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#HIVResists: August 2026 Monthly Policy Update

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#HIVResists: August 2026 Monthly Policy Update
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Content Warning: many of these updates include information about harmful attacks on Black, Indigenous and people of color (BIPOC) and LGBTQ+ folks.

 

A Fond Farewell: The Final MPU by Helina Haile  

It is with deep gratitude and thanks that I write my final MPU as PWN’s Lessow Reproductive Health Law Fellow. Throughout the last year we navigated various domestic policy and legal updates including: the government shutdown, cuts to long-term housing, ADAP changes in Florida, escalating state sanctioned violence by ICE, increasing criminalization, and continued attacks on the trans community. Despite the continued challenges, people power through organizing is the bedrock of resistance and hope. 

PWN reaffirmed for me that intersectional and transformative solidarity are essential to liberation. As Audre Lorde stated “we do not live single-issue lives,” and therefore our advocacy cannot be siloed. DRUM (Desis Rising up & Moving) defines transformative solidarity as: “when masses of oppressed communities choose to forgo something that would benefit them, and do not take it because it comes at the expense of other oppressed communities.”  As the Trump administration continues dismantling social safety nets while criminalizing communities most impacted by HIV, it can be easy to fall into a zero-sum approach to policy advocacy. Zero-sum thinking describes a belief that if one group wins then another group must lose. This approach to policy helps bolster “divide and conquer” tactics where otherwise aligned communities are pitted against each other based on the false narrative that we cannot all “win.” The goal is to keep us fighting each other over minor funding so we won’t work together to break the systems that keep us in cycles of poverty, violence, and crisis. Even when we do not win, our fight cannot leave others behind. The state violence and the organized chaos of this administration is designed to destabilize our movements by capitalizing on fractures between us. We must be fiercely intentional about our response. 

As an Ethiopian-immigrant, the increased criminalization of immigrants over the last few years exemplifies for me the need for continued intersectionality and transformative solidarity in the HIV movement that transcends borders. Historically, the United States used health status as an excuse to exclude groups of people and reinforce national borders.* From 1993 to 2009, the United States included HIV/AIDS on the list of health-related grounds to exclude immigrants. Today’s immigrant detention emerged from the detention of Black bodies, and it was Haitian migrants specifically who bore the violence. The first time immigrants were held at Guantanamo Bay Detention Camp, the “island outside the law,” was early in the HIV pandemic and it was Haitian migrants who were first indefinitely detained. Immigrants living with HIV were transferred to a separate area of Guantanamo called “Camp Bulkeley,” the HIV detention camp. 

Despite unsanitary conditions they were forced to live under, Haitian migrants held demonstrations to draw attention to the United States’ military violence. At the same time, ACT UP protested outside of the office of Immigration and Naturalization Services in New York and formed a secret network of safe spaces to provide assistance for Haitians who were released from Guantanamo. The case of Haitians at Guantanamo illustrates intersecting forms of oppression: immigration status, anti-Blackness, HIV status, and anti-LGBTQ+ sentiments. Black bodies were a site of state sponsored violence, but also a site of resistance as Haitians even engaged in hunger strikes to shed light on their situation. The crisis at Guantanamo demonstrated international solidarity; in addition to protests, nonprofits, including prominent legal organizations, brought a lawsuit that led to a federal judge ordering the closing of the camp and the release of Haitians in 1993. 

State violence transcends the imaginary boundaries of the nation state. The Trump administration shut down USAID (United States Agency for International Development), an agency providing assistance to about 130 countries with a budget of about $63 billion. Reduction in international aid has been accompanied by drastic cuts to domestic programming and increased military funding. The administration now aims to use its global power and financial influence to coerce nations into signing extractive health agreements before receiving aid. The agreements essentially use people living with health conditions, including HIV, as a bargaining chip so the United States can access mineral resources and private health data. 

The road ahead is not easy, and many days it looks bleak. But, as we know harm and violence transcends borders, so must our solidarity and organizing. Political organizing that recognizes the interconnectedness of both our harm and liberation serves as a north star amidst the chaos of current times. I will carry this learning with me in mind, heart, and soul as I continue on my professional and personal journey. It has been a privilege to learn from and with you all. Until we meet again, I will carry on all that I have learned and unlearned from doing this work alongside you all. 

With solidarity, love & immense gratitude, 

Helina Haile 

*For more information about how the United States used health status to exclude groups of people and reinforce national borders, read Steven W. Thrasher’s book, “The Viral Underclass” (2022), especially pages 135-136. 

 

🗞 Top News Roundup 🗞

LGBTQ+ Health, Rights, and Justice

  • Trump’s Center for Medicare and Medicaid Services published the final rule that prohibits federal Medicaid or Children Health Insurance Program funds from being used for gender-affirming care. Many states already restrict access to gender-affirming care, this rule further prevents access to healthcare especially in states that do not provide state funded access for gender-affirming care. 
  • Federal employees and their families sue the Trump administration for prohibiting insurance coverage for gender-affirming care under federal healthcare plans. 
  • Anti-trans ballot initiatives are set to appear in Washington, Arizona, Colorado, Missouri, and Nebraska but activists and students plan to fight back.
 

Access to Healthcare

  • The Senate confirmed Dr. Erica Schwartz as the new CDC Director. During confirmation hearings Dr. Schwartz stated that she’s committed to enhanced abortion surveillance. 
  • The California Supreme Court ruled in favor of Gilead Sciences and dismissed negligence claims by an estimated 24,000 people living with HIV who challenged Gilead’s decision to not develop alternative drugs with fewer side effects. The court’s decision reinforces pharma’s continued public health violence by centering profit over people. 
  • The Centers for Disease Control & Prevention (CDC) program in Zimbabwe will completely close because of 1) the Trump Administration’s decision to transfer CDC funds to the Department of State and 2) the State Department’s subsequent refusal to provide resources to continue programming. This is the first CDC global health program to be fully closed because of the Trump administration’s decision.
  • Trump issued an executive order that reduces the guidance for the number of childhood vaccinations from 18 to 1 despite no evidence to justify these changes.
 

Reproductive Health, Rights, and Justice

  • The Senate confirmed Todd Blanch as the new Attorney General. A leaked recording exposed that Blanche and the Trump administration are considering a nationwide abortion ban. 
  • A coalition of organizations and local governments have sued the Trump administration to prevent the replacement of the Teen Pregnancy Prevention Program with abstinence only programming. 
  • Massachusetts expanded abortion access by eliminating the cutoff for when someone can get an abortion. 
 

Economic Justice

  • The Trump administration plans to overhaul Head Start, the program that provides childcare and support for families with low incomes. The Trump administration’s proposed rule change would risk changing 1,400 regulatory provisions of the program and would have Head Start operate more like childcare centers under state and local rules. 
  • A District Court ruled that the Department of Housing and Urban Development’s 2026 Notice of Funding Opportunity rescinding funding for Continuum of Care was unlawful. The rule would have devastated housing access. According to the National HIV AIDS Housing Coalition, now at least 97,000 formerly unhoused people will keep the safety and stability of permanent housing. 
  • From July 2025 to April 2026, over 4 million people lost access to food aid because of Big Ugly Murder Bill (One Big Beautiful Bill) related changes to Supplemental Nutrition Assistance Program. States such as Arizona, Louisiana, Florida, and Oklahoma show the largest declines. 
 

Ending Criminalization

  • Trump signed two new executive orders in an attempt to restrict birthright citizenship by creating four exceptions to which birthright citizenship would not apply. 
  • The Trump Administration revoked more than 175,000 visas from foreign nationals under claims of “criminal activity” and “law enforcement encounters.”
  • The Trump Administration is pivoting to using old former prisons instead of warehouses for new immigrant detention sites amidst increasing overcrowding at temporary holding centers. The administration is seeking to expand existing facilities and accepting private prison contractor bids to reopen old facilities.  
  • Federal judges have ended Temporary Protected Status protection for Haiti, Syria, Myanmar, South Sudan, Somalia, and Ethiopia. The second Trump administration has continued its coordinated attack on a federal humanitarian program. 
 

Election Updates

  • Post this summer’s redistricting crisis on the heels of the Supreme Court case, there are many primary wins that still provide a glimmer of hope for the upcoming November elections. In Tennessee, Justin Pearson won the Democratic primary for the 9th Congressional district, a district directly impacted by gerrymandering field redistricting. In Michigan, Donavan McKinney won the Democratic primary for the 13th Congressional District, beating corporate-backed Democrats. In the 7th congressional District, William Lawrence won the Democratic primary, all while rejecting corporate PAC money, centering medicare for all, and other progressive stances. In Michigan’s Democratic primary for Senate, Abdul El-Sayed won despite the continued lobbying by AIPAC (American Israel Public Affairs Committee), which spent over $30 million against El-Sayed. In Michigan’s 2nd House District, Joanna Whaley won her Democratic primary for state representative. If Whaley wins in November, she will be the first first openly transgender woman to serve as a state representative in Michigan!
  • The Trump administration is trying to implement an administrative rule that could overhaul mail-in voting with just two months until the midterm elections. Over the past month, a federal judge blocked the order nationwide, the Supreme Court entered the legal fight, and the Trump administration has attempted to push the changes forward despite the complicated and uncertain legal environment. This is a fast moving legal battle and we will keep you updated.
Alex Aphroditus2026-08-26T18:46:12-04:00August 27th, 2026|Uncategorized|0 Comments

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