Trump Administration Is Now Providing PrEP Abroad, But Not for LGBTQ+ People

The goal is to erase gay people because super Christian Rubio agrees with the hateful that LGBTQ+ need to die or go away.  They are not human people like good straight cis people are.   So lets protect the straight people and hope the icky gays get the aids virus.  That is their view, not mine, yours, or real Christians who follow Jesus’s command to love and care for people.   Hugs

But Rubio’s waiver itself stated that “gender or DEI ideology programs” and “transgender surgeries” — e.g., any overseas programs or organizations that support trans people — should not receive aid during the “pause,” and that any programs not specifically named in the waiver “may not be resumed without express approval.”

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The President’s Emergency Plan for AIDS Relief (PEPFAR) is still barred from providing PrEP to LGBTQ+ people around the world, according to recent State Department documents, placing millions of people at elevated risk of HIV exposure.

Shortly after President Donald Trump and Secretary of State Marco Rubio ordered a 90-day freeze on foreign aid in January, Rubio issued an additional “emergency humanitarian waiver” on February 6 which appeared to allow HIV medications to be distributed abroad during that time. That waiver ostensibly meant that pre-exposure prophylaxis, or PrEP — the antiretroviral drug that prevents the transmission of HIV — would be distributed through PEPFAR. But Rubio’s waiver itself stated that “gender or DEI ideology programs” and “transgender surgeries” — e.g., any overseas programs or organizations that support trans people — should not receive aid during the “pause,” and that any programs not specifically named in the waiver “may not be resumed without express approval.”

Now, a new State Department document, dated February 6 and published online by the Joint United Nations Programme on HIV/AIDS (UNAIDS) confirms that PrEP “should be offered only to pregnant and breastfeeding women,” whereas anyone else “who may be at high risk of HIV infection or were previously initiated on a PrEP option can not be offered PEPFAR-funded PrEP” (emphases in original) during the aid freeze.

Among the “high risk” populations currently blocked from receiving PrEP through PEPFAR is LGBTQ+ people — particularly men who have sex with men (MSM) and trans people, two demographics with an increased risk of exposure to HIV. UNAIDS estimated this week that more than 3,000 new HIV infections have occurred worldwide as a result of the Trump administration’s aid freeze.

Founded in 2003 to combat the international spread of HIV, PEPFAR reported distributing antiretroviral treatments to over 20 million people worldwide in 2024, including 2.5 million new PrEP users. In 2022, PEPFAR spent 8.9% of its budget, or approximately $20.1 million, on services for MSM and trans people, according to an analysis by the health policy research organization KFF. A further $28 million went to provide HIV prevention and treatment services for sex workers.

Trump and Rubio’s aid freeze has also already resulted in PEPFAR-assisted programs shutting their doors. The Kenyan “Fahari ya Jamii” initiative, a five-year HIV prevention project founded in 2022, shut down more than 150 clinics and placed more than 700 workers on unpaid leave following the freeze last month, as the Washington Blade reported February 5.

The freeze is part of Trump’s larger war against the United States Agency for International Development, or USAID, the federal agency which distributes civilian foreign aid and partially funds PEPFAR. Amid the administration’s purge of “woke” terminology — including the terms “gender” and “LGBTQ” — from government websites, the USAID site was still entirely offline at time of writing. The agency was also the subject of a House committee hearing on February 5, during which Rep. Nancy Mace repeatedly used a transphobic slur to denigrate U.S. support for LGBTQ+ programs abroad.

Global health organizations have condemned the Trump aid freeze particularly as it relates to HIV prevention, warning of dire consequences already taking place. The international watchdog group Human Rights Watch wrote this week that even a temporary pause on PEPFAR programs “could be devastating” for countless people around the world. The AIDS Vaccine Advocacy Coalition (AVAC) and Journalism Development Network, Inc. filed a joint lawsuit against Trump, Rubio, and Office of Management and Budget director Russell Vought on February 10, alleging the administration’s aid freeze is illegal and unconstitutional. On February 11, a group of USAID contractors and non-governmental organizations filed another such lawsuit, alleging that the freeze had already caused “irreparable damage.” The administration is already fighting a third lawsuit brought by a group of USAID employees last week, which led a federal judge to issue an injunction against the furloughing of USAID workers on February 7.

“[W]ith this new guidance, the Trump Administration is choosing politics over science, discrimination over compassion, and ultimately, death over life,” AVAC representatives wrote in a statement last week. “The February 6th guidance […] is not only a dangerous deviation from sound public health policy — it is a death sentence for thousands of people at risk of HIV globally,” the organization wrote, adding, “This decision appears to be less about public health and more about an ideological agenda that seeks to police morality rather than protect lives.”

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