Public Financing and Delivery of HIV/AIDS Care Securing the Legacy of Ryan White (2005) / Chapter Skim
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1 Introduction: Securing the Legacy of Ryan White
1 Introduction: Securing the Legacy of Ryan White
Pages 27-35
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From page 27... ...
Furthermore, many who could benefit from current treatment and care methods do not receive them. As a result, the disease remains a key public health problem for the nation.
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From page 28... ...
In the text of the reauthorization, the Institute of Medicine was charged to form two expert Committees to look at the future of the federal response to the HIV/AIDS epidemic. The two Committees -- the Committee on Public Financing and Delivery of HIV Care and the Committee on the Ryan White CARE Act: Data for Resource Allocation, Planning and Evaluation -- were intended to work independently but in parallel and to release their findings within months of one another.
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From page 29... ...
The CARE Act is organized into four titles and three targeted components: Title I Title I provides emergency assistance to the Eligible Metropolitan Areas (EMAs) that are most severely affected by the epidemic.
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From page 30... ...
The CARE Act provides funding for primary medical care and support services for low-income, uninsured, and underinsured populations with HIV disease. Though exact client counts are impossible, HRSA estimates that more than half a million individuals each year receive medical care, prescription drugs, and ancillary services paid for with CARE Act funds.
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From page 31... ...
Congress used the GAO's finding to address the unintended consequences of policies stemming from earlier legislation and to assess how well the CARE Act fulfills 2The Committee uses the acronym HAART throughout the report to mean multidrug antiretroviral therapy. This regimen typically consists of a combination of the three classes of antiretroviral drugs that are effective against HIV: nucleoside reverse transcriptase inhibitors (nRTIs)
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From page 32... ...
One option specifically identified in the legislation is to extend Medicaid coverage to people in early stages of HIV infection. The panel is also to look at the costs stemming from current barriers to care as well as the costs and savings for affected programs from proposed changes in public financing for HIV care (HRSA, 2001)
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From page 33... ...
The conclusions and recommendations presented in this report represent the Committee's effort to develop a comprehensive vision of a system of care that will improve the quality and duration of life for those with HIV and promote effective management of the epidemic by providing access to comprehensive care to the greatest number of low-income individuals with HIV infection. Throughout its deliberations, the Committee sought the strongest evidence available for its conclusions and carefully weighed the feasibility of its recommendations.
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From page 34... ...
A key question for the third decade is this: How can the publicly funded HIV/AIDS care system operate more equitably and efficiently to fulfill the promise and mission of the Ryan White CARE Act?
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From page 35... ...
1995. Ryan White CARE Act of 1990: Opportunities Are Available to Enhance Funding Equity.
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