Progress Not Repeal:

HIV Organizations In Support of Health Reform

We, the undersigned organizations, strongly support implementation of the Patient Protection and Affordable Care Act of
2010 (ACA). Repeal of the legislation or de-funding of key components threatens the health and well-being of
people living with HIV/AIDS and those at risk for infection.

Improving the System that Fails too Many with HIV Disease

No health condition better illustrates the failures of the current health care system than HIV disease. Remarkable
treatment advances have transformed HIV disease to a chronic condition—for people with ongoing access to care. And
yet our current system leaves nearly 50% of people living with HIV in the United States without reliable access to care
and treatment and fewer than 20% with access to private insurance coverage. ACA ends the discriminatory practices that
have fueled these disparities and addresses existing systemic barriers to health care coverage for people living with
HIV/AIDS and countless others with chronic diseases.

Addressing the Current Crisis in HIV Care

The problems with our current system have never been more evident. The AIDS Drug Assistance Program (ADAP), the
primary safety-net for HIV medications for low-income uninsured people with HIV, is experiencing severe funding
shortfalls that are leaving thousands of individuals living with HIV on waiting lists to access life-saving medications and
hundreds of others unable to access medications due to other ADAP cost-cutting measures. HIV clinics are facing similar
constraints and being forced to reduce clinic hours and cut back on key services, such as laboratory monitoring. Without
full implementation of ACA this situation will continue to worsen leaving individuals and communities at risk for poor health
outcomes, increased health expenditures, greater disparities in HIV health care, and increased HIV infections.

Preventing Disability through Earlier Access to Medicaid Coverage

The expansion of Medicaid in 2014 to all low income individuals and families, along with the removal of the Medicaid
asset test, will correct one of the systemic barriers that forces people with HIV to become disabled by AIDS before
qualifying for the coverage and access to care and treatment that could prevent disability in the first place. The affordable
and comprehensive coverage offered under Medicaid will improve and save the lives of many low income people with HIV
disease.

Reducing New HIV Infections by Investing in Prevention and Public Health

ACA includes important prevention and public health provisions that have significant implications for people at risk for HIV
infection and other diseases. New coverage requirements include full coverage for certain preventive screenings,
including HIV testing for those at increased risk and pregnant women. This is an important step in helping the one-fifth of
people with HIV who are unaware that they are affected learn their status and get linked to medical care and treatment.
Treatment is not only lifesaving but also suppresses the virus greatly reducing transmission risk to others. The Prevention
and Public Health fund invests in evidence-based prevention programs at the community level retooling our approach to
preventing chronic diseases, such as HIV, to improve the overall health of the community and avert more costly medical
expenses.

Improving the Affordability of Prescription Drugs under Medicare Part D

The closing of the Medicare Part D donut hole, or coverage gap, and the ability of ADAP expenditures to count toward the
true out of pocket limit (or TrOOP) are critical improvements that will better ensure lifesaving medications do not remain
out of reach due to cost for Medicare beneficiaries with HIV.

Supporting Progress

Support implementation of health reform. Efforts to repeal or not fund key provisions of ACA threatens the lives of people
with HIV, as well as millions of Americans, who have gone too long without life-saving insurance coverage.

This petition was organized by the HIV Health Care Access Working Group (HHCAWG). Please contact the HHCAWG co-
chairs, Robert Greenwald, Treatment Access Expansion project (rgreenwa@law.harvard.edu) and Andrea Weddle, HIV
Medicine Association (aweddle@hivma.org), with questions.
ALASKA National Black Gay Men's Advocacy Coalition
HIV/AIDS Services for African Americans in Alaska National Council of Jewish Women (NCJW)
National Minority AIDS Council
ALABAMA Summit Health Institute for Research and Education, Inc.
AIDS Action Coalition of Huntsville, Inc. The AIDS Institute
AIDS Alabama
FLORIDA
Franklin Primary Health Center
Professional Association of Social Workers in HIV and AIDS, Inc. DYNS Services, Inc.
Okaloosa AIDS Support and Informational Services, Inc.
ARKANSAS Voix La Tortue Nonprofit Organization, Inc.

Jefferson Comprehensive Care System, Inc. GEORGIA

The Living Affected Corporation
Act Now!
CALIFORNIA AIDS Alliance for Faith and Health
AIDS resource Council, Inc.
AIDS Project Los Angeles
Aniz, Inc.
AIDS Service Center
Citywide Project
California National Organization for Women
Empowerment Resource Center
CAL-PEP
Georgia Rural Urban Summit
Community Care HIV/AIDS Program Drop In Center
Latin Steps services Inc.
Food For Thought
POZ Vets Georgia
La Clinica de La Raza
SisterLove, Inc.
Lion Heart Network Advocates
Metropolitan Community Church Los Angeles IOWA
Positive Life Group
Wilson Resource Center
Project Inform
San Francisco AIDS Foundation
IDAHO
San Luis Obispo County AIDS Support Network
The Richmond/Ermet AIDS Foundation Allies Linked for the Prevention of HIV and AIDS (a.l.p.h.a.)
U.S. Positive Women's Network Positive Connections
Women Organized to Respond to Life-threatening Disease
(WORLD) ILLINIOS
aChurch4Me? Metropolitan Community Church
COLORADO ACTG Northwestern
Boulder County AIDS Project AIDS Foundation of Chicago
Colorado AIDS Project Asian Human Services
HOPE Program Association of Latino Men for Action
Northern Colorado AIDS Project Bisexual Queer Alliance Chicago
Campaign for Better Health Care, Illinois
CONNECTICUTT Citizens AIDS Project (CAVDA)
Chicago Women's AIDS Project
Family Centers Inc., Stamford CARES Program
Children's Memorial Hospital
Institute for Community Research
Churches United in The Fight Against AIDS (CUFAA)
DISTRCIT OF COLUMBIA Community Outreach Intervention Projects (COIP)
CORE Center
AIDS United
East Side Health District
Alliance for Children, Youth and Families
El Rincon Community Clinic
American Academy of HIV Medicine
FCAN (the Families' and Children's AIDS Network)
Association of Nutrition Services Agencies
Health and Disability Advocates
Communities Advocating Emergency AIDS Relief (CAEAR)
Heartland Human Care Services
Coalition
Holy Spirit Missionary Sisters, USA - JPIC
Community Access National Network (CANN)
Human Resource Development Institute Inc.
GNP+
Illinois Maternal and Child Health Coalition
HealthHIV
Northwestern ACTG
Housing Works
Open Door Clinic
National AIDS Housing Coalition
National Alliance of State and Territorial AIDS Directors
 ILLINIOS cont. MISSISSIPPI

Pediatric AIDS Chicago Prevention Initiative A Brave New Day

Prevention Justice Alliance Aids Action In Mississippi
Test Positive Aware Network Community Impact, Inc.
The First Congregational Church of Chicago U.C.C.
NORTH CAROLINA
Wheaton Franciscan Healthcare
Winnebago County Health Department North Carolina AIDS Action Network
North Carolina Harm Reduction Coalition
INDIANA
NEW HAMPSHIRE
AIDS Ministries/AIDS Assist of North Indiana
Tri-State Alliance AIDS Services for the Monadnock Region

LOUISIANA NEW JERSEY

Aspirations Wholistic Tutorial Services Hyacinth AIDS Foundation

Direct Assistance Program Southwest Louisiana AIDS Council Partnership Project
Enable Skill Support Service Inc.
NEW MEXICO
HIV/AIDS Alliance for Region Two, Inc.
Louisiana AIDS Advocacy Network (LAAN) ACTNM!
Louisiana Latino Health Coalition for HIV/AIDS Awareness Varones Siglo 21
New Orleans Regional AIDS Planning Council
The Philadelphia Center NEW YORK
Women With A Vision AIDSfreeAFRICA
Albany Damien Center, Inc.
MASSACHUSETTS
AVAC
AIDS Support Group of Cape Cod Prevention & Screening Bronx AIDS Services
Services CitiWide Harm Reduction
Center for Community Health Education & Research, INC. Commission on the Public's Health System
Heaven In View Ministry Gay Men's Health Crisis
Ibis Reproductive Health Global Justice Institute Metropolitan Community Churches and
Search For A Cure The Fellowship
Strongest Link AIDS Services Harlem United
Treatment Access Expansion Project HIV Law Project
Housing Works Inc.
MARYLAND Lower East Side Harm Reduction Center
Nassau Inmate Advocacy Group
AIDS Acton Baltimore
Schenectady Damien Center
Baltimore City Health Department Commission on HIV AIDS
The Space at Tompkins
LIGHT Health & Wellness Comprehensive Services, Inc.
Malcolm Coley Transdiaspora Network, Inc.
Moveable Feast Treatment Action Group
National Association of People with AIDS
OHIO
PeterCares House
Athens AIDS Task Force
MICIGHAN IV CHARIS
Miami Valley Positives for Positives Consumer Advisory
Community AIDS Resource and Education Services (CARES)
Committee
Michigan Positive Action Coalition, (MI-POZ)
Nightsweats & T-cells, Co
MINNESOTA Positive Living Program TCN Behavioral Health Services, Inc.
Clare Housing
Minnesota AIDS Project OKLAHOMA

MISSOURI Tulsa CARES

Unitarian Universalist Global AIDS Coalition

OREGON
Cascade AIDS Project
!"
 PENNSYLVANIA VERMONT
Keystone Health RU12? Community Center
Proyecto Sol Phila Vermont PWA Coalition
Reading Risk Reduction
WASHINGTON
SOUTH CAROLINA
Ti-chee Native AIDS Prevention Project
AID Upstate
South Carolina Campaign to End AIDS WISCONSIN
Upper Savannah Care Services CWC HIV-AIDS Consultant Services
HIVictorious, Inc.
TENNESSEE
Nashville CARES WEST VIRGINIA
Street Works South Central Educational Development, Inc
Tennessee AIDS Advocacy Network
PUERTO RICO
TEXAS
Coalicion de Coaliciones Pro Personas sin Hogar de Puerto Rico,
ARMS Clinic, Children's Medical Center Dallas Inc
Community Unity Respect Education
Houston GLBT Community Center US VIGIN ISLANDS
International AIDS Empowerment Women Together for Change

VIRGINA

HIV Medicine Association

K.I. Services, Inc
The Balm In Gilead 
Urban League of Hampton Roads, Inc. 
Virginia Organizations Responding to AIDS

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