Two decades after founding Vision Cathedral of Atlanta, Bishop O.C. Allen III says the church’s work is more urgent than ever. The LGBTQ-affirming Black Pentecostal congregation, which first gathered in his living room and now fills a sprawling sanctuary every Sunday, has become both a spiritual home and a civic hub at a time when queer and trans people are facing escalating political attacks across the South and the nation at large.

As Congress nears a January deadline to pass a continuing resolution and avert a government shutdown, critical health programs hang in the balance. The now-expired Affordable Care Act subsidies and proposed cuts to the Ryan White HIV/AIDS program could undermine access to lifesaving services and medications, including Lenacapavir, a breakthrough drug offering new hope in the fight against HIV.