U.S. Human and Health Care

Here is the a few bullets we pulled from

http://www.healthcare.gov/news/reports/minorities03252011a.pdf

It's a Call To Act

ion report to congress on where the money from the HHS distributed and the responsibility to those from state, city, community organizations such as non-profits, churches, health district, planned parenthood and such.

HIV National Program

The IHSHIV National Program leads the HIV testing expansion project with the

following demonstrated outcomes: increase in IHS‐served AI/AN prenatalHIV

screening over baseline; and increase in IHS‐served AI/AN HIV screening over

non‐participating sites.

Personal Responsibility Education:

Provides $75 million per year through FY 2014 for Personal Responsibility Education grants to States for programs to educate adolescents on both abstinence and contraception for prevention of teenage pregnancy and sexually transmitted infections, including HIV/AIDS in high‐risk, vulnerable, and culturally 54 underrepresented populations. Funding is also available for 1)innovative teen pregnancy prevention strategies and services to high‐risk, vulnerable, and culturally underrepresented populations; 2) allotments to Indian Tribes and Tribal organizations;and 3)research and evaluation,training, and technical assistance.

 Targeted Capacity Expansion Program for Substance Abuse Treatment and HIV/AIDS:

This program is designed to address gap sin substance abuse treatment services and/or to increase the ability of States, units of local government, American Indian/Alaska Native tribes and tribal organizations, and community and faith‐based organizations to help specific populations or geographic areas with serious, emerging substance abuse problems.

Capacity Building for Substance Abuse an HIV Prevention Services for At‐Risk Racial/Ethnic Minority Young Adults:

This program assists grantees in building a solid infrastructure for delivering and sustaining quality and accessible state of the science substance abuse and HIV prevention services. The aimis to engage colleges, universities, and community‐level domestic public and private non‐profit entities to prevent and reduce the onset of substance abuse and transmission of HIV/AIDS among at‐risk racial/ethnic minority young adults, ages 18‐24.

 Ryan White HIV/AIDS Program:

Funds are used to provide a continuum of care (i.e. medical and support services)including outpatient and ambulatory medical care; AIDS

drug assistance program; AIDS pharmaceutical assistance; oral health; early intervention services; health insurance premium and cost sharing assistance;medical nutrition therapy; hospice services; home and community‐based health services;mental health services;substance abuse home health care; and medical case management, including treatment adherence services. Support services may include outreach;medical transportation; linguistic services;respite care for caregivers; case management; and substance abuse residential services. Funds also support the Special Projects of National

Significance,the AIDS Education and Training Centers Program,the Dental Programs, and the Minority AIDS Initiative. The Program serves an estimated 529,000 individuals and families annually. In calendar year 2008 (lateststatistics), 73 percent of those receiving Ryan White HIV/AIDS Program services were racial/ethnic minorities.

Capacity Building Assistance to Improve the Delivery and Effectiveness of HIV Prevention Services:

This program funds community‐based organizations (CBOs) and health departments to improve HIV prevention in racial/ethnic minority populations and subpopulations. Components of his capacity building assistance (CBA) program includes,strengthening: organizational infrastructure,strategies,monitoring, and evaluation; community access to and utilization of HIV prevention services; quality and delivery of CBA services for HIV prevention; and, consumer access to and utilization of CBA services for HIV prevention.Other capacity building and technical assistance activities include:training, information dissemination, and technology transfer to CBOs, health departments, and community planning groups to strengthen HIV prevention for racial/ethnic minority populations and subpopulations at high risk for HIV.

 Expanded and Integrated HIV Testing Initiative:

The Initiative supports health departments in their effort to increase HIV testing opportunities, awareness of HIV status, and linkage to services for disproportionately affected populations. Primary focus is on African American and Hispanic men and women,men who have sex with men, and injection drug users regardless of race or ethnicity. Components include:HIV screening and counseling,testing, and referral;HIV screening in healthcare settings; and HIV counseling,testing, and referral in non‐healthcare settings.

 Partnerships and Awareness Surveys:

Previous studies have revealed that awareness of health disparities by the general population and health care providers is low. While

awareness has increased,the rate of improvement overtime has been limited. In response,OSOMH has funded a project to replicate prior awareness surveys to assess the rate of change in awareness overtime following implementation of targeted initiatives and campaigns. This project will complement efforts among federal partners to increase awareness of obesity,HIV/AIDS, infant mortality, injuries, hepatitis B,flu vaccine and other health concerns where significant disparities exist.

http://www.healthcare.gov/news/reports/minorities03252011a.pdf

Budget

Each year, the U.S. government spends billions of dollars to help people in the United States and countries around the world who are living with HIV/AIDS.

By law, Federal programs must provide information on how they spend the funds they receive. Transparency in government promotes accountability and provides meaningful access to information so that citizens can know what their government is doing and how Federal dollars are being spent. Review the chart below for an overview of Federal budget allocations for domestic HIV/AIDS programs and research over a four-year period. Please note: Because funding for the current fiscal year, 2013, was only recently completed through a Continuing Resolution (signed by the President on March 26, 2013), funding levels for FY 13 are not yet available. (Read blog posts about the nation’s HIV/AIDS budget and the HIV/AIDS elements in the President’s the Fiscal Year 2014 budget.)

FEDERAL DOMESTIC HIV/AIDS PROGRAMS & RESEARCH SPENDING

(FY 2011-2014)

Source: Kaiser Family Foundation – U.S. Federal Funding for HIV/AIDS: The President’s FY 2014 Budget Request.

FY2014 BUDGET

On April 10, 2013 President Obama sent his fiscal year 2014 budget proposal to Congress. The budget proposal renews the President’s commitment to ending the AIDS pandemic and maintains the strong Federal commitment to fighting HIV/AIDS in the United States by implementing the National HIV/AIDS Strategy. Within a constrained budget environment, the 2014 Budget:

  • Expands investments in prevention, care, and research.
  • Supports the Ryan White HIV/AIDS Program.
  • Increases funding for HIV/AIDS prevention and service integration.
  • Supports research at the National Institutes of Health (NIH).
  • Supports housing assistance for people living with HIV/AIDS.
  • Increases support for veterans living with HIV/AIDS.
  • Fights HIV/AIDS-related stigma and discrimination.
  • Supports the President’s ambitious goals for global AIDS.
  • Supports and leverages funding for the Global Fund to Fight AIDS, Tuberculosis, and Malaria.

Read more about the Fiscal Year 2014 budget’s HIV/AIDS elements in this fact sheet from the White House: Strengthening the Economy for Those Living With HIV/AIDS and Fighting the HIV/AIDS Epidemic.