We facilitate dialogue between communities, policymakers, and institutions to co-create strategies that advance equity, justice, and democracy. Our work informs both legislative and administrative decision-making across multiple levels of government.
U.S. HIV/AIDS Funding Cuts and Their Impact on LGBTQ+ Communities
This United States has made substantial progress in its HIV/AIDS response: according to the Centers for Disease Control and Prevention (2023), estimated new HIV infections declined by 12 percent between 2018 and 2022, reaching 31,800 cases in 2022[1]. Science‑driven programs, such as pre‑exposure prophylaxis (PrEP), treatment as prevention (TasP) and housing assistance, have reduced transmission, prolonged lives and narrowed disparities. Federal programs like the Ryan White HIV/AIDS Program, the Minority AIDS Initiative (MAI) and Housing Opportunities for Persons with AIDS (HOPWA) have anchored this progress. However, a wave of recent and proposed funding cuts threatens to reverse decades of advances. In early 2025 several programs were cut or suspended, and the FY 2026 budget proposes eliminating nearly all federal HIV prevention funding and slashing treatment and housing funds. These cuts disproportionately endanger Black, Latino and transgender communities, as well as people in the South and rural areas. High‑burden states such as Florida, New York, California and Connecticut face particularly acute impacts.
This policy brief examines the resurgence of institutional discrimination against LGBTQ+ individuals under the second Trump administration, with a particular focus on policies targeting transgender youth. Drawing on legal analysis, public health data, and educational research, the brief assesses the consequences of executive actions that limit participation in school sports, restrict access to gender-affirming healthcare, and eliminate federal recognition of nonbinary identities. Empirical evidence indicates that these policies have exacerbated mental health disparities, heightened legal vulnerability, and disrupted inclusive educational environments. In response, the brief offers a multidimensional set of policy recommendations across federal, state, and local levels, emphasizing the restoration of civil rights protections, investment in intersectional coalitions, and the development of monitoring systems to promote accountability and long-term equity for transgender communities.