Planning for Health Care Reform: The HIV Care, Detection, and Prevention Perspective

This is a document that the State Office of AIDS put out: Planning for Health Care Reform: The HIV Care, Detection, and Prevention Perspective.


Given the complexities of federal and state financing of medical services for people living with HIV infection and the need for HIV treatment expertise in an expanding universe of health care settings, it is critical to consider HIV-specific issues for health service delivery associated with the implementation of the Affordable Care Act (ACA). It is also important to consider the HIV testing and prevention issues and opportunities associated with ACA. Thus, the California Department of Public Health (CDPH), Center for Infectious Diseases (CID), Office of AIDS (OA) convened a stakeholder input process between May and August 2011 to assist in addressing the following objectives.


  1. Identify potential HIV-related issues associated with full implementation of ACA in 2014 and beyond.
  2. Enable OA to provide technical assistance (TA) to support a seamless transition for medical care, support, testing, and prevention service delivery systems, providers, and individuals living with and at risk for HIV prior to full implementation of ACA.
  3. Develop a Summary document that outlines the key HIV-specific issues in the areas of health care delivery systems (including public and private health plans both in and outside of the California Health Benefits Exchange [Exchange]), provider and workforce readiness, patient needs, and financing. When available, the summary includes experts, resources, and key outstanding questions. This Summary is not intended to be a policy paper. It is meant to assist OA in developing its TA capacity.

Read/download the entire document here: Planning for Health Care Reform: The HIV Care, Detection, and Prevention Perspective




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