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Technical Assistance

Implementation of the Affordable Care Act (ACA)
and the Future of HIV Prevention Services

The Affordable Care Act (ACA) is landmark legislation that serves as a health reform blueprint with great potential to impact the success of HIV prevention programs. The details of how the specific health plans will be rolled out are decided at the implementation level, with the states having a great deal of discretion in terms of benefits and the overall health exchange marketplace. As such, most of the work to impact how the health coverage programs will be developed and operated will take place at the local/state level.

The following resources are meant to serve as a guide and a starting point for jurisdictions to access information and get involved.

July 2013 Presentations

Updating the Ryan WhiteHIV/AIDS Program for aNew Era:Presentation and Dialogue with UCHAPS»

The Affordable Care Act and HIV/AIDS Programs»

March 2013 Meeting Presentations

State Implementation of the Affordable Care Act: Improving Health Outcomes and reducing Transmission»

Preparing HIV/AIDS Programs and Providers for Private Insurance Reforms»

State Perspective: HIV, Public Health, Infrastructure, Reform in Texas»

Early Adoption of Health Care Reform in Los Angeles County»



Health Resources and Services Administration, HIV/AIDS Program (HRSA/HAB) launched Ryan White & the Affordable Care Act: What You Need to Know as a grantee resource.

The Center for Consumer Information & Insurance Oversight (CCIIO) charged with helping implement many provisions of the Affordable Care Act, overseeing the implementation of the provisions related to private health insurance.

HealthCare.gov is a website managed by the U.S. Department of Health & Human Services that provides up to date information on insurance options, insurance marketplace, prevention & wellness coverage requirements, basic information and implementation timeline.


Kaiser Family Foundation provides up to date information and tools on health care reform.

Families USA houses Health Reform Central for general and state specific information about the law and its implementation.

HIVHealthReform.org, maintained by AIDS Foundation of Chicago, maintains a blog, shares information through an email newsletter, and hosts regular webinars on health care reform implementation issues related to health care access for people living with HIV.


Universal Treatment Scale Up
Municipalities Learning from Each Other: Strategic Implementation of Universal Antiretroviral Treatment to Maximize Reductions in HIV Incidence

Academic, government and community public health leaders gathered for a one-day meeting on July 20, 2012, preceding the 2012 International AIDS Conference, to strategize regarding best practices in scaling up antiretroviral therapy for both individual and public health benefit within their home communities.


Early Adopters of Universal Treatment: Jurisdictional Overviews

View the Presentation

Dr. Julio Montaner, University of British Columbia, Vancouver
Dr. Moupali Das, San Francisco Department of Public Health, UCSF
Dr. Lisa Fitzpatrick, United Medical Center, Washington, DC
Peter McLoyd, Ruth M. Rothstein CORE Center, Chicago, IL
Dr. Blayne Cutler, New York City Department of Health and Mental Hygiene

Moving from the Emergency to the Sustainable Response: Implications for Testing and Universal Treatment

View the Presentation

Dr. Edward Gardner, Denver Department of Public Health, University of Colorado
Dr. Oxiris Barbot, Baltimore City Health Department
Eunice Casey, New York City Health and Hospitals Corporation
MariJo Vasquez, International Community of Women Living with HIV/AIDS, Barcelona, Spain

Harmonization of Data Systems and Innovative Uses of Technology to Improve Treatment Outcomes

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Dr. Ron Valdiserri, U.S. Department of Health and Human Services
Dr. Jen Kates, Kaiser Family Foundation
Dr. Debbie Wendell, Louisiana Office of public Health, Louisiana Public Health Information Exchange (LaPHIE)
Dr. Rose Veniegas, UCLA Department of Family Medicine
Tiffany West, Washington, D.C. Department of Health


Politics, Policies, Protocols and Philosophies

View the Presentation

Dr. Kevin De Cock, Centers for Disease Control and Prevention, Center for Global Health
Marlene McNeese-Ward, Houston Department of Health and Human Services
Jane Herwehe, Louisiana State University, Louisiana Public Health Information Exchange (LaPHIE)
Anna Zakowicz, Group Network of People Living with HIV (GNP+), EU
Israel Nieves-Rivera, San Francisco Department of Public Health

ECHPP (Enhanced Comprehensive HIV Prevention Planning and Implementation for MSAs Most Affected by HIV/AIDS)

Division of HIV/AIDS Prevention Program Monitoring Update

Funding Announcement Phase 1

Funding Announcement Phase 2

Presentation: David Purcell and Stephen Flores, PhD, Prevention Research Branch, Division of HIV/AIDS Prevention, CDC

A Goal Setting Guide for Required/Recommended Interventions

Presentation: 12 Cities, ECHPP, and National HIV/AIDS Strategy Implementation, Anna Ford, UCHAPS

Expanded HIV Testing for Disproportionately Affected Populations

Funding Announcement

Revised Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women in Health-Care Settings

Social Marketing Tools: Washington DC

Results of the Expanded HIV Testing Initiative 25 Jurisdictions, United States, 2007-2010

Program Collaboration and Service Integration

PCSI FOA and White Paper

Funding Announcement
CDC 2010 White Paper on Program Collaboration and Service Integration

Capacity Building Assistance (CBA) for PCSI

Capacity Building Assistance for Health Department Overview, Alberto Santana, MS
Capacity Building for Health Departments, CBA for Health Departments Network

Presentations from the National Center for HIV, Hepatitis, STD, and TB Prevention (NCHHSTP)

PCSI: Enhancing the Prevention and Control of HIV/AIDS, Viral Hepatitis, STDs, and TB, Gustav Aquino, PhD
NCHHSTP Grantee Meeting, Kevin Fenton, MD, PhD, FFPH
PCSI: Division of HIV/AIDS Prevention, Erica Dunbar, MPH
STD Programs and PCSI Perspectives, Kevin O’Connor, MA
TB Control, PCSI, and Health Care Reforms, Terence Chorba, MD
PCSI-related Issues and Selected Updates on Viral Hepatitis Prevention Issues, Geoff Beckett, PA-C, MPH

Grantee Presentations Peer TA

New York City
North Carolina
San Francisco
San Francisco 2
Washington, DC


Snapshot: A Comprehensive Approach to HIV Prevention in UCHAPS Jurisdictions

Resource Center

Implementation of the Affordable Care Act (ACA) and the Future of HIV Prevention Services

Syringe Services Program Development and Implementation Guidelines

Universal Treatment Scale Up


Expanded HIV Testing

Program Collaboration and Service Integration

HIV in the US and Urban America

Data and Surveillance

Expert Links

2011 Urban Coalition for HIV/AIDS Prevention Services | Photos: See Change (www.see-change.com) and istockphoto.com (models for illustrative purposes).