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Florida Ryan White CARE Act All Titles Meeting April 7, 2005. Federal Updates – 2005 CARE Act Reauthorization Laura Hanen, National Alliance of State and Territorial AIDS Directors. Ryan White Reauthorization. President’s “Philadelphia” principles

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florida ryan white care act all titles meeting april 7 2005

Florida Ryan White CARE Act All Titles MeetingApril 7, 2005

Federal Updates – 2005 CARE Act Reauthorization

Laura Hanen, National Alliance of State and Territorial AIDS Directors

ryan white reauthorization
Ryan White Reauthorization
  • President’s “Philadelphia” principles
    • Prioritizing lifesaving services, including medications and primary care
    • Providing more flexibility to target resources to areas with greatest need
    • Encouraging the participation of any provider, including faith-based and other community organizations that show results
    • Recognizing the need for state and local planning and ensuring accountability by measuring progress
ryan white reauthorization1
Ryan White Reauthorization
  • Persistent Questions for Title II:
    • Adequate and equitable funding and distribution
    • Responding to the needs of metropolitan areas and rural communities
    • Consumer Participation
    • Addressing ADAP Crisis
    • Greater coordination to increase efficiency and maximize resources
title ii issues to consider
Title II Issues to Consider
  • Core Set of Services or “Medicalization”
    • HRSA defines “core services” in application guidance as
      • primary medical care consistent with PHS Guidelines
      • HIV-related medications
      • oral health
      • mental health treatment
      • substance abuse treatment
      • case management
    • Potential loss of supportive services
      • Detrimental to adherence and access to care
title ii issues to consider1
Title II Issues to Consider
  • Core ADAP Formulary
    • Pros
      • Portability
      • Bring states up to a minimum
      • Address ADAP crisis
    • Cons
      • Disincentive for states to maintain high level contribution
      • Concern that core would become ceiling, not floor
      • Vacuum to which all CARE Act dollars would go to fill
title ii issues to consider2
Title II Issues to Consider
  • Emerging Communities (ECs)
    • Unstable funding - Went from 39 to 28 ECs and 14 ECs eliminated
    • Title I and EC inequity
  • Incorporation of HIV cases into allocation formulas
    • Current Law Requires use in 2007
      • CDC Estimates will be used
title ii issues to consider3
Title II Issues to Consider
  • Attachment of social riders to RWCA
    • Increased focus on reducing perinatal transmission
    • Partner notification
    • “ABC “prevention messages
  • HIV/HCV co-infection
  • Increasing Accountability
    • Quality Management Programs
    • Individual level data collection
    • Outcome Evaluation
      • How can you prove the CARE Act is working?
    • Greater Coordination to reduce duplication
reauthorization process
Reauthorization Process
  • Congressional agenda full with SS reform and Medicaid
    • Need enough oxygen to do reauthorization
  • Simultaneous cuts in domestic health spending
  • Hill staff need basic education – focus of many organizations and coalitions
  • Senate HELP and House Energy and Commerce
  • Senate HELP taking the lead
  • Initial discussions with staff underway
  • AIDS is a global issue for most staff
  • ADAP “fix” to be a major focus
what can you do
What Can You Do?
  • Congress relies on experts to assess programs they fund and administer
    • You are that expert
  • You don’t have to come to Washington to interact with congressional offices
    • District offices
    • Town hall meetings
    • Mailings
    • Regular phone calls
  • Become a resource to staff
florida ryan white care act all titles meeting april 7 20051

Florida Ryan White CARE Act All Titles MeetingApril 7, 2005

Gazing into the Crystal Ball – Future of Federal Funding

Laura Hanen, National Alliance of State and Territorial AIDS Directors

fy2006 discretionary spending
FY2006 Discretionary Spending
  • Summary – President’s budget (Appropriations marker)
    • Increases for:
      • Global HIV/AIDS
      • ADAP
      • NIH HIV/AIDS research
      • Substance abuse treatment
    • Flat funding:
      • All Titles of the CARE Act, except for ADAPs
      • MAI
    • Cuts for:
      • CDC HIV/AIDS Prevention
      • HOPWA
      • Mental Health Services
      • Elimination of CDC Prevention Block Grant
contact information
Contact Information

Laura Hanen

Director of Government Relations

National Alliance of State and Territorial AIDS Directors

444 North Capitol Street, NW

Suite 339

Washington, DC 20001

202.434.8091

lhanen@nastad.org

www.NASTAD.org