 Director's Note: Access to Gender-Affirming Care with Caitlin Safford, Governor's Senior Policy Advisor
It is impossible to ignore the impacts the closure of the Mary Bridge Children’s Hospital Gender Clinic is having and will continue to have for years to come. Young people and their families will bear the full brunt of this decision. Our family personally benefitted greatly from the care our child received at Mary Bridge for over five years. It saved her life and, in turn, saved our family. That is undeniable. I honestly struggle to find the words to articulate the severity the impact of this clinic closure will have.
Grief. Outrage. Fear. Hopelessness. Determination. Resolve.
Since the federal executive order banning gender affirming care for minors, expanding the definition of minors to the age of nineteen in the executive order, was signed last year, the WA State LGBTQ Commission has been engaged with policymakers, medical providers, nonprofit leaders, and community members on protecting access to this life saving healthcare. Often, this work goes unseen. We want to highlight some of the work done in partnership and collaboration with the Governor’s policy team.
Caitlin Safford is Governor Bob Ferguson's senior policy advisor for Governor Ferguson. Caitlin is a proven leader in health system strategy and execution, with over fifteen years of experience in advocating for and implementing state and federal policy into practice. She has a deep expertise in Medicaid programs and has worked across all operational levels, from state agency implementations to frontline health plan operations.
Q: What is important for the public to know or better understand as it relates to the state law that protects gender affirming care and abortion care access?
Caitlin: We have several different laws that protect GAC and abortion care or provide frameworks for protections of these services. #1, we have a statutory definition of sensitive services, which can be used to describe both gender-affirming care and abortion care services. This is an important reference point for us in developing out further statutory language or agency regulations. #2 The Shield Law, which protects people in Washington from civil and criminal actions in other states that restrict or criminalize reproductive and gender-affirming care. #3 is the prohibition of discrimination related to gender affirming care services and reproductive health care services in the medical assistance statute, which are RCW 74.09.675 and RCW 74.09.875 respectively. In 1991, the right to abortion care was affirmed by a vote of the people through Initiative 120.
Q: Would you share about some of the work the Governor’s Office has or is doing in regard to gender affirming care?
Caitlin: Right now, we’re working across agencies to develop a joint comment letter on the proposed HHS rule related to conditions of participation. We are also in close contact with health systems that are continuing to provide gender-affirming care and with other medical providers to help where we can with a care continuum as federal regulatory actions escalate.
The WA State LGBTQ Commission will continue to work closely with the Governor’s Office, the legislature, agencies, and stakeholders on every avenue possible to maintain protections and access to gender affirming care.
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 Lisa Keating, Executive Director - Washington State LGBTQ Commission
January LGBTQ Commission Public Meeting Recap
By Lisa Keating, LGBTQ Commission Executive Director
On January 16, 2026, the WA State LGBTQ Commission held the first public meeting of the year in Olympia with a focus on healthcare. We had excellent presentations from WA DOH Office of Infectious Diseases. Their core areas of work focused on HIV, STI, viral hepatitis and overdose prevention. Here are a few highlights:
How WA DOH Protects HIV Data in Practice:
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Organizational Safeguards
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Access only for trained, authorized staff
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Role-based access: only what your job requires
- Mandatory confidentiality agreements
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Technical Safeguards
- Secure server networks
- Encryption in storage and transmission
- Multi-factor authentication
- Continuous monitoring
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Gatekeeping
- All data sharing carefully reviewed by program leadership, overall responsible party, and legal counsel
- Minimum necessary standards always applied
- Access to data is extremely limited
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Mpox is still circulating across the United States and in WA, and it is still disproportionately impacting gay, bisexual, and other men who have sex with men, transgender people, and non-binary people.
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Mpox and severe mpox disease is preventable with a 2-dose vaccine (JYNNEOS).
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The second presentation was from Director Ryan Moran of the Health Care Authority (HCA). Below are some important takeaways:
- Presented on future changes to healthcare coverage
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HR1 impacts on 2SLBGTQIA+ community and gender affirming care
- HR1, also called the “One Big Beautiful Bill Act” (OBBA), is a new law from the federal government. It will bring changes to public programs in the next few years
- Clients do not need to do anything at this time. Current benefits stay the same.
- Changes will happen slowly over several years. We will share new information when we get it.
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View the Expected changes table to stay up to date.
- HCA has partnered with the Attorney General’s Office federal proposed rules impacting Gender Affirming Care for minors.
- Testing for HIV, and hepatitis B and C are also covered under the Family Planning Only program. Learn more at hca.wa.gov/family-planning
For more information and resources, please see our Rainbow Resource Hub!
Lastly, we would like to congratulate Commissioner Darlin Lozano on being elected as Co-Chair! We are excited to work with them in this new leadership role to help continue the important work of the LGBTQ Commission.
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Employee Inclusion, Belonging & Well-Being at the Department of Health with Darrow Brown
By Sawyer Tuttle, LGBTQ Commission Communications Coordinator
For our healthcare-focused edition of the LGBTQ Commission Newsletter, we wanted to spotlight someone who is helping shape Washington’s inclusive response to healthcare needs from within. The experiences inside our public health agencies, such as how employees are supported, included, and valued, impact the care and services Washingtonians receive. That’s why the Commission spoke with Darrow Brown, CEAP, LICSW, the Chief of Inclusion, Belonging & Well-Being for the Washington State Department of Health (DOH).
Serving in his role since August 1st, 2023, Brown leads DOH’s Center for Inclusion, Belonging and Well-Being. The Center has a staff of six that work to foster a workplace culture that leads to equity, inclusion, belonging, and well-being. Brown explained that the Center incorporates the former U.S. Surgeon General Vivek Murthy’s “Workplace Mental Health and Well-Being” framework. The framework highlights five areas to support employees: protection from harm, connection and community, work-life harmony, mattering at work, and opportunities for growth.
“If the system can positively impact those five domains, then the system is promoting well-being. So, we're not just wanting to make employees feel good. The idea is to design systems and structures that lead to well-being,” explained Brown. “Well-being = thriving, and a thriving DOH can do its best work for Washingtonians.”
The Center is working on several initiatives to engage in these domains of well-being. One example of this is the effort to re-launch employee resource groups (ERGs) within the agency, sometimes known as affinity groups.
“These are employee-led, volunteer led, employee resource groups that support, advocate for, and give employees and allies a safe space to come together to connect, to provide support to each other, and to help identify barriers and challenges negatively impacting workforce well-being,” shared Brown.
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Other examples led by the Center include the Kaleidoscope Storytelling program, an opportunity for DOH employees to share 5–6-minute stories with one another centered around a specific theme, and Connect Space, a gathering born out of the need for space to navigate recent budgetary impacts during the past two years. The Center has also partnered with Human Resources to include fostering inclusion, belonging, and well-being as a leadership competency expected of DOH leaders.
Through their efforts, Darrow and the Center’s work focusing on improving the workplace for DOH employees internally ultimately has a positive impact on the services that Washingtonians receive.
“I've been here for just over two and a half years, and my sense is that here at DOH it's very much a value-driven culture, and one of the values that I hear repeatedly is health equity and health justice… I think that then has implications for all Washingtonians, but can certainly have implications for 2SLGBTQIA+ populations,” said Brown. “A part of [being human-centered] is around valuing data, not just for data's sake, but because data tells stories… often one of the narratives is around health disparities. How is our community, the 2SLGBTQIA+ community, affected by public health policies? What are the socio-economic factors that are impacting that community in terms of health disparity? I think there's a real focus on looking for, understanding, and attending to those health disparities.”
Brown hopes that the Center’s framework and response to employee well-being sets the Department up for success.
“The assumption is that if employees are thriving then they are doing their best work. A thriving employee is obviously one that is experiencing a high level of well-being,” said Brown. “When there is well-being, work engagement and life satisfaction go up and work absenteeism and workplace distress go down. These changes lead to a high-performing, productive workforce.”
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Brown’s impact on state inclusion efforts reaches beyond the Department of Health. In October 2025 he was elected Co-Chair for the Rainbow Alliance and Inclusion Network (RAIN), the LGBTQ+ Business Resource Group available to all state employees and employees of Washington state institutions of higher education.
“I've been a state employee since June of 2020 and probably attended my first RAIN meeting in June of 2020… I've had a good personal experience of RAIN. Feeling like, oh, there's people like me in the state enterprise, it’s just really nice to be a part of something. It normalizes the experience of being gay and a state employee,” said Brown. “RAIN provides that place for people to come to be in a safe space, but also to be in a brave space.”
When asked about his hope for the future in Washington state, Brown shared that his hope comes from his confidence in the colleagues around him to prioritize equity no matter the challenge.
“I get to be in spaces with executive leaders who are talking about all the business-y stuff, but they're also talking about the workforce. They're having conversations about equity; they're having conversations about well-being and inclusion. Not only are they having conversations, they’re also leading initiatives that promote inclusion and well-being,” shared Brown. “In the face of all of this disruption, what I hear and see, and am a part of, is leaders that are actively doing the work in spite of what's happening… there's a high commitment to just keep going.”
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 March Public Meeting Announcement
Interested in hearing about what the LGBTQ Commission is working on? Want to provide a public comment to the LGBTQ Commission? Come to our March public meeting in Seattle, Washington! The theme for this meeting will be Housing, one of the Commission's five priority areas this year.
On Friday, March 28th, from 12:00PM to 5:00PM, and on Saturday, March 29th, from 9:00AM-12:00PM, the Washington State LGBTQ Commission will convene for their second public meeting of 2026. We hope you are able to find some time join us to hear more about Commission work, and we highly encourage 2SLGBTQIA+ individuals around the state to tune in and share public comment with us, in-person or virtually. Public comment begins at 11:00am on Saturday, but the public is always welcome to observe any portion of the meeting. Visit our website for in-person location details.
There will be a Zoom option for those looking to participate virtually. Zoom link will be live here on our website prior to the meeting. An agenda will be uploaded no later than 24 hours prior to the start of the meeting.
We hope to see you there!
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Meet Athena Ortega, Legislative Intern
Athena Ortega is a 2026 legislative intern with the Washington State LGBTQ Commission and a second-year Master of Public Administration student at The Evergreen State College. Their work focuses on bill tracking, policy research, and legislative analysis related to equity and community wellbeing. Athena brings a background in holistic health as a certified holistic health coach and Functional Nutrition Counselor, following a BA in Food Systems, Ethnobotany, and Human Health from Evergreen. Their passion for community advocacy and equity-focused policy led them to pursue public administration and legislative work in service of the LGBTQ community. In their free time, Athena enjoys cooking, music, family, and spending time in nature at home in Grays Harbor County with their wife and dogs, Blue, Rosie, and Poppy.
The Washington State LGBTQ Commission is thankful for Athena's work to help our office stay on top of this busy and short legislative session!
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Resources for Getting Involved with Legislative Session and Civic Advocacy
Follow along with the Commission's Legislative Tracking
Interested in following along with legislation that impacts the 2SLGBTQIA+ community in Washington this session? Our staff is updating lgbtq.wa.gov/2026session with up-to-date information on the progress bills that could impact our community DAILY! Legislation tracked on this page does not reflect the Washington State LGBTQ Commission's support or opposition to any legislation. This is for educational purposes only.
Make sure you are also following our social media pages for timely updates on legislation progress and more information on legislative session! Instagram, Facebook, Threads, Bluesky, LinkedIn
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Washington State LGBTQ Commission Annual Legislative Toolkit
Are you looking to get involved this legislative session? Wanting to learn how to testify on bills that matter to you, or how to keep track of everything happening?
Look no further! The Washington State LGBTQ Commission has created a Legislative Toolkit full of helpful resources to understand all sorts of different ways to engage, so you can find what works best for you. We hope you find this is a helpful document if you are new or returning to session!
Click this link to download a copy of the 2026 LGBTQ Commission Legislative Toolkit!
In addition to reaching out to your state legislators (which you should absolutely do!), you are always welcome to reach out to contact@lgbtq.wa.gov to share your feedback on legislation. It is very helpful for us to hear your thoughts so that we can best advise the Governor and the Legislature on what is most important to our community. Please reference the bill number in the subject line of the email.
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 Nomination Launch for QT+ Committee of the Washington State Minority & Justice Commission
The Minority and Justice Commission has launched the first standing sub-committee to a Supreme Court Commission developed to focus specifically on the experiences of Two Spirit, Lesbian, Gay, Bisexual, Transgender, Intersex, Asexual, and other (2SLGBTQIA+) users of the Washington State legal system, and particularly where 2SLGBTQIA+ identity and racial injustice uniquely impact access to justice.
ASK: We are seeking a wide range of community members to form the inaugural committee! In particular, we are seeking individuals with lived experience in Washington courts – for example, eviction proceedings, family law, or criminal matters – as well as court staff, lawyers, and judges. Please nominate individuals you think would be a good fit for membership on the committee, including yourself. Please use the form below.
QT+ Committee Membership – Nomination Form
What to expect after nomination: After completing the nomination form, the nominator and nominee will be contacted by a member of our steering committee. We will meet (virtually or in person) to get to know each other, and nominees may begin attending meetings right away.
Expectations of membership include:
- Regular attendance at virtual monthly meetings;
- Contributing to Committee projects, which may include community outreach, researching and proposing policy and court rule amendments, judicial education, artistic design and storytelling, and other skills;
- Periodic attendance at Minority and Justice Commission meetings; and
- Developing a Washington Supreme Court Symposium curriculum centered on uplifting the contributions of QTBIPOC people in the broader LGBTQIA+ rights movement.
The Minority and Justice Commission’s policies allow for compensation of committee members with lived experience in Washington’s courts. For reference, please consult the Washington State Office of Equity’s Community Members as Experts page and contact Molly Gough (molly.gough@courts.wa.gov) with any questions.
About the Committee: As a standing subcommittee of the Minority and Justice Commission, the QT+ Committee will focus specifically on information, data, and recommendations related to BIPOC members of the broader 2SLGBTQIA+ community and issues which lie at the intersection of racial justice and 2SLGBTQIA+ experiences.
Our goal is to establish and design a committee that amplifies the leadership of the people who appear most often in our courts, and particularly transgender and QTBIPOC people, with technical support and advocacy from lawyers and judges. In building this committee, we recognize that many community members impacted by the legal system have not had experience on committees like this, and we are striving to use the Queer communities' unique practices to build this space differently. In particular, we find that the experiences of 2SLGBTQIA+ people in criminal court, and then incarceration, are not well understood or amplified.
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Black Women in the Public Sector Survey
 Black women are deeply represented in public sector jobs across government, nonprofits, and social and human services. Yet many navigate systems that fail to account for the “double tax” of race and gender, often leaving Black women under-supported.
The Washington State Women’s Commission (WSWC) and Blacks United in Leadership & Diversity (BUILD) are collecting stories from Black women working in the public sector to turn lived experience into practical guidance for change.
Take the survey by March 15: tiny.cc/zxwx001
 The Washington State LGBTQ Commission has compiled the following state agency statements that might relate to the 2SLGBTQIA community. These are agency statements that have been released since our last newsletter. To look at our previous newsletters, click here.
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Washington State Governor's Office
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Applications open for $2.5M in Washington state disaster assistance, Jan 2
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Governor Ferguson appoints Sahar Fathi to new role of Chief Impact Officer, announces Kenneth Martin as new Policy Director, Jan 8
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State expands $2.5M disaster assistance to Lewis and Pierce counties, Jan 8
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Governor Ferguson announces slate of 6 Governor Request Bills for 2026, Jan 9
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Governor Ferguson appoints Daniel York to King County Superior Court, Jan 13
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Governor Ferguson delivers first State of the State: ‘It’s that heart and spirit of our people that allows me to report today that the state of our state remains strong’, Jan 13
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Governor Ferguson statement on Coast Guard decision paving the way for I-5 bridge replacement, Jan 16
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Governor Ferguson appoints Jennifer Richardson to Grant County Superior Court, Jan 16
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Governor Ferguson appoints Sarah Clifthorne to serve as interim Commerce Director, Jan 21
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Governor Ferguson requests federal major disaster declaration, $21.3 million in FEMA assistance for families following historic December flooding, Jan 21
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Governor Ferguson, Attorney General Brown denounce unconstitutional actions of ‘out of control’ ICE agents in Minneapolis, Jan 26
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Governor Ferguson appoints Jane Nesbitt to serve as interim Office of Independent Investigations Director, Jan 28
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Statement from Governor Bob Ferguson on Justice Barbara Madsen’s upcoming retirement from the Washington Supreme Court, Feb 2
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Washington State Attorney General's Office:
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AG Brown sues HHS for unlawfully conditioning hundreds of billions of dollars in federal funding on states’ agreement to discriminate against transgender people, Jan 13
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AG Brown asks court to enforce order protecting personal SNAP data, Jan 12
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AG secures consent decree with Sunnyside over unlawful eviction orders, Jan 13
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El Procurador General logra un decreto de consentimiento con Sunnyside por órdenes de desalojo ilegales, Ene 13
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Washington seeks rehearing of illegal, inscrutable DOE order on TransAlta coal power, Jan 13
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Washington prevails in case protecting more than $1 billion in transportation grant funding as Trump administration drops appeal, Jan 14
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How the Attorney General’s Office used the rule of law to serve Washingtonians in 2025, Jan 16
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Agreement protects Washington SNAP recipients’ confidential information, Jan 23
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Un nuevo acuerdo protege la información confidencial de los beneficiarios de SNAP en Washington, Ene 23
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AG Brown joins amicus brief challenging militarized and illegal deployments in Minnesota, Jan 23
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AG Brown joins bipartisan group demanding xAI halt creation of nonconsensual sexual content, Jan 23
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Judge rules USDOT illegally withheld funds for EV charging infrastructure, Jan 26
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AG Brown names Marsha Chien to head the newly created Worker Rights Unit, Jan 26
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AG Brown opposes federal efforts to prolong detention of immigrant children, Jan 29
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AG Brown announces $17.85 million in settlements in ongoing drug price-fixing conspiracy case, new complaint against Novartis and subsidiaries, Feb 2
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AG’s office sues illegal gambling apps that have taken more than $225 million from Washingtonians, Feb 3
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Multistate coalition protects about $1.4 billion in K-12 funding for Washington, Feb 6
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Washington Office of Superintendent of Public Instruction
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Washington State Office of the Insurance Commissioner
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Washington State Office of the Secretary of State
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Washington State Treasurer's Office
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Office of the Washington State Auditor
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Washington State Department of Health
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Washington State Health Care Authority
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Washington State Department of Commerce
 February 2026
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MONTH LONG
- February: Black History Month
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WEEK LONG
- February 15-21: Aromantic Spectrum Awareness Week
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DAYS
- February 4: Rosa Parks Day
- February 7: National Black HIV/AIDS Awareness Day
- February 11: International Day of Women and Girls in Science
- February 12: National Freedom to Marriage Day
- February 17: Lunar New Year
- February 28: HIV Is Not A Crime Awareness Day
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