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    HIVMA Urges Senate Not to Repeal the ACA

    HIVMA strongly urges Senate to improve rather than repeal the Patient Protection and Affordable Care Act (ACA).

    HIVMA and RWMPC Support Ryan White Premium Assistance Programs

    A joint letter from HIVMA and the Ryan White Medical Providers Coalition (RWMPC) to Secretary Sebelius urging HHS to require Qualified Health Plans to accept third-party premium payments from Ryan White programs.

    Strategies for Health Insurers to Optimize Coverage for People with HIV

    HIVMA and AAHIVM recommendations for public and private insurers to support quality, cost-effective HIV Care.

    Preparing for Health Coverage Expansion Fact Sheet

    In 2014, many uninsured patients with HIV will have health insurance for the first time, and others will transfer to new health coverage. For patients to continue to see their HIV medical providers, their providers will need to contract with the plan offering this coverage.

    HIVMA Urges Essential Health Benefits Support HIV Care Standards

    HHS should set a higher national benefits standard that protects people with HIV from discriminatory practices. HIVMA’s recommendations focus on prescription drugs, chronic disease management and mental health and substance use services.

    HIVMA Comments on CMS RFI Regarding Health Plan Quality in Insurance Exchanges

    HIVMA commented on CMS’s request for information regarding health plan quality in health insurance exchanges, highlighting existing HIV-related measure sets and emphasizing the importance of ensuring effective clinical quality measurement while minimizing the burden of data collection by aligning measures across programs.

    HIVMA Comments on USPSTF Updated HCV Screening Recommendation

    HIVMA weighed in with the U.S. Preventive Services Task Force (USPSTF) in support of the panel’s draft recommendation to upgrade the rating for HCV screening of persons with risk factors from a grade “I” to a grade “B,” but urging that patients with an HIV diagnosis be specifically named among the high risk populations that should be screened for HCV infection.  The comments also strongly urge the Task Force to reconsider the “C” grade level recommended for the 1945 to 1965 birth cohort, and revisit the considerable evidence to support strengthening this rating.

    HIVMA’s Public Comments on the National Quality Forum’s NQF’s Draft 2012 ID Measures Report

    HIVMA Board of Directors Chair Michael Horberg, MD, MAS, FIDSA, submitted public comments on behalf of HIVMA on the National Quality Forum’s (NQF’s) Draft Report on “Infectious Disease Consensus Standards Endorsement Maintenance 2012.” HIVMA’s comments urge NQF to play an active role in ensuring that the final endorsed HIV and related clinical quality measures are harmonized and streamlined across federal government agencies and programs, as well as between public and private payors and practice settings.

    RWMPC and HIVMA Submit Principles and Recommendations Highlighting the Critical Role of the Ryan White Program

    RWMPC and HIVMA Submit Principles and Recommendations Highlighting the Critical Role of the Ryan White Program in Ending the AIDS Epidemic by Supporting Comprehensive Care and Treatment

    Implications of the Supreme Court’s Decision for People with HIV

    The Supreme Court is expected to release its much anticipated ruling on the Patient Protection and Affordable Care on Thursday, June 28th. The ruling could go in many different directions from upholding the entire law to striking down the requirement that individuals purchase insurance (or individual mandate) to striking down the Medicaid expansion to striking down the entire law.

    Letter to CMS on Extending Enhanced Medicaid Rates to Subspecialists

    Increased Medicaid Payment Rates:  HIVMA supported CMS’ proposal to extend enhanced Medicaid rates for primary care services to subspecialists. The increase was included in the Affordable Care Act and is for 2013 and 2014.

    Comments on Request for Information Regarding HHS Online Core Dataset System

    We are supportive of the initiative to create a core data system for HIV measures that will streamline data reporting requirements, reduce administrative burden and provide a comprehensive and uniform dataset for monitoring and evaluating HIV prevention and care delivery in the U.S.

    May 2012 Comments on Health Insurance Exchanges

    A number of the “final” provisions included in the rule are critical to people with HIV infection, and it will be important for HHS to establish monitoring systems to ensure they are applied across states.

    Protect the Prevention and Public Health Fund

    HIVMA and IDSA sent a joint letter to the United States Senate, urging Congress to protect the Prevention and Public Health Fund (PPHF) and oppose any efforts to reduce or eliminate it, as the fund  provides vital support for the preservation and promotion of our nation’s public health, including efforts to combat infectious diseases.

    Stage II EHR Meaningful Use Comments

    HIVMA weighed in on the department of Health and Human Services’ (HHS’s) proposed rule for Stage II of the Medicare and Medicaid electronic health record (EHR) “meaningful use” incentive programs.  The Association’s comments largely address the same set of concerns noted in HIVMA’s March, 2010 comments on Stage I of the program, and express support for inclusion of four HIV and several Hepatitis-specific clinical quality measures in the “menu” set of clinical quality measures.



    Health Reform Policies Promoting Quality HIV Care

    HIVMA wrote to state Medicaid directors and health insurance commissioners to urge them to adopt policies that promote quality HIV care as they implement health care reform.

    Drug Benefits Covered by the Essential Health Benefits

    HIVMA and RWMPC urged Secretary Sebelius to ensure the essential health benefits that provides people with HIV with access to the standard for HIV treatment set by the Department of Health and Human Services HIV treatment guidelines.

    Essential Health Benefits Comments

    HIVMA submitted comments in response to the Dec. 16th Bulletin urging Secretary Sebelius to create a higher minimum national standard for the essential health benefits.

    HIVMA and RWMPC Urge Policymakers to Support Comprehensive HIV Care

    HIVMA and the RWMPC sent their Essential Components of Effective HIV Care policy paper to key policymakers urging them to expand access to the HIV care model developed by the Ryan White program (and others) as HIV care capacity is expanded under the Affordable Care Act and the National HIV/AIDS Strategy.

    Letter to U.S. Preventive Services Task Force on HPTN-052

    HIVMA Board Chair, Dr. Judith A. Aberg, weighed in with the U.S. Preventive Services Task Force (USPSTF) on behalf of HIVMA, to highlight the relevance of the HPTN-052 clinical trial findings for the updated evidence review on routine HIV screening that the Task Force is currently conducting.

    Exchange Rules urging inclusion of Ryan White providers

    HIVMA comments on regulations that will establish an important standard for ensuring the exchanges serve as a fair marketplace for health coverage options that provide meaningful access to health care, including for people with HIV infection.

    Implications of HPTN 052 for the US Response to Domestic and Global AIDS

    HIVMA responds to the results of the HPTN 052 study, sponsored by the National Institute of Allergy and Infectious Diseases (NIAID) at the National Institutes of Health (NIH), which found that HIV-infected men and women with relatively healthy immune systems who received immediate oral antiretroviral therapy (ART) were more than 96 percent less likely to sexually transmit the infection to their uninfected partners and were more than 40 percent less likely to experience a clinical event than those whose treatment was delayed.

    Medicaid Access to Care Comments

    In a letter to CMS Administrator Donald Berwick HIVMA and RWMPC provided reccomendations on the proposed rule on Methods for Assuring Access to covered Medicaid Services (CMS-2328-P)

    IOM Recommendations for Updating the HIV SSA Disability Criteria

    HIVMA submitted comments to the Social Security Administration (SSA) regarding the September 2010 report, “HIV and Disability: Updating the Social Security Listings,” published by the Institute of Medicine (IOM) in response to a request from the SSA for guidance on updating the listings covering HIV.

    HIVMA Comments on Accountable Care Organizations and the Medicare Shared Saving Program

    In a letter to the Center for Medicare and Medicaid Services (CMS), Dr. Kathleen Squires submitted public comments behalf of HIVMA in support efforts to integrate service delivery to improve the delivery of patient-centered, high quality care.

    CMS Proposed Rule: Electronic Health Record Incentive Program

    In a letter to the Centers for Medicare & Medicaid Services (CMS), HIVMA's Chair-elect, Kathleen Squires, offered recommendations for the proposed rule.

    HIVMA Supports Final Push on Health Reform

    HIVMA Chair, Mike Saag, MD, wrote a letter to Congressional leaders urging inclusion of Medicaid payment parity in the final reform bill.

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