ing. The absence of programs and policies to support clinician education and training on HIV testing and to reduce HIV-related stigma and discrimination are also barriers to expanded HIV testing. There are evidence-based approaches to facilitate HIV testing that may be considered as part of an expanded HIV testing strategy. Before implementation of a program of expanded HIV testing, consideration should be given to whether individuals who are diagnosed as HIV positive can be provided timely access to care. Federal and state policies and private health insurance policies/practices that inhibit entry into clinical care or the provision of continuous and sustained clinical care for individuals with HIV will be explored in the committee’s second report.