Howard Brown announces new CEO, during time of challenges for transgender patients under Trump
Dr. Travis Gayles will serve as CEO of Howard Brown, which has seven clinics in Chicago and specializes in caring for patients who are LGBTQ+ and people living with HIV. A search committee selected Gayles from among 200 candidates.
Most recently, Gayles was chief health Officer at Hazel Health, a school-based telehealth provider. He's also served as a public health official in Maryland and the District of Columbia. Early in his career, Gayles trained at Lurie Children's Hospital and Northwestern University's Feinberg School of Medicine, where he specialized in adolescent and HIV medicine.
'We are at a critical moment where we can amplify our voice — not only in Chicago but across the nation — working to tackle the systemic barriers that still exist in healthcare,' Gayles said in a news release about his appointment.
Gayles will begin serving as CEO on March 3.
His tenure follows controversy at Howard Brown, and coincides with the beginning of President Donald Trump's term.
Trump has worked in recent weeks to dismantle programs and protections for people who are transgender. He issued an executive order proclaiming that the federal government will only recognize two genders, and another executive order saying that many types of federal money may not be used for gender affirming care for minors, and that institutions receiving federal research grants may not perform gender affirming care for minors.
Howard Brown is a federally qualified health center, meaning it receives federal funding to care for low-income patients. A spokesperson for Howard Brown said in a statement Tuesday: 'The order has no immediate impact on our operations, and we will be monitoring developments working with our partners. We are continuing to provide gender-affirming care to all patients who rely on our services and remain committed to improving the health of trans and gender diverse communities.'
Tim Wang, director of policy and advocacy for Howard Brown, told the Tribune late last year that a loss of federal funding would create 'a huge hole in our operating budget.' Howard Brown treats nearly 38,000 patients a year, and about a quarter of its patients are on Medicare or Medicaid.
Howard Brown has also grappled in recent years with conflicts with workers' unions as well as financial struggles. In May, Howard Brown announced that it planned to close two of its Chicago clinics following an expected $6.6 million budget shortfall; because of the departure of the clinics' sole providers; and because the clinics' leases were up.
In November, Howard Brown agreed to pay $1.3 million to workers that the National Labor Relations Board alleged it laid off illegally. The settlement agreement resolved a complaint that alleged the health center had illegally laid off more than 50 workers without bargaining with their union. Howard Brown workers represented by the Illinois Nurses Association went on strike twice in 2023 before reaching a contract agreement in May.
Dr. Robin Gay has been serving as interim CEO of Howard Brown for about a year and will support the new CEO during the leadership transition before resuming her role as Howard Brown's chief dental officer.

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