December 04, 2006
HOUSING WORKS POSITION ON RYAN WHITE REAUTHORIZATION:
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You've seen diverse statements, sign-on letters and position papers on Ryan White reauthorization in the last few days.Housing Works has declined to join a number of public statements, and we wanted to let you know where we stand today.
To save lives and fight HIV/AIDS effectively, we need a fair Ryan White reauthorization and enough funding to provide access to care everywhere in the U.S.
While lawmakers and staff have made some improvements to proposed reauthorization legislation in recent days, we can and must do better.
As soon as tomorrow, the Senate may consider a 3-year reauthorization proposal that includes a few improvements on the House-passed bill that may help some states.
And starting in early 2006, Senator Kennedy plans to conduct oversight hearings and community consultations towards a top-to-bottom restructuring of public HIV/AIDS care programs and the Ryan White CARE Act.
We're excited about this new initiative. And we're in agreement that a shorter-term reauthorization would set up consideration of better, bigger, stronger HIV/AIDS care program that can get us to universal access.
As we've said before, Housing Works supports Ryan White reauthorization that's fair and adequately funded. Any legislative proposal must include the following improvements over the House bill and recent Senate drafts:
- EXPAND FUNDING BY $641.9M TO ENSURE ACCESS TO CARE NATIONWIDE
- REVISE "CORE MEDICAL SERVICES" REQUIREMENT TO ALLOW SERVICES THAT SUPPORT TREATMENT ADHERENCE AND GOOD HEALTH
- ALLOW INCLUSION OF CODE-BASED HIV DATA IN FUNDING FORMULA
- KEEP THE FOCUS ON TREATMENT AND CARE - STRIP TESTING LANGUAGE OUT
Congressional staffers from both parties agree that at least $600 million in additional funding is needed to eliminate ADAP waiting lists, support areas with emerging epidemics, and protect access and quality in high-prevalence areas. This includes a $70 million increase for Title II base and an additional $197 million for ADAP - the amount identified by treatment experts as needed to allow all states to provide a minimum level of service to those in need.
We call for "full funding" of the Ryan White CARE Act with an additional $641.9 million in new funding for this year's budget as outlined by the AIDS Budget & Appropriations Coalition, for a total of $2.69 billion
Housing, food, transportation and legal services are lifesavers - it's hard to stick to your meds if you're homeless, hungry, can't get to the doctor or are in danger of losing your home or kids. We must modify the arbitrary 75% set-aside of "core medical services" spending requirements to allow funding of supportive services that save lives.
Many agree that HIV cases must eventually be used nationwide to determine formula grant awards for Title I and Title II. But states that use unique identifiers for case reporting ("code-based states") that are in the process of de-duplicating their HIV case data should not be punished simply because they have not completely transitioned to name-based reporting.
It makes even less sense to hurt name-based HIV reporting states that have robust HIV reporting systems in place already. The short-term solution is to count code-based data, until those states have completely moved to CDC-validated HIV names-based data and to protect states with established HIV name-reporting systems from severe cuts.
We must reject attempts to use Ryan White to redirect CDC prevention funding and cement controversial HIV testing policies. Congress should eliminate the $30 million "Early Diagnosis Grant Program" section in current drafts of reauthorization legislation.
Once again, Housing Works calls on Congress to build support for a consensus reauthorization plan that will ensure lifesaving, quality HIV care to everyone in our nation living with HIV.
When this reauthorization is done, then we can all work towards a plan for universal access to prevention, treatment, care and support by 2010.

Charles King
President and CEO
Housing Works
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STATE ASSEMBLY RENT HIKE HEARING RESCHEDULED
The Assembly Social Services Committee will hold hearings to review the proposed rent hikes for AIDS housing tenants recently blocked by a federal court judge and opposed by dozens of AIDS groups.
Clients, housing providers, City officials, advocates and researchers will testify to the impact of the increases and how they might be avoided. Social Services ChairDeborah Glick will grill officials from the state Office of Temporary and Disability Assistance (OTDA)who've tried to implement the increase.
Thursday, December 21: Proposed Rent Increases for AIDS Supportive Housing
10:30 am
Assembly Hearing Room
250 Broadway, 19th Floor
New York City, NY
For full hearing details contact Elaine Fernandez atfernane@... or call 518-455-4377.
Read the rest: "STATE ASSEMBLY RENT HIKE HEARING RESCHEDULED"



