Clinton announced three new initiatives: creating a special working group to coordinate AIDS research throughout the federal government; convening public health experts to develop an action plan that integrates HIV prevention with substance abuse prevention; and launching a new effort by the Department of Justice to ensure that health care facilities provide equal access to people with HIV and AIDS.[124]

Clinton's coat of arms, granted by the Chief Herald of Ireland in 1995
On September 21, 1996, Clinton signed into law the Defense of Marriage Act (DOMA), which defined marriage for federal purposes as the legal union of one man and one woman; the legislation allowed individual states to refuse to recognize gay marriages that were performed in other states.[125] Paul Yandura, speaking for the White House gay and lesbian liaison office, said Clinton's signing DOMA "was a political decision that they made at the time of a re-election". In defense of his actions, Clinton has said that DOMA was intended to "head off an attempt to send a constitutional amendment banning gay marriage to the states", a possibility he described as highly likely in the context of a "very reactionary Congress".