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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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Delaware

Delaware guv signs bill to protect children born using assisted reproduction

‘Modernizing laws to better reflect and protect today’s families’

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Delaware Gov. Matt Meyer (Washington Blade file photo by Daniel Truitt)

Delaware Gov. Matt Meyer on June 9 signed SB 250, a bill that helps fill the gaps in the state’s parentage law. 

SB 250 amends the 2017 Uniform Parentage Act to broaden the state’s legal framework for surrogacy. Prior to SB 250, some children, particularly those born through assisted reproduction or surrogacy, did not have a clear path to a legally recognized relationship with their parents. This created issues around parental decision-making and children’s access to health insurance. 

According to the bill’s prime sponsor, Sen. Marie Pinkney, SB 250 ensures that every child in the state has a secure legal relationship with their parents. She said the bill modernizes outdated statutes and strengthens protections for children born through assisted reproduction or surrogacy.

These issues are more likely to affect queer families that rely on assisted reproduction methods to have children. Parentage laws are critical to the well-being of children and the ability of parents to care for them without unnecessary legal barriers. 

“Today, we celebrate a victory for all children and families in Delaware. By modernizing its laws to better reflect and protect today’s families, Delaware has set an example for states across the country,” said Jordan Wilson, executive director of COLAGE.

COLAGE is a nonprofit organization dedicated to supporting and empowering youth in LGBTQ+ families through activism and community. 

“We are grateful to the many families and advocates who worked tirelessly to advance this legislation, from the bill’s drafters to the COLAGErs who shared their lived experiences directly with lawmakers,” said Wilson.

“Delaware is strongest when the law respects and protects all families,” said Mark Purpura, board member of Equality Delaware, a statewide organization focused on promoting and ensuring dignity, safety, and equality for all LGBTQ+ Delawareans.

The bill’s sponsors and co-sponsors include Sen. Pinkney, Rep. Krista Griffith, Sens. Russ Huxtable, Raymond Seigfried, and David Sokola; and Reps. Alonna Berry, Mara Gorman, Kerri Harris, Eric Morrison, DeShanna Neal, Sophie Phillips, and Cyndie Romer.

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El Salvador

‘Mani Fiesta tu Orgullo’: memoria, resistencia y celebración marcan inicio del Mes del Orgullo en El Salvador

Actividad reunió a cientos de personas en un espacio de encuentro, cultura y reivindicación

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(Foto cortesia de la Federación Salvadoreña LGBTI)

Entre los sonidos vibrantes de la batucada, las luces de colores, la música y los mensajes de reivindicación, el 5 de junio se llevó a cabo una nueva edición de “Mani Fiesta tu Orgullo”, un evento que durante los últimos cuatro años se ha convertido en una de las actividades más emblemáticas para dar inicio a las celebraciones y acciones de incidencia política, cultural y comunitaria del Mes del Orgullo en El Salvador.

La actividad, organizada por la Federación Salvadoreña LGBTI en conjunto con el Centro Cultural de España en El Salvador, congregó entre 200 y 300 personas que se dieron cita para compartir un espacio de encuentro, reflexión, memoria histórica y celebración de la diversidad.

Desde las 7 p.m. y hasta las 10 p.m., el recinto se transformó en un punto de reunión para activistas, artistas, organizaciones de la sociedad civil, personas de la comunidad LGBTQ y aliados que año con año encuentran en esta actividad una oportunidad para reafirmar su identidad y fortalecer los lazos comunitarios.

Más allá de una fiesta, los organizadores destacan que “Mani Fiesta tu Orgullo” representa un acto político y social de gran importancia, pues marca oficialmente el inicio de las actividades que diversas organizaciones desarrollan durante junio y permite posicionar públicamente las demandas, preocupaciones y aspiraciones de la comunidad LGBTQ salvadoreña.

Cuatro años construyendo comunidad y visibilidad

La iniciativa nació hace cuatro años como una propuesta para abrir el Mes del Orgullo desde un espacio cultural, inclusivo y accesible para todas las personas. Desde entonces, la actividad ha evolucionado hasta convertirse en una referencia dentro de la agenda de junio, permitiendo que organizaciones, activistas y miembros de la comunidad encuentren un espacio para compartir experiencias, fortalecer alianzas y proyectar mensajes de incidencia.

Para la Federación Salvadoreña LGBTI, uno de los aspectos más significativos ha sido el respaldo constante del Centro Cultural de España, institución que ha abierto sus puertas para albergar la actividad y contribuir a la promoción de los derechos humanos y la diversidad.

“Para nosotras y nosotros es muy gratificante contar con el apoyo del Centro Cultural de España, que ha sido un aliado importante para poder desarrollar este espacio y hacerlo crecer cada año”, destacaron integrantes de la Federación.

La continuidad del evento también refleja la capacidad de resistencia y organización de la comunidad LGBTQ en un contexto que continúa presentando desafíos relacionados con la igualdad, el reconocimiento y la garantía de derechos.

Durante estos cuatro años, “Mani Fiesta tu Orgullo” ha servido como un espacio de expresión artística, pero también como una plataforma para visibilizar las realidades que enfrenta la población diversa en el país.

Un hecho histórico: la participación activa de la Asamblea Feminista

Uno de los aspectos que marcó esta edición fue la participación activa de la Asamblea Feminista, organización que desde el año pasado se ha incorporado de manera más directa a la coordinación y desarrollo de las actividades del Mes del Orgullo.

Aunque históricamente mujeres lesbianas y bisexuales han formado parte de las marchas y acciones impulsadas por la comunidad LGBTQ, su participación en los procesos organizativos había sido limitada. La incorporación de la Asamblea Feminista representa, según activistas, un paso importante hacia la construcción de un movimiento más amplio, inclusivo y articulado.

Para Karla Guevara, secretaria general de la Federación Salvadoreña LGBTI, este acercamiento constituye un hecho sin precedentes dentro de la historia reciente del movimiento. 

“Creo que esto es inédito, y a nosotras y nosotres como Federación nos llena de orgullo que las compañeras lesbianas y bisexuales se hayan podido sumar a estas actividades del Mes del Orgullo”, expresó.

Karla Guevara, secretaria general de la Federación Salvadoreña LGBTI (Foto cortesía de la Federación Salvadoreña LGBTI)

La participación de organizaciones feministas también evidencia una creciente convergencia entre distintas luchas sociales que comparten principios relacionados con la igualdad, la dignidad humana y la defensa de los derechos fundamentales. Para muchas personas asistentes, esta articulación representa una oportunidad para fortalecer redes de apoyo y construir agendas comunes frente a desafíos que afectan a diversos sectores históricamente excluidos.

Arte, música y celebración como herramientas de resistencia

La jornada estuvo marcada por expresiones artísticas que aportaron energía y color a la celebración. La reconocida batucada Las Musas fue una de las agrupaciones encargadas de animar la noche, aportando ritmos vibrantes que acompañaron gran parte de la actividad.

Asimismo, la participación de la DJ Drag Alexa Evangelista contribuyó a crear un ambiente festivo y diverso, donde la música se convirtió en un lenguaje común para las personas asistentes.

Más allá del entretenimiento, las expresiones artísticas desempeñan un papel fundamental dentro de los movimientos sociales, especialmente en aquellos relacionados con la diversidad sexual y de género.

El arte, la música, la danza y las expresiones culturales permiten construir comunidad, fortalecer identidades y generar espacios seguros donde las personas pueden expresarse libremente. En este sentido, “Mani Fiesta tu Orgullo” demuestra cómo la celebración también puede convertirse en una forma de resistencia frente a la discriminación y la exclusión.

Un manifiesto dedicado a la memoria y la gratitud

Uno de los momentos más significativos de la noche fue la lectura del manifiesto del orgullo correspondiente a este año. A diferencia de otros años, el documento estuvo enfocado principalmente en la memoria histórica y el reconocimiento de quienes construyeron los primeros espacios de organización y resistencia en condiciones mucho más adversas.

El mensaje recordó a aquellas personas que, en décadas pasadas, comenzaron a construir comunidad desde la clandestinidad, cuando la discriminación social era aún más intensa y los espacios seguros prácticamente inexistían. También rindió homenaje a quienes fallecieron durante la pandemia del VIH/Sida en las décadas de 1980 y 1990, una de las etapas más dolorosas para la población LGBTQ a nivel mundial.

El manifiesto destacó además la importancia de recordar la primera Marcha del Orgullo realizada en El Salvador en 1997, un acontecimiento histórico que marcó un antes y un después en la visibilidad pública de la comunidad diversa. Asimismo, se hizo un reconocimiento especial a las personas adultas mayores de la comunidad, incluyendo mujeres lesbianas, hombres gays, personas bisexuales y mujeres trans, cuyas experiencias y luchas han contribuido a abrir camino para las nuevas generaciones.

Para muchas de las personas presentes, este enfoque representó una invitación a mirar hacia atrás con gratitud, reconociendo que los avances actuales son el resultado de décadas de trabajo, organización y valentía.

El orgullo como memoria, comunidad y esperanza

Aunque junio suele asociarse con celebraciones, desfiles y manifestaciones públicas, para muchas organizaciones LGBTQ el orgullo también implica memoria, reflexión y compromiso con las generaciones futuras.

Eventos como “Mani Fiesta tu Orgullo” permiten recordar que detrás de cada conquista existen historias de personas que enfrentaron discriminación, violencia y exclusión para abrir espacios de participación y reconocimiento. Al mismo tiempo, estas actividades fortalecen los vínculos comunitarios y generan oportunidades para que nuevas personas se integren a los movimientos de defensa de derechos humanos.

La edición de este año dejó en evidencia que la comunidad LGBTQ salvadoreña continúa apostando por la organización colectiva, la construcción de alianzas y la recuperación de la memoria histórica como herramientas fundamentales para avanzar. Con una asistencia que superó las expectativas de los organizadores y una creciente participación de distintos sectores sociales, “Mani Fiesta tu Orgullo” reafirmó su lugar como una de las actividades más significativas del inicio del Mes del Orgullo en El Salvador.

Más que una celebración, fue un espacio para recordar, agradecer y reconocer que cada paso dado en la búsqueda de igualdad ha sido posible gracias a quienes, desde distintos momentos de la historia, decidieron levantar la voz y construir comunidad. Y precisamente allí radica la esencia de esta actividad: en recordar que el orgullo no solo se celebra, también se hereda, se construye y se comparte.

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New York

N.Y. governor’s race presents stark contrast on LGBTQ rights

Democratic Gov. Kathy Hochul expected to face Republican Bruce Blakeman

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Kathy Hochul (Photo courtesy of the then-New York Gov. Andrew Cuomo's office)

As states across the country grapple with a rapidly changing federal landscape under President Donald Trump, governors have increasingly become the first line of defense — or enforcement — on issues ranging from healthcare and education to LGBTQ rights.

Nowhere is that more apparent than in New York, Trump’s home state, where the 2026 gubernatorial race is shaping up as a high-profile battle over the future of LGBTQ protections.

Incumbent Democratic Gov. Kathy Hochul is seeking a second full term as New York’s 57th governor and the state’s first female governor. She enters the race with strong support from LGBTQ advocates and organizations, including an endorsement from the Stonewall Democrats of New York City. Earlier this year, Hochul was also endorsed by progressive leaders like New York City Mayor Zohran Mamdani and U.S. Rep. Alexandria Ocasio-Cortez. She is running alongside New York City Council Speaker Adrienne Adams as her lieutenant governor candidate.

Throughout her tenure, Hochul has signed a series of measures aimed at strengthening protections for LGBTQ New Yorkers, particularly transgender residents.

Among the most notable is New York’s “Trans Safe Haven Act,” which protects out-of-state trans youth, their parents, and medical providers who travel to New York to access legally protected gender-affirming care. Hochul has also signed legislation requiring health insurance plans to cover HIV prevention medications, including PrEP and Post-Exposure Prophylaxis (PEP), without out-of-pocket costs.

Additionally, Hochul signed a Long-Term Care Bill of Rights that prohibits discrimination against LGBTQ seniors and people living with HIV in long-term care facilities.

“As the birthplace of the LGBTQ+ rights movement, New York has long been at the forefront of advancing equality,” Hochul said in a statement during Pride month. “During Pride month, we celebrate New York’s vibrant LGBTQ+ community and acknowledge the importance of protecting the rights and freedoms of LGBTQ+ New Yorkers. This month and every month, we proudly stand with the LGBTQ+ community and remain committed to building a more inclusive and equitable future for all where everyone can live freely with dignity, safety, and respect.”

On the Republican side, Nassau County Executive Bruce Blakeman has emerged as the party’s leading candidate. Blakeman is running with Madison County Sheriff Todd Hood as his lieutenant governor pick.

Blakeman, Nassau County’s 10th county executive, was first elected in 2021 after defeating Democratic incumbent Laura Curran. He previously served as a commissioner of the Port Authority of New York and New Jersey, a Nassau County legislator, and a Hempstead town councilman.

A longtime supporter of Trump, Blakeman appeared alongside the president during a 2024 event honoring slain NYPD Officer Jonathan Diller.

LGBTQ advocates have frequently criticized Blakeman for his positions on trans issues, particularly his opposition to trans women participating in women’s sports.

In February 2024, Blakeman signed an executive order barring women’s sports teams that include trans women from using Nassau County athletic facilities. The policy applies to youth, collegiate, and professional teams. Teams that include trans men were not affected. The order has since been halted by the New York State Appellate Division swiftly issued an injunction halting enforcement while the plaintiffs appeal the decision

Ahead of announcing the order, Blakeman repeatedly referred to trans women as “biological males” and argued they should compete on men’s or co-ed teams. LGBTQ rights groups condemned the policy, saying it discriminates against trans athletes and contributes to the marginalization of trans youth.

Trump endorsed Blakeman’s gubernatorial campaign in December 2025, shortly after U.S. Rep. Elise Stefanik (R-N.Y.) announced she would not seek the Republican nomination. The president made his endorsement via Truth Social that “Bruce is MAGA all the way, and has been with me from the very beginning.”

The Washington Blade contacted Blakeman’s campaign seeking comment on his LGBTQ policy priorities and views on issues including nondiscrimination protections, trans rights, and healthcare access. The campaign did not respond.

The race highlights two sharply different approaches to LGBTQ policy in a state widely regarded as the birthplace of the modern LGBTQ rights movement, home to the 1969 Stonewall uprising that helped launch the contemporary movement for LGBTQ equality.

Despite the ideological contrast, early polling suggests Hochul remains the clear favorite. Most public surveys show the incumbent holding a double-digit advantage over her potential Republican challengers, with some polls placing her lead at roughly 20 percentage points ahead of the November election.

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