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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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District of Columbia

LGBTQ seniors honored at D.C. Silver Pride event

City officials, activists credit them with playing lead role in movement

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Rayceen Pendarvis (Washington Blade photo by Michael Key)

About 250 people turned out on Friday, June 12, for D.C.’s annual Silver Pride celebration, which honors and recognizes LGBTQ seniors and their role in advancing LGBTQ rights.

The event was held in a large conference hall in the building of the Human Rights Campaign, the nation’s largest LGBTQ advocacy organization, which was among the event’s sponsors

According to local event organizer and longtime LGBTQ rights advocate Rayceen Pendarvis, who served as host of the event, the D.C. Department of Aging and Community Living and the D.C.-based Seabury Resources for Aging, a nonprofit group that provides services and support for seniors, were the two lead organizers of this year’s Silver Pride.  

In addition to presentations by several speakers, a DJ played music for dancing and two popular local drag performers — Shi-Queeta Lee and Capri Bloomingdale — performed at the event drawing loud applause.

Among the speakers were Japer Bowles, director of the D.C. Mayor’s Office of LGBTQ Affairs; Jody Wright, a member of the board of the Capital Pride Alliance, which organizes D.C.’s annual Pride events; Craig McCullough, board chair of Seabury Resources for Aging; Jermaine Dillon, an official with the D.C. Department of Aging and Community Living;  and Bianca Ward, an official with the ViiV Healthcare company, which was one of the sponsors of the event.

“It is a joy to be a senior in this community,” Pendarvis told the crowd in opening remarks at the event. “And every part of every Pride movement is built on the backs and the foundations of the elders,” she said.

“We have to have a day when we’re celebrated and we are honored and we are represented in our fullness,” Pendarvis told the Washington Blade. “Because sometimes unfortunately, various Prides forget about our elders. And we have to let them know that we’re here, we’re queer, and we ain’t going anywhere,” Pendarvis said.

“It is my distinct honor and privilege to be here among the elders,” Wright, the Capital Pride board member, told the gathering. “Because what we do at Capital Pride is because of what you’ve done and you continue to do, because we are standing on the shoulders of giants,” he said, in referring to LGBTQ seniors.

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South Korea

South Korea marriage equality movement gaining momentum

Seoul court on June 5 ruled same-sex couple deserved legal protection

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(Bigstock photo)

On Oct. 30, 2025, a same-sex couple in South Korea filed a petition with the country’s human rights commission after a public institution denied marriage leave to one of the men and later reduced his pay and performance bonus for taking time off for their wedding ceremony. The commission last month completed its investigation and continues to consider the case.

The petition comes as South Korea’s same-sex couples have won a series of legal victories in recent years, even though the country does not extend marriage rights to them. Courts have increasingly been asked to decide whether existing laws and workplace policies can extend equal treatment to LGBTQ people, often in the absence of legislative change.

The employer’s policy granted marriage leave, but it did not define marriage or specify who could claim the benefit. After the employee submitted a wedding invitation and requested a brief leave for a ceremony with his same-sex partner, the institution denied the request and treated his absence as unauthorized.

The South Korean Supreme Court ruled on July 18, 2024, that denying dependent health insurance benefits to same-sex couples while extending them to opposite-sex couples amounted to discriminatory treatment. The court said the unequal treatment infringed on human dignity and the right to pursue happiness.

South Korea’s marriage equality movement has evolved gradually, moving from social taboo and legal nonrecognition toward greater public visibility and limited judicial victories. 

In 2004, a same-sex couple unsuccessfully sought a division of assets under a de facto marriage. Nearly a decade later, filmmaker Kim Jho Gwang-soo and his partner, Kim Seung-hwan, applied to register their marriage, but South Korean courts rejected their bid, as well as subsequent attempts by same-sex couples to gain legal recognition.

In February 2023, the Seoul High Court ruled that the National Health Insurance Service must extend dependent health insurance benefits to same-sex partners, marking a landmark legal victory for LGBTQ couples. The Supreme Court’s 2024 decision made it final.

Under South Korean law, a de facto marriage generally refers to a couple who live together and hold themselves out as married without formally registering their union. While such relationships may receive limited legal recognition in certain circumstances, a marriage is not legally recognized unless it satisfies legal requirements and is registered with the government.

In a ruling made public on June 5, a Seoul court found a same-sex couple had built a life partnership similar to a common-law marriage and deserved legal protection. The court ordered a third party whose affair led to the relationship’s breakdown to pay 10 million won ($6,611.59) in damages.

The court, however, said existing law did not allow it to recognize the relationship as a common-law marriage, underscoring the legal limits that same-sex couples continue to face.

“There is no evidence that the plaintiff and the former partner held a wedding ceremony or revealed their relationship to acquaintances outside their families,” said the court. “From September 2019, when they shared their finances, or at the latest from June 2023, when they lived with the plaintiff’s family and received engagement rings from the plaintiff’s parents and were recognized as a couple, they shared an emotional, physical and financial relationship with a mutual intent to marry, forming a life partnership similar to a common-law marriage.”

On May 31, 2024, South Korean lawmakers introduced the country’s first marriage equality bill. Former Justice Party member Jang Hye-yeong proposed the legislation that 12 lawmakers from across the political spectrum co-sponsored. and co-sponsored by 12 lawmakers from across the political spectrum. The legislation failed later. 

While consensual same-sex relations are not criminalized in South Korea, marriage equality remains unrecognized. Reports suggest many LGBTQ people continue to live with limited public visibility.

Recent opinion surveys suggest public support for marriage equality in South Korea has declined. 

A 2025 Hankook Research poll found that 31 percent of respondents supported extending marriage rights to same-sex couples, down from 36 percent in 2021. A separate Gallup Korea survey found that 34 percent backed marriage equality while 58 percent opposed it, reversing gains in public support and returning attitudes to levels seen nearly a decade ago.

The report attributed the decline in support to South Korea’s broader social and political climate. 

Activists told the publication that far-right mobilization, heightened political tensions, and growing online radicalization among some young men had likely contributed to the shift. They also argued politicians routinely cite a lack of public consensus to delay measures such as the Life Partnership Act and the Marriage Equality Act, describing the argument as an excuse for inaction.

Kiyong Shim, an activist with Chingusai, a Korean gay rights group, told the Washington Blade that the marriage leave dispute illustrates the challenges same-sex couples continue to face in South Korea. Shim said the country’s Civil Act contains no provision that explicitly prohibits same-sex marriage, but that marriage registrations by same-sex couples are refused as a matter of administrative practice.

“Because their relationships have no legal standing, exclusion arises in nearly every area of daily life: marriage leave, family allowances, medical decision-making, inheritance, housing, and more,” said Shim. 

He said the marriage equality movement is advancing along two tracks: one is public campaigning, lectures, workshops, and community networking centred on the Marriage for All Korea campaign and the second is through litigation. Fourteen same-sex couples are now plaintiffs in various lawsuits that have been before South Korean courts since 2024.

Shim told the Blade that change is also beginning to take root in South Korea’s judiciary, pointing to the Supreme Court’s July 2024 ruling that recognized dependent health insurance benefits for same-sex partners.

“Those holding political responsibility — in the legislature, the executive, and beyond — continue to turn away from the rights of LGBTQ+ people,” said Shim. “LGBTQ+ individuals remain exposed to discrimination and hatred in everyday life, and many live by painfully concealing who they are. This is precisely why the campaigning cannot stop, and why the work of organizing must continue.”

Shim told the Blade that public opinion is moving in a more favorable direction, albeit gradually. He said attitudes toward homosexuality, sexual minorities, and marriage equality have steadily become more accepting.

“The problem lies in politics,” said Shim. “In Korea, the forces driving anti-homosexuality sentiment are largely conservative Protestant church groups, and these church groups are deeply entangled with politicians in the ruling Democratic Party. As a result, even within the ruling party, this issue is difficult to address. So we are in an asymmetric situation: the judiciary and public opinion are moving forward, while the very political actors charged with legislation and administration remain stationary.”

Taiwan, Nepal, and Thailand have extended marriage rights to same-sex couples. Shim told the Blade there is a growing sense that South Korea is falling behind.

“Society’s perceptions shift most deeply when the fact that LGBTQ+ people are right beside us becomes a natural part of daily life, but this cannot be left to those individuals alone,” he said. “The conditions that make coming out possible must be built by allies together with the community — building workplaces, schools, families, and neighborhoods where discrimination and hatred need not be feared.” 

“What Korea needs right now is exactly this kind of broad, everyday solidarity,” added Shim. “Change in the law and change in daily life have to move together, and that is why the work of campaigning and organizing must not stop. There are already many same-sex couples in Korea living as families, caring for one another. The question is not whether they exist — it is when the state will finally recognize this reality in law.”

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Niger

Niger recriminalizes homosexuality

Country’s military junta announced new penal code took effect June 12

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(Photo by butenkow/Bigstock)

Niger is the latest African country to recriminalize consensual same-sex sexual relations.

The Associated Press on June 12 reported the country’s military junta announced a new penal code under which anyone who “commits or attempts to commit an immodest or unnatural act or practices lesbian, gay, bisexual, transgender, queer, intersex, asexual (LGBTQIA+) acts” will face between five and 10 years in prison and a fine.

“This same penalty is applicable to persons who officiated the marriage, to the witnesses of the alleged spouses, as well as to persons who have given their consent for the celebration of the marriage and to the organizers,” reads the new code that took effect on June 11.

Niger borders Nigeria, Benin, Burkina Faso, Mali, Algeria, Libya, and Chad.

The AP notes homosexuality had not been criminalized in Niger. Anti-LGBTQ stigma, however, was widespread.

Lawmakers in Burkina Faso last September recriminalized homosexuality in the country. Senegalese President Bassirou Diomaye Faye on March 31 signed into law a bill that increased the penalty for anyone convicted of engaging in consensual same-sex sexual relations from one to five years in prison to five to 10 years.

Ghanaian lawmakers late last month approved a bill that would, among other things, criminalize LGBTQ allyship.

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