.
Madonna and I share the same birthday — Aug. 16 — and I would like to think she and Kylie gave me an early birthday present. In all seriousness though, it was an amazing night for me and for everyone else who was fortunate enough to be there.
“On the dance floor I feel so free,” says Madonna in the opening of “I Feel So Free.”
For those few precious hours at AFAS Live I did not think about the Trump-Vance administration and the myriad ways it is destroying the U.S. I did not think about the National Guard troops deployed to D.C. I did not think about the pointless wars that continue to ravage Ukraine and other countries around the world. I simply lost myself on the dance floor and celebrated an icon who has always stood with my community.
Thank you, Madonna.
Netherlands
Amsterdam Pride Canal Parade draws hundreds of thousands
Gay Dutch Prime Minister Rob Jetten among participants
Editor’s note: International News Editor Michael K. Lavers and Photo Editor Michael Key are on assignment in the Netherlands through Aug. 10.
AMSTERDAM — Hundreds of thousands of people lined Amsterdam’s canals on Saturday for the city’s annual Amsterdam Pride Canal Parade.
Dutch Prime Minister Rob Jetten, who is openly gay, is among those who participated in the parade that featured more than 80 boats. Participants held signs and posters that, among other things, read “proud to be intersex” and “lesbians love you and a free Palestine.”
The Washington Blade saw at least two attendees holding fans that read “fuck Trump.” One of the boats also compared President Donald Trump and Russian President Vladimir Putin as “the kissing couple.”

(Washington Blade video by Michael K. Lavers)
(Washington Blade video by Michael K. Lavers)
The parade took place a week after a terrorist attack at Berlin’s Christopher Street Day left one person dead and more than two dozen others injured.
It passed the Homomonument, a memorial to gays and lesbians who have suffered persecution. The Homomonument has been transformed into a makeshift memorial to the victims of the July 25 terrorist attack in the German capital.
View on Threads
The Canal Parade took place during World Pride, which will end in Amsterdam on Aug. 9.
