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

New blueprint outlines plan from 2022 to 2025

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Maryland

Anne Arundel schools updates gender identity regulation following Trump administration threats

District facing federal lawsuit, White House threats over guidelines

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Anne Arundel County Public Schools Supt. Mark Bedell sent a message to families on Aug. 19, 2026. about an update to a school system regulation on gender identity. (Photo by Ulysses Muñoz for the Baltimore Banner)

By JESSICA CALEFATI | Under pressure from the Trump-Vance administration, Anne Arundel County Public Schools Supt. Mark Bedell announced Wednesday the district had updated a regulation intended to protect transgender students’ right to be called by their chosen name.

The revised language makes clear that district rules on gender identity do not block parents’ rights under the Family Educational Rights and Privacy Act as the federal government alleged last month, and that a student’s gender identity will not be treated as confidential medical information.

“No policy, guideline, or practice may limit or otherwise interfere with parental rights under FERPA,” Bedell wrote in a Wednesday letter to the community. “This includes any information maintained in education records that relates to gender identity, transgender status, sexual orientation, preferred name, or preferred pronouns.”

The rest of this article can be read on the Baltimore Banner’s website.

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Netherlands

Thailand’s first openly gay senator attends World Pride in Amsterdam

Blade sat down with Pornchai Witayalerdpan on Aug. 7

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Thai Sen. Pornchai Witayalerdpan at the World Pride Human Rights Conference in Amsterdam on Aug. 7, 2026. (Washington Blade photo by Michael Key)

Editor’s note: International News Editor Michael K. Lavers and Photo Editor Michael Key were on assignment in the Netherlands from July 28-Aug. 10.

AMSTERDAM — The first openly gay man elected to the Thai Senate says the law that extended marriage rights to same-sex couples in Thailand has positively impacted his country’s global image.

“It totally changed how the world perceived Thailand,” Sen. Pornchai Witayalerdpan told the Washington Blade on Aug. 7 during an interview at the World Pride Human Rights Conference in Amsterdam.

Thailand on Jan. 23, 2025, became the first country in Southeast Asia to allow same-sex couples to legally marry.

The marriage equality bill received final legislative approval in June 2024 when the Senate approved it by a 152-130 vote margin. King Maha Vajiralongkorn signed it a few months later. Then-Prime Minister Prime Minister Paetongtarn Shinawatra is among those who supported the law.

Witayalerdpan was a freelance interpreter before he took office in July 2024.

The independent senator noted Thailand’s marriage equality movement began to gain traction with a lawsuit that the Foundation for Sexual Orientation and Gender Identity Rights and Justice, a Thai advocacy group, filed.

The Constitutional Court in 2021 upheld a law that defined marriage as between a man and a woman. MP Tunyawaj Kamolwongwat of the Move Forward Party later introduced the marriage equality bill that became law.

“It was a coalition of efforts between the civil society organizations, the LGBTQ organizations, and also the Pride movement in Thailand,” Witayalerdpan told the Blade.

Taiwan in 2019 became the first country in Asia to extend marriage rights to same-sex couples.

The Nepalese Supreme Court in June issued a landmark ruling that ordered the country’s government to guarantee full marriage rights to same-sex couples.

The Japanese Supreme Court in March said it will consider six marriage equality lawsuits that have been filed in the country. The Indian Supreme Court in 2023 ruled against marriage rights for same-sex couples. South Korea is among the other Asian countries in which marriage equality efforts are gaining momentum.

Witayalerdpan said Thailand’s marriage equality law could have a direct impact in Japan, which is the only G7 country that does not legally recognize same-sex couples.

“It’s been nothing but a positive effect (in Thailand) after the same-sex marriage law (took effect),” he said.

A lesbian couple celebrates Bangkok Pride in 2023. (Photo courtesy of Bangkok Pride’s Facebook page)

InterPride, the organization that coordinates World Pride events, has announced Bangkok and Barcelona, Spain, are the two finalists to host the biennial event in 2030. (World Pride took place in D.C. in 2025.)

Witayalerdpan told the Blade that World Pride in Bangkok would further improve Thailand’s global image. He also said his fellow lawmakers, in turn, should pass LGBTQ rights bills — including proposals that would allow transgender people to legally change their name and gender and enable same-sex couples to have children via surrogates from in vitro fertilization. Witayalerdpan noted the most important bill to him is one that would strengthen Thailand’s LGBTQ-inclusive nondiscrimination law that took effect in 2015.

Impact of US funding cuts has ‘been very hard’

Witayalerdpan also offered advice to activists in the U.S. and elsewhere around the world.

“Keep on pushing forward,” he told the Blade. “I know that it’s hard for activists in Thailand as well.”

Witayalerdpan acknowledged the loss of U.S. government funding since the Trump-Vance administration took office — which has forced advocacy groups in Asia and elsewhere around the world to close — has “been very hard.” Witayalerdpan noted the global LGBTQ and intersex rights movement in response to these cuts has turned to the European Union, the U.K., Canada, and the Netherlands to help fill the gap.

“It’s very good that these countries are providing more funds to the activists in Asia than before because of the Trump situation,” he told the Blade. “It can increase their soft power as well.”

Witayalerdpan said American activists should “wish for a positive result in the mid-term elections.”

“Then there is some resistance,” he added.

Witayalerdpan specifically highlighted efforts to fight against the Trump-Vance administration’s efforts to restrict gender-affirming healthcare.

A federal court in Massachusetts on Aug. 15 struck down a key provision of a U.S. Department of Health and Human Service rule that would have limited access to gender-affirming care under the Affordable Care Act. Maryland and California are two of the 21 states that sued the Trump-Vance administration over the issue.

“You have to show more resistance … to show that we are still here and we will push back when we can,” said Witayalerdpan.

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Pennsylvania

Philadelphia gayborhood preservation battle raises questions about displacement

Opponents of historic designations worry about new burdens on property owners

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Philadelphia has a rich history of LGBTQ activism, but some fear that historic preservation efforts honoring that history go too far. (Photo courtesy of LGBT50)

Philadelphia’s Washington Square West neighborhood — which is home to the city’s Gayborhood — was awarded a historic designation in 2024. While many LGBTQ+ Philadelphians were excited by news of preserving approximately 1,500 residences, religious spaces and business properties spanning the 26 included blocks, the designation was not celebrated by all.

Advocates, including the Washington Square West Civic Association and various LGBTQ+ residents, partly framed the designation as long-overdue recognition for the area’s LGBTQ+ culture and Black history — but opponents argued it would impose costly restrictions on property owners and limit new development. A group of property owners — which also includes LGBTQ+ people — took the city to court over the designation and successfully overturned the decision.

The judge cited a lack of substantial evidence as a leading cause for his decision despite the Philadelphia Historic Commission’s nearly 1,500-page nomination packet. Attorney Dan Auerbach, representing the residents who opposed the designation, told WHYY that the documents submitted didn’t explain why many of the properties hold historic significance. Just 173 properties were described as historically significant, he argued. However, 773 of 1,509 properties included in the boundary — more than half of the neighborhood’s properties — are already listed in the National Register of Historic Places.

In March, the judge’s ruling was vacated after an appeal — effectively forcing the process to start over. The historic designation stands in the meantime. The Preservation Alliance for Greater Philadelphia is now drafting its own brief — due May 18 — to support the city’s position, which the organization’s executive director Paul Steinke believes will elaborate on the merit of the designation as a supplement to the city’s arguments.

Scholars have found that Philadelphia’s local historic designation offers a more protective effect on buildings facing possible demolition than the national register. Because zoning and construction is overseen by local laws and leaders, local designations play a stronger role in preservation. But that doesn’t mean buildings with the designation are guaranteed to be preserved.

The outcome of this lawsuit could affect a major re-development project that would benefit the LGBTQ+ community but has been met with mixed feelings. William Way LGBT Community Center (WWCC), which is currently housed in a pre-Civil War era building that would be harder to demolish under the designation, is set to be leveled (along with a famous LGBTQ+ mural on its facade) to build a more accessible space for gatherings and queer-centered low-income housing units.

Steinke underlined that it’s possible for the project to move forward as-is. Historic designations do not prevent every demolition. There are standards in place that allow for demolition, which WWCC would need to meet for the project to be approved.

WWCC leaders would need to appear before the historical commission to seek a demolition permit before applying to the city, but that obstacle would be removed if the historic designation is overturned.

Historic designation is mostly used to preserve the character of buildings through recommendations about how owners can restore or maintain exterior facades. Steinke hopes WWCC will adjust its plans to maintain all or some of the most important historic elements of its current home (the facade, historic marble and wooden staircases, entryways and ballroom) rather than demolishing it all outright. He hasn’t lost hope, but he admits he hasn’t convinced anyone at WWCC to change the current plans.

It’s a project that seems to place competing interests in tension. There’s a need for housing — especially income-specific, LGBTQ+ centered projects — in that neighborhood. This, as Steinke hopes, could be pursued without demolishing much-loved cultural landmarks — but WWCC has emphasized that the price tag for pursuing its goals this way makes preservation out of reach.

The Washington Square West litigation is one of three active lawsuits pending against historic districts in Philadelphia. Six newer proposals are also currently in various stages of the nomination process — but if approved, they too could be contested and overturned.

A 2002 attempt to designate Spruce Hill was unsuccessful due to resident opposition that may have been fueled by politics. It was the third attempt to nominate the neighborhood. A case study published in 2023 by a University of Pennsylvania student about the matter found that the opponents feared increased maintenance costs, the loss of personal freedom and gentrification.

“Ironically, in the two decades since that campaign, Spruce Hill has become one of the most gentrified — and threatened — neighborhoods in the city of Philadelphia,” the study notes.

Residents also feared displacement. The case study underlines that residents who are displaced by gentrification tend to move to neighborhoods with lower property values, less access to resources, and fewer opportunities for upward economic mobility.

Following historic designation, the number of college-educated households in a community tends to increase while the poverty rate drops in contrast to its adjacent neighborhoods, which do not receive the designation. These and other factors contributing to economic mobility are visible on maps created by the Opportunity Atlas, a project of Harvard University which presents information collected by the census in an effort to tangibly discuss economic mobility in localities across the United States. It shows the same patterns in many of Philadelphia’s historic districts.

But the Washington Square West neighborhood outperformed the surrounding blocks even before the historic designation took effect — highlighting that the designations themselves may not always be the cause of disparities.

“It’s true that in most cases, historic districts aren’t the most affordable neighborhoods in any city — no matter where you go,” Steinke said. “That’s not the fault of the historic district.”

Historic districts tend to protect properties and neighborhoods that are historically, architecturally, or culturally significant — properties that already tend to be expensive.

For example, Steinke underlined that Rittenhouse Square was expensive before it was officially designated as historic — and some neighborhoods, like Graduate Hospital, have become pricey without the designation.

Historic preservation may actually promote some protective factors that act as a buffer against gentrification and rising rents, contradicting the most common fears. For instance, the designation makes it harder for developers to tear down smaller, older, more affordable homes or significant community hubs that sit on desirable land in order to build newer, larger, high-cost housing units in their place.

Many LGBTQ+ locals opposed the redevelopment of the Gayborhood’s former 12th Street Gym — which held cultural significance and a meaningful mural of queer activist Gloria Casarez. It was removed alongside a neighboring building of note for its connection to Black history. A luxury high-rise apartment complex now takes its place.

Residents of a working-class neighborhood in Durham, N.C. hoped they would stave off developers and prevent or slow gentrification by pursuing historic designation in 2016.

Steinke explained that this has happened in Philadelphia too.

The Parkside neighborhood, which is situated near the Please Touch Museum, has been a historic district for 15 years, Steinke explained. It was a low to moderate income, majority minority neighborhood when it was designated in 2009 and it still is today, he said. The same is true for West Diamond Street in North Philly, which was designated historic in the 1980s. It was a low to moderate income neighborhood then and has remained one today.

“Real estate prices are a factor of so many other things — proximity to work, public safety, access to schools, access to shopping and other amenities, transportation,” Steinke said. “That’s really what determines property values and neighborhood value.”

Those are also factors that have strong correlations with upward economic mobility.

Despite a poverty rate that is lower than it has been in decades, Opportunity Insights ranks Philadelphia as last among large metro areas for upward economic mobility — with some children experiencing even worse economic outcomes than their parents. It’s a problem Mayor Cherelle Parker has addressed with new initiatives she hopes will support young people who hope to break free from cycles of poverty.

The supplemental programs that offer economic support to historic homeowners in Durham might have helped its anti-gentrification efforts succeed.

Steinke said it’s true that some preservation-oriented maintenance costs may be higher upfront, but many of those options also last longer and could even cost less than cheaper fixes that must be repeated over time.

“One real weakness in Philadelphia is that there is no publicly available funding to help homeowners maintain their historic homes, and that’s something that we have talked about with city officials, with city council, with the mayor’s office,” he added. “There really needs to be a fund that homeowners can apply to if their property is designated historic — especially for low to moderate income homeowners.”

Although there isn’t a city fund or initiative to help offset maintenance costs for historic homeowners in Philadelphia, a few state and federal tax incentives could be helpful to some historically-designated property owners — including landlords and developers who might not otherwise pursue preservation.

“Not many property owners or homeowners have a lot of expertise about what’s best for a historic building to maintain its value and its appearance,” Steinke said. “So when historic districts are in place, you actually have access to experts who know the best practices and can share them with you and help you find solutions to the problems you’re trying to solve.”

The Preservation Alliance for Greater Philadelphia collaborated with the Washington Square West Civic Association to publish a manual that will be released in late spring or early summer. It will provide information about historic practices for windows, doorways, carpentry, masonry and roofs pertaining to the area’s buildings.

There’s been an increase in low-income households in Philadelphia’s historic districts and top earners are moving in at a slower rate than in neighborhoods in the rest of the city.

Racial diversity is shifting in there, too. Although these districts tend to have whiter populations, a report published by the Preservation Alliance shows that non-white homeownership in Philly’s historic districts has increased significantly since 2010. The number of non-white homeowners and Black and Hispanic residents is on the rise in these districts, even as diversity has slowed in other neighborhoods.

“We think [this report] shows that historic designation is not an obstacle to housing production or population growth,” Steinke said.

Steinke argues that the buildings in Washington Square West have economic value not only to those who own or utilize the buildings but to the city as a whole. They’re an economic engine — creating jobs and drawing tourists. Almost 6% of Philadelphia’s jobs are in historic districts, including nearly 10% of small business jobs, 13% of new jobs, and almost 17% of creative jobs.

The 250th anniversary of the United States will bring visitors hoping to immerse themselves in Philadelphia’s history. Visit Philly estimates the events could contribute up to $2.5 billion to the city’s economy.

Some funding is making its way to historic districts in preparation for the events by way of grants for programming and beautification projects. But that doesn’t make them an accessible place to do business.

Historic districts aren’t necessarily start-up friendly. Commercial rent tends to be higher there too — a frequent complaint among LGBTQ+ business owners who want to open brick-and-mortar locations in the Gayborhood but are priced out.

(This article was originally published by the Philadelphia Gay News and is part of a national initiative exploring how geography, policy, and local conditions influence access to opportunity. Find more stories at economicopportunitylab.com.)

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