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New York State Executive Budget 2010-2011

New York State Executive Budget 2010-2011. HIV/AIDS Stakeholder Briefing New York State Department of Health January 26, 2010. 2010-2011Budget Principles. Unprecedented budget deficit All program areas need to help address the problem Focus on services that fulfill DOH’s core mission

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New York State Executive Budget 2010-2011

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  1. New York State Executive Budget 2010-2011 HIV/AIDS Stakeholder Briefing New York State Department of Health January 26, 2010

  2. 2010-2011Budget Principles • Unprecedented budget deficit • All program areas need to help address the problem • Focus on services that fulfill DOH’s core mission • Preserve direct services to the extent possible • Prioritize prevention • Fund good providers in core programs using evidence-based interventions • Promote administrative efficiencies • Align and consolidate appropriation lines consistent with core goals and objectives • Avoid across the board cuts • Create programmatic support through targeted revenue generation • In general recommended funding starts with 2009 DRP level plus additional reductions to meet the deficit

  3. Program Consolidation • AIDS • Cancer • Obesity/Diabetes Rationale: • Greater flexibility in use of funds • Continued emphasis on evidence-based effective programs • Ability to direct funds to emergent needs • Reduced administrative burden for SDOH and contractors to result in simplified administrative processing • Streamlined and efficient management and oversight

  4. Program Consolidation: AIDS HIV/AIDS: • More than 25 years since inception of the AIDS Institute it is important to restructure appropriation lines to mirror today’s epidemic and maximize programmatic effectiveness through continued effective prevention and access to quality health and supportive services • Consolidate multiple appropriation lines into comprehensive programmatic categories and generate $3.8M in savings. Budget includes authority to transfer funds between and among the programmatic categories to assure effective and efficient funding of programs and services

  5. Program Consolidation: AIDS • Comprehensive programmatic categories: • Regional and Targeted HIV, STD and Hepatitis C Programs: Outreach and education, prevention, support and community level interventions • HIV, STD and Hepatitis C Prevention: Testing, partner and support services including but not limited to harm reduction, risk reduction, criminal justice, capacity building and other services for those at risk for and living with HIV, STDs and Hep C • HIV Health Care and Supportive Services: Services in community-based health care settings; services for substance users, women, children, and youth; treatment adherence, nutrition, supportive housing, and legal support services; and quality/utilization review activities • HIV, STD and Hep C Clinical Education: Provider and clinical education, guidelines development, specialized education and training, and developing workforce capacity • Hepatitis C Programs: Services related to Hepatitis C programs

  6. AIDS Program Consolidation1. Regional and Targeted HIV, STD and Hepatitis C Programs • Multi-Service Agencies • Community Service Providers • Community Development Initiative

  7. AIDS Program Consolidation: 2. AIDS/HIV, STD and Hepatitis C Prevention • HIV/AIDS testing including rapid testing • Counseling and Testing in Family Planning • HIV-related risk reduction education and outreach • Communities of Color • New York AIDS Coalition • National Black Leadership Commission • Cornell AIDS Training and Education • Criminal Justice Initiative • HIV prevention and outreach efforts targeted to substance users • Prevention education, outreach and case management to high-risk women, adolescents and children • HIV prevention for LGBTQ • MSM outreach • Surveillance Projects • Partner Notification • Community Health Worker

  8. AIDS Program Consolidation: 3. HIV Health Care and Supportive Services • New York/New York III • Legal/Families in Transition Support Services • Treatment Adherence • AIDS Utilization Review • HIV Retention in Care – Communities of Color • Women’s supportive services • Family centered health care • Nutritional services • Supported homeless housing • HIV prevention and primary care in community-based health care settings • HIV prevention and primary care in drug treatment settings

  9. AIDS Program Consolidation:4. HIV, STD and Hepatitis C Clinical Education • HIV Fellowship Program • Education and Training • Clinical Education • Provider Education: Clinical Guidelines • Access to Clinical Drug Trials • Medical Society of State of New York

  10. Dedicated Taxes to Support and Promote Public Health • Cigarette • Sugared beverages Rationale: To lower long-term health care costs by discouraging unhealthy consumption habits • 14% decrease in cigarette use • 15% reduction in consumption of sugared beverages • Generates $650M to support public health programs ($465M from sugared beverages and $185 from cigarettes)

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