Domestic

Health Care Reform

Pass comprehensive health care reform legislation that expands access to care to people living with HIV/AIDS that includes a comprehensive benefits package for both private and public insurance, adequate provider reimbursement, that is affordable for low and middle-income Americans

Adopt universal voluntary HIV screening in all clinical and community-based settings. The test must be offered by a provider, protect the patient through informed consent, and connects those who find out they are HIV-positive to care within 90 days following diagnosis.

Expand Medicaid to include everyone living with HIV through passage of the Early Treatment for HIV Act (ETHA).

Implement a federally-mandated eligibility "floor" for Medicaid at 150% of the federal poverty level to ensure that low-income people, including people living with HIV/AIDS, are able to get the care and treatment needed to sustain their health and lives

Support Medicaid programs that reach out to those living with or at risk for HIV.

Ryan White Modernization Act Program

End all AIDS Drug Assistance Program (ADAP) waiting lists through full funding of the Ryan White Program

Support ongoing adaptations to the Ryan White Program even after the adoption and implementation of comprehensive health reform legislation

Establish time and proximity limitations for health care providers and institutions to reduce the number of individuals who find it difficult to access health care services provided by the Ryan White Program.

Health Care Workers

Support the increase of health care workers, especially in impoverished communities. Provide incentives to increase minority representation in medical schools and health allied majors.

Increase the number of scholarships for minority students through Minority Health.

Invest new resources to train and hire health workers and strengthen public health systems to achieve minimum health workforce densities of 2.3 doctors and nurses per thousand residents in high-impact countries.

Supportive Services

Ensure ongoing access to coordinated, sustainable supportive services, including mental health, substance use, harm reduction and other psychosocial services

Domestic

Ramp up funding for scientifically-derived HIV prevention strategies which include behavioral, biomedical, structural and community-level approaches;

Mobilize Corp (includes AmeriCorps and others) programs to assist in outreach to priority populations including men who have sex with men, women and girls, injecting drug users, prisoners and sex workers

Reduce new HIV infections by carrying out a coordinated, science-based, comprehensive prevention response that prioritizes communities and organizations within communities experiencing a disproportionate impact by HIV

Implement comprehensive, integrated and evidence-based prevention policies, universal access to male and female condoms, voluntary male circumcision, HPV vaccinations and prevention equipment and treatment for injection drug users. Expand research on microbicides and vaccines while integrating sexual and reproductive health services with AIDS programs

Assure that community-based organization have timely access to proven interventions, training and technical assistance

Adopt culturally-appropriate and evidence-based preventative initiatives to be adopted in clinical and community settings

Vote to reform U.S. domestic AIDS policies toward effective, science-based, comprehensive HIV/AIDS prevention programs and work to eliminate funding to ineffective programs

Support and pass legislation that will provide for condom distribution, HIV testing, prevention and health care services in correctional settings.

Support and pass legislation that supports a flexible and well-resourced HIV prevention approach to combat HIV transmission and acquisition in MSM communities.

Domestic

Mobilize the political will to find a cure for AIDS; effective preventive and therapeutic vaccines. Support the development of promising prevention and therapeutic strategies like microbicides, pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP);

Increase funding for Centers for Disease Control and Prevention (CDC) and National Institutes of Health (NIH)

Expand research targets to address the effects of treatment and prevention interventions for women, women of color, children, men who have sex with men (MSM) black MSM, men of color, transgender and youth.

Support research dedicated to the effects of HIV/AIDS treatment and prevention interventions on families and youth.

Domestic

End homelessness and inaccessibility to adequate shelter or habitat, particularly among people living with HIV/AIDS who unwittingly continue to place themselves and others at risk for co-infection and other preventable illnesses.

Direct new resources based on a living HIV/AIDS formula, consistent and coordinated with the Ryan White Program funding formula.

Direct housing resources must be must be expanded funding for non-AIDS specific funding such as housing for homeless, veterans, and post incarcerated.

Eliminate barriers that prohibit access to housing programs based on criminal record, sexual identity, gender identity/expression and age.

Support access to housing based on progression of illness.

Support the National Affordable Housing Trust Fund

Endorse the International Declaration on Poverty, Housing Instability, and HIV/AIDS

Domestic

Embrace principles of human rights in order to make maximum progress against the pandemic.

Ensure that the rights of people with HIV/AIDS are protected by the law, and that the law is not used to criminalize people with HIV.

Ensure information and record privacy and bar any forms of employment, housing, or health care discrimination for people living with HIV/AIDS, whether direct or indirect

Embrace the Denver Principles in addressing the rights of people living with HIV/AIDS.

Repeal discriminatory statutes.

To expand every opportunity for full access to life, liberty, and the pursuit of happiness for all Americans, including men who have sex with men, women, youth, and those over 50.

Expand protections against discrimination in employment, housing and other life pursuits that enhance quality of life while building economic stability.

Domestic

Promote an expansive definition of family to include Lesbian, Gay, Bisexual, Transgender (LGBT) as well as nontraditional heterosexual families.

Restore stability to families through lifting many of them out of poverty.

Embrace community responsibility to the concept of family support.

Meet the needs of youth aging out of pediatric programs, but not yet eligible for adult programs.

Meet the needs of children orphaned and made vulnerable by AIDS through community-based support including permanent homes, food, education, medical care and job training and employment.

Domestic

Promote the political and economic empowerment of women and girls by securing property and inheritance rights, access to universal education, and freedom from violence

Provide leadership training and opportunities for women and girls to be self-sufficient

Ensure that the link between poverty, gender inequality and HIV/AIDS being led by institutions and policy makers is mainstreamed through development and poverty-reduction strategies.

Step up advocacy on the need to ensure affordable access to antiretrovirals for all pregnant women, to prevent mother-to-child transmission.

Declare HIV incidence a "state of emergency" among black women and immediately direct resources to build desperately needed infrastructure and implement evidence-based, culturally-relevant initiatives to decrease and/or new infections while improving overall health and well-being.

www.sistersong.net

Domestic

Promote enhanced social capital, self-worth and mental and physical health in gay men and youth.

Avoid stigmatizing representations (intended or unintended) of MSM communities when sharing information or in our collective response to the global and/or domestic HIV/AIDS epidemic

Declare HIV incidence a "state of emergency" among MSM (particularly Black MSM where surveillance data support) a and immediately direct resources to build desperately needed infrastructure and implement evidence-based, culturally-relevant initiatives to decrease and/or eliminate new infections while improving overall health and well-being.

www.kff.org/hivaids/upload/6089-061.pdf
www.nbgmac.org/webdocs/gbm/articles/Research%20Agenda.pdf

Domestic

Address co-morbid conditions for people living with HIV/AIDS, including tuberculosis, viral hepatitis, and Malaria

Cut tuberculosis deaths and prevalence and malaria-related disease in half through a comprehensive plan to combat TB, malaria and HIV/AIDS, as agreed upon by the G8

Address hepatitis B and C for those co-infected with HIV and mono-infected.

Vote to fully fund the Global Fund to fight AIDS, TB, and Malaria.

www.theglobalfund.org/en/fighting/?lang=en
www.nastad.org/Programs/publicpolicy/ResourceDocument.aspx?Id=33&CatText=Legislation

Domestic

Provide age-appropriate, culturally relevant sex education (includes accessible education for children from LGBT experience) to all individuals under the age of 21 that provides information on abstinence, safer sex, and self-esteem.

Prioritize health literacy through health care reform and the collective effort to combat the HIV/AIDS epidemic to support prevention intervention success for at-risk individuals and health outcomes for people living with HIV/AIDS

Mobilize social marketing campaigns and web sites to provide accessible, current, and factual information about HIV/AIDS, to educate individuals about how to protect themselves from HIV infection and take care of themselves if they have HIV

Promote a comprehensive health, sexual and reproductive health education and wellness approach for children and adults that help decrease health disparities in populations to improve health outcomes.

www.advocatesforyouth.org
www.hivandsrh.org

Domestic

FY2011
$3.1b for Ryan White;
$410m for HOPWA;
$1b for National Housing Trust Fund
$2.2b for HIV Prevention;
$610m for the Minority AIDS Initiative
$36b for NIH research
$1.4 m for Office of National AIDS Policy (ONAP)

www.adapadvocacyassociation.org/pdf/fy11_ABAC_Chart_02-04-10.pdf