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Supreme Court to consider challenge to Tenn. law challenging gender-affirming case for minors

Volunteer State lawmakers approved ban in 2023

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

The U.S. Supreme Court on Monday agreed to consider a challenge to a Tennessee law that bans health care providers from offering gender-affirming care to transgender minors.

Tennessee lawmakers approved the law in 2023.

A federal judge in Nashville issued a temporary injunction against portions of the statute before it was to have taken effect on July 1, 2023. The 6th U.S. U.S. Circuit Court of Appeals last September rejected a request to block the law the Justice Department has also challenged.

“The future of countless transgender youth in this and future generations rests on this court adhering to the facts, the Constitution, and its own modern precedent,” said Chase Strangio, deputy director for transgender justice at the American Civil Liberties Union’s LGBTQ and HIV Project, on Monday in a press release. “These bans represent a dangerous and discriminatory affront to the well-being of transgender youth across the country and their constitutional right to equal protection under the law. They are the result of an openly political effort to wage war on a marginalized group and our most fundamental freedoms.” 

“We want transgender people and their families across the country to know we will spare nothing in our defense of you, your loved ones, and your right to decide whether to get this medical care,” added Strangio.

The Associated Press reported Tennessee is among the more than two dozen states that have enacted laws that either restrict or ban gender-affirming care for trans minors.

The ACLU notes the Supreme Court “is not expected to hear arguments” in the case until the fall.

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State Department

State Department hosts meeting on LGBTQ rights and foreign policy

Event took place before Pride Month reception

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Secretary of State Antony Blinken speaks at the State Department Pride event on June 27, 2024. (Screen capture via Forbes Breaking News YouTube)

Secretary of State Antony Blinken on Thursday hosted a group of LGBTQ activists and politicians from around the world at the State Department.

The event — described as a “Convening on U.S. Foreign Policy: National Security, Inclusive Development, and the Human Rights of LGBTQI+ Persons” — took place before the State Department’s annual Pride Month reception. Participants included:

• Jessica Stern, the special U.S. envoy for the promotion of LGBTQ and intersex rights

• U.S. Ambassador to the U.N. Linda Thomas-Greenfield

• U.S. Trade Representative Katherine Tai

• U.S. Ambassador to India Eric Garcetti

• Suzanne Goldberg, senior advisor to the Under Secretary of State for Civil Security, Democracy, and Human Rights

• Under Secretary of State for Civilian Security, Democracy, and Human Rights Uzra Zeya

• U.S. Agency for International Development Senior LGBTQI+ Coordinator Jay Gilliam

• USAID Counselor Clinton D. White

• National Security Council Senior Director for Democracy and Human Rights Kelly Razzouk

• Assistant U.S. Secretary of Health Adm. Rachel Levine

• National Security Council Human Rights Director Jess Huber

• U.N. Assistant Secretary General for Human Rights Ilze Brandt Kehris

• Icelandic Ambassador to the U.S. Bergdís Ellertsdóttir

• Council for Global Equality Co-Executive Director Mark Bromley

• Outright International Senior Advisor for Global Intersex Rights Kimberly Zieselman

• Essy Adhiambo, executive director of the Institute for Equality and Non Discrimination in Kenya

• Pau González, co-chair of Hombres Trans Panamá and PFLAG-Panamá

“Forty-five years ago, thousands gathered in D.C. in what became the first national march for LGBTQI+, demanding their voices be heard,” said Thomas-Greenfield in a post to her X account that showed her speaking at the event. “We must continue to carry forward the spirit of these pioneers and fight for equal rights and dignity for all.”

President Joe Biden in 2021 signed a memo that committed the U.S. to promoting LGBTQ and intersex rights abroad as part of his administration’s overall foreign policy.

“LGBTQI+ rights are human rights,” said Blinken. “Our government has a responsibility to defend them, to promote them — here and everywhere.”

Blinken noted consensual same-sex sexual relations remain criminalized in 64 countries, with the death penalty in 11 of them.

He specifically highlighted Uganda’s Anti-Homosexuality Act and Hungarian Prime Minister Viktor Orbán’s government’s “smearing scapegoating, stigmatizing LGBTQI+ persons — vilifying them with degrading labels, denying them equal rights, normalizing violence against them.” (Gay U.S. Ambassador to Hungary David Pressman this month marched in the annual Budapest Pride parade.)

Blinken noted Iraqi MPs earlier this year “passed legislation that punishes same-sex relations with up to 15 years in prison.” He also pointed out that Indonesian lawmakers approved a new criminal code banning extramarital sex.

“In a nation where same-sex couples cannot marry, these laws effectively make all same-sex conduct illegal and they undermine privacy for all Indonesians,” said Blinken.

“We’re defending and promoting LGBTQI+ rights around the world,” he said.

Blinken noted seven countries — Barbados, St. Kitts and Nevis, Antigua and Barbuda, Dominica, Namibia, Singapore, the Cook Islands — have decriminalized consensual same-sex sexual relations over the last two years. He also highlighted Greece, Liechtenstein, and Thailand this year extended marriage rights to same-sex couples, and other countries are banning so-called “conversion therapy.”

“These achievements are possible because of incredibly courageous human rights defenders and government partners on the ground, but I believe America’s support is indispensable,” said Blinken. “When we engage — sometimes publicly, sometimes privately, sometimes both — when we share our own knowledge and experience, we can and we do achieve change.”

Blinken also announced the U.S. now considers sexual orientation and gender identity are part of the International Covenant on Civil and Political Rights that took effect in 1976.

“This is one of the key treaties committing nations to upholding universal rights,” he said. 

“In our regular reporting to the council on human rights, we will continue to include incidents of discrimination or abuse committed against LGBTQI+ persons, now with the clear framework of this well-supported interpretation,” added Blinken. “That will further empower our efforts.”

Blinken reiterated this point and the Biden-Harris administration’s commitment to the promotion of LGBTQ and intersex rights abroad when he spoke at the State Department’s Pride Month event.

“Defending, promoting LGBTQI+ rights globally is the right thing to do, but beyond that, it’s the smart and necessary thing to do for our country, for our national security, for our well-being,” he said.

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Congress

Members of Congress introduce resolution to condemn Uganda’s Anti-Homosexuality Act

U.S. Reps. Mark Takano (D-Calif.) and Joyce Beatty spearheaded condemnation

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U.S. Rep. Mark Takano (D-Calif.) (Washington Blade photo by Michael Key)

More than 20 members of Congress on Thursday introduced a resolution that condemns Uganda’s Anti-Homosexuality Act.

Gay California Congressman Mark Takano and U.S. Rep. Joyce Beatty (D-Ohio) spearheaded the resolution that U.S. Reps. Becca Balint (D-Vt.), Lloyd Doggett (D-Texas), Adriano Espaillat (D-N.Y.), Robert Garcia (D-Calif.), Sylvia Garcia (D-Texas), Josh Gottheimer (D-N.J.), Raúl Grijalva (D-Ariz.), Pramila Jayapal (D-Wash.), Hank Johnson (D-Ga.), Gwen Moore (D-Wis.), Seth Moulton (D-Mass.), Jerry Nadler (D-N.Y.), Eleanor Holmes Norton (D-D.C.), Mark Pocan (D-Wash.), Delia Ramirez (D-Ill), Linda Sánchez (D-Calif.), Jan Schakowsky (D-Ill.), Brad Sherman (D-Calif.), Rashida Tlaib (D-Mich.), Ritchie Torres (D-N.Y.), and Debbie Wasserman Schultz (D-Fla.) co-sponsored.

“The House of Representatives condemns the government of Uganda’s criminalization and draconian punishments regarding consensual same-sex sexual conduct and so-called ‘’promotion of homosexuality,’” reads the resolution.

The resolution, among other things, also calls upon the Ugandan government to repeal the law.

“It is difficult to overstate the gross inhumanity of Uganda’s Anti-Homosexuality Act,” said Takano in a press release.

President Yoweri Museveni in May 2023 signed the law, which contains a death penalty provision for “aggravated homosexuality.”

The U.S. subsequently imposed visa restrictions on Ugandan officials and removed the country from a program that allows sub-Saharan African countries to trade duty-free with the U.S. The World Bank Group also announced the suspension of new loans to Uganda.

The Ugandan Constitutional Court in April refused to “nullify the Anti-Homosexuality Act in its totality.” A group of Ugandan LGBTQ activists appealed the ruling.

“Instead of focusing on rooting out corruption or ending extrajudicial killings, the Ugandan Parliament, president, and Constitutional Court have chosen to mark LGBTQ+ Ugandans as less than human,” said Takano. “Congress must not be silent in the face of such systematic, state-sponsored discrimination.”

“To all those LGBTQ+ people and your allies in Uganda — we see you,” added the California Democrat. “We and the Biden administration will not allow this terrible violation of basic dignity to go unchallenged.” 

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The White House

Jill and Ashley Biden headline White House Pride celebration

First lady celebrated historic pardons of LGBTQ veterans

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First lady Jill Biden speaks at the White House Pride event on June 26, 2024. (Washington Blade photo by Michael Key)

First lady Jill Biden and the president and first lady’s daughter, Ashley Biden, headlined the White House Pride celebration on the South Lawn on Wednesday, followed by a performance by singer and actress Deborah Cox.

“My dad has built the most pro-equality administration” in history, Ashley Biden said, crediting the work of LGBTQ people of color like Marsha P. Johnson, a prominent figure in the Stonewall uprising of 1969, as well as “so many of you [who] have continued to lead their fearless fighting against against injustice here and around the world.”

She introduced her mother as “the woman who taught me to be myself up showed me in so many ways how I can make a difference” and who “works every single day, tirelessly, to ensure that all people have the opportunities and freedoms that they deserve.”

“I hope that all of you feel that freedom and love on the South Lawn today,” Jill Biden said.

Her remarks were briefly interrupted by a protestor’s chants of “no Pride in genocide,” which was drowned out by chants of “four more years.”

The first lady noted how many of the attendees came “here from states that are passing laws targeting LGBTQ Americans.”

“There are those who see our communities and our families and wish to tear them down,” she said, “those who can’t see that the world is so much bigger and [more] beautiful than they know — but when our homes are threatened, when they strip away our rights, and deny our basic humanity, we say, ‘not on our watch.'”

“Pride is a celebration, but it is also a declaration,” the first lady said, highlighting the U.S. Supreme Court’s ruling in Obergefell v. Hodges nine years ago, which established marriage equality as the law of the land.

She then credited the accomplishments of the Biden-Harris administration on matters of LGBTQ rights, including the repeal of the previous administration’s ban on military service by transgender servicemembers and the FDA’s loosening of restrictions on blood donation by gay and bisexual men.

The first lady also celebrated the president’s announcement earlier on Wednesday that he will pardon LGBTQ veterans who were discharged and court martialed because of their sexual orientation or gender identity.

“We will never stop fighting for this community,” she said.

First lady Jill Biden and daughter, Ashley Biden, attend the White House Pride celebration on June 26, 2024. (Washington Blade photo by Michael Key)
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The White House

HISTORIC: Biden pardons discharged LGBTQ veterans

Announcement coincided with annual White House Pride event

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President Joe Biden (Screen capture/YouTube)

President Joe Biden on Wednesday issued historic pardons for military service members who were discharged over their sexual orientation or gender identity under discriminatory policies of the past, like “Don’t Ask, Don’t Tell.”

“Our nation’s service members stand on the frontlines of freedom, and risk their lives in order to defend our country,” he said in a statement. “Despite their courage and great sacrifice, thousands of LGBTQI+ service members were forced out of the military because of their sexual orientation or gender identity.”

“Some of these patriotic Americans were subject to court-martial, and have carried the burden of this great injustice for decades,” the president said.

“As commander-in-chief, I am committed to maintaining the finest fighting force in the world. That means making sure that every member of our military is safe and respected — so they can focus on their mission,” he said.

“This is about dignity, decency, and ensuring the culture of our Armed Forces reflect the values that make us an exceptional nation,” Biden said. “We have a sacred obligation to all of our service members — including our brave LGBTQI+ service members: to properly prepare and equip them when they are sent into harm’s way, and to care for them and their families when they return home.”

“Today we are making progress in that pursuit.”

The president also issued a Proclamation on Granting Pardon for Certain Violations of Article 125 Under the Uniform Code of Military Justice, which specifies that “the Military Departments (Army, Navy, or Air Force), or in the case of the Coast Guard, the Department of Homeland Security, in conjunction with the Department of Justice, shall provide information about and publicize application procedures for certificates of pardon.”

Veterans who were discharged for their sexual orientation or gender identity are barred from accessing benefits through the U.S. Department of Veterans Affairs.

Senior administration officials explained during a call with reporters on Tuesday that veterans who obtain certificates of pardon will be able to petition for a change in their discharge status, which can facilitate their access to benefits.

Officials on Tuesday’s call said they will proactively reach out to these service members to make them aware of the president’s clemency action and to connect them with pro-bono attorneys who can help them navigate the process.

“We intend, and have intended, to design this process in a way where people do not need attorneys to go through it, and we think it is easily accessible, but we also recognize that for some people, that would be beneficial, and so are busy at work trying to make those connections happen,” an official said.

The officials did not address a question from the Washington Blade about whether LGBTQ groups including those representing LGBTQ veterans were involved in the administration’s work leading up to the president’s issuance of the pardons, but several organizations celebrated the announcement on Wednesday.

“We applaud President Biden for taking action today, and the Biden-Harris administration’s efforts to address this historic injustice that impacted thousands of LGBTQ+ people in the military for decades, with the effects still felt by many to this day,” said Human Rights Campaign President Kelley Robinson.

“This move to rightfully restore reputations lost and gratitude owed to service members who were punished for who they loved is long overdue, and a significant step in the right direction,” she said.

GLAAD President Sarah Kate Ellis wrote on social media, “Today’s move by President Biden to pardon LGBTQ service members who were unfairly forced out of the military under the discriminatory ‘Don’t Ask, Don’t Tell’ is his administration’s 343rd pro-LGBTQ action. It is an important signal not only to the thousands of brave LGBTQ Americans who deserved better for defending our country but to all who understand that diversity, respect, and inclusion are American values.”

The Congressional Equality Caucus released a statement from the chair, U.S. Rep. Mark Pocan (D-Wis.): “I thank President Biden for taking this important step to right the wrongs of the past and restore honor to LGBTQI+ Americans who bravely served their nation in uniform.” 

“This is an important step forward in addressing the wrongs of anti-equality policies like ‘Don’t Ask, Don’t Tell,’ and I urge the Military Departments to ensure these pardons are processed as swiftly as possible,” the congressman said. “I am committed to building upon this important action, including by passing my Restore Honor to Service Members Act into law to ensure that the service and sacrifice of every veteran is honored, regardless of who they are or who they love.”

“PFLAG families have advocated for the dignity and respect due our LGBTQ+ heroes in uniform since the dark days of ‘Don’t Ask, Don’t Tell,’ and the shadow discharges that predated that discriminatory policy,” said PFLAG National CEO Brian K. Bond.

“As someone who worked on repeal during the Obama-Biden administration I met incredible patriots that just wanted to serve their country,” he said. “Thank you to the Biden-Harris administration and those who continue to fight for military families’ freedom to serve. This welcomed day is long overdue for thousands of LGBTQ+ veterans and their families.”

Lawyers for a group of LGBTQ veterans who are plaintiffs in Farrell v. Department of Defense also released a statement:

“We applaud President Biden and his administration for today’s announcement pardoning approximately 2,000 LGBTQ+ veterans who were court-martialed under ‘Don’t Ask, Don’t Tell’ and similar policies. This is a necessary and important step in recognizing and remediating the harms — that still exist today — caused by these policies, despite their repeals.

“While the pardons represent an important milestone, we must emphasize that there is still critical work to be done. Those pardoned will still need to obtain new discharge papers from the Department of Defense, which are essential for accurately reflecting their service and accessing veterans’ benefits. And, of course, there are tens of thousands of other veterans who continue to suffer the ongoing stigma of their discriminatory discharge. 

“We will continue to vigorously litigate our case, Farrell v. Department of Defense, to ensure that all LGBTQ+ veterans who were wrongfully discharged from the military based on sexual orientation receive upgraded discharge papers with all indicators of sexual orientation removed. This remains a critical step for these veterans to receive the honor and status they rightfully deserve, having served our country with dignity and integrity.”

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Congress

EXCLUSIVE: Alex Padilla, wife Angela talk LGBTQ mental health

Couple to receive award from Gay Men’s Chorus of Los Angeles on Sunday

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U.S. Sen. Alex Padilla (D-Calif.) (Washington Blade photo by Michael Key)

U.S. Sen. Alex Padilla (D-Calif.) and his wife, Angela Padilla, spoke with the Washington Blade for an exclusive interview last week ahead of their receipt of Voice Awards from the Gay Men’s Chorus of Los Angeles at a ceremony on June 30. 

“I’ve known members” of the organization “off and on over the years, going back to my days on the city council in Los Angeles,” when battles were waged over California’s Proposition 8 banning same-sex marriage, Padilla said. 

“I was proud to be an ally for a long time, but especially in those moments, really, as a public official, as an elected official, knowing how important allyship was,” he said, stressing “the tremendous talent of the chorus” and “what they represented individually and as a group” serving as allies for “young people who may not necessarily grow up in a supportive environment or in supportive families.”

“I work very closely with Joseph Guardarrama,” a board member for GMCLA, “for many years now on my nonprofit, and it’s all in support of mental health and wellness and educating people on how to get help, why they should get help, and why it’s important to take care of your brain,” Mrs. Padilla said by phone. 

“I started FundaMental Change in 2017,” she said, to push for “the mental change that I feel that we have to have as a society when it comes to how we look at [and] how we treat mental health conditions.” 

The senator’s wife added that LGBTQ people are twice as likely to have a mental health condition while dealing “with so much more social stigma and discrimination” than their straight and cisgender counterparts. 

“This month we’re going to have a table for June 30 working with the [California] Department of Mental Health at the Pride parade,” she added. FundaMental Change also operates an LGBT Youth TalkLine and Trans Lifeline. 

Padilla noted the organization’s work combatting stigma. “One thing that we recognize both coming from Latino families is the need to overcome stigma,” he said. “There’s a lot of misunderstanding or misperceptions about mental health.” 

The effort is also central to the senator’s work as a policymaker, he said, referencing the bipartisan Senate Mental Health Caucus that he founded alongside U.S. Sens. Tina Smith (D-Minn.), Thom Tillis (R-N.C.), and Joni Ernst (R-Iowa) to serve as “a forum for us to share stories.”

“It’s been fascinating, there are more than 30 members of the caucus now, so about a third of the United States Senate,” he said. “It’s 50/50 Democrats and Republicans,” and when approached, every member had a story to share, whether about “something that they’ve been through [or] somebody in their family, a colleague, a neighbor who can relate.”

Padilla said his decision to announce the formation of the caucus concurrently with his visit to the San Francisco LGBT Community Center “was very intentional.”

When it comes to mental health, “We’ve really prioritized trying to develop bipartisan solutions,” he said, “because those are more sustainable here in Congress.” 

The first bill backed by the caucus was Padilla and Tillis’s Local 9-8-8 Response Act of 2023, which “was to require the FCC to move to implement the geolocation technology to the 988 system.” 

Unveiled by the Biden-Harris administration in 2022, the 988 Suicide and Crisis Lifeline is operated by the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration. The program provides the option for callers to reach specialized LGBTQI+ affirming counselors by pressing “3.” 

On the importance of geolocation technology, Padilla said “if I’m here in Washington, and have a need to call 988, my area code on my phone is Los Angeles — so, I’d be passed through to the Los Angeles providers.” 

The senator noted that the FCC “is moving forward with those improvements” independently of his bill’s path forward in Congress. 

More broadly, some of the policy challenges concern supply and demand problems. “From a bigger picture, longer term perspective, we’re talking about the workforce needs,” Padilla said. “So, what’s the game plan for [getting] more psychologists or psychiatrists or counselors, more therapists, more everybody in the field to better serve people across the country?”

Padilla also discussed the importance of “cultural competence” as a means of guaranteeing the best possible treatment. “When we ask people to go get help, if there’s somebody that they can relate to or that they know gets them, the better quality experience in treatment is going to come,” he said. 

“We’re not quite there yet with the Republican colleagues, but I have faith that in time we will get them there,” the senator added. “And again, the LGBTQ community is a prime example. You’ve got to feel comfortable going to somebody when you need help.”

Padilla said, “not everybody comes from a supportive environment; not everybody lives in a city or a state that is supportive. And at this particular time politically, they’re really under attack. They’re being targeted acutely. And that’s more reason and urgency to speak up and stand up.”

On Sunday, the Padillas will share the stage with the recipients of the third GMCLA Voice Award, from the critically acclaimed HBO series “We’re Here,” which follows drag queens as they travel the country to perform in one-night-only performances in small towns. 

Mrs. Padilla celebrated the ways in which drag has brought communities together, recalling when RuPaul’s Drag Race “was first airing and it was like everyone was so interested in watching the show” and “it just brought people from everywhere.”

“I have a lot of frustrations, as a Latina, with the misrepresentation of our community and our culture in television and movies,” she said. “And I feel like every opportunity that you get to see something that’s just authentic — it’s such a benefit to everyone. It really helps us understand that we have more in common than not.” 

“Drag is not new,” the senator said. “It goes back generations in the United States and I think for the LGBTQ+ community it can be can be very empowering, as an outlet for performers, but also participants in an audience to see on stage what you may not see in other places.” 

Republican-led efforts to restrict access to drag performances, especially by young people, “feels like it’s an act of desperation,” Mrs. Padilla said. 

“I think they’re resisting something that they don’t understand. I just think it’s really coming from a place of fear. And really not understanding the human behind it,” she said, adding that the reactionary forces are a product of the LGBTQ movement’s success and “that feeling of it’s out of their control.”

“The diversity of our communities, the diversity of our country, is a big source of strength,” Padilla said. “It’s just not always been embraced. I think a lot of people either misinterpret it or frankly exploit it to cause divisions in society.” 

“We can’t ignore the political climate that we’re living in,” the senator said, “heightened only by the fact that it’s a presidential election year and we see who the Republican nominee is going to be.”

Looking ahead to November’s elections, he said, “as with so many other issues, LGBTQ+ rights and opportunity in the future — It’s a 180-degree difference between Joe Biden and Donald Trump. Let’s not take it for granted. Let’s not take it lightly. Let’s get out and vote.”

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The White House

Jill Biden to host White House Pride celebration

Event to take place on June 26

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First lady Jill Biden (Washington Blade photo by Michael Key)

First lady Jill Biden will host the White House Pride Month celebration on June 26, according to a press release previewed by the Washington Blade.

The party on the South Lawn will also feature a performance by singer, songwriter, actress, and record producer Deborah Cox and musical selections by DJ Trifle.

This year’s event comes on Equality Day this year, which honors the anniversaries of three landmark U.S. Supreme Court decisions that expanded rights and protections for LGBTQ Americans: Lawrence v. Texas (2003), which struck down sodomy laws, United States v. Windsor (2013), which struck down the Defense of Marriage Act, and Obergefell v. Hodges (2015), which made marriage equality the law of the land.

The White House highlighted some of the “historic action” taken by President Joe Biden to “advance LGBTQ+ equality for the community,” including:

  • Signing into law the landmark Respect for Marriage Act which protects the rights of same-sex and interracial couples;
  • Appointing a historic number of LGBTQI+ and transgender appointees, including the first transgender American to be confirmed by the U.S. Senate;
  • Directing all federal agencies to strengthen civil rights protections on the basis of gender identity, resulting in agencies working to strengthen protections in housing, health care, education, employment, the criminal justice system, nutrition programs, and more;
  • Reversing the ban on open service by transgender members of the military;
  • Signing an executive order focused on LGBTQI+ children and families that directs agencies to address the dangerous and discredited practice of so-called “conversion therapy” and finalized rule-making that ends disparities that LGBTQI+ children and parents face in the child welfare and foster care system and protects against disparities in health care; and
  • President Biden continues to call on Congress to pass the Equality Act to enshrine civil rights protections for LGBTQI+ Americans in federal law.

Last year, the president and the first lady hosted the celebration, which was the largest Pride event ever held at the White House.

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Congress

EXCLUSIVE: Markey bill would offer additional support to LGBTQ elders

Measure would create Office of LGBTQI Inclusion within HHS

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U.S. Capitol Dome
U.S. Capitol (Washington Blade photo by Michael Key)

U.S. Sen. Ed Markey (D-Mass.) will introduce a bill on Friday to support LGBTQ elders and older adults living with HIV by establishing an Office of LGBTQI Inclusion within the U.S. Department of Health and Human Services.

Among other responsibilities, the office would advocate, coordinate activities, issue policy recommendations, and oversee the collection of data from these communities.

A major piece of the work to improve health equity at HHS under the leadership of Secretary Xavier Becerra and Assistant Health Secretary Rachel Levine has been data collection initiatives for LGBTQ and other populations that can encounter barriers accessing care.

The Elder Pride Act will also “establish a rural grants program to serve the unique needs of rural LGBTQI+ older adults, including through education and training, community outreach and creation of community spaces, and improved cultural competency,” according to a press release announcing the legislation, which the senator’s office previewed exclusively with the Washington Blade.

“After years of exclusion and discrimination from health care settings, workplaces, and their local communities, LGBTQ+ older Americans deserve the protections their neighbors are afforded,” Markey said.

“Queer and trans elders should be able to age with dignity, grace, and surrounded by community,” he added. “The Elder Pride Act will ensure that all older adults are able to have access to the care and services they need.”  

Cosponsoring senators include Bob Casey (D-Penn.), Ron Wyden (D-Ore.), Alex Padilla (D- Calif.), and Tammy Baldwin (D-Wis.). The legislation’s provisions were included in a pair of bills introduced earlier this year by U.S. Rep. Suzanne Bonamici (D-Ore.), who chairs the Congressional Equality Caucus’s Aging Issues Task Force.

The press release from Markey’s office also highlights several of the challenges faced by LGBTQ older adults vis-a-vis their cisgender and heterosexual peers: Fewer sources of support. higher poverty rates, poorer healthcare, poorer health access, and poorer health outcomes.

At the city and county level, older adults are served by local area agencies on aging (AAAs), which receive services and activities from HHS. Fewer than half of these organizations report that they will be able to provide LGBTQ-specific activities by the time the population of LGBTQ elders reaches 7 million, which is expected by 2030.

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Rhode Island

Survey ranks Rhode Island first in nation on LGBTQ+ safety

This year a number of state lawmakers and officials could be spotted marching in the parade on Saturday, June 15

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Lt. Gov. Sabina Matos, festively attired in a rainbow jacket, marches in the Rhode Island Pride Illuminated Night Parade on Dorrance Street Saturday, June 15, 2024. (Christopher Shea/Rhode Island Current)

By Alexander Castro & Christopher Shea | PROVIDENCE, R.I. – In Rhode Island, the pinnacle of LGBTQ+ Pride Month is one colorful Saturday halfway through June, when RI PrideFest and its accompanying parade fill downtown Providence from daylight until dark.

This year a number of state lawmakers and officials could be spotted marching in the parade on Saturday, June 15. The show of support from LGBTQ+ lawmakers and allies came after a productive season at the State House for legislation meant to improve both directly and indirectly the lives of queer Rhode Islanders. 

Among the bills passed by both House and Senate by end of session last week included a health care provider shield law, expanded coverage for PrEP drugs and legislation to make name changes easier in probate court. 

Rhode Island Gov. Dan McKee smiles as he marches in the Rhode Island Pride Illuminated Night Parade on Dorrance Street Saturday, June 15, 2024.
(Christopher Shea/Rhode Island Current)
A spectator waves a pride flag in front of the Reserve banquet hall on Dorrance Street in Providence. (Christopher Shea/Rhode Island Current)
Providence Mayor Brett Smiley is shown on Dorrance Street after handing out pride flags during the Rhode Island Pride Illuminated Night Parade on Saturday, June 15, 2024. (Christopher Shea/Rhode Island Current)
Sen. Tiara Mack, a Providence Democrat, in pink, marches in the Rhode Island Pride Illuminated Night Parade on Dorrance Street Saturday, June 15, 2024.
(Christopher Shea/Rhode Island Current)
Left to right, Sen. Victoia Gu, a Westerly Democrat, the back of U.S. Rep. Seth Magaziner, and Sen. Sheldon Whitehouse march in the Rhode Island Pride Illuminated Night Parade on Dorrance Street Saturday, June 15, 2024.
(Christopher Shea/Rhode Island Current)
Rhode Island Attorney General Peter Neronha marches in the Rhode Island Pride Illuminated Night Parade on Dorrance Street Saturday, June 15, 2024.
(Christopher Shea/Rhode Island Current)

Last Wednesday, June 12, Gov. Dan McKee also retweeted some positive news: Rhode Island scored first place in a national ranking of safe places for LGBTQ+ people. 

This is the third year the report cards have been released by SafeHome.org, a website that analyzes security and safety trends nationwide. State laws protecting LGBTQ+ rights are used to calculate the composite scores, which also factored in hate crime data for the first time this year.

SafeHome.org cited Rhode Island’s existing LGBTQ+ legislation, including the strength of its anti-bullying laws, lack of discrimination toward LGBTQ+ foster parents, state Medicaid inclusion of transgender people, and required hate crime reporting from law enforcement agencies. Hate crime rates in the state are low, and Rhode Island is one of only six states where every law enforcement agency needs to report hate crimes, according to SafeHome.org. 

Massachusetts — which often outpaces or matches its neighbors in quality-of-life rankings — was the lowest-ranking New England state in the SafeHome.org survey, coming in at 28th place.

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Alexander Castro

Alexander Castro covers education and health for Rhode Island Current. He has worked extensively in the visual arts as a critic, curator and adjunct professor.

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Christopher Shea

Christopher Shea covers politics, the criminal justice system and transportation for the Rhode Island Current.

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The preceding article was previously published by the Rhode Island Current and is republished with permission.

The Rhode Island Current is an independent, nonprofit news outlet focused on state government and the impact of public policy decisions in the Ocean State. Readers can expect relentless reporting with the context needed to understand key issues affecting the lives of Rhode Islanders.

We’re part of States Newsroom, the nation’s largest state-focused nonprofit news organization.

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U.S. Federal Courts

Attorneys in Alabama trans medical case turn over document

A U.S. District Judge ordered the lawyers to turn over the Q&A document, which was used to prepare for questions from a three-judge panel

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A sign outside the Frank M. Johnson Jr. Federal Building and United States Courthouse in Montgomery, Alabama seen on January 24, 2023. (Brian Lyman/Alabama Reflector)

By Jemma Stephenson | MONTGOMERY, Ala. – Attorneys in an ongoing lawsuit against the state over Alabama’s gender affirming care for minors ban turned over a document Tuesday to a federal judge in an investigation of allegations of judge shopping. 

U.S. District Court Judge Liles C. Burke ordered the lawyers to turn over the Q&A document, which the attorneys said was used to prepare the lawyers for questions from a three-judge panel investigating allegations that the attorneys manipulated the random assignment of cases to seek a judge favorable to their case.

The attorneys have lodged objections to the production of the document, arguing that it is covered by attorney-client privilege. Burke wants the document for an in camera review. 

“Respondents submit the Q&A Document to confirm that their attorney-client privileged communications with their counsel were proper, to resolve this collateral issue as promptly as possible, and to dispense with the reputationally harmful allegations that they sought legal advice in furtherance of a crime or fraud,” the attorneys for the respondents wrote.

The plaintiffs sued Alabama in 2022 over a law making it a felony to prescribe hormones and puberty blockers in gender-affirming care. Burke, who heard the case, initially ruled for the plaintiffs and blocked the state law. But a three-judge panel of the 11th Circuit overturned his ruling last year. The plaintiffs are seeking a full review of the decision by the circuit.

Multiple challenges to the law were filed after Gov. Kay Ivey signed the bill into law in 2022. After multiple transfers of the cases, the attorneys withdrew the case and later refiled it. Burke said the moves gave the appearance of judge shopping, which the investigative panel said had occurred in a report in October.

In a separate Tuesday filing, the attorneys also objected to Burke’s order to turn over the document, objecting to the judge’s portraying of the panel’s findings.

“Even if the one or two narrow  examples cited by the panel were really ‘inconsistencies and apparent misrepresentations’  (they are not), they do not  support  or  justify this Court’s  all-encompassing claim that the Panel ‘unanimously discredited’ the Walker Respondents’ testimony or otherwise ‘reject[ed] their testimony as unworthy of belief,’” they wrote.

The attorneys also pushed back against a Burke claim that an attorney had committed perjury before the panel. In an October report from the panel the judges wrote that one attorney had “deliberately misled” the panel about a phone call to a judge’s chamber, which Burke connected to perjury.

“There is no basis to conclude that no reasonable person could believe in good faith that he potentially perjured himself,” Burke wrote. “Likewise, there is no basis to conclude that an in camera review of the Q&A document would surely fail to turn up evidence that he intentionally lied to the court.”

 The attorneys wrote that the claim of “perjury” is not supported by facts and referenced an earlier order. They also wrote that the panel did not wholly discredit their testimony and wrote that claims of a lack of candor were limited to one footnote.

“To be clear, however, Walker counsel’s candor on the whole is concerning,” the panel wrote in a footnote.

They wrote that claims of a prima-facie case only exists because of the panel’s findings, which had due-process violations. They wrote that some were denied a right to counsel and others were excluded from proceedings.

“Respondents continue to steadfastly maintain that they testified truthfully and honestly before the Panel and in subsequent submissions to this Court. There  is  no  basis  for  this  Court  to  assert  that  the  Panel  disbelieved  or  discredited Respondents’ testimony or otherwise engaged in any purported fraud on the Court,” they wrote.

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Jemma Stephenson

Jemma Stephenson covers education as a reporter for the Alabama Reflector. She previously worked at the Montgomery Advertiser and graduated from the Columbia University Graduate School of Journalism.

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The preceding article was previously published by the Alabama Reflector and is republished with permission.

The Alabama Reflector is an independent, nonprofit news outlet dedicated to covering state government and politics in the state of Alabama. Through daily coverage and investigative journalism, The Reflector covers decision makers in Montgomery; the issues affecting Alabamians, and potential ways to move our state forward.

We’re part of States Newsroom, the nation’s largest state-focused nonprofit news organization.

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Missouri

Planned Parenthood will fight Missouri AG on trans youth records

Lawyers representing Planned Parenthood and the Missouri AG argued Monday over HIPPA protections during a St. Louis Circuit Court hearing

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Advocates with PROMO and Planned Parenthood of the St. Louis Region and Southwest Missouri rally outside of the St. Louis Civil Courts building Monday afternoon (Annelise Hanshaw/Missouri Independent).

By Annelise Hanshaw | ST. LOUIS, Mo. – A circuit court judge heard arguments Monday over whether the Missouri attorney general’s efforts to access medical records of transgender youth violate privacy protections.

Monday’s hearing was convened at the request of Bailey in the hopes that the court would amend a previous order that requires patients to waive HIPAA rights before their medical records could be shared. If they don’t waive HIPAA, their documents would be exempt from the attorney general’s request for medical records.

HIPAA, which stands for the Health Insurance Portability and Accountability Act, protects patients from their providers disclosing their personally identifiable health information.

St. Louis Circuit Court Judge Joseph Whyte did not immediately rule following the hearing. Richard Muniz, interim president and CEO of Planned Parenthood Planned Parenthood of the St. Louis Region and Southwest Missouri, said if the decision is unfavorable, his organization will appeal.

“Our commitment to our patients is that we will fight this as long as we need to,” Muniz told The Independent. “Today, we’ve already signaled that we are going to appeal because we think that we shouldn’t have to turn over documents, especially patient records, but we shouldn’t have to partake in this investigation at all.”

Bailey launched his investigation in March 2023 looking into gender-affirming care of minors after the affidavit of Jamie Reed, who worked at Washington University’s adolescent Transgender Center. In April, another circuit court judge ruled that Bailey may continue his investigation — adding that patients must waive HIPAA rights before their private health information could be shared.

Children’s Mercy in Kansas City, Washington University and Planned Parenthood Great Plains are also arguing against the attorney general’s civil investigative demands.

The April decision, beyond giving patients the ability to protect their medical records, granted Bailey power to investigate Planned Parenthood under the Missouri Merchandising Practices Act, a state law that allows the attorney general’s office to investigate deceptive marketing practices.

Matthew Eddy, an attorney representing Planned Parenthood said during his arguments Monday that the attorney general’s authority under the Missouri Merchandising Practices Act has yet to be fully litigated.

Health care providers are fearful of what the attorney general might do with more information. Prior reporting by The Independent revealed Bailey’s use of the Division of Professional Registration, which is investigating therapists as a result of a complaint from his office.

After the attorney general’s office received a list of minor patients that received care at the Washington University Transgender Center and other documents, therapists and social workers that had written letters of support for patients to go to the Transgender Center had their licenses at risk. As of early May, 16 of 57 cases were still open.

Hearing

Deputy Solicitor General Sam Freeland, representing the attorney general, argued Monday that a federal regulation allows medical records to be released when ordered by the court. He told the judge this exception was “not discussed by the plaintiff.”

“HIPAA has not barred the disclosure of the documents in question,” Freeland argued.

He said Planned Parenthood had the burden of proof to show that HIPAA covers the documents.

Eddy this was “simply not correct.”

“Planned Parenthood has proven the general rule that HIPAA protects disclosure,” he said. “The burden is on the respondent to show that the exception applies.”

Eddy further attacked the premise of Bailey’s investigation, which Freeland argued was not on the table Monday.

He said the attorney general’s civil investigative demands, which Eddy said were titled as an investigation into the Washington University Transgender Center, “had no allegations as to Planned Parenthood’s conduct.”

“He can’t point to a single complaint from a patient, a patient’s parent,” Eddy said.

Eddy said the attorney general “had 54 incredibly broad requests for information.”

“Included in the requests are information that would be deeply sensitive to transgender minors,” he told the judge.

Muniz told reporters one of the requests was for “any document that mentions TikTok,” calling the investigation a “sprawling phishing expedition.”

In press releases, Bailey has expressed a belief that all gender-affirming medical providers are connected.

“I launched this investigation to obtain the truth about how this clandestine network of clinics subjected children to puberty blockers and irreversible surgery, often without parental consent,” he said in a statement following the hearing Monday. “We are moving forward undeterred with our investigation into Planned Parenthood. I will not stop until all bad actors are held accountable.”

Muniz said Planned Parenthood does not have a formal relationship with Washington University, which was the focus of Reed’s affidavit and the beginning of Bailey’s investigation.

Supporters of Planned Parenthood rallied before the hearing, calling the investigation a political attack.

“(Bailey) only wants (the records) so he can politicize gender affirming care and to put a target on transgender and gender-non-conforming patients,” Margot Riphagen, Planned Parenthood St. Louis’s vice president of external affairs, said during the rally.

Katy Erker-Lynch, executive director of LGBTQ advocacy organization PROMO, called the attorney general’s actions “scary.”

“He has pushed credentialing committees of social workers, professional counselors and family and marital therapists to investigate every single provider on the eastern side of the state that has offered a letter of support for a trans or gender expansive kid to receive care,” she said, referencing a Division of Professional Registration investigation that stemmed from the AG’s complaint.

Around 40 people attended the rally, filling the courtroom until a small group were standing in the back. Most wore t-shirts with phrases like “protect trans kids” or “I fight with Planned Parenthood” and filed into the seats behind Planned Parenthood’s lawyers before sitting on the opposing side.

“Thank you,” a few people told Eddy as they walked out of the St. Louis courtroom.

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Annelise Hanshaw

Annelise Hanshaw writes about education — a beat she has covered on both the West and East Coast while working for daily newspapers in Santa Barbara, California, and Greenwich, Connecticut. A born-and-raised Missourian, she is proud to be back in her home state.

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The preceding article was previously published by The Missouri Independent and is republished with permission.

The Missouri Independent is a nonprofit, nonpartisan news organization dedicated to relentless investigative journalism and daily reporting that sheds light on state government and its impact on the lives of Missourians. This service is free to readers and other news outlets.

We’re part of States Newsroom, the nation’s largest state-focused nonprofit news organization.

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