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National Alliance of State and Territorial AIDS Directors
Recommendations to Guide the 2005 Reauthorization of the Ryan White CARE Act
Table of Contents
March 7, 2005
Executive Summary
Overview
Principles for Reauthorization
Summary of Recommendations
Recommendations
Theme 1: Strengthening State Program Capacity
ADAP Funding and Supplemental Grant Awards
Emerging Communities Supplemental Grants
Minimum Grant Awards
Use of HIV Cases in Title II Formula Awards
340B Program Pricing
Authorized Funding Levels
Theme 2: Maintaining Program Infrastructure
Supportive Services
Hold Harmless Provisions
Communities of Color
HIV/HCV and HIV/HBV Co-Infection
AIDS Education and Training Centers
Theme 3: Simplification and Flexibility
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CARE Act Simplification
State Match and Maintenance of Effort
Women, Infants, Children and Youth Set-Aside
Unmet Need
Quality Management
Prevention and Care Integration
Theme 4: Enhancing States' Ability to Coordinate
SCSN and Comprehensive Planning
Payer of Last Resort
Title III Grants
Theme 5: CARE Act Mandates
Core Set of Services
ADAP Core Formulary
Participatory Planning
Federal Grants to Reduce Perinatal Transmission
Partner Counseling and Referral Services
Abstinence/Prevention Education
Theme 6: CARE Act Accountability
Accountability of HRSA and Grantees
Administrative and SPNS Tap Accountability
Appendices
A: NASTAD Ryan White CARE Act Fact Sheet
B: Directory of State and Territorial AIDS Directors
C: Title II Historical Funding Chart
D: FY2004 Title II Funding Awards
References
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