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June 16, 2006

This Week in Washington
1. Appropriations Committee Passes Health Bill
2. AIDS Action Staff Discusses HIV with Youth

CARE Act in Brief
1. Ryan White Markup Likely Postponed

This Week in Washington
1. House Appropriations Committee Passes Health Bill

On June 13th the full House Appropriations Committee passed the $141.9 billion Fiscal Year (FY) 2007 Labor, Health and Human Services and Education bill. However, House Republican leaders have decided to wait on holding a vote on the House floor despite having announced that they had hoped to vote on the measure next week. According to Congressional Quarterly, a House GOP leadership aide confirmed that the bill would not reach the floor next week, despite the objections of Appropriations Chairman Jerry Lewis (R-CA), who is seeking to move all 11 FY07 appropriations bills through the House before the July 4th recess. If the Labor, Health and Human Services and Education (Labor-HHS) bill is delayed, it could be subject to a continuing resolution or an omnibus bill at the current spending level or below. Chairman Lewis hoped not to have any continuing resolution or omnibus bill in order to avoid a lame duck session in November after the mid-term elections.

The committee press release on the highlights of the bill states, “Domestic HIV/AIDS—For the Ryan White AIDS program, the bill provides an increase of $70 million over last year and $25 million below the request with total funding of $2.1 billion. This increase will permit States to provide needed medications for those with the greatest need. In addition, the Committee includes $63 million for a new testing initiative at Centers for Disease Control and Prevention (CDC) to help stop the spread of this disease through increased levels of testing.” The bill as passed does not include the $25 million President Bush requested for Title III of the RWCA to increase funding for programs in faith-based and community based organizations. The bill also has $30 million less in funding for the new CDC initiative than what the president requested.

Earlier this year House appropriators added $4 billion to the appropriations bill, more than President Bush requested. Both Republican moderates and Democrats have argued that an additional $3 billion is needed just to restore funding to FY 2005 levels. It is likely that Senate appropriators will also add $4 billion when they take up the FY2007 Labor-HHS appropriations later this year. AIDS Action will keep you informed as the House and Senate work to complete their appropriations process.

2. AIDS Action and Allied Organizations Discuss HIV with Youth
On June 12 AIDS Action gave a presentation about HIV policy at the National City Christian Church to members of the Kentucky Christian Youth Fellowship who were visiting Washington D.C. Nathan Schaefer, government affairs associate at AIDS Alliance (and a former AIDS Action intern – we are very proud of him!) opened the presentation with a summary of current HIV/AIDS issues, including its prevalence, how it is transmitted, and specifically how the virus concerns today’s youth. Next Angelo James, the Operations Division Assistant at Human Rights Campaign who is from Kentucky originally, spoke to the teens as a person living with HIV. Although he said that it is sometimes hard to live with a life-threatening illness that occasionally prevents him from doing everything that his friends do, he works hard to take care of himself and he is enjoying his life to the fullest.

AIDS Action Communication Coordinator Sarah Whitehead described AIDS Action Foundation’s Connecting to Care program which studies successful activities that engage people who are living with HIV and aware of their status in care services. Currently the program is working to profile 25 new activities relating to people living with HIV who are located in rural communities or who are incarcerated or reintegrating into society after incarceration. More can be found about Connecting to Care at http://www.connectingtocare.net/.

The presentation concluded with AIDS Action Political Director William McColl addressing the reauthorization of the Ryan White Care Act as well as lobbying Congress in general. McColl stressed to the kids that a small network of people dedicated to a cause can make a difference. In addition to meeting with AIDS Action, the group which is studying HIV and AIDS planned to travel to New York City for a presentation from Gay Men’s Health Crisis and were expecting to view a performance of “Rent,” the Broadway rock musical depicting AIDS ravaged New York in the early 1990s. The youth group members, ranging in age from 14 – 18, were accompanied by 5 adults.

On Tuesday, June 13 AIDS Action Director of Government Affairs Donna Crews spoke to fifteen 10th grade students at Cesar Chavez Public Policy High School in the District of Columbia. The class is on HIV modes of transmission, policies in place to assist those who are HIV positive and also policies in place to keep people HIV negative. The students will conclude the class with an HIV 101 presentation to all of the 10th graders on HIV treatment, prevention, and policy.

Ms. Crews discussed the Ryan White CARE Act – its reauthorization and its impact on HIV positive people who have no other health insurance to get the medical care that they need. The class had previously discussed needle exchange programs and the impact such programs could have on curbing the number of HIV positive people. Ms. Crews told them that President Clinton had opportunity to allow federal government funding for needle exchange programs in the last year of his presidency. Rather than doing so, he chose to listen to General Barry McCaffrey (then head of the Office of National Drug Control Policy) who believed that distribution of needles would increase the use of drugs more than it would slow the transmission of HIV. Ms. Crews explained that 2-3 years later, after former President Clinton left office and started a foundation working on HIV and AIDS domestically and internationally, he publicly said that one of his deepest regrets about his presidency was not implementing federal funding for needle exchange to help stem the transmission of HIV among intravenous drug users.

CARE Act in Brief
1. Ryan White Markup Likely Postponed

Negotiations on the Ryan White CARE Act continued this week as Republican and Democratic staff members in the House and Senate sought to reach an agreement on how best to allocate funding for HIV treatment and care in cities and states. Members of the Energy and Commerce committee, which is responsible for reauthorizing the CARE Act in the House, had optimistically hoped to hold a markup on the bill and possibly pass it on the House floor next week in time for the House’s proclaimed “Health Week.” However, it appeared that negotiators would not be able to get the bill ready in time. At least in part, the delay has been caused by an inability of the Government Accountability Office (GAO) to compile case level data that committee staffers can use to determine how funding will be distributed.

On June 14th and 15th Members of the National Association of AIDS Education and Training Centers (NAAETC), which is an AIDS Action board member, visited more than 60 Congressional Offices to discuss the reauthorization and the need for additional funding through the appropriations process. AIDS Action staffers accompanied the NAAETC members to many of their meetings.

Several Congressional aides said during their meetings that the Energy and Commerce committee preferred to negotiate and find an acceptable compromise rather than to rush to create a bill that might turn out to be unacceptable. Although timing for the process for reauthorization had slowed down from its expected course, many staffers said that they felt that it would be possible to create a bill that would pass the House and Senate this year. The most optimistic staffers have said that they would like to do so before the July 4th recess. More cautious staffers said that it might take until August.

 

The AIDS Action Weekly Update
The Weekly Update is written with a mind toward the interests of our members. If you are interested in membership with AIDS Action, we invite you to contact members@aidsaction.org.

AIDS Action works to end the HIV epidemic by advancing public policies that prevent new infections, provide care for people living with HIV, and support the search for a cure. AIDS Action serves as the national voice for people living with HIV and represents AIDS service organizations, health departments, and a diverse network of community-based organizations across the country.

 
 

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