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VCU halts gender-affirming care

Broader healthcare threats loom as White House threatens to withhold federal funding

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A protester stands outside Children's National Hospital in Northwest D.C. on Feb. 2, 2025. Virginia Commonwealth University has announced it will no longer offer gender-affirming care to patients under 19-years-old at the Children's Hospital of Richmond at VCU. (Washington Blade photo by Linus Berggren)

On Tuesday, Virginia Commonwealth University announced it would stop providing and researching gender-affirming care at the Children’s Hospital of Richmond at VCU for anyone under the age of 19.

In a post on the hospital’s website, it said the decision was made to stay within federal and state directives and was a result of “a thoughtful and thorough assessment that revealed no other viable options at this time.”

VCU staff — part of one of the largest healthcare providers in the state — were notified by email of the change, which announced they would “wind down these services,” a claim the hospital has made before.

In January, President Donald Trump signed the “Protecting Children From Chemical and Surgical Mutilation” executive order which is, at its core, designed to vilify transgender people. Since then, VCU stopped providing trans-specific care, then backtracked, allowing doctors to prescribe puberty blockers and hormone therapy, according to Axios.

Wyatt S. M. Rolla, a senior transgender rights tttorney for the American Civil Liberties Union of Virginia, spoke with the Washington Blade about the negative impact VCU’s decision will have on trans children’s healthcare.

“I think a really important starting point is that gender-affirming care is legal in the state of Virginia, including for individuals under the age of 19, and there are doctors, nurses, clinicians across the state that are committed to still providing that care to patients,” Rolla said.

Rolla went on to explain that even though providing gender-affirming care for minors is legal in Virginia, this executive order has a chilling effect on hospitals and is preemptively causing institutions like VCU to stop offering it.

“The primary impact of that executive order was to threaten the disruption of federal funding to hospitals that were providing that care,” they added. “There have been multiple pieces of litigation filed to challenge that threat to disrupt grants to institutions that are providing this care, and the executive order — that provision of it — is actually enjoined by multiple federal courts right now and cannot be used as a basis to terminate federal funding.”

They continued, explaining that this is not the only method of control the Trump-Vance administration is using.

“The Trump administration is weaponizing the Department of Justice, the Department of Health and Human Services, the Federal Trade Commission, [and] other federal agencies to try to bully healthcare providers into discriminating against their patients, and that should disturb everyone, because it won’t stop at trans people.”

These other fears, Rolla explained, could encroach on broader issues of bodily autonomy and safety that Republicans deem “controversial” — especially if medical boards, which are supposed to be non-political, are affected by orders like this one.

“I mean, it is setting a really dangerous precedent for all Virginians,” Rolla said. “And I think it’s not just a question of how other hospitals in Virginia will respond regarding gender-affirming care. Tomorrow, this could be a conversation about reproductive health services or HIV treatment or other vital health care that someone has decided is politically controversial. It’s really important to recognize the threat of undermining public trust in our medical institutions and endangering the communities that they’re meant to serve by refusing to provide medical care that providers have determined is necessary.”

When asked what the ACLU of Virginia hopes children seeking gender-affirming care will know, Rolla said:

“I want those young people and their families to know that again, there are doctors, nurses, clinicians across the state that are working around the clock to make sure they are able to provide you the care that you need, and there are advocates [and] community members that are going to fight on every terrain necessary to preserve the legal ability of those health care providers to do that. So while those young people are being cynically targeted for political advantage, I want them to know that they’re not alone and that there is a deep bench of people that are fighting to have for them to access the resources they need to thrive and grow into the beautiful adults that we know they deserve to be.”

The ACLU also sent a statement condemning the actions of VCU.

Equality Virginia, He She Ze and We, Side by Side, Planned Parenthood Advocates of Virginia, the Transgender Assistance Program of Virginia, Seven Hills Family Medicine, Health Brigade, Thriving Trans Men of Color, Virginia LGBTQ+ Bar Association, the Calos Coalition, the Shenandoah LGBTQ Center, Progress Virginia, and the Campaign for Southern Equality co-signed the statement. They claim VCU’s decision is a direct result of Trump and the Republican Party’s “hateful political agenda” and has nothing to do with healthcare.

“We see the political strategy. We reject it. We’ll keep fighting for trans youth, their families, and providers who support them,” reads the statement.

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Virginia

Winsome Earle-Sears launches campaign against Va. marriage equality amendment

Former LG lost to Abigail Spanberger in 2025 gubernatorial race

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Former Virginia Lt. Gov. Winsome Earle-Sears (Washington Blade photo by Michael Key)

Less than a year after losing Virginia’s gubernatorial race, former Lt. Gov. Winsome Earle-Sears is campaigning across the state against constitutional amendments that would protect marriage equality and reproductive freedom.

She is launching a statewide “Life and Marriage Tour” ahead of November’s election.

Although same-sex couples can legally marry under the U.S. Supreme Court’s 2015 Obergefell v. Hodges decision, Virginia’s constitution still contains language that defines marriage as between one man and one woman. Supporters say removing the language would protect marriage equality should federal precedent change.

The original ban was written into the state constitution in 2006. 

It has been hinted at in the past by Supreme Court Judge Clarence Thomas that he would consider revisiting Obergefell v. Hodges regarding contraception and marriage rights for same-sex couples. He stated this in his concurring opinion regarding the Dobbs v. Jackson ruling, which allows for state-level abortion bans.

Equality Virginia Executive Director Narissa Rahaman said removing the ban would bring the state’s constitution in line with existing law.

“20 years after banning marriage equality, it’s time for our commonwealth to fully complete our evolution — and finish the job on protecting marriage equality for all,” Rahaman said.

In an email to supporters, Earle-Sears said these amendments “raise serious concerns” and could alter principles about which Virginians care.

“That is why our efforts are focused not only on informing voters, but also encouraging them to carefully consider these proposals and vote NO on both amendments,” Earle-Sears said.

Virginia voters will consider three constitutional amendments this November.

Earle-Sears is campaigning for voters to reject two of them: the Virginia Remove Constitutional Same-Sex Marriage Ban Amendment and the Right to Reproductive Freedom Amendment.

A “Yes” vote on the Same-Sex Marriage Ban Amendment would include removing a provision that states marriage is between one man and one woman and prohibitng the state from denying a marriage license to two adults based on their sex, gender, or race, according to the Virginia Department of Elections.

In 2025, during debates against now Gov. Abigail Spanberger, Earle-Sears argued it is not discrimination to think that gay people should not be allowed to marry. She claims it conflicts with her faith.

According to ABC 8, in 2024 she wrote that she had a “moral opposition” to marriage equality, after former Gov. Glenn Youngkin, a Republican, signed a marriage equality bill that barred denying marriage licenses based on sex, gender, or race.

According to the Virginia Department of Elections, a “Yes” vote on the Reproductive Freedom amendment supports adding a section to the state constitution that would give Virginians the right to make and carry out decisions regarding reproductive healthcare, except in specific exemptions.

The Virginia Department of Elections wrote that if accepted, the amendment would allow the state government to pass laws to regulate abortion care in the third trimester of pregnancy, but require abortion care when it is medically needed to protect the life and health of the pregnant person or because the fetus is not viable.

During the 2025 election cycle, Earle-Sears was clear on her anti-abortion stance.

According to the Virginia Independent, she utilized campaign funds to donate to the Family Foundation of Virginia. The group is a faith-based, anti-abortion, and anti-in vitro fertilization non-profit.

The “Life and Marriage Tour” will include traveling throughout Virginia to speak with citizens, churches, community organizations, and local leaders. The exact locations have yet to be announced.

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Virginia

LGBTQ community center opens in Leesburg, Va.

Equality Loudoun holds ribbon-cutting ceremony at new space

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Equality Loudoun staff and volunteers join with local elected officials and supporters in cutting a rainbow ribbon to mark the opening of the Equality Loudoun Community Center in Leesburg, Va. on Saturday. (Washington Blade photo by Michael Key)

A group of supporters crowded inside of the new Equality Loudoun Community Center in Leesburg, Va. on Saturday for an open house and ribbon-cutting ceremony. Air quality issues stemming from the wildfires in Canada required the ceremony to be held indoors. Local elected officials were joined by LGBTQ community organizers and supporters to mark the occasion.

The Virginia LGBTQ organization Equality Loudoun was founded in 2003 and organized the first Loudoun Pride Festival in 2022. The Equality Loudoun Community Center, located in the Village at Leesburg shopping area (1507 Dodona Terrace SE, Suite 105, Leesburg, Va.), will now house the organization’s community and youth programming.

“This is a day that we have anticipated for some time,” said Sean Murphy, Equality Loudoun vice president. “Equality Loudoun was founded in 2003 and has been migrating from place to place to wherever will have us to host our meetings, to host our gatherings. We are so grateful to our many, many allies that have provided space for us.”

Murphy continued, “We really have believed for a long time that it’s important for us to have a home, a place to anchor the community, a place for people to feel belonging, and a place for people to find one another, and find people who are like them and have something in common.”

Attendees of the ceremony included Leesburg Mayor Kelly Burk, Leesburg Vice Mayor Todd Cimino-Johnson, Leesburg District Supervisor Kristen C. Umstattd of the Loudoun County Board of Supervisors, and U.S. Rep. Suhas Subramanyam (D-Va.).

‘This new community space is more than just a building: it’s an investment in people,’ said Leesburg Mayor Kelly Burk at the Equality Loudoun Community Center ribbon-cutting ceremony. (Washington Blade photo by Michael Key)

“I wish that there was a place like this when I was teaching,” Mayor Burk, a retired Loudoun County Public Schools special education teacher, told the crowd. “So often, I’d have a student, and there was nowhere to send them. They were looking around, trying to see: ‘who’s like me, where can I go, where can I relate, what is happening?’ Middle school is terrible for everybody. But it’s especially terrible if you’re different. And so, I congratulate you on the fact that you had the initiative to do this, the guts to continue it, and the tenacity to make it happen.”

Programming at the LGBTQ community center will include youth programming, game nights and support groups, according to Equality Loudoun Executive Director Katie Cash.

Cash told the Blade, “That’s actually a new thing that we’re branching into that we received a grant this year for: to focus on youth activities. So we’ll have youth support groups that we’re going to work with the Ryan Bartell organization on. Additionally, we’ll have other peer support groups that are run by organizations that are in the space. We’ll have craft nights, we’ll have activity nights, so it’ll be open for drop-in hours on different days as well. On top of normal programming that we’ve been doing as an organization, which can be a series of different craft [activities], social activities, game nights, movie nights, that we’ve been doing for years. Instead of hunting for locations.”

Equality Loudoun is primarily funded through donations, according to Cash. Those interested in supporting the work of the organization and community center can visit eqloco.org for more information.

When asked about future programming at the center, Cash told the Blade that they are seeking feedback from the community.

“We have all the dreams that we have for the space,” Cash said. “But everything’s built off of what kind of resources, what kind of events does the community want hosted? What will they come out for? What do they care about coming out for, and making sure that happens for them.”

(Washington Blade photo by Michael Key)

Rep. Subramanyam told the Blade, “I’m just so excited about this community center. Equality Loudoun has been so instrumental to so many people in our community. And for them to finally have this center — and it’s been part of their vision for a long time — just is an incredible experience. So I’m so proud to be a supporter of them and I look forward to the center being a sanctuary and a place for people to turn to for many years to come.”

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Maryland

Va., Md., advocates brace for next fight after Supreme Court sports ruling

Neither state has statewide ban on trans student athletes

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U.S. Supreme Court (Washington Blade photo by Michael Key)

On June 30, the U.S. Supreme Court cleared the way for states to enforce laws barring transgender students from participating on school sports teams consistent with their gender identity, a decision LGBTQ advocates say could encourage additional restrictions across the country.

While neither Maryland nor Virginia currently has a statewide ban on trans student athletes, advocates say the decision could reshape future legislative battles and school policies throughout the region.

Directly following the case, attorneys for trans student athletes spoke out about the case and how detrimental it could be to students.

“This ruling is deeply harmful for transgender women and girls who only asked for the ability to participate in sports with their peers,” said Sasha Buchert, senior attorney and director of the Nonbinary and Transgender Rights Project for Lambda Legal, in a press release from the American Civil Liberties Union.

The next step is figuring out how states will move forward, specifically in Maryland and Virginia.

As of right now, neither state has bans on trans athletes in schools. The new Supreme Court decision also does not require states to enact bans, only that bans are allowed if states or school districts choose to enforce them.

According to the ACLU, 27 states have banned trans youth from participating in school sports since 2020. Most of these states also require sex testing, which the organization says is invasive for all female athletes.

Equality Virginia Executive Director Narissa Rahaman said that while she has heard a lot of frustration following the decision, people are ready to take action.

“Families, parents and youth have lived through disappointing changes to the Virginia Department of Education’s model policies for the treatment of transgender students, and the Virginia High School League’s decades-old policy that allowed transgender students an opportunity to play sports with their friends,” Rahaman said in a statement to the Washington Blade.

She believes they are not ready to give up this fight quite yet.

As of now, trans and nonbinary students are protected under Virginia law, and Rahaman wants that to continue.

“This ruling will likely embolden right-wing members of the General Assembly to pursue trans athlete bans, and we will continue to defeat every bill like we have the past five legislative sessions. Now is our time to be proactive,” Rahaman said.

She also calls upon Democratic Gov. Abigail Spanberger to defend trans youth in Virginia from what she describes as bullies and to continue to stand up to federal attacks on the trans community in general.

For trans students, Rahaman wants to ensure that they continue to know that they belong and have a place in school sports. 

“To the transgender young people watching this decision unfold: you belong on your team, in your school, in your community, and here in Virginia. This ruling does not change that. A single Supreme Court decision cannot define your worth or your future,” Rahaman said.

For people who may be outside the community but want to help, she encourages them to speak with trans and nonbinary people in their community, befriend the families of youth to show their support, and continue to speak up on these issues when needed.

According to ACLU of Virginia, high schooler Eliza Munshi was told she could not compete on the girls’ track team because she was trans. To prove a point, she decided to compete with the boys.

She had previously competed on the girls’s track team before her Virginia school decided to enforce the ban demanded by President Donald Trump. With pink hair and pink makeup, she decided to continue her love for the sport alongside boys. According to Munshi, her entire community rallied for her.

“I did it to prove a point. I knew I could do it. I knew it wouldn’t phase me. My gender itself and that label has been the least important part of my transition: I want to look how I want to look. I want to dress how I want to dress. If you don’t like that, then that’s not my business,” Munshi said.

DOE has launched Title IX probe against Md. school districts

In the weeks leading up to the ruling, multiple Maryland school districts were included in a Title IX probe stating that not enforcing sex-based protections guaranteed by federal law. Currently, there have been no updates on the lawsuit or the district’s decisions.

According to the U.S. Department of Education, the federal probe is based on parent complaints that the school districts were violating a specific Trump-Vance administration addition to Title IX, stating it aligned the sex-based protections “with biological reality, not ideological fantasy.”

According to FreeState Justice, an LGBTQ advocacy group in Maryland, while this is a disappointing ruling to see, they will continue to fight for trans student-athletes in Maryland and want trans youth to know that they belong.

“Every young person deserves the opportunity to participate in school and community life without being singled out because of who they are. These decisions send a harmful message to transgender youth that they are somehow less deserving of that opportunity,” said Phillip Westry, the group’s executive director.

Westry wants to make sure the community knows that their commitment to the organization has not changed and will continue to provide the same legal services they have prior and to advance policy solutions, to ensure “every LGBTQ+ Marylander can live with dignity, safety, and equal opportunity.”

Another issue brought up by trans advocates is the issue of testing women to determine whether they are biologically female or not.

According to Human Rights Watch, as of 2023, World Athletics required cis women with increased testosterone levels to undergo medical procedures to have it reduced to avoid advantages. Other forms of “sex verification” may include genetic testing, screenings of an athlete’s anatomy or chromosomes. 

However, this can become detrimental because not all women have ovaries, a uterus, or XX chromosomes, meaning cisgender women could potentially be included in these bans, depending on how the specific state plans to enforce them.

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