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Biden’s update to HIV strategy hailed for recognizing racism as health issue

New blueprint outlines plan from 2022 to 2025

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Biden's update to the National HIV Strategy outlines plan for HIV from 2022 to 2025.

A recent update to the National HIV Strategy by the Biden administration is getting good reviews from advocates in the fight against HIV/AIDS, who are praising the new blueprint for recognizing challenges in the epidemic and racism as a public health issue.

Carl Schmid, executive director of the HIV & Hepatitis Policy Institute and member of the President’s Advisory Council on HIV/AIDS, assessed the update as “very, very positive,” saying it built on components of a previous iteration of the strategy issued during the Trump administration and made new ones.

“I think the community is extremely pleased,” Schmid said. “There’s a new component…racism is a public health issue. So, all these positive — the disparities, which is just so big. Anytime you’re addressing HIV, you’re always addressing disparities.”

Schmid also said the updated blueprint — which articulates a plan from 2022 through 2025 and was issued last week to coincide with the first World AIDS Day during the Biden administration — makes outreach to the private sector.

“I think that’s good because it’s the people who influence society like technology companies, people who have high gay and bisexual employees, like [the] travel industry, get them all involved,” Schmid said. “So, and that, I think should help with the stigma.”

Schmid also hailed the strategy for its promotion of the Affordable Care Act as a tool to fight HIV/AIDS, which he said was absent in the iteration of the report under former President Trump.

President Biden, in remarks on World AIDS Day last week before advocates in the fight against HIV/AIDS in the East Room the White House, said the uptrend strategy is “a roadmap for how we’re going to put our foot on the gas and accelerate our efforts to end the HIV epidemic in the United States by the year 2030.”

“That’s the goal,” Biden added. “And it centers on the kind of innovative, community solutions — community-driven solutions that we know will work.”

Consistent with his administration’s stated commitment to racial equity and recognizing disparities among diverse groups, including LGBTQ people, Biden said the plan ensures “the latest advances in HIV prevention, diagnosis and treatment are available to everyone, regardless of their age, race, gender identity, sexual orientation, disability, or other factors.”

“Critically, this strategy takes on racial and gender disparities in our health system that for much too long have affected HIV outcomes in our country — to ensure that our national response is a truly equitable response,” Biden said.

The updated blueprint is the fourth iteration of the National HIV Strategy, which was first issued during the Obama administration, then updated during the Obama years and again during the Trump administration before the Biden administration unveiled the version last week.

The 93-page strategy makes recognition of racism as a public health issue a key component of the plan to fight HIV/AIDS, calling it a “serious public health threat that directly affects the well-being of millions of Americans.”

“Racism is not only the discrimination against one group based on the color of their skin or their race or ethnicity, but also the structural barriers that impact racial and ethnic groups differently to influence where a person lives, where they work, where they play, and where they gather as a community,” the strategy says. “Over generations, these structural inequities have resulted in racial and ethnic health disparities that are severe, far-reaching, and unacceptable.”

Data shows racial disparities remain a significant obstacle in thwarting the HIV/AIDS epidemic. According to the Centers for Disease Control & Prevention, new HIV infections in the United States declined by 8 percent between 2015 and 2019, with much of the progress due to larger declines among young gay and bisexual men in recent years.

But although HIV infections among young gay and bisexual men have dropped 33 percent overall, with declines in young men among all races, the CDC finds “African Americans and Hispanics/Latinos continue to be severely and disproportionately affected.”

A senior Biden administration official, speaking last week on background in a conference call with reporters to promote the HIV strategy, said in response to a question from the Washington Blade the recognition of racism “as a serious public health threat” was a key difference from previous iterations of the blueprint.

“There are several updates in this,” the official said. “And some of those new features or new areas of focus have come about from both community input as well as sitting down with our federal partners and thinking about also the priorities of this administration, where there is a focus on equity, there is a focus on addressing stigma and discrimination and ensuring that also marginalized populations have access to healthcare, and that we are also working to ensure that the voices of those with lived experience are part of our response.”

Jennifer Kates, director of global health & HIV policy for the Kaiser Family Foundation, said the recognition of social and racial disparities is a key component of the updated strategy.

“One area in which the updated strategy stakes out new and stronger ground is in its explicit focus on the social/structural determinants of health,” Kates said. “The strategy doesn’t just mention them but seeks to address them through a variety of objectives. This is a departure and an important one.”

Kates, however,.cautioned: “Of course, the devil will be in the details and there will always be a tension between what the federal government itself can do and the power that state and local jurisdictions actually have.”

One aspect of note during Biden’s remarks on World AIDS Day was his articulation of 2030 as the target date to beat HIV, with the goal of reducing new infection rates by 90 percent in that year. That 2030 goal was established by health officials during the Trump administration, but Biden had campaigned on 2025 — much to the skepticism of some observers.

The Department of Health & Human Services, in response an inquiry from the Blade on whether a decision was made to forgo 2025 and stick with 2030 as the target date, deferred comment to the White House, which didn’t immediately respond.

Schmid, who was among those during the election who expressed skepticism of the 2025 target date, said he spoke to the White House after an initial Blade report on the changed target date and was told the administration determined 2025 was “not feasible.”

“That was a campaign statement,” Schmid said. “I said then that it was not realistic, and I think others agreed with me particularly because of COVID, and we were during the campaign, but he said it and sometimes people say things during the campaign that they might not always live up to because it was unrealistic.”

Schmid, however, downplayed the importance of Biden articulating a different target date to beat HIV/AIDS compared to the one he promised during the presidential campaign, saying the initial date had demonstrated his “strong commitment” on the issue.

Now that the Biden administration has issued the new strategy, the work turns toward implementation, which would mean acting on the blueprint in conjunction with the Ending the HIV Epidemic initiative already underway.

Schmid said the next step in the process is making sure funding is robust, HIV testing continues despite the coronavirus pandemic — and working to make PrEP more accessible.

Key to the effort, Schmid said, would be new legislation introduced before Congress to set up a national PrEP program, one introduced by Rep. Bonnie Watson Coleman (D-N.J.), another by Rep. Adam Schiff (D-Calif.) and another by Sen. Tina Smith (D-Minn.). Those bills, Schmid said, would ensure the uninsured have access to PrEP and health plans cover them without cost.

“I’ve been focusing a lot on that,” Schmid said. “It would be great to get the administration’s support for these as well, and money in the budget to implement these national PrEP programs.”

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Maryland

Queer candidates, allies on the ballot in Md. primary

Evan Glass running to become Montgomery County Executive

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Montgomery County At-Large Councilman Evan Glass is running to become Montgomery County Executive. (Photo courtesy of Evan Glass)

Maryland voters will see LGBTQ candidates on ballots across the state when they head to the polls for the June 23 primary election.

Evan Glass, an at-large member of the Montgomery County Council, is the current frontrunner in the Montgomery County Executive race. 

He made history in 2018 as the first openly gay Jewish man on the County Council. Glass is currently nearing the end of his second term as a councilmember.  

During his time on the council, he passed the ICE Out Act and the Pay Equity Act. He has also been outspoken about his disapproval of AI data centers and is endorsed by the Sierra Club. 

“Our community is under attack and we need local leaders who will continue fighting back against Donald Trump while embracing our beautiful diversity,” Glass said in a statement to the Washington Blade.

Josie Caballero, who is running for an at-large seat on the Montgomery County Council, would become the first transgender woman elected to office in Maryland if successful.

Alleria Stanley, who is running for the House of Delegates in District 4, could also make history. Stanley, a U.S. Army combat veteran who served in Afghanistan, would become the first trans person elected to the Maryland General Assembly if successful. She currently serves as vice president of the Transgender American Veterans Association.

Several congressional races are also drawing attention ahead of the primary.

In Maryland’s 6th Congressional District, former Congressman David Trone is challenging U.S. Rep. April McClain Delaney. Trone has previously supported LGBTQ rights legislation, including the Equality Act, during his time in Congress.

Meanwhile, voters in Maryland’s 5th Congressional District will help determine who succeeds retiring U.S. Rep. Steny Hoyer. State Del. Adrian Boafo (D-Prince George’s County), former Prince George’s County Executive Rushern Baker, former U.S. Capitol Police Officer Harry Dunn, and Quincy Bareebe are among the Democrats running for Hoyer’s seat.

During his congressional career, Hoyer supported LGBTQ rights legislation and opposed the Trump-Vance administration’s trans military ban. 

His daughter, Stefany Hoyer Hemmer, in 2012 came out as a lesbian in an exclusive interview with the Blade. Maryland voters the same year approved the state’s marriage equality law in a referendum. 

“I’m pleased that Stefany is adding her voice to those across Maryland and the country calling for marriage equality,” Steny Hoyer told the Blade, referring to his daughter’s decision to come out and to champion the marriage equality law. “This is about ensuring all families receive equal treatment under the law. As more people speak out, the more momentum this effort gains to give every family the dignity and respect they deserve.”

Gay, lesbian incumbents running for re-election

A number of openly gay and lesbian members of the Maryland General Assembly are seeking re-election this year.

State Del. Joe Vogel, who represents Montgomery County’s District 17, is seeking another term in office. Vogel made national headlines during his 2024 congressional campaign and has received support from LGBTQ advocacy organizations, including the Human Rights Campaign.

State Del. Joe Vogel (D-Montgomery County) in 2023. (Washington Blade photo by Michael Key)

State Del. Gabriel Acevero, who represents District 39 in Montgomery County, is also seeking re-election. When he was first elected in 2018, Acevero became the first openly gay Afro-Latino elected to the General Assembly.

State Del. Anne Kaiser (D-Montgomery County), who represents District 14, is running for another term. Kaiser, who is a lesbian, was recently appointed vice chair of the House Appropriations Committee and has served in the legislature since 2003.

State Del. Kris Fair is seeking re-election in District 3 in Frederick County. Fair has been active in civil rights advocacy and has worked with organizations including Marylanders for Marriage Equality, the campaign in support of the state’s marriage equality law.

State Del. Ashanti Martinez (D-Prince George’s County), who represents District 22, is also running for re-election. Martinez has focused on issues including affordable housing, healthcare access, and support for small businesses during his time in office.

State Sen. Mary Washington (D-Baltimore County) is seeking another term for District 43. When she was first elected to the House of Delegates in 2010, Washington became Maryland’s first openly LGBTQ African American elected official.

State Del. Luke Clippinger (D-Baltimore City) is also running for re-election for Legislative District 46. Clippinger has served in the House of Delegates since 2010 and has supported legislation including marriage equality and efforts to ban the use of LGBTQ panic defenses.

Byron MacFarlane seeking re-election in Howard County

Several other LGBTQ candidates are running for local and state offices across Maryland. 

Jamar Day is running for an at-large seat on the Baltimore City Board of School Commissioners. According to the LGBTQ+ Victory Fund, Day identifies as pansexual and would become the first openly gay member of the board if elected. He previously worked as a teacher and dean of students in Baltimore and Washington.

Jamie McGonnigal is running for the Prince George’s County Board of Education representing District 3. McGonnigal currently serves as president of the Hyattsville Elementary School PTA and founded the advocacy organization TalkAboutEquality.org.

Matt Menter is seeking election to represent District 41 in the House of Delegates. Menter has worked on issues related to homelessness and addiction recovery and has served on Baltimore City’s LGBTQ Commission.

Joe Toolan is running for Anne Arundel County Council’s District 6 seat. Toolan previously served as the first chair of the Maryland Commission on LGBTQIA+ Affairs and currently works with the environmental advocacy organization GreenLatinos.

Spencer Dixon is seeking a seat in the House of Delegates representing District 32 in Anne Arundel County. Dixon currently serves on the Maryland Prescription Drug Affordability Board and has worked on Democratic political campaigns in Maryland.

Byron Macfarlane is running for re-election as Howard County’s register of wills. When he was first elected in 2010, Macfarlane became the first openly gay person elected in Howard County.

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Netherlands

Netherlands to ban conversion therapy

Dutch Senate on Tuesday approved prohibition bill

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(Washington Blade photo by Michael K. Lavers)

The Dutch Senate on Tuesday approved a bill that would ban so-called conversion therapy in the Netherlands.

NL Times, an online Dutch newspaper, reported 57 of 75 senators backed the proposal. The Dutch House of Representatives, the lower house of the country’s parliament, approved the measure last September.

Conversion therapy practitioners could face up to two years in prison and a €25,000 ($28,980) fine under the bill once it becomes law after King Willem-Alexander gives his royal assent.

“We have been fighting for the ban with victims and colleague organizations for almost 15 years and are very happy with this result,” said COC Nederland, a Dutch LGBTQ and intersex rights group, in a statement after Tuesday’s vote. “We see it as a victory for the victims.”

Seven EU countries — Belgium, Cyprus, France, Malta, Norway, Portugal, and Spain — have banned conversion therapy outright.

Greece in 2022 banned the practice for minors. German lawmakers in 2020 passed a law that prohibits conversion therapy for minors and for adults who have not consented to undergoing the widely discredited practice.

The European Parliament in April voted in favor of prohibiting conversion therapy across the EU. The European Commission last month said all EU countries should ban it.

Rob Jetten, the country’s first openly gay prime minister, took office in February.

This year’s World Pride will take place in Amsterdam from July 25-Aug. 8.  

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District of Columbia

Lewis George holds strong lead over McDuffie in D.C. mayor’s race

Gay Council member Parker wins in Ward 5; bi candidate leads in Ward 1

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Janeese Lewis George is leading Kenyan McDuffie in the race for D.C. mayor. (Blade photo by Michael Key)

D.C. Council member Janeese Lewis George (D-Ward 4) was leading former D.C. Council member Kenyan McDuffie (D-At-Large) in the D.C. primary race for mayor late Tuesday night by a margin of 52.79 percent of the vote compared to 36.57 percent  for McDuffie with 64 percent of the votes counted, according to information released by the D.C. Board of Elections at 11:55 p.m.

A Board of Elections spokesperson informed the media by email that the board had stopped its vote counting shortly before midnight and would resume its counting Wednesday morning, June 17.

The late-night returns showed Lewis George and McDuffie were far ahead of the other five candidates competing in the Democratic primary for mayor, with candidate Rini Sampath, who self-identifies as queer, receiving 2.93 percent of the vote.

Of the remaining Democratic mayoral candidates, former Council member Vincent Orange received 3.73 percent; businessman Gary Goodweather received 3.0 percent; and civic activists Hope Solomon, 1.09 percent; and Ernest Johnson 0.53 percent.

Election board spokesperson Sarah Graham noted in her email to the media that the initial vote percentages released Tuesday night were counted under the city’s newly implemented ranked choice voting system, which was in place for mayor, D.C. Council, D.C. congressional delegate, and D.C. attorney general. She said the follow-up “round-by-round tabulation results” when voters’ second, third, fourth and possibly fifth choices are counted under the ranked choice system, they are estimated to be released between Sunday, June 21 and Wednesday, June 24.

“The final round-by-round tabulation results will be released on or after June 26, 2026,” she stated. The ranked-choice system does not go into effect if a candidate receives at least 50 percent of the vote.

Lewis George and McDuffie have strong records of support on LGBTQ issues, and Goodweather expressed strong support for LGBTQ issues during the campaign. The Capital Stonewall Democrats, the city’s largest LGBTQ political group, endorsed Lewis George for mayor.

Although the election board had yet to declare a winner in the mayor’s race, with 36 percent of the votes cast not yet counted, Lewis George delivered a rousing speech at her election-night event at the Howard Theatre that many of her supporters considered a victory speech. Among those attending the event and expressing the belief that Lewis George was the expected winner was Capital Stonewall Democrats President Stevie McCarty.

“There’s still a lot of votes to count, but I feel very confident and it looks really good,” he said in referring to Lewis George and the LGBTQ community members who supported her campaign.

Like the other races for D.C. Council, the D.C. congressional delegate seat, and D.C. attorney general, most if not all of the candidates had either expressed support for LGBTQ rights or had strong records of support, like McDuffie and Lewis George. LGBTQ activists have said that meant LGBTQ voters would be choosing a candidate based on issues other than LGBTQ rights issues. 

In other races, D.C. Council member Zachary Parker (D-Ward 5), the Council’s only gay member, was far ahead of two Democratic challengers, with 76.37 percent of the vote. Challengers Bernita Carmichael and Bridgete French received 15.28 percent and 7.57 percent respectively.

Political observers believe Parker is the strong favorite to win re-election in November against a Republican and a Statehood Green Party candidate. 

In the Ward 1 D.C. Council race, where five LGBTQ supportive candidates were competing for the seat being vacated by Democratic incumbent Brianne Nadeau, who is not running for re-election, community activist Aparna Raj, who identifies as bisexual, was leading gay candidate and LGBTQ rights activist Miguel Trindade Deramo by a margin of 46.7 percent to 20.27 percent in a five-candidate race.

The other candidates were Rashida Brown, 17,18 percent; Jackie Reyes Yanes, 9.98 percent; and Terry Lynch, 5.75 percent. 

In the race for the D.C. delegate seat to the U.S. House of Representatives, which is being vacated  by retiring Del. Eleanor Holmes Norton (D), D.C. Council member Robert White (D-At-Large) was leading in a five-candidate race with 63.16 percent of the vote. His leading opponent, D.C. Council member Brooke Pinto (D-Ward 2) had 21.45 percent of the vote.

The vote count for the other candidates was 7.66 percent for Kinney Zalene; 4.55 percent of Trent Holbrook; and 2.8 percent for Greg Jaczko.

In other D.C. Council races Council Chair Phil Mendelson (D-At-Large) and Council member Matthew Frumin (D-Ward 3) were unopposed in the Democratic primary and are considered strong favorites to win re-election in November.

Nine Democrats competed for the At-Large D.C. Council seat being vacated by Council member Anita Bonds (D), who is not seeking re-election. Community activist and local pharmacist Oye Owolewa, who was endorsed by Capital Stonewall Democrats,  was leading in the Democratic primary with 33.77 percent of the vote. 

The vote count percentage for the other candidates were: Lisa Raymond, 15.22; Kevin Chavous, 13.84; Greg Jackson, 10.95; Candis Nelson, 7.67; Dwight Davis, 6.02; Dyana Forester, 3.72; and Leniqua Jenkins, 3.0. 

In the Ward 6 D.C. Council race, Democratic incumbent Charles Allen, a longtime LGBTQ rights supporter who received the Capital Stonewall Democrats endorsement, was far ahead of his two Democratic challengers with 74.43 percent of the vote. Gloria Ann Nauden had 18.68 percent, and Michael Murph had 6.51 percent. 

D.C. Attorney General Brian Schwalb, an outspoken supporter of LGBTQ rights who also received the Capital Stonewall Democrats endorsement, had 90.34 percent of the vote in the Democratic primary, with his sole opponent J.P. Szymkowicz receiving 9.15 percent.

In the special election to fill the At-Large Council seat that must go to a non-Democrat under the city’s Home Rule Charter, and which was vacated by McDuffie when he decided to run for mayor as a Democrat, former Council member Elissa Silverman was leading with 54.75 percent of the vote. Incumbent Council member Doni Crawford, who was temporarily appointed to the seat, was in second place with 34.81 percent of the vote. A third candidate, Jaque Patterson, had 19.27 percent. All three candidates ran as independents.

In the separate D.C. Republican and D.C. Statehood Green Party primaries held on June 16, all the offices for which a candidate from those two parties were on the ballot ran unopposed. No Republican candidate ran for D.C. mayor in the primary. With a large majority of D.C. voters being registered as Democrats, no Republican or Statehood Green Party candidate has won election to public office in D.C. for at least the past 10 years or longer. No known LGBTQ Republican or Statehood Green Party candidate was on the ballot in the June 16 primary.

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