News
Biden’s update to HIV strategy hailed for recognizing racism as health issue
New blueprint outlines plan 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.”
U.S. Military/Pentagon
Hegseth uses transphobic slur while campaigning for Iowa congressman
Defense Secretary was speaking in support of Republican Zach Nunn
Defense Secretary Pete Hegseth on Monday used an anti-transgender slur while campaigning for U.S. Rep. Zach Nunn (R-Iowa), drawing attention to the Trump-Vance administration’s ongoing efforts to restrict trans people from serving in the military.
“At the Department of War, we do training, not t***nies,” Hegseth said, according to the Iowa Capital Dispatch, which first reported the remarks.
Hegseth made the comment at JR’s SouthPork Ranch at the Iowa State Fair, where he joined Nunn for a rally. The remark came as Hegseth discussed his priorities for the military and argued that the department’s focus should be on military readiness rather than issues of race or gender.
In the same speech, Hegseth claimed that the military operates without regard to race or gender.
“Training, lethality, accountability, discipline, readiness — the bedrock of what it means to be an American warrior — is the only focus of our department,” Hegseth said. “Colorblind, gender-neutral, merit-based. That’s it.”
Hegseth’s remarks come as the Trump-Vance administration continues its efforts to restrict trans people from serving in the military.
Since President Donald Trump returned to the White House, his administration has moved to remove trans service members from the military while also taking steps to prevent trans people from joining.
Trump signed “Prioritizing Military Excellence and Readiness” in January 2025, which attempts to bars trans individuals from serving or enlisting in the U.S. military, citing “military readiness” as the reason, despite there being no factual basis for the ban. The policy has been challenged by LGBTQ advocates and military service members, who argue there is no evidence that trans service members undermine military readiness.
Earlier this year, Hegseth made headlines again over the administration’s contradictory approach to hormone therapy, as the military moved to restrict gender-affirming hormone treatment for trans service members while encouraging cisgender military members to receive hormone therapy for “low T,” or testosterone.
The administration’s policy has faced a series of legal challenges from trans service members and advocacy groups.
In June, a federal appeals court panel ruled the administration could not discharge the trans service members who brought one of the lawsuits challenging the ban while their case continues, providing a moment of relief amid the administration’s ongoing efforts to restrict trans military service. The Trump-Vance administration has asked the U.S. Supreme Court to review that ruling and, in the meantime, keep it from taking effect.
The Washington Blade reached out to the Pentagon for comment on Hegseth’s use of the slur, but the department did not push back on his choice of words.
“We have nothing further to add beyond the secretary’s remarks,” the statement read.
Illinois
Chicago’s LGBTQ+ youth: Why their zip code still matters
South and West side residents face longer commutes to access affirming services
On Chicago’s West Side, the ballroom scene doubles as a lifeline for LGBTQ+ youth.
Every week, teens are drawn into TaskForce Prevention & Community Services for its popular Vogue School. Once there, they then have access to a variety of resources like housing support, a food pantry, fresh produce, and mental health services.
For many, it’s the only affirming environment in their neighborhood.
“We’re located here in Austin, and there isn’t really any other LGBTQ+ youth program like us on the West Side,” said Reyna Ortiz, program director at the nonprofit. “It’s special because young people don’t have to go Downtown or to the North side to feel like they belong here.”
Ortiz’s perspective underscores a long-standing reality that access to LGBTQ+ youth resources often depends on your zip code.
The city’s largest LGBTQ+ institutions have a prominence on the North Side, which is home to LGBTQ+ enclaves like Northalsted and Andersonville. This can leave queer youth on the South and West sides having to face longer commutes and other barriers when trying to access affirming services.
And when queer youth don’t have these kinds of resources nearby, it can create gaps that shape their health, education and economic futures. But North Side-based institutions—as well as smaller LGBTQ+ orgs on the South and West sides and some citywide organizations—are working to fill these gaps.
Two of Chicago’s largest LGBTQ+ organizations, the Center on Halsted and Howard Brown Health’s Broadway Youth Center, are both situated on the North Side.
At Center on Halsted, 3656 N. Halsted St., youth and family programming spans drop-in spaces, leadership and mentoring opportunities and support groups for LGBTQ+ youth. statewide LGBTQ+ hotline provides additional access for young people beyond its Lakeview base.
CEO Joli Robinson said the Center has been intentional about expanding youth programming beyond the North Side through partnerships with other LGBTQ+ organizations and by introducing programs to its South Side location, the Center on Cottage Grove, 6323 S. Cottage Grove Ave.
“A week or so ago, we started our first drop-in space at the Center on Cottage Grove, which has been a priority for us over the past year and a half that I’ve been with the organization,” Robinson said. “We also partner with organizations like Chicago House and Life is Work, … and work to strengthen relationships with the GSAs in schools and PFLAG organizations that exist on the South and West sides.”
These kinds of collaborations are crucial to reaching LGBTQ+ youth in all neighborhoods of Chicago, Robinson said.
“These are organizations that they may already have a strong relationship with, and by deepening our partnerships with them, we’re leveraging the expertise of people who are in these neighborhoods to make sure we’re working in collaboration,” Robinson said.
The Broadway Youth Center, 1023 W. Irving Park Road, serves LGBTQ+ youth ages 12 to 24, particularly those experiencing homelessness or housing instability. It provides integrated medical and mental health care, sexual and reproductive health services, case management and mental wellness support.
The Broadway Youth Center’s drop-in space also offers meals, clothing, showers and other essentials, while cultural programming like art and dance provides additional affirming outets.
Both organizations state their programs are open to youth citywide and emphasize outreach through hotlines, housing services and broader support networks.
Still, their physical bases on the North Side mean that young people in other parts of the city often face barriers to access them.
“And we don’t want transportation to be a barrier for individuals,” Robinson said. “We don’t want location to be a barrier for individuals to participate in some of our programming, so it really is incumbent upon us to be very strategic and think creatively about how we engage the full city.”
TaskForce is among the organizations working to fill these gaps.
Based in Austin on the West Side, the nonprofit offers youth services that are culturally specific, including housing support, food access, and sexual health testing.
Equally as important is TaskForce’s Vogue School, which uses voguing and ballroom culture to strengthen community and encourage self expression.
“Ballroom is important because it’s the one place where they can showcase their talents, where they can showcase who they are without any type of restrictions, without any type of judgment,” Ortiz said. “Ballroom and vogue are how our kids see themselves celebrated. It’s culture, it’s community, and it’s also leadership development.”
Ortiz said TaskForce also provides a steady presence in a neighborhood where resources are limited.
“We are consistent, we are here, we are present and we are open,” Ortiz said.
TaskForce is also home to PrEP 4 Teens, a citywide program focused on HIV prevention and sexual health among youth. While it’s open to teens across Chicago, staff said they are especially focused on reaching those on the South and West Sides who often face the steepest barriers to access.
“We’re looking to collaborate more with agencies, both in the south and west side of Chicago,” said program lead David Gauna. “We know those are the young people who need us most.”
That focus reflects the larger imbalance in the city.
“It’s about equitable access,” said Jim Pickett, one of the program’s organizers. “And so there’s a real lack of equity throughout Chicago, and we could certainly have a much more equitable distribution of opportunities.”
PrEP4Teens was shaped by youth themselves, Gauna added.
“Young people created this,” Gauna said. “They decided the colors, the imagery, the language. They said, ‘We don’t want this to be medical. We want this to be something fun. We want this to be engaging.’”
That youth-driven design is what makes it resonate, said Skai Underwood, who also runs PrEP4Teens.
“We try to meet youth where they are, and culture is part of that,” Underwood said.
Schools can also play a part in filling these gaps on the South and West sides.
“I think that there’s a great opportunity for schools to be like the glue that brings everything together,” said Julio Flores, program director for the Alliance, which promotes school safety for LGBTQ+ youth through advocacy, education, youth programming and research.
For some students, he said, school-based GSAs are the only affirming space they have.
“A GSA can be the only affirming space a young person has,” Flores said.
And those spaces can change a student’s trajectory, he added.
“When young people can lead a GSA, they’re not just building community, they’re building the skills they’ll use in college, in jobs and in life,” Flores said.
The gaps in geography don’t just shape whether young queer people can find community. They also shape whether they’re set up to succeed.
At TaskForce, Ortiz said success often begins with visibility. Young people who first came in for the Vogue School or drop-in services have gone on to train as medical assistants and phlebotomists.
“Some of our youth that frequent the Vogue School start to volunteer. Then we hire and train them, and now they’re building careers,” Ortiz said.
For youth involved with PrEP 4 Teens, growth is just as tangible.
Gauna said teens were engaged in a program that empowered them to build the look, feel and voice of a PrEP awareness campaign. By the end of the cohort, youth who had once been too shy to speak were leading workshops, presenting artwork and giving speeches.
“They started off super shy… and by the end they were showcasing what this program had done for them — not just to take charge of their sexual health, but to feel a lot more confident in themselves,” Gauna said.
Pickett tied those individual transformations back to the bigger picture.
“So many queer young people of color don’t necessarily have many safe spaces throughout the day in their lives,” he said. “Providing these opportunities to engage with other young people and develop their skills and have fun and be fully who they are is so empowering. It sets them up for success.”
Robinson of Center on Halsted said the link between geography and opportunity often comes down to whether young people have their most immediate needs met close to home. Without food, shelter or a safe place to connect, long-term success could remain out of reach.
“For people to really have the safety and security they need to think about economic development or to be provided with a stronger footing and foundation to focus on maybe college or career, they need to have some of their most basic needs met,” Robinson said.
This article was originally published by the Windy City Times and is part of a national initiative exploring how geography, policy, and local conditions influence access to opportunity. Find more stories at economicopportunitylab.com/
Maryland
Anne Arundel schools updates gender identity regulation following Trump administration threats
District facing federal lawsuit, White House threats over guidelines
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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