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- 1 How You Can Resist
- 2 Recent Updates
- 3 Laws Proposed by Congress
- 4 Transgender Rights
- 5 Healthcare
- 6 Marriage Equality
- 7 Other Discrimination Issues
- 8 Vulnerabilities in Their Strategy
How You Can Resist
- Call your Member of Congress by dialing tel:844-6-RESIST and tell them to oppose the American Health Care Act (AHCA) and support legislation that supports LGBTQ+ equality.
- Find out when your Senators and US Representative are holding Upcoming Events/Opportunities. Show up and tell them to support LGBTQ+ equality.
- Click here to find an organization looking for volunteers.
- Connect people to Trans/LGBTQ+ Crisis Resources who may need them.
- 5/26/2017: A Federal District Court in Pennsylvania ruled in favor of a trans woman suing her former employer for discrimination, stating that transgender individuals suffering from gender dysphoria (the distress resulting from identifying to a different gender than the one assigned at birth) are not excluded from the civil rights protections afforded by the American with Disabilities Act (ADA). The ADA has a provision excluding "gender identity disorder" from its protections, and the court ruling therefore established that this court does not believe that being transgender is in itself a disorder, but that the distress that some transgender individuals experience is a medical condition. If replicated in other courts, this verdict could lead to wider protections for transgender individuals.
- 5/26/2017: The House Foreign Affairs Committee passed a bipartisan resolution condemning the persecution of LGBTQ+ people in Chechnya.
Laws Proposed by Congress
Legislation that Supports Equity and Justice
- S. 411 would end profiling by law enforcement and for other purposes, including on the basis of sexual orientation or gender identity.
- H.R. 1447 would prohibit discrimination in housing on the basis of sex or sexual orientation.
- H.R. 149 would facilitate the fight against discrimination in housing.
- HR 1957 also known as the Safe Schools Improvement Act would require schools to adopt anti-bullying policies that specifically include LGBTQ+ students.
- S. 928/HR 2119 also known as the Therapeutic Fraud Prevention Act would outlaw conversion therapy for LGBTQ+ people.
- S. 954 also known as the Tyler Clementi Higher Education Anti-Harassment Act would require universities and colleges to implement policies prohibiting discrimination based on sexual orientation or gender identity.
- S. 1006/HR 2282 also known as the Equality Act would prohibit discrimination based on sex, sexual orientation or gender identity-
- HR 2491/SB 1172 would require the State Department to ban foreign individuals who have committed gross abuse against LGBTQ+ individuals from entering the country and to document such abuse in the annual human rights report.-
See also the State and Local Pages for state-by-state legislative tracking.
There are few laws protecting transgender people from discrimination at the federal level. However, recent court decisions have made it clearer that Federal laws against discrimination based on “sex” such as the Title VII of the 1964 Civil Rights Act do protect transgender people to some extent. Without clear federal laws, this remains subject to the opinion of the judges and can be reversed. This is why states have begun to pass laws protecting transgender people in some places, such as schools. Many other rights of transgender people are decided at the state level, such as the ability to change their name and gender marker on their identity papers, or have their healthcare included in state Medicaid. See the State and Local Pages to see where your State stands on these issues.
Trump and his security advisors have described the move to authorize transgender soldiers to serve openly and to ban discharge based solely on their gender identity as ill-advised "social engineering" imposed on the armed forces. Trump's pick for Secretary of Defense, Gen. James Mattis, has also voiced skepticism and criticized civilian leaders for pushing a "progressive agenda" that could weaken the Army. It is also worth noting that as a congressman, Pence voted against the repeal of the ban on openly gay troops—as did Jeff Sessions.  It would be easy to rescind or revise the Pentagon policy on transgender people, as Mattis would only need to notify Congress 30 days in advance and no legislation would be required, but the move would impact an estimated 1,320 to 6,630 soldiers (numbers from the RAND report commissioned by the Pentagon in August 2008) and leave them without protection.
The Trump Administration has withdrawn an Obama-era guideline on non-discrimination policies for transgender students. This guidance interpreted Title IX of the Educational Amendments of 1972 to mean that schools "must not treat a transgender student differently from the way it treats other students of the same gender identity." Withdrawing this guidance means that students can now be required, under the authority of state or local school boards, to use restrooms and changing facilities that correspond with their biological gender rather than their gender identity. It also limits students' eligibility to play on sports teams that correspond with their gender identity. It does still allow school boards to implement their own protections, and permits people or advocacy groups to appeal to Federal courts if a transgender student's rights have been violated., 
The Supreme Court recently considered Gloucester County School Board v. G.G., the case of a transgender student who identifies as a boy and wants to be able to use the boys’ bathroom at his Virginia high school against the school board, which enacted a policy requiring students to use the bathroom that corresponds with the sex that they were assigned at birth. On March 6 2017 the Supreme Court decided to send the case back to the 4th Circuit Court of Appeals after the Administration rescinded the Obama-era guidance advising schools to allow transgender students to use the bathroom matching their gender identity, on which the ruling to be examined by the Supreme Court relied heavily. Both sides had previously contented that even without the guidance, the Court could and should decide whether the board’s policy violates Title IX, the Federal civil rights law that bars discrimination in education. The 4th Circuit Court will now examine the case again to decide whether Title IX applies to transgender students.
The repeal or replacement of the Affordable Care Act (Obamacare) could have dire effects on the transgender community. Section 1557 of the ACA prohibits health-care providers and insurers from discriminating on the basis of gender. The Obama administration issued a rule based on this section barring discrimination against gender nonconforming and transgender people, including for transition-related care and gender reassignment surgery. If the ACA is repealed, then the rules that interpret the law (including this protection) would no longer be in effect. Since the new Secretary for Health and Human Services (HHS), Tom Price, has objected to other protections for transgender people, he is unlikely to try to reinstate a similar protection through other means. It is worth noting that before the ACA “transsexualism” was also considered a preexisting condition, meaning that in case of a repeal under the current new plan access to health care for transgender individuals could become much more expensive. 
See the Healthcare section below for more information on this topic.
LGBTQ+ individuals are impacted by all decisions concerning healthcare made by the government, but some decisions and issues have a particular impact on the LGBTQ+ community. One of these key areas is the fight against HIV/AIDS: the disease affects everyone, but according to the Center for Disease Control gay and bisexual men are more severely affected than any other groups in the US, and reports show that transgender people, and transgender women in particular, are more at risk than others as well. Discrimination and stigma can make it more difficult for LGBTQ+ people to access diagnosis and treatment. This section will therefore focus on issues and decisions particularly affecting the LGBTQ+ community, including the fight against HIV/AIDS, but more information on the Administration and Congress’s plans for healthcare and their consequences can be found throughout the manual including on the [Healthcare | healthcare page].
American Health Care Act
On May 4th, 2017, the House passed the American Health Care Act of 2017, which would repeal and replace the ACA (Obamacare). This bill is highly controversial, and challenged. The ACA provides access to key health care services for many people, including LGBTQ+ individuals, but its repeal would disproportionately impact LGBTQ+ individuals: a 2014 Gallup study found LGBT Americans were more likely to report being uninsured, but the percentage of LGBTQ+ adults without health insurance decreased by 11% since the ACA was passed. The ACA also includes essential healthcare provisions for LGBTQ+ people and those living with HIV/AIDS, such as not allowing discrimination in healthcare treatment and access. This is the encouragement of sexual orientation and gender identity data collection (which allows for better treatment and prevention) and the encouragement of cultural competency training to provide beneficial care to LGBT patients. The new law lacks many of these provisions and would severely impact LGBTQ+ individuals:
- The AHCA as passed by the House cuts $880 billion dollars from Medicaid over the next 10 years and freezes Medicaid extension in 2020, which would force states to kick millions of people out of coverage.  The Medicaid expansion through the ACA had a crucial impact on the fight against HIV/AIDS: a report from the Kaiser Foundation states that Medicaid has become the single largest source of coverage for people with HIV/AIDS in the US, covering more than 40% of people with HIV/AIDS in care and accounting for 30% of all Federal spending on HIV/AIDS care, not including prevention services. The repeal of the ACA and the elimination of the Medicaid expansion would strip many HIV/AIDS patients of coverage and any interruption in care means that the epidemic could surge: when HIV-positive people are treated and their viral load is suppressed the risk of transmission is almost zero, but if treatment is interrupted and the viral load goes up the virus becomes transmissible again.
- The ACA also created the Medicaid requirement that the States provide 10 essential health benefits including prescription drugs, but the AHCA as voted by the House ends this provision, which means it is unclear what state would provide HIV/AIDS patients if it becomes law. Access to preventative services such as testing or PrEP (a drug reducing the risk of contracting HIV, generally used by HIV negative people at risk of being contaminated) would also be impacted for low-income people currently on Medicaid if the AHCA is passed.
- The AHCA in its current form allows for annual and lifetime caps on coverage under certain conditions and for all those on Medicaid after 2020, meaning that patients with lifelong illnesses such as HIV/AIDS could see their coverage simply end when they reach a certain spending limit. 
- It is also worth noting that the AHCA lets state waive ACA protections against pre-existing condition discrimination. States could therefore allow insurance companies to charge more money to cover patients with pre-existing conditions, including HIV/AIDS, or put them in “high-risk pools” which typically impose much higher premiums and longer waiting periods, and provide less coverage. 
The 2018 Budget was put forward by the White House on the 24th of May 2017 and will now be discussed by Congress. The budget, which will most likely not be enacted in its current form but gives an idea of the White House’s priorities, would raise spending for the military and border security but cut deeply into programs for the poor, including food stamps, as well as disability benefits, and would hit LGBTQ+ individuals particularly hard.
- The fight against HIV/AIDS would severely suffer: the proposed budget calls for a $59 million cut in the Ryan White program, a program that provides health care to people living with HIV/AIDS who cannot get health insurance (the third-largest source of federal money for domestic HIV/AIDS care after Medicare and Medicaid).; it also calls for $610 million cuts in Medicaid for 2018 (added to the $880 billion planned by the AHCA for the next decade), in accordance with the AHCA as passed by the House.
- The budget also includes a broad prohibition against entities funding abortions, which means Planned Parenthood would be blocked from receiving any federal funding. This would have a drastic impact on the LGBTQ+ community as Planned Parenthood is one of the largest providers of health care for trans people, and the cut would therefore dramatically impact trans people’s access to health care.. It is worth noting that contrary to the White House’s position the spending agreement reached in April 2017 to fund the government until September of this year maintained funding for Planned Parenthood. Federal money accounts for about 40 percent of Planned Parenthood’s overall budget; most of it reimburses PP for the treatment of patients on Medicaid. 
- The current budget also calls for deep cuts in scientific and medical research, including an overall $5.8 billion cut for the National Institutes of Health (NIH) and a 11% cut or $776 million for the National Science Foundation. All these cuts would impact HIV/AIDS research, as would the announced elimination of the Fogarty International Center, which plays a critical role in training scientists in HIV/AIDS and tuberculosis research, and the elimination of the Secretary of Health and Human Services Minority HIV/AIDS Initiative. The budget of the US Centers for Disease Control and Prevention would also be cut by 17%, or $1.2 billion; among these, $186 million would be cut from programs fighting HIV/AIDS, viral hepatitis and sexually transmitted infections and promoting tuberculosis prevention.[ http://www.treatmentactiongroup.org/content/tag-condemns-murderous-white-house-proposed-2018-budget-cuts-health-and-research] The Administration had requested deep cuts in funding for the National Institutes of Health (NIH) in 2017 already, but the 2017 spending agreement passed in early May gave the NIH a $2 billion increase in funding instead.
HIV criminalization laws
Some states have passed HIV/AIDS criminalization laws making it illegal for an HIV-positive person to “knowingly expose” another person to HIV—in some states, this means that it is illegal not to disclose HIV-positive status to a sex partner, but many laws criminalize behaviors that are unlikely to lead to transmission. Because the laws focus on disclosure, not actual transmission, they serve no real purpose. All states have other, non-HIV-specific laws that can be used to prosecute transmission of HIV, so these laws just needlessly single out and stigmatize HIV-positive people and reinforce the image of them as “dangerous.” It also allows the saliva or blood of an HIV-positive person to be classified in court as a “deadly weapon.” HIV criminalization laws also disproportionately target people of color, mainly African Americans, and gay men.
See the State and Local Pages to see if your State is affected by these laws.
The 2015 Obergefell v. Hodges Supreme Court decision established that same-sex couples have a right to marry. However, no Federal law has been passed in this sense so the Supreme Court, if its balance changed, could still reverse the decision. Moreover, some are trying to limit or challenge this right at State level. See the State and Local Pages to see where your State stands on these issues.
Judge Gorsuch has been confirmed to the Supreme Court; given his track record, he is poised to align with the conservatives on the bench and oppose Obergefell v. Hodges. If Trump was in a position to nominate other conservative justices to the Supreme Court, he could change the composition of the court so that it would overturn the decision if brought to the court again. In other words, because this was a narrow 5-4 decision the first time, appointing one more conservative justice could result in rulings that revoke marriage equality.
- The Texas Supreme Court has agreed to review a decision granting equal benefits to same-sex married couples, with at least one judge on record endorsing the idea that marriage is a right but spousal benefits are not. The decision could lead to the case being examined by the US Supreme Court, and depending on its balance at the time the Obergefell v. Hodges decision could be at least partially called into question.
- In April 2017 North Carolina lawmakers introduced a bill stating that the Supreme Court overstepped its authority as defined by the Constitution when it ruled to legalize same-sex marriage. The bill argues therefore that no same-sex marriages are valid in North Carolina as they had previously been banned by an amendment to the State Constitution in 2012. The Speaker of the State House (R) announced shortly after that, considering the strong constitutional concerns, the bill would be referred to the House Rules Committee and would not be heard, effectively killing it.
Other Discrimination Issues
As long as discrimination against LGBTQ+ people is not clearly prohibited in Federal law, LGBTQ+ people remain vulnerable to laws and Court decisions infringing on their rights.
Trump's vice president and cabinet appointees including Steven Bannon, Jeff Sessions, Tom Price and Betsy De Vos have systematically advocated for or implemented policies that discriminate against the LGBTQ+ community; the nominee for Secretary of the Air Force, Heather Wilson, has also repeatedly opposed legislation and measures protecting LGBTQ+ people; and the new head of the Department of Health and Human Services's Office of Civil Rights, Roger Severino, is a leading anti-LGBTQ+ equality activist. Trump himself has advocated for policy decisions that would have direct repercussions on the LGBTQ+ community. Trump has, for instance, vowed to "cancel every unconstitutional executive action, memorandum, and order issued by President Obama" on his first day in office, and he has begun to do so: on March 28, 2017 Trump signed an executive order rescinding the Obama-era order requiring companies doing business with the federal government to disclose their records on discrimination. Since 2014, companies receiving large federal contracts had to show they had complied with federal laws prohibiting discrimination based on sexual orientation or gender identity for at least three years(only 19 states currently have such protections).
The Circuit Courts of Appeals review rulings made by other Courts in their districts and serve as the final arbiters of most cases argued in the US, as only the Supreme Court stands above them. When laws passed by the States are blocked by lawsuits, the cases are then argued in front of the Circuit Courts as well. Their rulings are therefore crucial to protect the rights of LGBTQ+ people against many kinds of discrimination.
- Current cases:
- In 2016 Mississippi passed HB 1523 a law stating that there could be no retaliation against a religious organization acting upon the belief that marriage should be between a man and a woman and that sexual relationships should only exist within such a marriage. This includes cases of discrimination in employment, health care and others. The law was blocked by Mississippi state courts, and the Governor of Mississippi then sued in front of the 5th US Circuit Court of Appeals to have it reinstated. The Court is currently hearing arguments.
- In 2017 the 6th Circuit Court of Appeals will hear oral arguments in the case of EEOC v. R.G. & G.R. Harris Funeral Homes. The case is between a funeral home and its former funeral director, who was allegedly fired because she is transgender. The Court will consider whether Title VII of the Civil Rights Act, which prohibits discrimination based on sex, also protects transgender people. The ruling could set an crucial precedent expanding protections for LGBTQ+ people at the federal level.
- In 2017 the 6th Circuit Court of Appeals also revived the case against Kim Davis, a Kentucky clerk who refused to issue same-sex marriage licenses after the Supreme Court ruling that legalized it. A couple she refused a license to is seeking damages, and the Court ruled that they can sue even if they finally obtained a license. The case has therefore been sent back to the relevant District Judge in Kentucky.
- Past rulings
- On April 4th, 2017 the 7th Circuit Court of Appeals ruled 8 to 3 that Title VII of the 1964 Civil Rights Act, which prohibits discrimination "on the basis of sex", does extend to sexual orientation. The Court was examining the case of Kimberly Hively, an instructor at Ivy Tech Community College in South Bend, Indiana, who was fired because she is lesbian. The 7th Circuit is the highest Federal Court ever to protect LGBTQ+ people under Title VII.
- On May 1t, 2017 the Supreme Court of the United States let stand a lower court ruling stating that California's law prohibiting "conversion therapy" for minors is constitutional and does not infringe on religious liberty. This law prohibits mental health counselors licensed by the state from offering therapy to change sexual orientation in minors. The 9th Circuit Court of Appeals had already ruled it constitutional, and this verdict could encourage other states to adopt similar protections for LGBTQ+ minors.
Religious Freedom laws protect the right of people to practice their religion and limit laws imposing on that right, and were intended to protect religious minorities. However, they have recently been used to say the rights of individuals or business owners are violated if they are not allowed to deny service to LGBTQ+ people.
- Executive order
On May 4th, 2017 Trump signed an [Executive Actions | executive order] aimed at protecting religious freedom, which many feared would include discriminatory provisions. However, the actual executive order is widely seen as not having any concrete outcome for the moment as it calls for a review of religious-based exceptions, including in healthcare, but does not change the current status quo.  The order itself does not give exemptions to those opposed to marriage equality or LGBTQ+ equality in general.  However, many activists worry that by requesting that the Attorney General issues a guidance to federal agencies “interpreting religious liberty protections in Federal law” the Administration is opening the door to discrimination against LGBTQ+ individuals, among others, on religious grounds and could allow for discrimination in access to spousal benefits or health care.[ http://edition.cnn.com/2017/05/04/politics/lgbt-religious-liberty-executive-order/]
- Supreme Court
In May 2017 the Supreme Court delayed its decision to hear arguments in a case opposing LGBTQ+ rights to religious freedom for the seventh time. The case, Masterpiece Cakeshop v. Colorado Civil Rights Commission, opposes a bakery which refused to bake a wedding cake for religious reasons to a gay couple suing it for discrimination and could settle the question of whether religious rights can be used as a justification to discriminate against LGBTQ+ individuals.
- First Amendment Defense Act
The First Amendment Defense Act (FADA), introduced in Congress in 2015, has been mentioned again by Trump who said during the campaign that he would sign it into law if it came to his desk. FADA would prohibit any kind of action against any corporation, organization or person if they acted according to the belief that marriage is or should be recognized as the union of one man and one woman or that sexual relations should be reserved to such a marriage. This Act is broad enough to legalize discrimination against LGBTQ+ people in a wide range of situations, from access to medical care to spouse benefits, and prevents the Federal government from fighting such discrimination in any way. It means, for instance, that an adoption agency receiving government funds would be able to refuse to place kids with LGBTQ+ parents and still be entitled to taxpayer funding.  Jeff Sessions was among the sponsors of FADA. As Governor, Mike Pence signed a Religious Freedom Amendment allowing people to discriminate against LGBTQ+ people. Recently a similar amendment was attached to the National Defense Authorization Act in December 2016 for Federal contractors, but it was removed under threat of veto by President Obama. Under President Trump, such an amendment or law might succeed in being turned into law.
- Similar laws, albeit with different ranges, have been introduced at State level as religious freedom laws. See also the State and Local Pages to see how your State stands on these issues.
- The Department of Health and Human Services (HSS) has eliminated questions about LGBTQ+ people from two annual surveys evaluating the performance of federal services, the National Survey of Older Americans Act Participants and the Annual Program Performance Report for Centers for Independent Living. Without this data, it will be much harder to evaluate if the programs evaluated through these surveys meet the needs of all their recipients, including LGBTQ+ people. On 27th April 2017 19 Senators from both sides of the aisle sent a letter to the HSS to ask for the questions to be restored, and two weeks later 49 House members asked the HHS to restore them in the National Survey of Older Americans Act Participants.
- The Census Bureau has also announced it would not include questions on sexual orientation and gender identity in its 2020 census, missing the opportunity to provide more accurate data to lawmakers on their constituents and the best way to meet their needs.
Vulnerabilities in Their Strategy
- To pass, FADA would require 60 votes in the Senate to overcome a Democratic filibuster, which means that Democrats can block such legislation from passing if they are unified in their opposition.
- The fight against HIV has historically received bipartisan support in Congress, and the proposed budget has been heavily criticized in Congress. Therefore, it is unlikely to be passed in its current form and funding for HIV should not be affected as much as it would under the current proposal.
- Laws that go against Supreme Court rulings, such as the failed North Carolina attempt to ban same-sex marriage, and the current Texas challenge to the Supreme Court ruling on marriage equality are not likely to be passed.
- States and local councils can pass specific laws to make up for gaps found in laws at the federal level. Most recently the city of Jackson, Michigan, passed a law protecting LGBTQ+ people from discrimination, and many other states and cities have passed similar laws. See the State and Local Pages to see where your State stands on these issues.
- Popular opinion tends to shift towards acceptance, and researchers are starting to see the positive impact of an equal environment. A study has shown that allowing trans kids to transition is very beneficial for their mental health - trans kids allowed to transition showed no difference to their peers or siblings in terms of development and self-reported depressive symptoms or anxiety. Another study has found that when states adopt marriage equality, suicide rates among teenagers and young adults decrease significantly, especially among LGBTQ+ youth..