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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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2026 Midterm Elections

Meet the LGBTQ candidates running for U.S. House, Senate

Pappas would become first out gay man elected to upper chamber

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U.S. Rep. Chris Pappas would become the first openly gay male U.S. senator if he wins in November. (Blade photo by Michael Key)

The midterm elections are often seen as a report card for the party in power, giving voters an opportunity to weigh in on the direction of the country after two years of unified control of the federal government. With Republicans controlling the White House, Congress and the Supreme Court, the 2026 elections could reshape the balance of power in Washington and determine what the next two years of federal policy will look like.

Among the candidates looking to shape that future are a large number of openly LGBTQ politicians running for federal office. All of the candidates listed below openly identify as members of the LGBTQ community and are running as Democrats, seeking seats in both the U.S. House of Representatives and the U.S. Senate. (See below for a list of LGBTQ incumbents.)

The New Candidates

U.S. Senate:

Chris Pappas — NH

The United States House of Representatives:

Cait Conley — NY-17

Jeremy Moss — MI-11

JoAnna Mendoza — AZ-06 

Marni von Wilpert — CA-48

Scott Wiener — CA-11

Chris Gallant — NY-1

JD Ford — IN-5

Janelle Sarauw — U.S. Virgin Islands

If all of these candidates running for federal office win their seats, this would make the federal government the queerest legislative term for Congress ever. 

Chris Pappas would become the first openly gay male senator if he wins the race against Republican John E. Sununu. Pappas is currently leading early polls 50% to Sununu’s 42%, and is seen as a fairly centrist Democrat with a slew of accomplishments passed through the House since his election in 2018 that make him a desired candidate for the purple “Granite State.”

Cait Conley is fighting to take two-term incumbent Republican Mike Lawler’s seat for New York’s 17th district, covering parts of Westchester, Rockland, Putnam and Dutchess counties. Conley has a long history of working as a public servant through her extensive military service, which includes six overseas deployments with the Army and work with the National Security Council. Current polling shows she has an advantage over her opponent, 64% to his 36%, making this one a race to watch. 

Jeremy Moss is running for election in Michigan, after quickly rising in the ranks within the Great Lake state. Moss, who was elected to his city’s city council, then to the state House, then to state Senate has had a lengthy connection with state politics for someone so young. He also served as the state’s first gay president pro tempore. He is running in the Detroit suburbs, including Oakland County. Nearly all polling puts Moss in the lead with some already giving him 99%.

JoAnna Mendoza is a veteran of the U.S. Navy and U.S. Marine Corps running for a House seat for the Tucson and southeastern Arizona area. She has been outspoken about how the cost of everyday necessities under the current leadership of President Trump and Republicans in Congress has made people in her state less safe. She is currently locked in a tight race with her Republican counterpart, leading Juan Ciscomani 47% to 45%.

Marni von Wilpert is running to represent northern San Diego County. She has experience representing the area as a San Diego City Council member, former prosecutor, and Obama workers’ rights attorney. Von Wilpert holds a narrow lead over Republican Jim Desmond, 45% to 42%.

Scott Wiener is looking for a chance to take former House Speaker Nancy Pelosi’s seat in the San Francisco area. Weiner holds a narrow lead over the Pelosi-endorsed San Francisco supervisor Connie Chan. A New York Times poll has him leading 45% to Chang’s 40%.

Chris Gallant has a slew of federal accomplishments under his belt, from working as an FAA air traffic controller to serving in the U.S. Army and New York Army National Guard, including as a Black Hawk helicopter pilot, and is a volunteer firefighter on Long Island. Despite all of this dedication to public service, he’s running in a solidly red district and trailing his GOP opponent Nick LaLota, 81% to 28% in a recent poll.

JD Ford is fighting to represent the northern Indianapolis suburbs and north-central Indiana against Republican incumbent Victoria Spartz. He was the first and only openly LGBTQ person elected to the Indiana Legislature, running his campaign on making living more affordable. Polling puts him slightly behind Spartz 48% to 46%.

Janelle Sarauw is trying to win the U.S. Virgin Island’s seat in the U.S. Congress. While there is no voting power, the seat can participate in debates. Sarauw is likely to win the seat after sweeping the primary earlier this year, and will face off against Shelley Moorhead, an independent, in November. 

The Incumbents

Becca Balint — VT-At Large

Emily Randall — WA-06

Eric Sorensen — IL-17

Mark Pocan — WI-02

Mark Takano — CA-39

Ritchie Torres — NY-15

Robert Garcia — CA-42

Sarah McBride — DE

Sharice Davids — KS-03

Becca Balint is running for reelection to represent all of Vermont, making her one of the few candidates on this list who represents an entire state rather than a congressional district. Balint, a former teacher and Vermont state senator, has made housing affordability, mental health, and protecting democracy central parts of her platform. Recent polling gives Balint a substantial lead over Republican challenger Gerald Malloy, 60% to Gerald’s 30%.

Emily Randall is running for reelection in Washington’s 6th Congressional District, which includes the Olympic Peninsula and parts of the Kitsap Peninsula across Puget Sound from Seattle. Randall, who previously served in the Washington state Senate, has made expanding access to affordable health care a major part of her platform. She appears to be in a relatively strong position for reelection where she won 60% of the vote in Washington’s August top-two primary, while her Republican opponent Teresa Fox received about 25%. 

Eric Sorensen is running for another term representing western Illinois. The former television meteorologist has centered his congressional work on lowering costs for working families. There is no public polling in the race, but a current nonpartisan forecast gives Sorensen 59% of the vote compared to Republican Dillan Vancil, with 40%.

Mark Pocan is seeking to continue representing Madison and south-central Wisconsin. Pocan, who has served in Congress since 2013, has focused on issues including health care affordability, workers’ rights and LGBTQ+ equality. There is no public polling of the race, but the current field has no Republican candidate, and a nonpartisan forecast gives Pocan more than a 99% modeled chance of winning.

Mark Takano is running for reelection in California’s 39th congressional district, which includes Riverside and portions of the Inland Empire east of Los Angeles. Takano has made health care and veterans’ issues major parts of his congressional work. There is no public polling of the race, but in his primary he came in first with 61% of the vote compared to Republican Steve Manos’s 39%.

Ritchie Torres is running for another term representing New York’s 15th congressional district in the Bronx. Torres, who previously served on the New York City Council, has made housing, economic development, education, and public safety major parts of his platform. There is no current public polling of the race, but multiple prediction sites have it squarely his to win.

Robert Garcia is seeking another term representing California’s 42nd congressional district, which includes Long Beach and southeastern Los Angeles County. Garcia, the former mayor of Long Beach, has focused on issues including infrastructure, transportation, education, and LGBTQ+ rights while in Congress. There is no public polling of the race, but forecasting has Garcia winning the seat over Republican Brian Burley 99% to 1%.

Sarah McBride, is running for reelection to represent Delaware’s sole congressional district, meaning she represents the entire state. McBride, who made history as the first openly transgender member of Congress, has centered her campaign on lowering health care costs, protecting reproductive health care, and strengthening workers’ rights. There is no public polling of the general election, but a current nonpartisan forecast gives McBride a 99.1% modeled chance of winning against Republican Joseph Arminio.

Sharice Davids is seeking another term representing Kansas’ 3rd Congressional District, which covers the Kansas side of the Kansas City metropolitan area. Davids, a former White House fellow and attorney, has made agriculture, lowering costs, and health care central parts of her platform. There is no current public polling of the race, but prediction polling shows she has a 94% chance of winning her race.

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Serbia

Ana Brnabić becomes world’s first openly lesbian head of state

Former Serbian prime minister succeeded President Aleksandar Vučić on Monday

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Acting Serbian President Ana Brnabić (Photo public domain)

Ana Brnabić on Monday became the world’s first openly lesbian head of state after Serbian President Aleksandar Vučić resigned.

Brnabić was the country’s prime minister from 2017-2024. She was most recently the president of the Serbian National Assembly.

Vučić resigned ahead of parliamentary elections that will take place on Oct. 25. Media reports indicate Vučić could become Serbia’s next prime minister if his Serbian Progressive Party can successfully form a new government. Brnabić until then will be the country’s acting president.

Former Irish Prime Minister Leo Varadkar, who became his country’s first openly gay head of government in 2017, praised Brnabić.

“Congratulations to Ana Brnabić on becoming the world’s first lesbian head of state (president of Serbia),” said Varadkar on social media. “She visited while in her previous office and is a friend of Ireland.”

Former Icelandic Prime Minister Jóhanna Sigurðardóttir in 2009 became the world’s first openly lesbian head of government. Former San Marino Captain Regent Paolo Rondelli in 2022 became the world’s first openly gay head of state.

Andorran Prime Minister Xavier Espot Zamora, Dutch Prime Minister Rob Jetten, and Latvian President Edgars Rinkēvičs are openly gay. Former Luxembourgish Prime Minister Xavier Bettel, former French Prime Minister Gabriel Attal, and former Belgian Prime Minister Elio Di Rupo are also gay.  

Varadkar was Ireland’s prime minister from 2017-2020 and again from 2022-2024.

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Brazil

529 openly LGBTQ candidates running in Brazilian election

Lula running against Jair Bolsonaro’s son in presidential contest

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Pride flags fly over Ipanema Beach in Rio de Janeiro on March 20, 2022. 519 openly LGBTQ candidates are running in the Brazilian election that will take place on Oct. 4, 2026. (Washington Blade photo by Michael K. Lavers)

Editor’s note: International News Editor Michael K. Lavers will be on assignment in Brazil through Oct. 6.

SÃO PAULO — 529 openly LGBTQ candidates are running for in the Brazilian election that will take place on Sunday.

VoteLGBT, an organization that seeks to increase LGBTQ representation in Brazilian politics, notes 109 of these candidates are either transgender or travesti. They include Congresswomen Erika Hilton and Duda Salabert, who made history in 2022 as the first travesti and first trans women respectively to win seats in the Brazilian Congress.

Hilton, a member of the leftist Socialism and Liberty Party, known by the acronym PSOL, is a former sex worker who was a member of the São Paulo Municipal Council before her election to Congress. She currently chairs the Chamber of Deputies’ Women’s Rights Commission.

The Chamber of Deputies is Congress’s lower house.

Salabert, who is also a member of PSOL, represents Minas Gerais state in the Chamber of Deputies. Both she and Hilton in 2025 sharply criticized the Trump-Vance administration after it listed their gender as “male” on American visas that would have allowed them to travel to the U.S.

Brazilian Congresswoman Erika Hilton at the 30th São Paulo Pride parade on June 7, 2026. (Photo courtesy of Acervo Parada SP)

Benny Briolly is a travesti woman and member of President Luiz Inácio Lula da Silva’s Workers’ Party who is running to represent Rio de Janeiro state in the Chamber of Deputies. Thabatta Pimenta is a trans woman of mixed ethnicity who is running to represent Rio Grande do Norte state in the Chamber of Deputies as a member of the Green Party.

Nicolas is a trans masculine bisexual man from Pará state who is part of the Banca Transformer, a “collective candidature” for the Chamber of Deputies that VoteLGBT notes is “100 percent trans and lead by a trans masculine person.” Mãe Kaká Garcia is a gay travesti woman of African descent who is running to represent Mato Grosso state in the Chamber of Deputies as a member of PSOL.

“My bid for Congress stems from my life story and the need to bring voices that have historically been marginalized into the political arena,” Garcia told the Washington Blade.

“I am a Black travesti woman and a leader within the African-derived religious community, with a background in work, entrepreneurship, and community activism in Mato Grosso,” she added. “I am intimately familiar with the challenges faced by the LGBTQIA+ community, the Black population, women, and terreiro communities.”

Garcia added she is running because she believes “these spaces must also be occupied by people who live these realities.”

“I want issues such as combating violence against trans people, racism, religious intolerance, protections for women, LGBTQIA+ rights, and social policies to be treated as permanent public policies,” she said.

Associaçao Nacional de Travestis e Transexuais (National Association of Travestis and Transsexuals) President Bruna Benavides in a statement to the Blade praised all of the trans and travesti candidates.

“For ANTRA, the strength of trans and travesti candidacies lies in what our representatives already demonstrate through their work in office — acting beyond the LGBTQIA+ agenda in areas such as education, health, labor, human rights, culture, the environment, public safety, and the fight against inequality,” she said. “The presence of trans people is already a reality, and democracy needs them in politics — not merely as representatives of an identity, but as agents capable of shaping initiatives that benefit society as a whole.”

“Politics will only be truly transformed when it incorporates the perspectives and experiences of those historically excluded from centers of power — people who have nonetheless envisioned a nation where everyone can be free and live with dignity and security,” she added.

Mãe Kaká Garcia is running for the Brazilian Chamber of Deputies from Mato Grosso state. (Photo courtesy of Mãe Kaká Garcia)

The Blade also spoke with other openly gay, lesbian, and bisexual candidates.

Uédem Lima is a bisexual, Makuxi Indigenous man who is running to represent Roraima state in the Chamber of Deputies as a member of the centrist Brazilian Democratic Movement.

“I am 23-years-old, a Makuxi Indigenous man, and bisexual,” he told the Blade. “I come from a reality where young people, Indigenous people, and LGBTQ+ individuals often still face difficulties in occupying spaces where decisions are made.”

“My candidacy is also a way to show that these spaces can — and must — be occupied by people who know these realities firsthand,” added Lima.

He told the Blade that education, health, climate justice, and Indigenous rights are among the top issues on which he will work in Congress if elected. Lima added his life in Roraima state, which borders Venezuela and Guyana in northern Brazil, and his identity will further shape his tenure.

“I know what it is like to grow up in Roraima, experience the shifts between the interior and the capital, and forge my path while carrying multiple identities,” he said. “I do not want to separate these parts of who I am. They are part of my story and also help explain why I chose to enter politics.”

Uédem Makuxi is a bisexual Makuxi man who is running for the Brazilian Chamber of Deputies. He is from the country’s Roraima state that borders Venezuela and Guyana. (Photo courtesy of Uédem Makuxi)

Former Congressman Jean de Wyllys, who is the first openly gay man elected to the Brazilian Congress, resigned in 2019 and fled the country after he received death threats that he claimed came from supporters of then-President Jair Bolsonaro. De Wyllys at the time of his resignation represented Rio de Janeiro state and had just been elected for a third term.

De Wyllys has returned to Brazil and is running to represent São Paulo state in the Chamber of Deputies as a member of the Workers’ Party.

“My decision to return to present myself as a candidate is linked to the public responsibility with respect to this year’s elections, the most important for the future of Latin America in the last two decades,” he told the Blade. “Everyone knows that not just our region, but the whole world is a stage for a clash between two projects: one led by Donald Trump and his far-right (supporters) internationally that is neofascist, neocolonial, and neofeudalistic, and the other spearheaded by China that advocates for multipolarity, nations’ sovereignty, and global cooperation to overcome challenges, such as the climate crisis and possible pandemics.”  

“As someone who enjoys national popularity and international connections, and having served two highly productive terms regarding human rights and cultural diversity, I could not ignore the electorate’s calls to participate in this global contest — and not merely as an intellectual and artist,” added de Wyllys.

Mônica Benício is a Rio de Janeiro Municipal Councilwoman who is running for the Brazilian Senate as a PSOL member.

Her widow, Rio de Janeiro Municipal Councilwoman Marielle Franco, and her driver, Anderson Gomes, were murdered on March 14, 2018. One of the two former police officers later convicted lived in the same condominium complex in the city’s exclusive Barra da Tijuca neighborhood in which Bolsonaro lived at the time. (Bolsonaro was not president when the murders took place, and strongly denied media reports that suggested one of the suspects visited his home before Franco and Gomes were killed.)

Franco was also friends with De Wyllys and a political ally.

“After Marielle’s assassination, the LGBTQIAPN+ (lesbian, gay, bisexual, transgender/transsexual/travesti/, queer, intersex, asexual, pansexual, nonbinary) community was one of the networks that embraced me and gave me the strength to carry on,” Benício told the Blade on Tuesday. “My Senate candidacy stems from this very commitment: to transform that affection and collective strength into a voice, protection, and rights within Congress.”

Benício stressed the LGBTQ and intersex community “needs to occupy more decision-making spaces.”

“I want to reach the Senate so that our rights, families, and lives are represented where laws are made,” she said.

Rio de Janeiro Municipal Councilwoman Mônica Benício in Rio de Janeiro, Brazil, on March 19, 2022. Her widow, Rio de Janeiro Municipal Councilwoman Marielle Franco, and her driver, Anderson Gomes, were murdered on March 14, 2018. (Washington Blade photo by Michael K. Lavers)

Lula is running for a second consecutive term.

He defeated Bolsonaro in the second round of the 2022 presidential election.

The Brazilian Supreme Court last year sentenced Bolsonaro — who repeatedly targeted LGBTQ Brazilians and other groups while in office — to more than 27 years in prison for his role in an attempted coup that saw thousands of his supporters storm the Congress, presidential palace, and the Supreme Court itself on Jan. 8, 2023. Bolsonaro is currently serving his sentence at his home in Brasília, the country’s capital, because of his poor health.

Lula main challenger in this year’s presidential election is Bolsonaro’s son, Sen. Flávio Bolsonaro.

A second round will take place on Oct. 25 if no candidate receives at least 50 percent of the vote.

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