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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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South Africa

White House to end PEPFAR funding for South Africa

State Department says country failed to respond to 2025 executive order demands

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(Photo by Rarraroro via Bigstock)

The Trump-Vance administration will end PEPFAR funding for South Africa.

A State Department spokesperson on Wednesday told the Washington Blade the State Department “will begin a phased drawdown of PEPFAR programming in South Africa, with most programs ending by Sept. 30, 2026, and critical personnel support continuing through March 31, 2027.”

Semafor last week reported South Africa has received more than $8 billion in PEPFAR funding since President George W. Bush created the program to combat the global HIV/AIDS pandemic in 2003.

President Donald Trump on Feb. 7, 2025, issued an executive order that addressed what it described as “egregious actions of the Republic of South Africa.” The State Department spokesperson with whom the Blade spoke noted the directive included five specific requests:

• South African government provides exemptions or alternatives for U.S. companies to Broad-Based Black Economic Empowerment laws and other race-based mandates. 

• Senior government officials (e.g., president, deputy president, or minister of justice) unequivocally condemn all race-based incitement to violence, including the “Kill the Boer” song, more frequently. 

• The South African government prevents the implementation of measures that would allow expropriation without fair compensation and due process under the Expropriation Act of 2024. 

• South African Police Service designates rural crime a “priority crime” and increases resources dedicated to high-crime rural areas. 

• South Africa refrains from actions that would significantly interfere with the implementation of the refugee program, within the confines of South African law. 

“The United States communicated to the government of the Republic of South Africa multiple times at many levels that PEPFAR funding was likely to be terminated in the absence of progress on the five asks,” said the State Department spokesperson.

The State Department spokesperson further noted South Africa is “one of the largest economies in sub-Saharan Africa” and “has funded the vast majority of its own HIV response, estimated at 76 percent of the total, including procurement of all treatment commodities.”

“South Africa will continue to be supported by the Global Fund, including for the introduction and scale up of lenacapavir through Global Fund Resources,” the spokesperson told the Blade.

Lenacapavir is groundbreaking HIV prevention drug that users inject twice a year. Eswatini, which borders South Africa, is among the African countries that have received doses of the drug through PEPFAR.

HIV/AIDS service organizations in the U.S. and around the world have sharply criticized the Trump-Vance administration over plans to not fully fund PEPFAR and to cut domestic HIV/AIDS funding.

Secretary of State Marco Rubio shortly after the current White House took office issued a waiver that allowed PEPFAR and other “life-saving humanitarian assistance” programs to continue to operate during a freeze on nearly all U.S. foreign aid spending. HIV/AIDS service providers around the world with whom the Blade has spoken say PEPFAR cuts and the loss of funding from the U.S. Agency for International Development, which officially closed on July 1, 2025, has severely impacted their work.

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District of Columbia

Washington Blade names new publisher

Longtime ad exec Brian Pitts to assume role from Lynne Brown

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Lynne Brown is stepping down as publisher of the Blade; Brian Pitts takes over the role this week. (Washington Blade file photos)

The Washington Blade announced this week that its longtime publisher, Lynne Brown, who has worked at the publication for nearly 40 years, is retiring from her day-to-day duties.

Blade co-owner and longtime advertising executive Brian Pitts will assume the role of publisher effective June 26.

Pitts, 46, is a native of Fredericksburg, Va. In 2004, he moved to Washington, D.C., from Rehoboth Beach, Del., to work at the Blade as a 24-year-old sales executive. Pitts, along with Brown and Blade Editor Kevin Naff have owned the Blade since 2009. Pitts has served as the Blade’s lead sales executive since then.

“We’ve been through a lot over the last 17 years, including a recession and a pandemic,” said Pitts. “Lynne has been a steady hand throughout and I’m excited to take the reins and help steer the Blade into its next chapter.”

Brown will assume the title of publisher emerita and remain a part owner of the Washington Blade and Los Angeles Blade and contribute to the business via special projects. 

As for what’s next, she said, “I will take the summer to regroup. I have one more LGBTQ community project in mind, and a few personal goals to check off the list. I am a Washingtonian. I will continue to live, work, and love here in D.C. Of course every Friday morning, I will grab a cup of coffee and read the Blade.”

Asked what advice she has for Pitts as he takes over the publisher’s job, Brown replied, “Brian is going to be great. He has all the skills needed to run this business. He also has a deep, silent passion for the Blade. My only advice: Slow and steady wins the race.”

Pitts said his primary goal as publisher is to ensure the Blade continues its mission as America’s LGBTQ news source.

“Another goal is to reach a younger audience and to include an educational component,” he added. “Some younger community members may be newer to the Blade and less familiar with LGBTQ history. Recently, we published a special commemorative magazine to coincide with America 250, chronicling LGBTQ history and contributions to U.S. culture. It’s so important not to let our history get erased and to remember where we came from and to work toward where we want to go.”

He described the biggest challenge to queer media as the Trump administration’s attacks on DEI.

“We have companies that have advertised with us for years who are now afraid of the potential consequences,” he said. 

Brown joined the Blade in 1987. She was named publisher in 2007 by previous owner Window Media. In 2009, Window Media filed for bankruptcy; shortly after, Brown, Naff, and Pitts acquired the Blade’s assets from the bankruptcy court and relaunched the brand with Brown as publisher. 

She said the period after the bankruptcy became her biggest challenge as publisher.

“The crisis that birthed Brown Naff Pitts Omnimedia kept me overly focused on millions of details,” she recalls. “My greatest personal challenge was delegating and letting go of details.   Trusting staff with their strengths and skills to do their jobs was slow to come. It has proved to be most rewarding. Building the right team — knowing the people you work with are committed, professional, and honest — is a great thing.”

Pitts described the bankruptcy and rebirth of the Blade in 2009 as his proudest moment with the company.

“Working at the paper has been great, but becoming a co-owner was a dream come true,” he said.

Naff praised both of his colleagues.

“Lynne has been a rock, helping us navigate financial crises and a pandemic. The Blade wouldn’t have survived without her dedication,” he said. “She is the publisher every editor would want. Brian has terrific instincts, a passion for the Blade’s important mission, and an eye on growth. I am proud to call both of them friends and mentors and look forward to the next chapter.” 

Asked why LGBTQ media are still relevant, Brown cited the recent erosion of queer rights as evidence that the Blade’s work remains important.

“The Blade helps fight invisibility and isolation,” she said. “We may have rights today, but we have seen rights eroded or erased. The Blade reports on those rights authentically and accurately and serves as a communication tool and a historian for the community.”

Pitts added, “While mainstream media may cover LGBTQ+ issues, no one covers them quite like us. These are our community’s stories and voices and this is your news source.”

The Blade will host a happy hour event later this summer where the community can meet Pitts and thank Brown for her decades of service. 

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Delaware

Vote to enshrine same-sex marriage in state constitution fails in Delaware

‘General Assembly turned its back on the people of this state’

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State Sen. Russ Huxtable (D-07) introduced the measure to enshrine same-sex and interracial marriage rights in the Delaware Constitution. (Washington Blade file photo by Daniel Truitt)

The Delaware General Assembly on Tuesday failed to pass Senate Bill 100 (SB-100), an amendment that would add protections for same-sex and interracial marriage to the Delaware Constitution. 

In order for the bill to pass, 28 out of 41 members needed to vote ‘yes,’ meaning all 27 Democrats and one Republican needed to vote in favor of the bill. 

Rep. Eric Morrison (D-27) told the Blade that an anonymous Republican member agreed to vote in favor prior to the vote but ultimately did not follow through on that promise.

“It’s a shame,” said Rep. Morrison, who’s gay. He explained the difficult nature of passing this amendment with only three legislative days remaining in this session. 

The bill needs to receive a two-thirds majority vote in two different sessions and the current two-year long session ends on July 1. Thus, if the bill does not pass before July 1, it will take a minimum of three years to pass the amendment. 

The bill was introduced by State Sen. Russ Huxtable (D-07) on June 5, 2025. 

Rep. Josue Ortega (D-03) was one of two Democrats to not vote in favor of the bill, voting ‘no.’ Rep. Ortega has not responded to the Blade’s request for comment. 

Rep. Madinah Wilson-Anton (D-27) was the other Democrat missing from the ‘yes’ votes. She did not vote on the bill. 

Sponsor of the measure, Rep. Claire Snyder-Hall (D-14), made a technical decision to reverse her vote from a ‘yes’ to a ‘no’ last-minute in order to keep the bill alive. 

In a Facebook post, Rep. Snyder-Hall said that, “The General Assembly turned its back on the people of this state.”

“When we had the chance to add an extra layer of protection from attempts to turn back the clock and strip our constituents of the rights that Democrats fought for decades to secure, we failed,” said Snyder-Hall. 

However, Snyder-Hall said that the failure to pass this bill is not the end. “There are still three legislative days left in the 153rd General Assembly and I am hopeful that we will be able to get the votes required to pass this incredibly basic — but important — bill.” 

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