Meeting with Industry Partners July 16, 2009

1. Meeting with Industry PartnersJuly 16, 2009 NASTAD’s 2009 Priorities

2. Overview • About NASTAD • Care and Treatment • Prevention and Surveillance • Viral Hepatitis • Racial and Ethnic Health Disparities • Leadership Development

3. NASTAD Members • NASTAD members are responsible for: • Coordination of HIV/AIDS programs in states, regardless of authority of grants • HIV/AIDS health care and supportive services, including Ryan White Part B and ADAP • HIV prevention, education and surveillance • Adult viral hepatitis • STDs, TB and other communicable diseases • Family planning • Other public health issues, including H1N1

4. NASTAD Programs • Domestic • Care and Treatment • ADAP Monitoring and Technical Assistance • Prevention and Surveillance • Racial and Ethnic Health Disparities • Viral Hepatitis • Global Technical Assistance • Government Relations/Policy

5. Federal Advocacy and Policy • Provide policy expertise on Ryan White Program and HIV and viral hepatitis prevention programs • Relied on for advocacy materials including ADAP fact sheets and charts, Blueprint for Ending the HIV/AIDS Epidemic Through the Power of Prevention andprevention policy agenda • Develop annual need numbers for Ryan White Part B Base, ADAP and CDC HIV and viral hepatitis prevention programs

6. Federal Advocacy and Policy • Monitor all federal funding for HIV/AIDS programs • Monitor state funding and budget crises • Build strong relationships with Hill champions and federal agencies • Work with governors offices, pharmaceutical and diagnostics industry, HIV and viral hepatitis community, and public health organizations to advance common goals • Provide significant leadership and policy capacity in numerous coalitions

7. Federal Advocacy and Policy • Co-Chair AIDS in America • Sit on Convening Group of Federal AIDS Policy Partnership (FAPP) • Co-Chair FAPP Ryan White Working Group • Co-Chair HIV Health Care Access Working Group • Run the ADAP Advocacy Coalition • Run the Hepatitis C Appropriations Partnership • Chair the National Viral Hepatitis Roundtable • Active in the AIDS Budget and Appropriation Coalition • Participate in the ASTHO Affiliate Council • Participate in the 340B Coalition

8. Care and Treatment • Ryan White Implementation • Client level data • Part B Supplemental • Maintenance of Effort and State Match • Focused TA on implementation of HRSA/HAB clinical performance measures • ADAP TA Meeting • Only meeting of its kind for ADAP Coordinators • Industry partnership is essential; no federal funding • Seeking input on ADAP TA meeting in years when RW All Grantee Meeting is held (2010)

9. Care and Treatment • ADAP TA and Monitoring Project • Provides critical TA to ADAPs; HRSA cooperative agreement and industry funding • ADAP Clinical Advisory Work Group • ADAP clinical newsletter (quarterly) • HIV/AIDS Medical Directors listserv • TA products • ADAP Emergency Preparedness Guide • Coordination of Benefits ADAP TA Brief • Fact sheet on Stimulus COBRA benefit • TA webinars • Insurance purchasing • Waiting list management • Medicare Part D and Medicaid wrap-around

10. Care and Treatment • National ADAP Monitoring Project and Report • Partnership with Kaiser Family Foundation (KFF) and many industry members • Produces annual report and bi-monthly ADAP Watch reports • Partnership with KFF is shifting to “modules” of various state HIV/AIDS issues, including ADAP • Seeking support for continuation of National ADAP Monitoring Report

11. Care and Treatment • ADAP Crisis Task Force • Appreciate willingness of industry partners to voluntarily come to the table • Share successes and industry partnership without letting Congress off the hook for funding • TA to states to ensure proper implementation

12. Prevention and Surveillance • Peer - based TA, assessments and reports • Kaiser Family Foundation – National HIV Prevention Program Inventory • TA meeting on reaching gay men through the Internet • TA meeting on expanding syringe access • TA on using new media • Preparation for new biomedical prevention tools • Collaboration with CDC on “Heightened National Response to HIV Crisis Among African Americans” and Act Against AIDS • Focus on HIV surveillance in collaboration with Council of State and Territorial Epidemiologists (CSTE) • HIV/STD Prevention for Youth • National Vaccine Awareness Day activities • Monthly Prevention Bulletin

13. Prevention and Surveillance • Assisting states with implementing CDC 2006 testing recommendations and Expanded Testing Initiative • Ongoing assessment of health department progress • Monitoring state legislation and regulation • “HIV Testing in Emergency Departments:  A Primer on Issues and Strategies for Health Departments” • Report on year one of Expanded Testing Initiative • Rapid testing implementation report • Original co-sponsor of National HIV Testing Day • Governors’ HIV Testing Initiative • Linkages to care

14. Viral Hepatitis • Focus on integration with HIV programs including hepatitis A, B, C and co-infection • Support adult viral hepatitis prevention coordinators • CDC funding provides little more than a salary • No funds for services or treatment • Collaborating with Perinatal hepatitis B Coordinators • CDC Cooperative Agreement focused on networking, partnership, and information dissemination • NASTAD National Viral Hepatitis TA Meeting

15. Viral Hepatitis • No funding for education, testing, referral into care • No funding for chronic surveillance • No dedicated funding for adult vaccine • CDC directed $16 million in unspent 317 vaccine program funds for hep B vaccine, not for infrastructure to deliver vaccine • No dedicated program to provide care, will be aging into government programs • Seeking stronger collaboration with industry and providers in advocacy

16. Racial and Ethnic Health Disparities • Overarching focus for NASTAD members and staff • Work woven into all program and policy areas • African American and Latino Advisory Committees • API and Native American projects • Research and TA on needs of Black gay men • Regional TA meetings - corrections and African American women • U.S./Mexico border epi project • Population specific reports and recommendations

17. Leadership Development • Support from Johnson and Johnson for program targeting health department staff • Completed needs assessment phase; developed and conducted first program for new AIDS directors in 2009 • Mentoring and other training programs in process • Seeking funding to expand program, including workforce development • Focus on leadership development among young people and health department minority staff

18. Contact Information National Alliance of State & Territorial AIDS Directors 202.434.8090 www.NASTAD.org Julie Scofield Murray Penner Executive Director Deputy Executive Director, Domestic Programs jscofield@nastad.orgmpenner@nastad.org Laura Hanen Dave Kern Director, Government Relations Director, Strategic Initiatives lhanen@nastad.orgdkern@nastad.org Ann Lefert Beth Crutsinger-Perry Associate Director, Government Relations Associate Director, Care and Treatment alefert@nastad.orgbcrutsinger-perry@nastad.org Terrance Moore Chris Taylor Senior Manager, Racial and Ethnic Health Disparities Senior Program Manager, Viral Hepatitis tmoore@nastad.orgctaylor@nastad.org