Category: California

Aetna to Cover IVF Treatments for Same-Sex Couples After $2M National Settlement

Read more at GayE.

When Mara Berton and June Higginbotham imagined their future, it always included children. What they did not imagine was a $45,000 bill standing between them and the family they dreamed of building.

The Santa Clara County couple, both lesbians, discovered that while their heterosexual colleagues’ fertility treatments were largely covered by insurance, they were excluded from the same benefits. To conceive, they were forced to pay entirely out of pocket, a financial burden that reshaped their timeline, their choices and their emotional well-being.

Last week, that inequity cracked open.

In a landmark national settlement approved by U.S. District Judge Haywood Gilliam Jr., Aetna agreed to cover fertility treatments such as artificial insemination and in vitro fertilization for same-sex couples on the same terms as heterosexual couples. The agreement applies nationwide across all Aetna plans, making it the first case to require a major insurer to implement such a policy uniformly.

An estimated 2.8 million LGBTQ members will benefit, including about 91,000 Californians. The settlement also requires Aetna to pay at least $2 million in damages to eligible California-based members, who must submit claims by June 29, 2026.

“We knew it wasn’t right,” Berton said in an interview with CalMatters. “What we’re fighting for is about family building and having kids. It was really important to both of us that other couples not have to do this.”

Before the settlement, Aetna’s policy required enrollees to engage in six to 12 months of “unprotected heterosexual sexual intercourse” before qualifying for fertility benefits, according to the class action complaint. Women without male partners could only access coverage after undergoing six to 12 unsuccessful cycles of artificial insemination, depending on age, a requirement medical experts say is excessive and clinically unnecessary.

The policy, attorneys argued, treated LGBTQ members fundamentally differently and effectively denied them a benefit that can be prohibitively expensive.

“This was an issue of inequality,” said Alison Tanner, senior litigation counsel for reproductive rights and health at the National Women’s Law Center, which supported the litigation. “Folks in same-sex relationships were being treated differently.”

In an email, Aetna spokesperson Phillip Blando said the insurer is committed to equal access to infertility and reproductive health coverage and will continue working to improve access for all members.

For Berton, the policy felt personal and dehumanizing. After consulting with a fertility clinic and deciding to move forward with donor sperm, she was told by Aetna that she did not meet the definition of infertility. Multiple appeals were denied. Insurance required her to attempt 12 rounds of artificial insemination,even though her doctors recommended no more than four.

Sean Tipton, chief advocacy and policy director for the American Society for Reproductive Medicine, said policies like that are designed to discourage people from using their benefits. While many doctors recommend three to four cycles of insemination before IVF, studies also show it can be more efficient and cost-effective to move directly to IVF.

In 2023, the society updated its medical definition of infertility to explicitly include LGBTQ people and individuals without partners, a shift aimed at preventing insurers from denying claims like Berton’s.

“It takes two kinds of gametes to have kids,” Tipton said. “Regardless of the cause of that absence, you have to have access to care.”

The settlement comes as California prepares to expand fertility coverage further. A new state law taking effect in January will require most state-regulated health plans to cover fertility care for same-sex couples and single people by broadening the definition of infertility. While that law does not apply to Aetna’s national plans, advocates say the momentum is unmistakable.

And it could not come at a more urgent time.

As LGBTQ rights are increasingly rolled back across the country, from bans on gender-affirming care to restrictions on queer families in schools and public life, access to reproductive health care has become another contested frontier. Who is allowed to build a family, and under what conditions, is no longer just a medical question but a political one. This settlement affirms that queer families are not exceptions to be managed but lives to be supported.

Berton and Higginbotham ultimately moved forward without coverage, pulling together money from family and enduring the physical and emotional toll of fertility treatments, including a miscarriage. Today, they are raising twin girls who love the swings and pulling every book off the shelf for story time.

They built their family before the lawsuit concluded. Still, Higginbotham said the victory matters deeply.

“I know people who don’t have children because this isn’t covered,” she said. “The settlement is such a huge step forward that is really righting a huge wrong.”

In a moment when so much is being taken, the ruling stands as a reminder; equality is not abstract. Sometimes, it looks like a family finally being allowed to exist.

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California Policy on Disclosing Student Gender Identity Blocked by Judge

Read more at Newsweek.

A federal judge in California has struck down a state policy that prevented teachers from informing parents when their child identified as a different gender at school, calling the rule unconstitutional and a violation of parental and teachers’ rights.

U.S. District Judge Roger Benitez, sitting in San Diego, ruled Monday that California’s policy—meant to protect LGBTQ students’ privacy—improperly restricted communication between parents and educators. The decision delivers a major setback to state officials and LGBTQ advocacy groups that had defended the policy as essential to student safety.

Why It Matters

The ruling stems from a 2023 lawsuit filed by Escondido Unified School District teachers Elizabeth Mirabelli and Lori Ann West, who challenged a district policy requiring staff to keep a student’s gender identity confidential from parents. The pair, represented by the Thomas More Society, a religious liberty law firm, argued that the rule forced them to violate their faith and the trust of parents.

The ruling directly conflicts with California’s Safety Act (AB 1955), signed by Governor Gavin Newsom in 2024, which banned schools from disclosing students’ gender identity or pronouns to parents without the students’ consent.

What To Know

In a 40-page opinion, Benitez said the rules “place a communication barrier between parents and teachers” and “harm the child who needs parental guidance.” He added that such policies deprive parents of their 14th Amendment right to direct the care and upbringing of their children and infringe upon teachers’ First Amendment rights.

“Parental involvement is essential to the healthy maturation of schoolchildren,” Benitez wrote, according to Courthouse News Service. “California’s public school system parental exclusion policies place a communication barrier between parents and teachers… That, this court will not do.”

Benitez’s ruling also issued a permanent injunction, blocking school districts from reinstating similar “gender secrecy” policies. He acknowledged the state’s intent to protect LGBTQ youth from possible abuse or rejection at home but concluded that the policy was overly broad and not narrowly tailored to that goal.

“When the state drops an elephant in the middle of its classrooms,” he wrote, “it is not a defense to say that the elephants are too heavy to move.”

In his order, Benitez framed the issue as a constitutional matter rather than a cultural one.

“Historically, school teachers informed parents of physical injuries or questions about a student’s health and well-being,” he wrote. “But for something as significant as a student’s expressed change of gender, California public school parents end up left in the dark.”

The decision intensifies a legal and political struggle over how schools handle issues of gender identity. Supporters of the Safety Act cited Centers for Disease Control and Prevention data showing that about 25 percent of transgender youth attempted suicide in 2023, underscoring the risks of forced disclosure. LGBTQ groups, including the American Civil Liberties Union and Equality California, have argued that involuntary outing can lead to family rejection, homelessness or self-harm.

Conservative lawmakers and parental rights groups have opposed such secrecy policies. Tech executive Elon Musk also criticized California’s gender identity disclosure law, saying it was among the reasons he decided to move the headquarters of SpaceX and X (formerly Twitter) from California to Texas.

What People Are Saying

Elizabeth Mirabelli and Lori West, in a joint statement shared on Monday: “We are profoundly grateful for today’s ruling. This has been a long and difficult journey, and we are humbled by the support we’ve received along the way. We want to extend our deepest thanks to Thomas More Society and to everyone who stood by us, prayed for us, and encouraged us from the very beginning.”

California State Senator Scott Wiener, on X days before the ruling: “I’ve passed some of the strongest protections for trans people in the country—from safeguarding gender-affirming care to protecting youth and families fleeing hostile states. As the federal government ramps up its attacks, I will always stand between trans people and harm.”

What Happens Next

The California Attorney General’s Office has not said whether it will appeal the ruling to the Ninth Circuit. For now, the court’s decision halts enforcement of policies that restrict teachers from sharing students’ gender information with parents across California’s public schools.

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Oakland gets first rainbow crosswalk: ‘It tells every trans, queer and non-binary person … they are welcome’

Read more at Oakland North.

Dozens of local queer leaders, community members and allies gathered at the Oakland LGBTQ Community Center on a rainy Thursday afternoon to celebrate the unveiling of the city’s first permanent rainbow crosswalk and the second anniversary of the Lakeshore LGBTQ Cultural District.

The crosswalk was installed on Lakeshore Avenue, outside the LGBTQ center, symbolizing Oakland’s commitment to LGBTQ inclusion and visibility, the center said in a news release. Instead of paint, it is made from thermoplastic materials to ensure durability and safety.

“It tells every trans, queer and non-binary person who visits our LGBTQ district that they are welcome, seen, safe, and celebrated right here in Oakland,” said Jeff Myers, chair of the Lakeshore LGBTQ Cultural District Committee, which plans events and does community outreach in the neighborhood.

A two-hour indoor ceremony preceded the unveiling, hosted by center co-chairs Myers and Joe Hawkins and emcee MCYB. It featured music from flutist Piedpiper KJ, singer-songwriter Cadence Myles and the Oakland Gay Men’s Chorus, as well as remarks from elected officials and neighborhood business owners. 

Speakers emphasized the importance of the Lakeshore District, which was established in 2023, and the new rainbow crosswalk as markers of queer visibility in Oakland during a time of fraught messaging from the federal government. 

“The Lakeshore LGBTQ Cultural District is more than just geography,” said Kin Folkz, a visual artist, poet and founder of the neighborhood’s Queer Arts Center. “It is the way that we refuse to disappear.”

Mayor Barbara Lee presented Lakeshore District leaders with a placard proclaiming Nov. 13 as “Lakeshore LGBTQ Cultural District Day.” 

“The rainbow crosswalk is a signal that you are part of the fabric of Oakland’s history and of Oakland’s future,” Lee said.

Hawkins thanked Lee for securing grant funding to support improvements at the center during her tenure in Congress. He also praised the Alameda County Supervisors for helping make up for the center’s recent loss of federal funding. The Supervisors approved $1.5 million for LGBTQ service providers, with the Oakland center getting some of that funding.

“Our city and county are helping,” Hawkins said. “I’m very confident this is more help than we’ve ever received.”

Bucking the trend

Councilmember Charlene Wang, who represents the Lakeshore District, applauded Oakland for installing the rainbow crosswalk, while lamenting the removal of such crosswalks in Florida and Texas cities. U.S. Transportation Secretary Sean Duffy launched a “roadway safety initiative” in July, urging governors to remove “political messaging and artwork” from intersections. Following that announcement, Orlando, Miami Beach, Gainesville, and Houston removed colorful crosswalks.

“While those cities caved, we are standing strong and we are adding crosswalks,” Wang said.

Megan Wier, an assistant director at the city’s Transportation Department, told Oakland North that the city worked with the LGBTQ center and Councilmember Rowena Brown’s office on a design that reflected diversity but also followed Americans with Disabilities Act requirements.

After the ceremony, everyone shuffled out of the building and into the rain for the crosswalk unveiling. Onlookers clustered under tents to watch Lee, Myers and Brown cut a ceremonial red ribbon, flanked by members of the Lakeshore District committee and the Transportation Department. 

Oakland resident Darron Lewis said he was overjoyed to be there. Lewis, whose boyfriend works for the LGBTQ center, recently moved from Seattle and expressed his admiration for Oakland. 

“It’s an adaptable place,” Lewis said. “There’s nothing more queer than a rainy day in Oakland.”

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These cities are stepping up to provide sanctuary to trans people

Read more at The Advocate.

Attacks on transgender rights didn’t start with Donald Trump — but neither did the movements resisting them.

Since 2022, 25 states have banned most gender-affirming care for trans youth, six of which make it a felony for doctors to provide the treatment. Two have banned surgery only. While only 14 and the District of Columbia have shield laws protecting the care, a small but growing coalition of “sanctuary cities” for trans people are filling in the gaps.

Many may know the term in reference to municipalities that limit cooperation with federal authorities like Immigration and Customs Enforcement that target immigrant communities, but “sanctuary cities” is also used to describe these places that aim to help transgender people.

These cities — of which there are an estimated fewer than 10 in the U.S. — are not superficial “safe spaces.” For trans kids and their families, they are meant to ensure that local resources aren’t used to aid officials from other jurisdictions prosecuting them or their doctors. They also prohibit officials from sharing information about someone’s gender, sex, or health care.

While the resolutions can’t overturn state or federal laws, “the closest point to the community is a council,” says Eric Guerra, mayor pro tem of Sacramento. The City Council voted unanimously to make Sacramento a sanctuary city in March 2024. It was the first state capital to adopt that status.

“It goes down to the fundamental belief that people are people, and we should respect people for who they are,” says Guerra, who was a council member at the time. “And that has helped let our cities move forward.”

Sanctuary city resolutions usually come when residents approach their city council members with evidence showing why they’re needed.

There wasn’t just one person who came forward and motivated officials to declare Olympia, Washington, a sanctuary city in January. Instead, several LGBTQ+ residents commented publicly that they were “feeling very fearful and unsafe” in the wake of Trump’s election, says Assistant City Manager Stacey Ray. The City Council initiated the resolution in response.

Public testimonials from community members about how they have been negatively impacted by anti-LGBTQ+ laws is what Guerra says can be legally considered “factual points of incidents that occur that go contrary to our nation’s fundamental beliefs.”

From there, resolutions go to city attorneys, who must make sure that they don’t go against the state or U.S. Constitution. Ray describes it as a “long, arduous process,” and says officials must consult with local law enforcement about “what we can do within our legal parameters” to enforce the resolution.

“One of the things our council said is they wanted something that was actionable. Not just ‘pretty words,’ but they really wanted something that would be seen as authentically providing the safety that folks were asking for,” Ray says.

California and Washington State have shield laws for abortion and gender-affirming care, making resolutions like those in Sacramento and Olympia in line with state law. Democratic-controlled cities passing local ordinances in Republican-controlled states can lead to more complications, like in Kansas City, Missouri.

The City Council there approved a sanctuary resolution for gender-affirming care in May 2023, shortly after the state legislature passed a bill banning the treatment for trans minors. While the city could not overturn state law, Mayor Quinton Lucas, who introduced the resolution, ordered local police and city personnel to make enforcement “their lowest priority.”

“It just means you have more fights, frankly,” Lucas says. “It also means that here in the red states, we have a little more experience with fighting.”

Sanctuary city resolutions are still helpful in blue states, especially under a federal government hostile to LGBTQ+ people. Since taking office in January, Trump has signed executive orders denying the existence of transgender people and banning federal support for gender-affirming care for those under 19.

“Trump has the authority over a bunch of federal employees, like with the civil rights protections he’s rolled back in hiring specifically for the federal government,” Guerra says. “I think people forget that those roles and those stages also exist in their local community.”

Trump has threatened to withhold federal funding from immigration sanctuary cities and could potentially do the same for cities that protect transgender health care and abortion access, prompting more than a dozen local governments — including the city of Sacramento — to file a lawsuit against the administration.

For Guerra, who is an immigrant, the benefits of protecting a marginalized group far outweigh the risk the Trump administration poses. Lucas also “encourage[s] every mayor with that opportunity to” stand up for LGBTQ+ rights.

“The thing that motivated me was our shared humanity,” he says. “When your state government or your federal government is saying you don’t deserve to exist and [is] trying to remove you as a human being, I think that those of us with whatever power, we have a duty to act.”

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California lawmakers approve measure protecting medical data of transgender people 

Read more at The Hill.

California lawmakers passed legislation this week to prevent health providers from releasing transgender patients’ confidential medical records in investigations of gender-affirming care in states that ban treatment for minors. 

Senate Bill 497, introduced in February by Sen. Scott Wiener, a Democrat representing San Francisco, builds upon a 2022 state law that established California as a state of refuge for transgender people. That law, also authored by Wiener, prevents states that have banned gender-affirming care for minors from taking legal action against trans youth, their families and their doctors over treatment administered in California. 

The latest bill would require law enforcement requesting health information about transgender people in California to provide a warrant, according to Wiener’s office. It would also bar medical providers from complying with out-of-state requests, including subpoenas, for information related to gender-affirming care. 

“California must do everything in our power to protect the transgender community, and I’m confident that the Governor will continue his longstanding leadership on trans issues,” Wiener said in a statement on Thursday after the bill passed. 

The California Senate voted 30-10 on Wednesday to pass Wiener’s bill, which the state Assembly passed earlier this week. A spokesperson for California Gov. Gavin Newsom (D) declined to comment, saying the governor’s office does not typically remark on pending legislation. 

Newsom must sign or veto the measure by Oct. 13. 

The vote on Wiener’s bill comes after the Justice Department announced in June that it had sent more than 20 subpoenas to doctors and clinics “involved in performing transgender medical procedures on children” in investigations of alleged health care fraud and false statements. A subpoena sent to the Children’s Hospital of Philadelphia that was made public in a court filing last month requested patients’ birth dates, Social Security numbers and home addresses, as well as “every writing or record of whatever type” from doctors related to the provision of gender-affirming care to adolescents younger than 19 years. 

The subpoena requested information dating back to January 2020, more than a year before transition-related care was banned anywhere in the U.S. 

On Tuesday, a federal judge blocked an effort by the Trump administration to subpoena medical records of transgender patients who received gender-affirming care at Boston Children’s Hospital, calling the Justice Department’s investigation improper and “motivated only by bad faith.” 

In an email on Friday, a spokesperson for Wiener said Senate Bill 497, if signed, would “strengthen the case for any medical provider who wishes to fight Trump’s vicious assault on the transgender community.” 

President Trump and administration officials have broadly sought to ban gender-affirming care for minors. A Jan. 28 executive order states that the U.S. “will rigorously enforce” laws that ban transition-related care for anyone younger than 19. 

Federal judges have blocked parts of the order threatening funding for hospitals. 

Laws adopted by more than half the nation since 2021 ban gender-affirming care for minors, which major professional medical groups say is medically necessary and often lifesaving for transgender youth and adults. In June, the Supreme Court ruled that states can ban treatment for minors, finding that Tennessee’s prohibition on puberty blockers, hormones and rare surgeries for adolescents does not constitute sex discrimination. 

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What states are the best for LGBTQ+ people? These are the top 15

Read more at The Advocate.

\u200bRainbow crosswalk in Hoboken (L); Women on motorcycles at Denver Pride (M); Empire State Building in rainbow colors (R)

Kirkam / Shutterstock.com; Philipp Salveter / Shutterstock.com; anaglic / Shutterstock.com

Rainbow LGBTQ+ Pride crosswalk in Hoboken, New Jersey (L); Women on motorcycles at Pride celebration in Denver, Colorado (M); Empire State Building in NYC lit up in rainbow colors (R)

    Legislative attacks on the LGBTQ+ community have been pushed everywhere from city councils to the White House — but there are still some areas that are safe.

    Over 1,000 anti-LGBTQ+ laws have been proposed across every state legislature in the U.S. over the past two years, according to the American Civil Liberties Union, and 126 have passed into law. Less than two months into the 2025 legislative session, 390 laws targeting LGBTQ+ people have been proposed.

    Still, marriage equality and anti-discrimination protections based on sexual orientation and gender identity are still guaranteed federally by U.S. Supreme Court rulings (for now). On top of that, at least 15 states have “shield laws” protecting access to gender-affirming care and abortion.

    Based on laws surrounding marriage, family rights, health care, education, and youth collected by the Movement Advancement Project, here are the 15 best states for LGBTQ+ people.

    Related: What states are the most dangerous for LGBTQ+ people? Here are the worst 15

    California

    West Hollywood Pride balloons

    GrandAve / Shutterstock.com

    Pride celebration in West Hollywood, California – June 9, 2019

      Nondiscrimination laws: California has nondiscrimination laws in employment, housing, health care, education, public accommodations, and credit/lending.

      Marriage equality and parental rights: California has adoption and foster care nondiscrimination protections for LGBTQ+ parents, second-parent adoption for unmarried couples and confirmatory adoption, and recognition for parents using assisted reproductive technologies. It also has family leave laws, which include LGBTQ-inclusive definitions.

      Education and youth policies: California does not restrict discussion of LGBTQ+ identities in classrooms, and instead requires curriculum to be LGBTQ-inclusive, which parents are not required to be notified of. It does not prevent transgender students from participating in sports or using school facilities based on their identities, and it does not require staff to forcibly out LGBTQ+ students to their guardians.

      Healthcare access and rights: California has “shield” laws protecting access to gender-affirming care for youth, as well as abortion. The state has also banned so-called conversion therapy for youth. Health insurance companies, including Medicaid, are not allowed to deny coverage related to gender transition. However, they are not required to cover fertility treatments.

      Criminal justice: California’s hate crime laws encompass sexual orientation and gender identity, and it has banned the so-called “LGBTQ+ panic” defense. While the state does not criminalize HIV, it does have sentencing enhancements for sex-related convictions for those with HIV.

      Colorado

      Women on motorcycles at Denver Pride celebration

      Philipp Salveter / Shutterstock.com

      Women on motorcycles at Pride celebration in Denver, Colorado, USA – June 16th 2019

        Nondiscrimination laws: Colorado has nondiscrimination laws in employment, housing, education, health care, public accommodations, and credit/lending.

        Marriage equality and parental rights: Colorado has adoption and foster care nondiscrimination protections for LGBTQ+ parents, second-parent adoption for unmarried couples and confirmatory adoption, and recognition for parents using assisted reproductive technologies. It also has family leave laws, which include LGBTQ-inclusive definitions.

        Education and youth policies: Colorado does not prevent transgender students from participating in sports or using school facilities based on their identities, and it does not require staff to forcibly out LGBTQ+ students to their guardians. It does not restrict discussion of LGBTQ+ identities in classrooms, and instead requires curriculum to be LGBTQ-inclusive, which parents are not required to be notified of.

        Healthcare access and rights: Colorado has “shield” laws protecting access to gender-affirming care for youth, as well as abortion. The state has also banned so-called conversion therapy for youth. Health insurance companies, including Medicaid, are not allowed to deny coverage related to gender transition. However, state employees who are transgender do not have inclusive health benefits. Insurance companies are also not required to cover fertility treatments.

        Criminal justice: The state’s hate crime laws encompass sexual orientation and gender identity, and it has banned the so-called “LGBTQ+ panic” defense. Like California, Colorado does not criminalize HIV, but it does have sentencing enhancements for sex-related convictions for those with HIV.

        Connecticut

        Pride flags outside Vine Cottage CT

        Miro Vrlik Photography / Shutterstock.com

        LGBTQ+ Pride flags outside Vine Cottage in New Canaan, Connecticut – June 13, 2021

          Nondiscrimination laws: Connecticut has nondiscrimination laws in employment, housing, education, public accommodations, and credit/lending. It does not have nondiscrimination laws for private healthcare, and it does have a broad “Religious Exemption” law.

          Marriage equality and parental rights: Connecticut has adoption and foster care nondiscrimination protections for LGBTQ+ parents, second-parent adoption for unmarried couples and confirmatory adoption, and recognition for parents using assisted reproductive technologies. It also has family leave laws, but their LGBTQ-inclusive definitions are not as robust as those of California or Colorado.

          Education and youth policies: Connecticut does not restrict discussion of LGBTQ+ identities in classrooms, but it does not have LGBTQ-inclusive curriculum. It does not prevent transgender students from participating in sports or using school facilities based on their identities, and it does not require staff to forcibly out LGBTQ+ students to their guardians.

          Healthcare access and rights: Connecticut has “shield” laws protecting access to gender-affirming care for youth, as well as abortion. The state has also banned so-called conversion therapy for youth. Health insurance companies, including Medicaid, are not allowed to deny coverage related to gender transition. Private insurance is required to cover some fertility treatments, but Medicaid is not.Criminal justice:Connecticut’s hate crime law encompasses sexual orientation but not gender identity. It also does not have nondiscrimination laws for LGBTQ+ people in jury selection.

          Illinois

          "Persist" balloons at Chicago

          Dominique Robinson / Shutterstock.com

          LGBTQ+ Pride in Chicago, Illinois – June 30th 2019

            Nondiscrimination laws: Illinois has nondiscrimination laws in employment, housing, health care, education, public accommodations, and credit/lending. However, it does have a broad “Religious Exemption” law.

            Marriage equality and parental rights: Illinois has adoption and foster care nondiscrimination protections for LGBTQ+ parents, second-parent adoption for unmarried couples, and recognition for parents using assisted reproductive technologies. It also has family leave laws, which include LGBTQ-inclusive definitions. It does not have confirmatory adoption.

            Education and youth policies: Illinois does not restrict discussion of LGBTQ+ identities in classrooms, and instead requires curriculum to be LGBTQ-inclusive, which parents are not required to be notified of. It does not prevent transgender students from participating in sports or using school facilities based on their identities, and it does not require staff to forcibly out LGBTQ+ students to their guardians.

            Healthcare access and rights: Illinois has “shield” laws protecting access to gender-affirming care for youth, as well as abortion. The state has also banned so-called conversion therapy for youth. Health insurance companies, including Medicaid, are not allowed to deny coverage related to gender transition or fertility treatments.

            Criminal justice: Illinois’ hate crime laws encompass sexual orientation and gender identity, and it has banned the so-called “LGBTQ+ panic” defense.

            Maine

            Woman waving flag at Pride in Portland, Maine

            Enrico Della Pietra / Shutterstock.com

            LGBTQ+ Pride in Portland, Maine – June 18, 2022

              Nondiscrimination laws: Maine has nondiscrimination laws in employment, housing, health care, education, public accommodations, and credit/lending.

              Marriage equality and parental rights: Maine has adoption and foster care nondiscrimination protections for LGBTQ+ parents, second-parent adoption for unmarried couples and confirmatory adoption, and recognition for parents using assisted reproductive technologies. It also has family leave laws, which include LGBTQ-inclusive definitions.

              Education and youth policies: Maine does not restrict discussion of LGBTQ+ identities in classrooms, but it does not have LGBTQ-inclusive curriculum. It does not prevent transgender students from participating in sports or using school facilities based on their identities, and it does not require staff to forcibly out LGBTQ+ students to their guardians.

              Healthcare access and rights: Maine has “shield” laws protecting access to gender-affirming care for youth, as well as abortion. The state has also banned so-called conversion therapy for youth. Health insurance companies, including Medicaid, are not allowed to deny coverage related to gender transition. Private insurance is required to cover some fertility treatments, but Medicaid is not.Criminal justice:Maine’s hate crime laws encompass sexual orientation and gender identity, and it has banned the so-called “LGBTQ+ panic” defense.

              Maryland

              Marchers and floats in the first Annapolis Pride parade

              Keri Delaney / Shutterstock.com

              The inaugural Pride Parade in Annapolis, Maryland – June 29, 2019

                Nondiscrimination laws: Maryland has nondiscrimination laws in employment, housing, health care, education, public accommodations, and credit/lending.

                Marriage equality and parental rights: Maryland has adoption and foster care nondiscrimination protections for LGBTQ+ parents, confirmatory adoption, and recognition for parents using assisted reproductive technologies. It does not second-parent adoption for unmarried couples. It also has family leave laws, but their LGBTQ-inclusive definitions are not as robust as others.

                Education and youth policies: Maryland does not restrict discussion of LGBTQ+ identities in classrooms, but it does not have LGBTQ-inclusive curriculum. It does not prevent transgender students from participating in sports or using school facilities based on their identities, and it does not require staff to forcibly out LGBTQ+ students to their guardians.

                Healthcare access and rights: Maryland has “shield” laws protecting access to gender-affirming care for youth, as well as abortion. The state has also banned so-called conversion therapy for youth. Health insurance companies, including Medicaid, are not allowed to deny coverage related to gender transition. Private insurance is required to cover some fertility treatments, but Medicaid is not.

                Criminal justice: Maryland’s hate crime laws encompass sexual orientation and gender identity, and it has banned the so-called “LGBTQ+ panic” defense. It does have a law criminalizing the transmission of HIV.

                Massachusetts

                Pride flag over Boston Seaport

                Michael Moloney / Shutterstock.com

                LGBTQ+ Pride flag waving in the wind over the Boston Seaport – JUNE 2, 2019

                  Nondiscrimination laws: Massachusetts has nondiscrimination laws in employment, housing, education, public accommodations, and credit/lending. It has nondiscrimination laws for gender identity in private healthcare, but not for sexual orientation.

                  Marriage equality and parental rights: Massachusetts has adoption and foster care nondiscrimination protections for LGBTQ+ parents, second-parent adoption for unmarried couples, and recognition for parents using assisted reproductive technologies. It also has family leave laws, which include LGBTQ-inclusive definitions. It does not have confirmatory adoption.

                  Education and youth policies: Massachusetts does not restrict discussion of LGBTQ+ identities in classrooms, but it does not have LGBTQ-inclusive curriculum. It does not prevent transgender students from participating in sports or using school facilities based on their identities, and it does not require staff to forcibly out LGBTQ+ students to their guardians.

                  Healthcare access and rights: Massachusetts has “shield” laws protecting access to gender-affirming care for youth, as well as abortion. The state has also banned so-called conversion therapy for youth. Health insurance companies, including Medicaid, are not allowed to deny coverage related to gender transition. Private insurance is required to cover some fertility treatments, but Medicaid is not.

                  Criminal justice: Maryland’s hate crime laws encompass sexual orientation and gender identity, but it has not banned the so-called “LGBTQ+ panic” defense. It does not have nondiscrimination protections based on gender identity for jury selection.

                  Minnesota

                  Lowry Avenue Bridge in Minneapolis lit in Rainbow Colors

                  Shuttershock Creative

                  Lowry Avenue Bridge in Minneapolis lit in Rainbow Colors in Honor of Orlando Victims

                    Nondiscrimination laws: Minnesota has nondiscrimination laws in employment, housing, health care, education, public accommodations, and credit/lending.

                    Marriage equality and parental rights: Minnesota has adoption and foster care nondiscrimination protections for LGBTQ+ parents. It does have family leave laws, which include LGBTQ-inclusive definitions. It does not have second-parent adoption for unmarried couples, confirmatory adoption, nor recognition for parents using assisted reproductive technologies.

                    Education and youth policies: Minnesota does not restrict discussion of LGBTQ+ identities in classrooms, but it does not have LGBTQ-inclusive curriculum. It does not prevent transgender students from participating in sports or using school facilities based on their identities, and it does not require staff to forcibly out LGBTQ+ students to their guardians.

                    Healthcare access and rights: Minnesota has “shield” laws protecting access to gender-affirming care for youth, as well as abortion. The state has also banned so-called conversion therapy for youth. Health insurance companies, including Medicaid, are not allowed to deny coverage related to gender transition. However, they are not required to cover fertility treatments.

                    Criminal justice: Minnesota’s hate crime laws encompass sexual orientation and gender identity, and it has banned the so-called “LGBTQ+ panic” defense.

                    Nevada

                    Las Vegas Pride parade float

                    Kobby Dagan / Shutterstock

                    LGBTQ+ Pride parade in Las Vegas, Nevada – October 21 , 2016

                      Nondiscrimination laws: Nevada has nondiscrimination laws in employment, housing, health care, education, public accommodations, and credit/lending.

                      Marriage equality and parental rights: Nevada has adoption and foster care nondiscrimination protections for LGBTQ+ parents, second-parent adoption for unmarried couples, and recognition for parents using assisted reproductive technologies. It also has family leave laws, which include LGBTQ-inclusive definitions. It does not have confirmatory adoption.

                      Education and youth policies: Nevada does not restrict discussion of LGBTQ+ identities in classrooms, and instead requires curriculum to be LGBTQ-inclusive, which parents are not required to be notified of. It does not prevent transgender students from participating in sports or using school facilities based on their identities, but it does not require staff to forcibly out students who change their gender identity to their guardians

                      Healthcare access and rights: Nevada does not have shield laws for gender-affirming care and abortion. The state has also banned so-called conversion therapy for youth. Health insurance companies, including Medicaid, are not allowed to deny coverage related to gender transition. However, they are not required to cover fertility treatments.

                      Criminal justice: Nevada’s hate crime laws encompass sexual orientation and gender identity, and it has banned the so-called “LGBTQ+ panic” defense. It does not have nondiscrimination protections based on gender identity for jury selection.

                      New Jersey

                      Rainbow crosswalk in Hoboken, New Jersey

                      Kirkam / Shutterstock.com

                      Rainbow LGBTQ+ Pride crosswalk in Hoboken, New Jersey, – June 25, 2023

                        Nondiscrimination laws: New Jersey has nondiscrimination laws in employment, housing, education, public accommodations, and credit/lending. It has nondiscrimination laws for gender identity in private healthcare, but not for sexual orientation.

                        Marriage equality and parental rights: New Jersey has adoption and foster care nondiscrimination protections for LGBTQ+ parents, and second-parent adoption for unmarried couples and confirmatory adoption. It also has family leave laws, which include LGBTQ-inclusive definitions. It does not have recognition for parents using assisted reproductive technologies.

                        Education and youth policies: New Jersey does not restrict discussion of LGBTQ+ identities in classrooms, and instead requires curriculum to be LGBTQ-inclusive, which parents are not required to be notified of. It does not prevent transgender students from participating in sports or using school facilities based on their identities, and it does not require staff to forcibly out LGBTQ+ students to their guardians.

                        Healthcare access and rights: New Jersey has “shield” laws protecting access to gender-affirming care for youth, as well as abortion. The state has also banned so-called conversion therapy for youth. Health insurance companies, including Medicaid, are not allowed to deny coverage related to gender transition. Private insurance is required to cover some fertility treatments, but Medicaid is not.

                        Criminal justice: New Jersey’s hate crime laws encompass sexual orientation and gender identity, and it has banned the so-called “LGBTQ+ panic” defense. It does not have nondiscrimination laws for LGBTQ+ people in jury selection.

                        New York

                        Empire State Building in rainbow colors

                        anaglic / Shutterstock.com

                        Empire State Building in rainbow colors in honor of the Orlando shooting victims, New York City – June 26, 2016

                          Nondiscrimination laws: New York has nondiscrimination laws in employment, housing, health care, education, public accommodations, and credit/lending.

                          Marriage equality and parental rights: New York has adoption and foster care nondiscrimination protections for LGBTQ+ parents, second-parent adoption for unmarried couples, and recognition for parents using assisted reproductive technologies. It also has family leave laws, which include LGBTQ-inclusive definitions. It does not have confirmatory adoption.

                          Education and youth policies: New York does not restrict discussion of LGBTQ+ identities in classrooms, but it does not have LGBTQ-inclusive curriculum. It does not prevent transgender students from participating in sports or using school facilities based on their identities, and it does not require staff to forcibly out LGBTQ+ students to their guardians.

                          Healthcare access and rights: New York has “shield” laws protecting access to gender-affirming care for youth, as well as abortion. The state has also banned so-called conversion therapy for youth. Health insurance companies, including Medicaid, are not allowed to deny coverage related to gender transition. Private insurance and Medicaid are also required to cover some fertility treatments.

                          Criminal justice: New York’s hate crime laws encompass sexual orientation and gender identity, and it has banned the so-called “LGBTQ+ panic” defense.

                          Oregon

                          Protestors wear rainbow flag capes and carry a sign reading "Be nice, you're in Oregon"

                          Alexander Oganezov / Shutterstock.com

                          Protestors wear rainbow flag capes and carry a sign reading “Be nice, you’re in Oregon” at anti-fascism protest in Portland, Oregon – August 17, 2019

                            Nondiscrimination laws: Oregon has nondiscrimination laws in employment, housing, health care, education, and public accommodations. It does not have nondiscrimination laws in credit/lending.

                            Marriage equality and parental rights: Oregon has adoption and foster care nondiscrimination protections for LGBTQ+ parents and second-parent adoption for unmarried couples. It does have family leave laws, which include LGBTQ-inclusive definitions. It does not have confirmatory adoption, nor recognition for parents using assisted reproductive technologies.

                            Education and youth policies: Oregon does not prevent transgender students from participating in sports or using school facilities based on their identities, and it does not require staff to forcibly out LGBTQ+ students to their guardians. It does not restrict discussion of LGBTQ+ identities in classrooms, and instead requires curriculum to be LGBTQ-inclusive, which parents are not required to be notified of.

                            Healthcare access and rights: Oregon has “shield” laws protecting access to gender-affirming care for youth, as well as abortion. The state has also banned so-called conversion therapy for youth. Health insurance companies, including Medicaid, are not allowed to deny coverage related to gender transition. However, they are not required to cover fertility treatments.

                            Criminal justice: Oregon’s hate crime laws encompass sexual orientation and gender identity, and it has banned the so-called “LGBTQ+ panic” defense.

                            Rhode Island

                            Rainbow flags on bridge over water in Providence, Rhode Island

                            Anthony Ricci / Shutterstock.com

                            Pride festival in downtown Providence, Rhode Island – June 17, 2017

                              Nondiscrimination laws: Rhode Island has nondiscrimination laws in employment, housing, education, public accommodations, and credit/lending. It has nondiscrimination laws for gender identity in private healthcare, but not for sexual orientation. It also has a broad “Religious Exemption” law.

                              Marriage equality and parental rights: Rhode Island has adoption and foster care nondiscrimination protections for LGBTQ+ parents, second-parent adoption for unmarried couples and confirmatory adoption, and recognition for parents using assisted reproductive technologies. It also has family leave laws, but their LGBTQ-inclusive definitions are not as robust as others.

                              Education and youth policies: Rhode Island does not restrict discussion of LGBTQ+ identities in classrooms, but it does not have LGBTQ-inclusive curriculum. It does not prevent transgender students from participating in sports or using school facilities based on their identities, and it does not require staff to forcibly out LGBTQ+ students to their guardians.

                              Healthcare access and rights: Rhode Island has “shield” laws protecting access to gender-affirming care for youth, as well as abortion. The state has also banned so-called conversion therapy for youth. Health insurance companies, including Medicaid, are not allowed to deny coverage related to gender transition. Private insurance is required to cover some fertility treatments, but Medicaid is not.

                              Criminal justice: Rhode Island’s hate crime laws encompass sexual orientation and gender identity, and it has banned the so-called “LGBTQ+ panic” defense. It does not have nondiscrimination laws for LGBTQ+ people in jury selection.

                              Vermont

                              Pride flag on lamppost in Montpelier, Vermont

                              Charles Patrick Ewing / Shutterstock.com

                              LGBTQ+ Pride flag on lamppost in Montpelier, Vermont – June 11, 2022

                                Nondiscrimination laws: Vermont has nondiscrimination laws in employment, housing, health care, education, public accommodations, and credit/lending.

                                Marriage equality and parental rights: Vermont has adoption and foster care nondiscrimination protections for LGBTQ+ parents, second-parent adoption for unmarried couples, and recognition for parents using assisted reproductive technologies. It also has family leave laws, which include LGBTQ-inclusive definitions. It does not have confirmatory adoption.

                                Education and youth policies: Vermont does not restrict discussion of LGBTQ+ identities in classrooms, but it does not have LGBTQ-inclusive curriculum. It does not prevent transgender students from participating in sports or using school facilities based on their identities, and it does not require staff to forcibly out LGBTQ+ students to their guardians.

                                Healthcare access and rights: Vermont has “shield” laws protecting access to gender-affirming care for youth, as well as abortion. The state has also banned so-called conversion therapy for youth. Health insurance companies, including Medicaid, are not allowed to deny coverage related to gender transition. However, state employees who are transgender do not have inclusive health benefits. Insurance companies are also not required to cover fertility treatments.

                                Criminal justice: Vermont’s hate crime laws encompass sexual orientation and gender identity, and it has banned the so-called “LGBTQ+ panic” defense. It does not have nondiscrimination laws for LGBTQ+ people in jury selection.

                                Washington

                                People carrying "We say trans" and "We say gay" signs at Seattle Pride

                                SeaRick1 / Shutterstock.com

                                People carrying rainbow signs reading “We say trans” and “We say gay” at LGBTQ+ Pride in Seattle, Washington – June 25, 2023

                                  Nondiscrimination laws: Washington has nondiscrimination laws in employment, housing, health care, education, public accommodations, and credit/lending.

                                  Marriage equality and parental rights: Washington has adoption and foster care nondiscrimination protections for LGBTQ+ parents and recognition for parents using assisted reproductive technologies.. It does have family leave laws, which include LGBTQ-inclusive definitions. It does not have second-parent adoption for unmarried couples, nor confirmatory adoption.

                                  Education and youth policies: Washington does not restrict discussion of LGBTQ+ identities in classrooms, and instead requires curriculum to be LGBTQ-inclusive, which parents are not required to be notified of. It does not prevent transgender students from participating in sports or using school facilities based on their identities, and it does not require staff to forcibly out LGBTQ+ students to their guardians.

                                  Healthcare access and rights: Washington has “shield” laws protecting access to gender-affirming care for youth, as well as abortion. The state has also banned so-called conversion therapy for youth. Health insurance companies, including Medicaid, are not allowed to deny coverage related to gender transition. However, they are not required to cover fertility treatments.

                                  Criminal justice: Washington’s hate crime laws encompass sexual orientation and gender identity, and it has banned the so-called “LGBTQ+ panic” defense. It does have a law criminalizing the transmission of HIV.

                                  Honorable mentions

                                  Sign outside SCOTUS reading "Equality for LGBTQ people no more, no less"

                                  Bob Korn / Shutterstock.com

                                  Rally for LGBTQ rights outside Supreme Court in Washington, D.C. – OCT. 8, 2019

                                    Washington, D.C. also ranked high on MAP’s assessment, though it does not currently have statehood.

                                    Other states that ranked above average include: Delaware, Hawaii, Michigan, New Hampshire, New Mexico, and Virginia.

                                    0

                                    Lisbon Portugal ranks as the top LGBTQ friendly city in the world

                                    Pride Month is not quite over yet! Just in time for some more LGBTQ friendliness is this list from Big 7 Enjoy Travel. They rank the top 30 LGBTQ friendly cities on the planet.

                                    For a city to rank highly as LGBTQ+ friendly, first and foremost, it needs to protect LGBTQ+ people with laws and legislation. Then, it needs a vibrant gay nightlife and dating scene, whether within a gay village or across the city. Either way, there needs to be a safe community for LGBTQ+ people, as well as open-minded citizens and low levels of hate crime.

                                    Ranking criteria:

                                    • Gay Index Rating – measures how safe a country is for LGBT people, considering the legal situation and living conditions
                                    • Equality Index Rating – measures the status of LGBT rights, laws, and freedoms as well as public attitudes towards LGBT people
                                    • Is the city’s country a member of the United Nations LGBTI Core Group?
                                    • How big is their Pride celebration?
                                    • Does that city have a gay village/gay community?

                                    The final scores show the Top 30 LGBTQ+ Friendly Cities in the World! Here’s your ultimate gay-friendly travel list…

                                    30. Vienna, Austria

                                    Vienna is widely known for its gender, disability, LGBTQ and racial inclusivity and equality, with many parades, pride events and specialist causes. While Vienna doesn’t have a specific gay village or district, its Naschmarkt area is full of gay bars and clubs, making it a hotspot for LGBTQ+ members. 

                                     Vienna has also hosted the EuroPride and hosts an annual citywide Pride parade in June. Vienna is also an LGBTI Core Group member and has a reasonably high Gay Index Rating, making it a safe and appealing place for LGBTQ+ members. It’s safe to say that Vienna is a welcoming and inclusive city for not just LGBTQ+ people, but for everyone, no matter your sexuality, gender, religion or ethnic group.

                                    29. Puerto Vallarta, Mexico

                                    You may not have heard of this city against its larger and more tourist-centred neighbours of Mexico City and Cancun, but Puerto Vallarta deserves to be celebrated for its strong LGBTQ+ representation and inclusivity. According to our rankings, Puerto Vallarta scored highly in terms of Gay Index Rating, and attendance to the city’s annual Pride event is significant.

                                     Puerto Vallarta has been cited as the ‘gay capital of Mexico’, thanks to its bustling Zona Romantica area, which is heavily centred around LGBTQ+, with vibrant gay bars, inclusive hotels and lively clubs. While you’re likely to find LGBTQ+ friendly areas across Mexico, Puerto Vallarta is one of the best places to celebrate being a member of the community.

                                    28. Glasgow, UK 

                                    Glasgow, Scotland’s largest city, is a hub for inclusivity, with its lively Merchant City district being the LGTBQ+ capital. You can expect to find a variety of LGBTQ+ friendly bars and clubs, as well as a welcoming and open-minded atmosphere. Glasgow’s annual pride event amasses thousands of attendees each year, seeing proud members of the community come together to march and parade, surrounded by the signature rainbow flags. 

                                     Glasgow’s quality of life and general acceptance for the LGBTQ+ community is high, giving an indication of how strong its LGBTQ+ community and representation is. The city is also an LGBTI Core Group Member. 

                                    27. Melbourne, Australia

                                    Melbourne is generally an accepting city for most types of groups within society, which gives an indication as to its welcoming and inclusive atmosphere. It scores highly on the Gay Index Rating, and is a member of the LGBTI Core Group, as well as scoring highly on the Equaldex Score. But, data aside, there is a thriving and welcoming community right at its core that appeals to all groups in society, whether members of the LGBTQ+ community or not.

                                    Its annual Pride march has also surpassed 60,000 attendees in recent years. Melbourne’s Fitzroy area is considered to be the ‘gay village’, with a number of LGBTQ+ friendly bars and clubs and a buzzing atmosphere both before and after dark, but generally no matter where you go in Melbourne you’ll be met with a warm and friendly welcome. 

                                    26. Taipei, Taiwan

                                    You may not commonly associate Taiwan with LGBTQ+ communities, but its capital Taipei has one of the largest LGBTQ+ presences, with a vibrant LGBTQ+ presence in its Ximen Red House area of the city, which features a lively and bustling scene with bars and clubs. Taipei is known for its inclusivity, and is perhaps a hidden gem amongst the most LGBTQ+ friendly cities, but definitely worth a visit. Taipei also hosts its annual Pride march, which is considered to be the largest of its kind in East Asia, seeing an attendance of more than 120,000 in recent years. 

                                    25. Barcelona, Spain

                                    Barcelona, along with Madrid, are widely known as the LGBTQ+ capitals of Spain, with a high Gay Index Rating and a large Pride attendance across each city. Barcelona and the rest of Spain are highly regarded for their acceptance of the LGBTQ+ community, as Spain was one of the first countries in the world to legalise gay marriage in 2005. Barcelona has a thriving LGBTQ+ scene, with an abundance of gay bars, clubs and even beaches that cater to the LGBTQ + community – no matter where you go in Barcelona, you’ll be welcomed with open arms regardless of your sexual orientation or gender. 

                                    24. Oslo, Norway

                                    Norway is commonly associated with being a liberal, inclusive and welcoming country, and its capital Oslo comes out on top in terms of LGBTQ+ representation and inclusivity. The city has high Equaldex Score and Gay Index Rating, so is a must-visit for members of the LGBTQ+ community. Did you know that Oslo also hosts an annual Pride event that has amassed around 90,000 attendees in recent years? Oslo’s main LGBTQ+ friendly area is Grünerløkka, where you’ll find a large collection of LGBTQ+ friendly bars, restaurants and clubs, although the city as a whole is welcoming and accepting no matter where you go.  

                                    23. Helsinki, Finland

                                    Scoring highly on both the Equaldex and Gay Index Rating, as well as having a large Pride attendance and overall LGBTQ+ presence, Helsinki is one of the best places to be if you want to feel welcomed with open arms in every corner of the city, no matter your sexual orientation, gender or who you identify as. 

                                    Helsinki’s annual Pride march and parade typically sees more than 100,000 attendees, giving an idea of how inclusive the city really is. Finland is known for being a progressive and liberal country, and same-sex marriage has been legal in the country since 2017, having been decriminalised since the early 1970s and views changing in the early 80s.

                                    22. Montreal, Canada

                                    Montreal is one of the LGBTQ+ capitals of Canada, celebrating the community with a designated ‘gay village’ district and a large attendance to the city’s annual Pride events. Montreal is considered a trailblazer in terms of promoting and accepting LGBTQ+ rights, as Quebec was the first province of Canada to ban discrimination around sexuality and sexual orientation in 1977. As with much of the rest of Canada, Montreal has since adopted a liberal and accepting stance on LGBTQ+ communities, and scores highly on both the Equaldex and Gay Index rankings. 

                                    21. Buenos Aires, Argentina

                                    Argentina’s capital is often cited as the ‘gay capital of South America’, with a downtown district that is rife with gay bars, restaurants and clubs, and a high Gay Index Rating. Argentina was also the first Latin-American country to legalise same-sex marriage in 2010, and has since become the place to be in terms of inclusivity and LGBTQ+ rights.

                                    Buenos Aires also has a large Pride attendance and citywide celebrations, with a thriving LGBTQ+ presence that makes the city rank highly for equality, inclusivity and representation. Aside from the obvious inclusivity that Buenos Aires offers, the city is a vibrant social hub and welcomes people from all social groups and communities.

                                    20. Reykjavik, Iceland

                                    Reykjavik has long been considered a haven for LGBTQ+ members and most groups in society, and although the city may be small, it packs a punch in terms of LGBTQ+ rights and representation. Reykjavik’s most recognisable street is so iconic thanks to its rainbow road, which indicates and highlights Reykjavik’s support for equality surrounding the LGBTQ+ community. Reykjavik’s Pride event is a large-scale affair, with thousands of locals and tourists attending to show their support. Reykjavik also has one of the highest Gay Index Ratings and Equaldex Scores. 

                                    19. Bogotá, Colombia

                                    Although Bogota has the lowest Equaldex score, it has a high Gay Index Rating and a vibrant gay village that features what is considered to be the largest gay club in South America, Theatron.

                                    Bogota’s annual Pride event has also seen crowd sizes of more than 100,000 people, making it one of the largest Pride celebrations around. It’s clear that Bogota is a friendly, inclusive and welcoming place for every tourist, whether they’re part of the LGBTQ+ community or not.

                                    18. Valletta, Malta

                                    This small city packs an almighty punch in terms of LGBTQ+ inclusivity. Valletta ranks highly on both Gay Index Rating and Equaldex, with scores of 8.5 and 100, respectively, giving an idea of how supportive the city is for the rights of LGBTQ+. Valletta also sees a large turnout for its annual Pride festival and march, and has hosted the widely renowned EuroPride in 2023, adding to Valletta’s reputation as one of the most LGBTQ+ friendly cities in Europe. 

                                    17. Copenhagen, Denmark

                                    The Scandinavian countries are known for their progressiveness, inclusivity, liberal stances and welcoming and accepting cultures, especially when it comes to LGBTQ+ rights and support. Copenhagen, Denmark’s capital, is known for its lively and thriving LGBTQ+ community, with many gay bars and clubs, as well as a large Pride event. Denmark was one of the first countries in Europe to legalise gay marriage in 2012, and has recognised and accepted homosexuality since the 1930s. 

                                    16. Cape Town, South Africa

                                    South Africa is a trailblazer for LGBTQ+ rights on the continent, becoming the first country in Africa to legalise same sex marriage in 2006, and Cape Town is at the heart of this legacy. The progressive and inclusive stance makes the city both welcoming and fun for queer locals and visitors, with a schedule of gay-friendly events throughout the year. The coastal capital bursts into the colours of Pride every February/March, and other vibrant celebrations include the Mother City Queer Project and the Out in Africa Film Festival. The De Waterkant neighbourhood is the city’s LGBTQ+ hub, with gay-owned bars, gyms, shops, and cafes, as well as the iconic rainbow crossing – a visual representation of South Africa’s anti-discrimination laws.

                                    15. Mexico City, Mexico

                                    Mexico City was the first Latin American city to legalise same-sex marriage in 2007, and since then, the city has upheld their views and stances on LGBTQ+ support. The city celebrates with one of the world’s largest Pride events, having been attended by more than 1 million people in recent years.

                                    Mexico City scores well on the Gay Index and Equaldex Rating, and its Zona Rosa region is one of the liveliest LGBTQ+ hubs around. It’s safe to say that you’ll be welcomed and supported as a member of the LGBTQ+ community in Mexico City.

                                    14. Cologne, Germany

                                    Although this city underperforms on the Gay Index Rating, its quality of life and inclusivity for members of the LGBTQ+ community far outweigh this. Cologne’s Pride is the largest in Germany and one of the largest in Europe, with over 1 million attendees in recent years.

                                    Cologne is also often considered by many as the ‘gay capital of Germany’, thanks to its large-scale Pride attendance and modern and progressive views on the LGBTQ+ community and rights. Cologne is a vibrant and lively city, with a population that is accepting, friendly and welcoming to every tourist, no matter their social group or community.

                                    13. Brighton, UK

                                    Brighton has a reputation in the UK for being the ‘gay capital’, with a strong sense of community, support and representation for all members of the LGBTQ+ community. Brighton has long had a reputation for its LGBTQ+ scene, dating back to the 1930s, when the city flourished as an inclusive and openly LGBTQ+ space.

                                    The city has since embraced its LGBTQ+ population with an annual large-scale Pride event that sees more than 500,000 attendees. The city is well known for its Pride event, which has been cited as the best in the UK, and its resident gay village and LGBTQ+ district of Kemptown is rife with inclusive bars, clubs and spaces.

                                    12. Paris, France

                                    Paris really comes out on top with its diversity and inclusion for all groups in society. Paris’s annual pride event regularly attracts more than 700,000 attendees, and its vibrant and thriving Marais district is associated with a large LGBTQ+ population. Paris and France as a whole legalised same-sex marriage in 2013, making them one of the first countries/cities in Europe to do so.

                                    11. São Paulo, Brazil

                                    If there’s one thing Brazil knows how to do, it’s throw spectacular street parties and parades. São Paulo’s annual Pride is often considered to be the largest in the world, with more than three million attendees in recent years. São Paulo has also featured in the Guinness World Record for the size and scale of its Pride event. 

                                    What’s more, the city is a hub for all things LGBTQ+, with a lively district dedicated to welcoming and representing its LGBTQ+ population. Although the city has a relatively low Gay Index Rating and Equaldex Score, its citywide celebration of LGBTQ+ is enough to make it rank highly for best LGBTQ+ friendly cities. 

                                    10. Sydney, Australia

                                    Sydney is one of the most LGBTQ+ friendly cities in the world, and the gay capital of Australia, with its annual Gay and Lesbian Mardi Gras festival leading the way in LGBTQ+ representation and support. Sydney’s Darlinghurst region is considered the gay hub of the city, and has a lengthy history of supporting and upholding LGBTQ+ community rights. Sydney ranks highly on both the Equaldex and Gay Index rankings, and it is a member of the Core LGBTI Group. 

                                     Sydney and Australia as a whole have a long history of protecting and supporting the rights of LGBTQ+ members, as homosexuality was decriminalised in the state of New South Wales in 1984, and same-sex marriage was legalised in Australia in 2017. Its annual Gay and Lesbian Mardi Gras event also sees attendees of more than 200,000, making it the largest Pride event in Australia and Oceania as a whole. 

                                    9. Toronto, Canada 

                                    Canada’s largest city hosts the country’s largest Pride event, with just shy of 3 million attendees in recent years, making it North America’s largest and most spectacular Pride Event. Toronto is a buzzing hub for queer peoples, and is one of the most LGBTQ+ friendly cities in the world. Its Church and Wellesley district is the focal point for the LGBTQ+ community, as it is rife with bars, clubs and spaces that are openly supportive. 

                                    In terms of statistics, Toronto has a Gay Index Score of 8 and an Equaldex Score of 100, making it one of the best cities for the community. Toronto and Canada as a whole’s LGBTQ+ history is lengthy, with homosexuality becoming decriminalised in the late 1960s, and same-sex marriage being legalised in 2003 in Ontario Province, with the rest following suit not long after.

                                    8. San Francisco, USA

                                    San Francisco is a trendy and diverse Californian city, considered the gay capital of the state. The city is often ranked highly among the world’s most LGBTQ+ friendly cities, and has a sprawling LGBTQ+ scene and district that makes it welcoming and appealing to all members of the community. The city’s annual Pride event is also one of the largest in the US and the world, with around 1 million attendees in recent years. San Francisco and California State are known for their more liberal and progressive views on several matters, not just gay rights, so it makes sense that San Francisco adopts the same inclusive views and atmosphere. 

                                    San Francisco ranks at 8.5 on the Gay Index Ranking and at 100 on the Equaldex, giving an indication of its support of LGBTQ+ rights and representation. San Francisco was also one of the first cities in the US to allow same-sex marriage in 2004, despite it not being legal statewide until 2013. Since this, San Francisco has been recognised as one of the LGBTQ+ capitals of the US. 

                                    7. Amsterdam, Netherlands

                                    Did you know that the Netherlands was the first country in the world to legalise same-sex marriage in 2001? The city is home to some of the most progressive and liberal views on LGBTQ+ communities in the world. It also has one of the longest LGBTQ+ histories, with homosexuality apparently being decriminalised as far back as 1811, and gay bars and clubs being established in the late 1920s. Since then, Amsterdam and the Netherlands as a whole have become inclusive, supportive and proud of their resident LGBTQ+ communities. 

                                     Amsterdam itself has a Gay Index ranking of 8, and an Equaldex score of 100, and its lively Canal Parade Pride event sees attendee numbers of more than 500,000, making Amsterdam’s Pride scene one of the largest in Europe and the world. Amsterdam’s Reguliersdwarsstraat region is the most significant LGBTQ+ area in the city, with a collection of LGBTQ+ friendly establishments, bars, clubs and restaurants. 

                                    6. Berlin, Germany

                                    Berlin has a lengthy history of supporting and protecting LGBTQ+ rights, and is one of Germany’s ‘gay capitals’, and certainly one of the ‘gay capitals’ of Europe. The city has, for a long time, recognised and respected the rights of LGBTQ+ members, with a thriving gay village and a strong sense of community and inclusivity across the city. 

                                    Berlin ranks highly on the Gay Index and has a high Equaldex score, demonstrating how inclusive and safe it is for proud LGBTQ+ members. Its annual Pride event attracts between 500,000-1 million attendees, with the whole city and tourists coming together to support the community and partake in parades and marches. Germany is known for its progressive and liberal stance on LGBTQ+ rights and protection, so it makes sense that Berlin is a thriving hub for community members. 

                                    5. Madrid, Spain

                                    With a thriving LGBTQ+ culture, Europe’s largest Pride event with more than 2 million attendees, and a plethora of LGBTQ+ friendly bars, clubs and restaurants, Madrid is definitely the place to be. Spain was one of the first countries in the world to legalise same-sex marriage in 2005, and homosexuality was legalised in 1979. 

                                    Madrid has a thriving LGBTQ+ community and scene, and caters to the community in a number of inclusive ways. Its Pride event is one of the city’s most important events of the year, and sees well over 2 million people attend each year. Madrid also has one of the highest Gay Index scores and an Equaldex score of 100. 

                                    4. London, UK

                                    London is associated with a thriving and strong LGBTQ+ presence, and a number of gay bars, restaurants and exclusive LGBTQ+ spaces. Soho is the beating heart of the LGBTQ+ community, with a wide range of LGBTQ+ friendly spaces, but most of London is accepting and inclusive towards the community. Not only does London score highly on both the Gay Index and Equaldex rankings, but since the late 1960s, views and laws surrounding same-sex activities have become much more liberal and accepting, with same-sex marriage becoming officially legal across the UK in 2013. 

                                    London’s annual Pride event sees a turnout of more than 1 million people, making it one of the largest Pride events in the world. London also has a lengthy and significant LGBTQ+ history, with activism, marches and events being at the forefront. It’s safe to say that London is not only the capital of the UK, but it is one of the capitals of the world when it comes to LGBTQ+ rights and acceptance.

                                    3. Porto, Portugal

                                    First and foremost, Portugal was one of the first countries to legalise same-sex marriage in 2010, with its cities of Lisbon and Porto becoming thriving LGBTQ+ hubs since.

                                    ,Porto’s main LGBTQ+ district is Galerias de Paris and several other spots around the city, but the city as a whole has an inclusive and accepting feel no matter where you go. Although Porto has one of the lowest Gay Index scores of 6.9, it makes up for it with its Pride celebration that sees a significant turnout and its high Equaldex score of 93. 

                                    2. Dublin, Ireland

                                    Dublin hasn’t always been the safe and accepting place for the LGBTQ+ community that it is now, but views and laws have drastically changed since homosexuality was decriminalised in 1993, and same-sex marriage was legalised by popular vote in 2015, making Ireland the first country in the world to legalise it in this way. 

                                    Dublin is now a thriving hub for all members of the community. The city’s progressive stances on LGBTQ+ make it all the more welcoming and inclusive to people of all backgrounds. To further Dublin’s changing views on LGBTQ+, its annual Pride event sees attendees of more than 70,000 take to the streets in solidarity for the community and its rights. 

                                    1. Lisbon, Portugal

                                    Now we come to number 1, the world’s most LGBTQ+ friendly city: Lisbon. The city is a trailblazer in cultivating a safe, supportive, and fun community for queer people. It’s not just the capital that’s gay-friendly; Portugal decriminalised homosexuality in 1982 and was the eighth country in the world to legalise same-sex marriage in 2010. 

                                    The city’s chart-topping Equaldex score of 100 solidifies it as an inclusive powerhouse, and Lisbon celebrates in true festive style with a colourful, fun-filled Pride weekend in June. Lisbon also hosts the International Queer Film Festival.

                                    0

                                    Gavin Newsom cut LGBTQ+ health funding. The CA legislature is set to restore $40 million

                                    *This is reported by The Advocate.

                                    The California legislature is expected to restore $40 million in the state budget for LGBTQ+ health programs that was cut by Democratic Gov. Gavin Newsom.

                                    Lawmakers are set to approve their revisions to the governor’s budget today, according to the Bay Area Reporter, which will restore funding for the California Department of Public Health’s Office of Health Equity (OHE). Newsom had eliminated the funds in his revised budget proposal released last month, drawing heavy condemnation from both lawmakers and LGBTQ+ groups.

                                    The office funds several programs for LGBTQ+ youth, women, and transgender people through its Gender Health Equity Section (GHES), which is “dedicated to eliminating systemic bias that impacts health outcomes based on gender, gender identity, and sexual orientation.” In pausing funds, the governor also paused enrollment for undocumented adults in state healthcare programs.

                                    The Los Angeles LGBT Center, which has been a recipient of some of the funds, including $1.9 million in 2022 for its Audre Lorde Health Program, sharply criticized Newsom’s proposed budget. CEO Joe Hollendoner said in a statement that the cuts were “a betrayal of queer and trans Californians.”

                                    “Let’s be clear: balancing the state budget on the backs of vulnerable queer communities is a moral failure,” he said. “In cutting this funding, Governor Newsom has chosen to sacrifice the health and dignity of those already navigating intersecting barriers of misogyny, racism, transphobia, and xenophobia — including undocumented LGBTQ+ people. These cuts, along with the pausing of enrollment for adult undocumented Californians, are a clear attack on our healthcare system and the people who depend on it.”

                                    The governor must still approve the legislature’s revisions to the state budget, which has has until June 30 to sign into law. Newsom, who is set to negotiate with lawmakers over the next few days, has not indicated whether or not he will agree to leave the funds.

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                                    California’s public schools are now prohibited from forcibly outing queer students

                                    This blog originally appeared at LGBTQ NATION.

                                    “LGBTQ+ students across California can breathe a sigh of relief,” stated one LGBTQ+ organization, following the passage of this groundbreaking law.

                                    California Governor Gavin Newsom (D) has signed a pioneering law banning forced outings in state public schools.

                                    The SAFETY Act prohibits school district policies that mandate educators to inform parents if their child requests to use pronouns or facilities different from the gender assigned at birth.

                                    The law, which takes effect immediately, also protects teachers and administrators from retaliation if they choose not to follow district directives to out queer students to their parents. Additionally, it provides funding for resources to assist parents and families of queer students in having supportive conversations about their identities, ensuring that these discussions occur in a way that makes the children feel safe and respected.

                                    The SAFETY Act — Support Academic Futures & Educators for Today’s Youth — passed the state Assembly in June by a vote of 60-15.

                                    Forced outing policies have proliferated in California since 2023, with more than a dozen school districts implementing rules to notify parents and guardians of students who identify as trans or a gender different from the one listed on their birth certificate.

                                    “The very personal decision for a student to come out should be on their own terms to whoever they choose to share that information with when they are ready,” said the bill’s author, San Diego Assemblyman Chris Ward (D), in a statement. “Teachers should not be the gender police.”

                                    “In California, LGBTQ+ students — like all students — have the right to a safe and welcoming school environment,” Becca Cramer-Mowder with ACLU California Action said in a statement.

                                    “With the Governor’s signature, our state becomes the first in the country to ensure protections against forced outing in school are clearly enshrined in statute,” she added. “LGBTQ+ students and their families deserve to decide on their own terms when and how to have conversations about coming out.”

                                    Eight red states have enacted legislation mandating schools out trans students, while another five have passed laws promoting parental notification, according to the Movement Advancement Project.

                                    In California, the policies have become a lightning rod, particularly in conservative inland areas of the state.

                                    In April, a defiant conservative majority on the board of the Murrieta Valley Unified School District in Riverside County voted to ignore an order from the state to rescind a parental notification policy. A packed audience in the ruby red district cheered the result when it occurred.

                                    Similar battles are being waged in other Riverside County school districts, including Temecula and Chino, both hotbeds of “parental rights” activism.

                                    “We will continue to stand strong, linked arms all over California, to ensure the government does not infringe on parental rights — period,” Chino Valley School Board President Sonja Shaw said earlier this year.

                                    A state investigation in Murrieta was prompted after two teachers filed a complaint. One was filed by 6th and 7th grade teacher Karen Poznanski, who is also a district parent with a nonbinary child.

                                    “This policy, whether enforced or not, hindered our LGBTQ+ students from living authentically,” Poznanski told The Los Angeles Times. “Moreover, it not only compromised their privacy and dignity, but also perpetuated harm and discrimination against LGBTQ+ individuals and their families.”

                                    In a statement, the state LGBTQ+ advocacy organization Equality California said, “We are grateful to Governor Newsom for demonstrating his unwavering commitment to the LGBTQ+ community by signing the SAFETY Act into law. Over the past year, more than a dozen extremist school boards across California have considered or passed these harmful policies that openly discriminate against transgender students and prevent them from safely being themselves at school.”

                                    “The SAFETY Act could not be more timely or necessary, and LGBTQ+ students across California can breathe a sigh of relief following today’s action by the Governor,” the statement continued. “LGBTQ+ youth across California can now have these important family conversations when they are ready and in ways that strengthen the relationship between parent and child, not as a result of extremist politicians intruding into the parent-child relationship.”

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                                    Florida’s surgeon general defies scientific consensus amid measles outbreak | The Washington Post

                                    This blog originally appeared at THE WASHINGTON POST.

                                    Florida Surgeon General Joseph Ladapo in 2021.

                                    As a Florida elementary school grapples with a growing measles outbreak, the state’s top health official is providing advice that contradicts scientific consensus, potentially putting unvaccinated children at risk of contracting one of the most contagious pathogens on Earth, according to clinicians and public health experts.

                                    In a letter to parents at a Fort Lauderdale-area school following six confirmed measles cases, Florida Surgeon General Joseph A. Ladapo failed to urge parents to vaccinate their children or to keep unvaccinated students home as a precaution.

                                    Instead of following the “normal” recommendation that parents keep unvaccinated children home for up to 21 days — the incubation period for measles — Ladapo stated that the state health department “is deferring to parents or guardians to make decisions about school attendance.”

                                    Ladapo’s controversial decision continues a pattern of defying public health norms, especially regarding vaccines. Last month, he called for halting the use of mRNA coronavirus vaccines, a move widely condemned by the public health community.

                                    Ben Hoffman, president of the American Academy of Pediatrics, criticized Florida’s guidance, stating that it contradicts longstanding and widely accepted public health recommendations for measles, a disease that can lead to severe complications, including death.

                                    “It contradicts everything I’ve ever heard and read,” Hoffman stated. “It goes against our policy and what the Centers for Disease Control and Prevention would recommend.”

                                    In 2024, measles outbreaks have surged, with the CDC recording at least 26 cases across 12 states, doubling the count from the previous year. Apart from the six cases identified in the Florida school, instances have been documented in Arizona, California, Georgia, Maryland, Minnesota, Missouri, New Jersey, New York City, Ohio, Pennsylvania, and Virginia.

                                    The surge in measles outbreaks is attributed to the increasing number of parents seeking exemptions from childhood vaccinations. This trend has emerged in the wake of political opposition to COVID-19 mandates and widespread dissemination of misinformation regarding vaccine safety.

                                    In January, the CDC issued a caution to healthcare providers to remain vigilant for additional measles cases. Contagion can occur from four days before the onset of a rash until four days after.

                                    Because measles virus particles can persist in the air and on surfaces for up to two hours after an infected individual departs, up to 90 percent of non-immune individuals may contract measles if exposed. Those who have been infected or have received both doses of the MMR vaccine are 98 percent protected and highly unlikely to contract the disease. This is why public health officials usually recommend vaccination during outbreaks.

                                    “The measles outbreak in Florida schools is a result of too many parents failing to ensure their children are protected by the safe and effective measles vaccine,” explained John P. Moore, a professor of microbiology and immunology at Weill Cornell Medical College. “And why is that? It’s because anti-vaccine sentiment in Florida is propagated from the top of the public health hierarchy: Joseph Ladapo.”

                                    When requested for comment, the Florida health department provided a link to Ladapo’s letter.

                                    Ladapo’s reluctance to utilize public health measures mirrors the efforts of conservative and libertarian factions to weaken public health’s capacity to control diseases such as the highly contagious measles. In an outbreak in Ohio that commenced in late 2022, most of the 85 afflicted children were eligible for vaccination, but their parents opted against it, according to officials. In 2021, the state legislature curtailed health officials’ authority to mandate quarantine for individuals suspected of having an infectious disease.

                                    Ladapo’s communication with parents arrives amidst increased concern regarding the public health impacts of anti-vaccine sentiment, an ongoing issue that has resulted in declines in childhood immunization rates in various areas across the United States. Federal data released last year revealed that the percentage of kindergartners exempted from at least one state-required childhood vaccination reached its highest level yet during the 2022-2023 school year, standing at 3 percent.

                                    According to Paul Offit, a pediatric infectious diseases expert at Children’s Hospital of Philadelphia, Ladapo’s neglect to promote vaccination puts children at risk.

                                    “In light of the data showing measles as the most contagious vaccine-preventable disease, surpassing even influenza or COVID, is Ladapo attempting to suggest otherwise?” Offit questioned in an email.

                                    Measles is highly contagious, spreading swiftly, particularly affecting young children who receive their first dose of the vaccine between 12 to 15 months of age. The CDC advises two doses of the MMR vaccine, with the second typically administered between 4 to 6 years old.

                                    When measles vaccination coverage falls below 95 percent, it undermines herd immunity, facilitating the virus’s rapid spread. While Florida’s overall vaccination coverage stands at 90.6 percent, it doesn’t pinpoint areas with potentially lower coverage rates.

                                    If unvaccinated individuals fail to adhere to public health guidelines and stay home from school during the contagious period, the outbreak could escalate dramatically, posing a significant community risk. Patsy Stinchfield, President of the National Foundation for Infectious Diseases and a nurse practitioner in Minneapolis, has firsthand experience managing measles outbreaks, including the 2017 outbreak in Minnesota, which impacted 75 individuals, predominantly unvaccinated children.

                                    Approximately 1 in 5 unvaccinated individuals in the United States who contract measles require hospitalization, as reported by the CDC. Among children, up to 1 out of 20 develop pneumonia, which is the leading cause of death from measles in this age group. Additionally, around 1 child out of every 1,000 with measles experiences brain swelling, which can result in seizures and long-term consequences such as deafness or intellectual disability. Unvaccinated infants who contract measles face an even graver risk, with 1 in 600 developing a fatal neurological complication that may remain latent for years.

                                    This week, officials at Manatee Bay Elementary School, located approximately 20 miles west of Fort Lauderdale, confirmed six cases of measles. According to Broward County Schools Superintendent Peter B. Licata, out of the school’s 1,067 students, 33 have not been vaccinated with the MMR vaccine. During a school board meeting on Wednesday, Licata provided this information. Additionally, a district official mentioned that the district has organized “four vaccination opportunities,” comprising two sessions held at the school and two at other venues within the community.

                                    Florida health officials reported the first case on Friday, involving a third-grade child with no travel history abroad.

                                    School officials redirected inquiries to the Broward County school district, which stated it is adhering to guidance from the state health department.

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