It is either a crime or fundamentally unsafe to be LGBTQ in more than 80 countries around the world. For the LGBTQ individuals forced to flee such conditions, seeking asylum in the United States is an opportunity to lead authentic lives safe from emotional harm and physical violence.

However, due to recent legal and policy developments, LGBTQ asylum seekers are facing new challenges as they struggle to navigate the U.S. immigration system. During a recent panel presentation at Proskauer’s New York office, Immigration Equality—the nation’s leading LGBTQ immigrant rights organization—teamed up with Bloomberg LP and Proskauer to educate pro bono lawyers about these developments and enable them to represent LGBTQ asylum seekers.

Immigration Equality’s Executive Director, Aaron Morris, began the program by describing the harmful effects expected to result from the “Presidential Memorandum on Additional Measures to Enhance Border Security and Restore Integrity to Our Immigration System” issued on April 29, 2019. This memorandum orders the Attorney General and the Department of Homeland Security to impose a filing fee for asylum applications and initial employment authorization applications filed by asylum seekers. At present, there is no fee for these applications. The memorandum also directs that asylum applicants who “entered or attempted to enter the United States unlawfully” should be barred from receiving employment authorization while their asylum applications remain pending. These policy changes, if implemented, will cause significant hardship for LGBTQ immigrants fleeing persecution, many of whom are unable to afford filing fees and will struggle to support themselves in the U.S. if they are not permitted to work lawfully here.

U.S. immigration policy has changed quickly and substantially in the past two years. While a handful of policies have received the majority of media attention—such as the separation of families at the border—the Department of Homeland Security has implemented numerous, far less visible changes that have dramatically impacted the ability to seek immigration relief in this country. These policy changes have transformed the way in which lawyers and their pro bono clients must navigate the immigration system.

Accounting for Unpredictability

As a result of the exceedingly fast changes to immigration policy, it has become increasingly challenging to predict a client’s likelihood of obtaining certain types of immigration relief or to assess the risks associated with attempting to do so.

For example, in October 2018, the United States Citizenship and Immigration Services (USCIS) began implementing a new policy that mandates USCIS to issue Notices to Appear (NTA) in immigration court removal proceedings upon making an unfavorable decision on an immigration application where the applicant is an undocumented immigrant.  This far-reaching guidance would, for instance, encompass vulnerable undocumented victims of domestic abuse seeking humanitarian-based relief, thus creating a perverse disincentive for them to come forward and cooperate with law enforcement.  In June 2018, the Attorney General’s decision in Matter of A-B- purported to make it harder for immigrants to qualify for asylum based on gang or domestic violence, a decision that was, in turn, blocked in December by a federal judge in Washington, D.C.

For many transgender people, undergoing gender-affirming surgery is a crucial step toward a healthy gender transition. While not all transgender people need or want gender-affirming surgeries to be part of their transitions, receiving such surgeries may be life saving for some who do.

The American Medical Association has established that gender-affirming surgery is effective and medically necessary for many individuals diagnosed with gender dysphoria. Gender dysphoria is a serious medical condition resulting from an incongruence between one’s experienced or expressed gender and one’s gender assigned at birth. The symptoms of gender dysphoria can include distress, depression and suicidality.

Surveys show that 41 percent of transgender Americans report having attempted suicide, and there is a clear link between these high rates and the lack of transition-related health care coverage.