• Medicaid and Medicare providing coverage for all persons with HIV who meet the income threshold, without requiring them to qualify on the basis of disability, as intended under the ACA;
• funding of ADAP and other programs at levels sufficient to eliminate the need for programs or providers to prioritize provision of treatment based on, for example, CD4 counts;
• the organizations that issue clinical guidelines making their purposes clear and their methodology transparent, so that policy makers can better understand the source of any discrepancies; and
• the federal agencies and professional societies that issue guidelines keeping them updated to reflect the latest scientific evidence, as HHS does on a regular basis.
Taken collectively, improvements in these areas will help to promote both early treatment, with minimal interruption, and the provision of psychosocial and support services for HIV-infected individuals, leading to better health outcomes.