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10 ways to build back LGBTQ human infrastructure better

The Build Back Better Act will benefit the community

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LGBT Congressional Staff Association, 2018 mid-term elections, gay news, Washington Blade
(Washington Blade photo by Michael Key)

In 2021 the U.S. House of Representatives passed a $1.75 trillion human infrastructure bill — the Build Back Better Act. It contains 10 concrete provisions that it will directly benefit the LGBTQ community. It awaits Senate approval to become law.

Most media reports covered the climate change and social safety net programs. LGBTQ people will undoubtedly benefit from clean air, water and reduced emissions. LGBTQ people of color or those with limited incomes will undoubtedly benefit from the expanded social safety net programs. But sometimes queers, lesbians, Asians, young people or immigrants are overlooked. Here are 10 ways that we benefit.

1. Retroactive benefits for same-sex couples married before 2010

Prior to the Supreme Court’s decision in U.S. v. Windsor, the Defense of Marriage Act (DOMA) prohibited the IRS from recognizing same-sex marriages. Windsor changed that, but only for same-sex marriages after 2010. Couples who married before — some wed by then-San Francisco Mayor Gavin Newson, then-New Paltz (N.Y.) Mayor Jason West, or in Canada as far back as 2004 — could not claim federal benefits. The bill allows these couples to back-file claims for federal tax credits and refunds.

2. Queer Asian lesbians who tech 

A disproportionate share of immigrant tech workers are lesbian/bi/trans women and/or Asian. The bill extends H-1B visas for these workers by recapturing unused, previously authorized, worker visas. Watch Jenny’s video to learn more about LGBTQ Asian immigrant knowledge workers.

3. Enforcement of anti-LGBTQ employment discrimination

The National LGBTQ Task Force tells that nearly two-thirds of LGBTQ Americans report having experienced discrimination in their everyday lives. Last year, the Supreme Court held in Bostock v. Clayton County that the Civil Rights Act protected LGBTQ people from discrimination in employment. (See my amicus brief with TLDEF in that case.) But the Equal Employment Opportunity Commission which conducts investigations and enforcement lawsuits, badly defunded under Trump accrued a backlog of claims. LGBTQ people who lost their jobs are still waiting for their cases to be heard. The bill provides $321 million for the EEOC to resolve those cases.

4. College Financial Aid for Queer Students and DACA Young People

Two provisions will help more LGBTQ young people attend college. First is a $550 increase in the federal Pell Grant; second is the exclusion of Pell Grants as income for tax purposes. It’s always been strange that the federal government gave out Pell Grants and then took some of it back through taxes. This exclusion increases the $550 even more.

In addition, undocumented LGBTQ young people, or Dreamers, who enrolled in the Deferred Action for Childhood Arrivals (DACA) program could attend college but were denied federal financial aid. The bill allows them to apply for aid, including Pell Grants and subsidized student loans.

5. Preventing LGBTQ youth suicide, community violence and trauma

The Trevor Project has long shown that LGBTQ youth face the highest rates of suicide. The bill provides $75 million in funding to support the 24/7 National Suicide Prevention Lifeline and its network of crisis centers. It also provides $2.5 billion to support programs to reduce community violence and trauma.

6. Fighting HIV/AIDS

Countless men who have sex with men have died from AIDS. African American, Latino and older gay and bisexual men have the highest rates of HIV disease. APICHA and APAIT remind us that Asian and Pacific Islanders have the highest rates of new infections. The bill provides $75 million to support the Ryan White HIV/AIDS program to provide primary care, support services, and medications to communities disproportionally affected by HIV/AIDS.

7. Supporting LGBTQ families with children

An estimated 3 million LGBTQ Americans are raising or had a child. Family Equality found that 63 percent of LGBTQ millennials have or are planning to have children. The Child Tax Credit, oft regarded as a program to lift low-income families out of poverty, will also help LGBTQ families with a tax credit of $3,000 per child, or $3,600 for children under age six.

8. Protecting vulnerable LGBTQ elders

As more and more LGBTQ age, some have limited support. SAGE reports that many LGBTQ elders lack children or caregivers to look out for their needs. The bill reauthorizes funding for elder justice with programs and trainings to prevent and investigate abuse, neglect and exploitation, especially in nursing homes, as well as $74 million for resources that focus on elder community issues.

9. Protecting LGBTQ undocumented immigrants

There are a quarter million undocumented LGBTQ immigrants in the U.S. Immigration Equality fights hard for them but can’t do it all. The bill allows undocumented immigrants to work, protects them from deportation and allows access to social safety net programs.

10. Reuniting LGBTQ immigrant families and workers

LGBTQ Immigrant families have been separated, sometimes for decades. LGBTQ relatives in Mexico, the Philippines, China, Vietnam and India have had to wait up to 19 years to be reunited with their loved ones in the U.S. The bill clears the 10-20 year visa backlog and allows legal immigrants already here to permanently live and work in the U.S. by recapturing 500,000 unused, previously authorized, green cards.

These 10 provisions in the Build Back Better Act can meaningfully improve the lives of so many everyday LGBTQ people.

The House bill now goes to the Senate. It will undergo several changes. Some, many, or even all of these LGBTQ-friendly provisions could be negotiated out. So TAKE ACTION and email your U.S. senator and tell them “I urge you to support the House’s $1.75 trillion human infrastructure bill and its provisions that will benefit the LGBT community. Build back our nation’s LGBT human infrastructure better!” Call upon our senators to act swiftly in 2022 to make all our lives better by passing the BBB Act and send it to the president’s desk to be signed. 

Glenn D. Magpantay, Esq., a long-time advocate for the LGBTQ, AAPI and immigrant communities, is the former executive director of NQAPIA. He is a civil rights attorney, and a professor of law and Asian American Studies. He has testified before Congress and authored reports for the congressional record. He is principal at Magpantay and Associates: a nonprofit consulting and legal services firm. 

Magpantay may be reached at [email protected]  or www.linkedin.com/in/glenn-d-magpantay-esq 

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Protecting the trans community is not optional for elected allies and candidates

One of oldest political tactics is blaming vulnerable group for societal woes

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rotester stands outside Children's National Hospital in Northwest D.C. on Feb. 2, 2025. (Washington Blade photo by Linus Berggren)

Being an ally to the trans community is not a conditional position for me, nor should it be for any candidate. My allyship doesn’t hinge on polling, focus groups, or whether courage feels politically convenient. At a time when trans people, especially trans youth of color, are under coordinated attack, elected officials and candidates must do more than offer quiet support. We must take a public and solid stand.

History shows us how these moments begin. One of the oldest political tactics is to single out the most vulnerable and blame them for society’s anxieties — not because they are responsible, but because they are easier to blame than those with power and protection. In Nazi Germany, Jewish people were primarily targeted, but they were not the only demographic who suffered elimination. LGBTQ people, disabled people, Romani communities, political dissidents, and others were also rounded up, imprisoned, and killed. Among the earliest acts of fascistic repression was the destruction of Berlin’s Institute for Sexual Science, a pioneering center for gender-affirming care and LGBTQ research. These books and medical records were among the first to be confiscated and burned. It is not a coincidence that these same communities are now the first to suffer under this regime, they are our canaries in the coal mine signaling what’s to come. 

Congress, emboldened by the rhetoric of the Donald Trump campaign, recently passed HR 3492 to criminalize healthcare workers who provide gender-affirming healthcare with fines and imprisonment. This bill, sponsored by celebrity politicians like Marjorie Taylor Greene, puts politics and headlines over people and health outcomes. Healthcare that a number of cis-gendered people also benefit from byway of hair regeneration and surgery, male and female breast augmentation, hormone replacement therapy etc. Even when these bills targeting this care do not pass, they do real damage. They create fear among patients, legal uncertainty for providers, and instability for clinics that serve the most marginalized people in our communities.

Here in D.C., organizations like Planned Parenthood and Whitman-Walker Health are lifelines for many communities. They provide gender-affirming care alongside primary care, mental health services, HIV treatment, and preventative medicine. When healthcare is politicized or criminalized, people don’t wait for court rulings — they delay care, ration medication, or disappear from the system entirely.

As a pharmacist, I know exactly what that means. These are life-saving medications. Continuity of care matters. Criminalizing and politicizing healthcare does not protect children or families — it puts lives at risk.

Instead of centering these realities, political discourse has been deliberately diverted toward a manufactured panic about trans women in sports. Let me be clear: trans women deserve to be protected and allowed to compete just like anyone else. Athletics have always included people with different bodies, strengths, and abilities. Girls and women will always encounter competitors who are stronger or faster — that is not a gender or sports crisis, it is the nature of competition.

Sports are meant to teach fairness, mutual respect, and the shared spirit of competition — not suspicion or exclusion. We should not police young people’s bodies, and we should reject attempts to single out trans youth as a political distraction. Families and doctors should be the authority on sex and gender identity.

This narrative has been cynically amplified by the right, but too often Democrats have allowed it to take hold rather than forcefully rejecting it. It is imperative to pay attention to what is happening — and to push back against every attempt to dehumanize anyone for political gain.

Trans people have always been part of our communities and our democracy. Protecting the most vulnerable is not radical — it is the foundation of a just society. My work is grounded in that commitment, and I will not waver from it. I’m proud to have hired trans political team Down Ballot to lead my campaign for DC Council At Large. We need more ally leaders of all stages to stand up for the LGBTQ+ community. We must let elected detractors know that when they come for them, then they come for all of us. We cannot allow Fox News and social media trolls to create a narrative that scares us away from protecting marginalized populations. We must stand up and do what’s right.

Anything less is not leadership.

Rep. Oye Owolewa is running for an at-large seat on the D.C. Council.

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America is going in the wrong direction for intersex children

Lawmakers are criminalizing care for trans youth, while permitting irreversible harm to intersex babies

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(Bigstock photo)

I live with the consequences of what America is willing to condone in the name of “protecting children.”

When I was young, doctors and adults made irreversible decisions about my body without my informed consent. They weren’t responding to an emergency. They were responding to discomfort with innate physical differences and the social and medical pressure to make a child’s body conform to a rigid female-male binary. That’s the part people like to skip over when they talk about “child welfare”: the harm didn’t begin with my identity. It started with adults deciding my healthy body needed fixing.

That’s why the hypocrisy unfolding right now from statehouses to Capitol Hill feels so familiar, and so dangerous. 

While harmful medical practices on intersex children, the nearly 2 percent born with differences in one or more of their physical sex characteristics, have been ongoing in the U.S. for decades, until recently, there was no law specifically condoning it. 

This month, House Republicans passed one of the most extreme anti-trans bills in modern American history, advancing legislation that would criminalize gender-affirming medical care for transgender youth and threaten doctors with severe penalties for providing evidence-based treatment. The bill is framed as a measure to “protect children,” but in reality, it weaponizes the criminal legal system against families and providers who are trying to support young people in surviving adolescence.

At the same time, the administration has proposed hospital and insurance policies designed to choke off access to affirming care for trans youth nationwide by making providers fear loss of federal funding, regulatory retaliation, or prosecution. This is a familiar strategy: don’t just ban care outright; instead, make it so risky that hospitals stop providing it altogether. The result is the same everywhere. Young people lose access to care that major medical associations agree can be lifesaving.

All of this is happening under the banner of preventing “irreversible harm.”

But if America were genuinely concerned about irreversible harm to minors, the first thing lawmakers would address is the medically unnecessary, nonconsensual surgeries still performed on intersex infants and young children, procedures that permanently alter healthy tissue, often without urgent medical need, and long before a child can meaningfully participate in the decision. Human rights organizations have documented for years how these interventions are justified not by medical necessity, but by social pressure to make bodies appear more typically “female” or “male.” 

Here is the uncomfortable truth: all of the state laws now banning gender-affirming care for transgender youth explicitly include exceptions that allow nonconsensual and harmful intersex surgeries to continue.

A recent JAMA Health Forum analysis found that 28 states have enacted bans on gender-affirming care for minors that carve out intersex exceptions, preserving doctors’ ability to perform irreversible “normalizing” procedures on intersex children even while prohibiting affirming care for trans adolescents.

This contradiction is not accidental. It reveals the real priority behind these laws.

If the goal were truly to protect children from irreversible medical interventions, intersex kids would be protected first. Instead, these policies target one group of children, transgender youth, while continuing to permit permanent interventions on another group whose bodies challenge the same rigid sex and gender binary that lawmakers are trying to enforce.

Intersex people are routinely erased from American policy debates, except when our bodies are invoked to justify harmful laws, warning that intersex children are being used as legal loopholes rather than protected as human beings. This “protect the children” rhetoric is routinely deployed to justify state control over bodies, while preserving medical practices that stripped intersex children like me of autonomy, good health, and choice. Those harms are not theoretical. They are lifelong.

What makes this moment even more jarring is that the federal government had finally begun to recognize intersex people and attempt to address the harms suffered.

In 2024, at the very end of his term, the Biden administration released the first-ever intersex health equity report — a landmark admission that intersex people have been harmed by the U.S. health care system. Issued by the Department of Health and Human Services, the report documents medically unnecessary interventions, lack of informed consent, and systemic erasure and recommends delaying irreversible procedures until individuals can meaningfully participate in decisions about their own bodies.

This should have been a turning point. Instead, America is moving in the opposite direction.

On day one, President Trump issued an executive order defining “sex” in a way attempting to delegitimize the existence of transgender Americans that also erased the existence of many intersex people. 

When medicine is used to erase difference, it is called protection, while care that supports self-understanding is treated as a threat. This is not about medicine. It is about control.

You cannot claim to oppose irreversible harm to children while legally permitting surgeries that intersex adults and human rights experts have condemned for decades. You cannot claim to respect bodily autonomy while denying it selectively, based on whose bodies make lawmakers uncomfortable.

Protecting children means protecting all children, transgender, intersex, and cisgender alike. It means delaying irreversible interventions when they are not medically necessary. It means trusting and supporting young people and families over politicians chasing culture-war victories.

America can continue down the path of criminalizing care for some children while sanctioning harm to others, or it can finally listen to the people who have lived the consequences.

Intersex children deserve laws that protect their bodies, not politics that hurt and erase them.

Kimberly Zieselman is a human rights advocate and the author of “XOXY: A Memoir”. The author is a co-author of the JAMA Health Forum article cited, which examined state laws restricting gender-affirming care.

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Stand with displaced queer people living with HIV

Dec. 1 is World AIDS Day

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(Bigstock photo)

Today, on World AIDS Day, we honor the resilience, courage, and dignity of people living with HIV everywhere especially refugees, asylum seekers, and queer displaced communities across East Africa and the world.

For many, living with HIV is not just a health journey it is a journey of navigating stigma, borders, laws, discrimination, and survival.

Yet even in the face of displacement, uncertainty, and exclusion, queer people living with HIV continue to rise, thrive, advocate, and build community against all odds.

To every displaced person living with HIV:

• Your strength inspires us.

• Your story matters.

• You are worthy of safety, compassion, and the full right to health.

• You deserve a world where borders do not determine access to treatment, where identity does not determine dignity, and where your existence is celebrated not criminalized.

Let today be a reminder that:

• HIV is not a crime.

• Queer identity is not a crime.

• Seeking safety is not a crime.

• Stigma has no place in our communities.

• Access to treatment, care, and protection is a human right.

As we reflect, we must recommit ourselves to building systems that protect not punish displaced queer people living with HIV. We must amplify their voices, invest in inclusive healthcare, and fight the inequalities that fuel vulnerability.

Hope is stronger when we build it together.

Let’s continue to uplift, empower, and walk alongside those whose journeys are too often unheard.

Today we remember.

Today we stand together.

Today we renew hope.

Abraham Junior lives in the Gorom Refugee Settlement in South Sudan.

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