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1 National HIV/AIDS Strategy Implementation Recommendations, February 28, 2012 [1] (2012)

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      NATIONAL HIV/AIDS STRATEGY IMPLEMENTATION RECOMMENDATIONS
            Submitted to the Secretary of the U.S. Department of Health and Human Services
                           By the Presidential Advisory Council on HIV/AIDS
                                         February 28, 2012


1. NATIONAL HIV/AIDS STRATEGY SUCCESSESS

Since the creation of the National HIV/AIDS Strategy (NHAS), progress has been made towards meeting the
Strategy's access to care, health equity, and prevention goals and objectives. The successful
implementation of the following programs and initiatives are examples of the progress we have made:


Access to Care and Quality Outcomes Successes


*   The ADAP as TrOOP provision in the Affordable Care Act (ACA) has
    state AIDS Drug Assistance Programs (ADAPs) to help individuals livin
    Medicare Part D co-payment obligations. This has both enhanced M
    drug access through the Medicare Part D program and reduced these
    ADAP.

*   The Pre-Existing Condition Insurance Plans (PCIPs) created by the AC
    to people living with HIV who have traditionally been excluded from
    because of discrimination based on their health status. Twelve state
    premium assistance programs to further assist these individuals.

*   The Centers for Medicare and Medicaid Services (CMS) released help
    template to support states' ability to apply for 1115 waivers to provi
    for low-income people living with HIV.


greatly enhanced the ability of
g with HIV on Medicare meet their
dicare beneficiaries' prescription
beneficiaries' dependence on


A are now available in every state
the individual insurance market
s have implemented ADAP


ful guidance and an application
de immediate access to Medicaid


*   CMS issued guidance around the ACA's Medicaid health home program option, clarifying that HIV could
    be included as a chronic condition eligible for enhanced Medicaid health home services, and at least
    two states (New York and Oregon) have specifically identified HIV as an eligible chronic condition in
    their proposed state plan amendments.

*   The Department of Health and Human Services (HHS) is actively engaged with all federal partners to
    harmonize and critically evaluate HIV quality performance and outcome metrics across all agencies, as
    well as private partners.

*   The Health Resources and Services Administration (HRSA) has awarded contracts to increase training of
    primary care physicians in HIV medicine.

Health Disparities Successes

*   The Administration's increased attention to the impact of the domestic HIV epidemic on men who have
    sex with men (MSM) and particularly black MSM, is to be applauded. In particular, the Centers for
    Disease Control and Prevention (CDC) has successfully undertaken efforts to expand access to proven
    HIV prevention programs for gay and bisexual men, and to develop new approaches to fight HIV in this
    population.

*   In keeping with the goals of the NHAS, starting in January 2012, the CDC began awarding the first year
    of a five-year HIV prevention funding cycle for health departments in states, territories, and select cities
    using a more accurate funding methodology. The new approach, while controversial as many