Free Republic
Browse · Search
News/Activism
Topics · Post Article

Skip to comments.

Executive Order -- HIV Care Continuum Initiative
http://www.whitehouse.gov ^ | July 15, 2013 | White House

Posted on 07/18/2013 6:54:39 PM PDT by Whenifhow

EXECUTIVE ORDER

- - - - - - -

ACCELERATING IMPROVEMENTS IN HIV PREVENTION AND CARE IN THE UNITED STATES THROUGH THE HIV CARE CONTINUUM INITIATIVE

By the authority vested in me as President by the Constitution and the laws of the United States of America, and in order to further strengthen the capacity of the Federal Government to effectively respond to the ongoing domestic HIV epidemic, it is hereby ordered as follows:

Section 1. Policy. Addressing the domestic HIV epidemic is a priority of my Administration. In 2010, the White House released the first comprehensive National HIV/AIDS Strategy (Strategy), setting quantitative goals for reducing new HIV infections, improving health outcomes for people living with HIV, and reducing HIV-related health disparities. The Strategy will continue to serve as the blueprint for our national response to the domestic epidemic. It has increased coordination, collaboration, and accountability across executive departments and agencies (agencies) with regard to addressing the epidemic. It has also focused our Nation's collective efforts on increasing the use of evidence-based approaches to prevention and care among populations and in regions where HIV is most concentrated.

Since the release of the Strategy, additional scientific discoveries have greatly enhanced our understanding of how to prevent and treat HIV. Accordingly, further Federal action is appropriate in response to these new developments. For example, a breakthrough research trial supported by the National Institutes of Health showed that initiating HIV treatment when the immune system was relatively healthy reduced HIV transmission by 96 percent. In addition, evidence suggests that early treatment may reduce HIV-related complications. These findings highlight the importance of prompt HIV diagnosis, and because of recent advances in HIV testing technology, HIV can be detected sooner and more rapidly than ever before.

Based on these and other data, recommendations for HIV testing and treatment have changed. The U.S. Preventive Services Task Force now recommends that clinicians screen all individuals ages 15 to 65 years for HIV, and the Department of Health and Human Services Guidelines for Use of Antiretroviral Agents now recommends offering treatment to all adolescents and adults diagnosed with HIV.

Furthermore, ongoing implementation of the Affordable Care Act provides a historic opportunity for Americans to access affordable, quality health care. The Act is expanding access to recommended preventive services with no out-of-pocket costs, including HIV testing, and, beginning in 2014, insurance

companies will not be able to deny coverage based on pre-existing conditions, including HIV. Starting October 1, 2013, Americans can select the coverage that best suits them through the new Health Insurance Marketplace, and coverage will begin January 1, 2014.

Despite progress in combating HIV, important work remains. Since the publication of the Strategy, data released by the Centers for Disease Control and Prevention show that there are significant gaps along the HIV care continuum -- the sequential stages of care from being diagnosed to receiving optimal treatment. Nearly one-fifth of the estimated 1.1 million people living with HIV in the United States are undiagnosed; one-third are not linked to medical care; nearly two-thirds are not engaged in ongoing care; and only one-quarter have the virus effectively controlled, which is necessary to maintain long-term health and reduce risk of transmission to others.

In light of these data, we must further clarify and focus our national efforts to prevent and treat HIV infection. It is the policy of my Administration that agencies implementing the Strategy prioritize addressing the continuum of HIV care, including by accelerating efforts to increase HIV testing, services, and treatment along the continuum. This acceleration will enable us to meet the goals of the Strategy and move closer to an AIDS-free generation.

Sec. 2. Establishment of the HIV Care Continuum Initiative. There is established the HIV Care Continuum Initiative (Initiative), to be overseen by the Director of the Office of National AIDS Policy. The Initiative will mobilize and coordinate Federal efforts in response to recent advances regarding how to prevent and treat HIV infection. The Initiative will support further integration of HIV prevention and care efforts; promote expansion of successful HIV testing and service delivery models; encourage innovative approaches to addressing barriers to accessing testing and treatment; and ensure that Federal resources are appropriately focused on implementing evidence-based interventions that improve outcomes along the HIV care continuum.

Sec. 3. Establishment of the HIV Care Continuum Working Group. There is established the HIV Care Continuum Working Group (Working Group) to support the Initiative. The Working Group shall coordinate Federal efforts to improve outcomes nationally across the HIV care continuum.

(a) Membership. The Working Group shall be co-chaired by the Director of the Office of National AIDS Policy and the Secretary of Health and Human Services or designee (Co-Chairs). In addition to the Co-Chairs, the Working Group shall consist of representatives from:

(i) the Department of Justice;

(ii) the Department of Labor;

(iii) the Department of Health and Human Services;

(iv) the Department of Housing and Urban Development;

(v) the Department of Veterans Affairs;

(vi) the Office of Management and Budget; and

(vii) other agencies and offices, as designated by the Co-Chairs.

(b) Consultation. The Working Group shall consult with the Presidential Advisory Council on HIV/AIDS, as appropriate.

(c) Functions. As part of the Initiative, the Working Group shall:

(i) request and review information from agencies describing efforts to improve testing, care, and treatment outcomes, and determine if there is appropriate emphasis on addressing the HIV care continuum in relation to other work concerning the domestic epidemic;

(ii) review research on improving outcomes along the HIV care continuum;

(iii) obtain input from Federal grantees, affected communities, and other stakeholders to inform strategies to improve outcomes along the HIV care continuum;

(iv) identify potential impediments to improving outcomes along the HIV care continuum, including for populations at greatest risk for HIV infection, based on the efforts undertaken pursuant to paragraphs (i), (ii), and (iii) of this subsection;

(v) identify opportunities to address issues identified pursuant to paragraph (iv) of this subsection, and thereby improve outcomes along the HIV care continuum;

(vi) recommend ways to integrate efforts to improve outcomes along the HIV care continuum with other evidence-based strategies to combat HIV; and

(vii) specify how to better align and coordinate Federal efforts, both within and across agencies, to improve outcomes along the HIV care continuum.

(d) Reporting.

(i) Within 180 days of the date of this order, the Working Group shall provide recommendations to the President on actions that agencies can take to improve outcomes along the HIV care continuum.

(ii) Thereafter, the Director of the Office of National AIDS Policy shall include, as part of the annual report to the President pursuant to section 1(b) of my memorandum of July 13, 2010 (Implementation of the National HIV/AIDS Strategy), a report prepared by the Working Group on

Government-wide progress in implementing this order. This report shall include a quantification of progress made in improving outcomes along the HIV care continuum.

Sec. 4. General Provisions. (a) Nothing in this order shall be construed to impair or otherwise affect:

(i) the authority granted by law to an executive department, agency, or the head thereof; or

(ii) the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

(b) This order shall be implemented consistent with applicable law and subject to the availability of appropriations.

(c) This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.

BARACK OBAMA


TOPICS: Government
KEYWORDS: epidemic; executiveorder; healthcare; hiv; homosexualagenda; obama; obamacare; sourcetitlenoturl
Navigation: use the links below to view more comments.
first 1-2021-4041 next last
http://www.whitehouse.gov/the-press-office/2013/07/15/executive-order-hiv-care-continuum-initiative
1 posted on 07/18/2013 6:54:39 PM PDT by Whenifhow
[ Post Reply | Private Reply | View Replies]

To: Whenifhow
DNA collection by any other name...
2 posted on 07/18/2013 6:55:23 PM PDT by E. Pluribus Unum (Who knew that one day professional wrestling would be less fake than professional journalism?)
[ Post Reply | Private Reply | To 1 | View Replies]

To: E. Pluribus Unum

OH goody, the GAY agen\da and now mandatory HIV testing......looks more like Obammy is looking for dates! (spit!)


3 posted on 07/18/2013 6:56:30 PM PDT by MagUSNRET
[ Post Reply | Private Reply | To 2 | View Replies]

To: Whenifhow

FUBO!!


4 posted on 07/18/2013 6:56:40 PM PDT by Jim Robinson (Resistance to tyrants is obedience to God!!)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Whenifhow

guess it’s so old school to expect people to pay for their mdical care.


5 posted on 07/18/2013 6:59:06 PM PDT by Secret Agent Man (Gone Galt; Not averse to Going Bronson.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Secret Agent Man

It’s got nothing to do with medical care and everything to do with establishing a national database of our DNA.


6 posted on 07/18/2013 7:02:21 PM PDT by Black Agnes
[ Post Reply | Private Reply | To 5 | View Replies]

To: Whenifhow; nutmeg
The ink is barely dry postponing the mandatory start date for ObamaCare, and mandatory HIV testing is issued via executive order.

Somebody dropped a lot of calculation digits between actuaries and OMB.

7 posted on 07/18/2013 7:03:04 PM PDT by NautiNurse (That is retarted, Sir.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Black Agnes

In the executive order, Obama cites Obamacare as being the vehicle for the collection of your blood sample/ DNA.

And look at section 3– all these agencies will get in the act:
DOJ, Dept of Labor, HUD, VA, OMB and others as needed.


8 posted on 07/18/2013 7:03:37 PM PDT by Whenifhow
[ Post Reply | Private Reply | To 6 | View Replies]

To: Black Agnes

It’s got nothing to do with medical care and everything to do with establishing a national database of our DNA.

i just mail in a stool sample


9 posted on 07/18/2013 7:05:53 PM PDT by al baby (Hi Mom)
[ Post Reply | Private Reply | To 6 | View Replies]

To: Whenifhow
Sec 4. (b) This order shall be implemented consistent with applicable law and subject to the availability of appropriations.

and therein lies the key.

10 posted on 07/18/2013 7:07:16 PM PDT by NonValueAdded (Unindicted Co-conspirators: The Mainstream Media)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Whenifhow

DNA collection efforts definitely

of course, once they identify an HIV/AIDs infected person, that person will be shuffled off to a ‘hospital’ for ‘treatment’... never to be seen again

they have to reduce their healthcare expenses... killing off these patients is an effective way


11 posted on 07/18/2013 7:07:53 PM PDT by sten (fighting tyranny never goes out of style)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Whenifhow

Epidemic? Really? Who’s buying that BS?

ep·i·dem·ic (p-dmk) also ep·i·dem·i·cal (—kl)
adj.
1. Spreading rapidly and extensively by infection and affecting many individuals in an area or a population at the same time: an epidemic outbreak of influenza.
2. Widely prevalent: epidemic discontent.
n.
1. An outbreak of a contagious disease that spreads rapidly and widely.
2. A rapid spread, growth, or development:

Year Estimated new HIV infections
2006 48,600
2007 56,000
2008 47,800
2009 48,100
2010 47,500
2011 49,273
http://www.cdc.gov/hiv/library/reports/surveillance/2011/surveillance_Report_vol_23.html


12 posted on 07/18/2013 7:12:21 PM PDT by Lucky9teen (Peace is that brief glorious moment in history when everybody stands around reloading.~Thomas Jeffer)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Whenifhow

They gotta put something in that big database facility in Utah...

They already have DNA samples from every kid born since the late 90’s. Under the guise of testing for inborn errors of metabolism.

Except those samples were retained after those tests were completed. Because they might need to rerun the test or something. Because they’d never be able to get a new sample.


13 posted on 07/18/2013 7:13:08 PM PDT by Black Agnes
[ Post Reply | Private Reply | To 8 | View Replies]

To: al baby

They’ll just make it mandatory for a DL. Everyone will bend over at that point.


14 posted on 07/18/2013 7:13:27 PM PDT by Black Agnes
[ Post Reply | Private Reply | To 9 | View Replies]

To: Secret Agent Man
"guess it’s so old school to expect people to pay for their medical care."

The more things change ...

More and more doctors are switching to a "concierge" no-insurance/fee-for-service only practice model. http://www.forbes.com/sites/paulhsieh/2013/03/27/is-concierge-medicine-the-correct-choice-for-you/

Previous gov't efforts to "fix" out-of-control healthcare costs have resulted in an increasing shortage of doctors. Why would doctors who are as busy as they want to be want to deal with insurance company and Obamacare paperwork if they don't have to?

The Obama voters will be taken care of by Obamacare-approved physician-extenders or nurse practitioners who will check the boxes to get them their free HIV testing.

15 posted on 07/18/2013 7:15:23 PM PDT by Sooth2222 ("Suppose you were an idiot. And suppose you were a member of congress. But I repeat myself." M.Twain)
[ Post Reply | Private Reply | To 5 | View Replies]

To: NautiNurse
...and mandatory HIV testing is issued via executive order...

Executive orders are not applicable to citizens. They are only applicable to employees of the Executive Branch. You, as an individual, cannot be compelled to do anything that is not mandated by CONGRESS.

16 posted on 07/18/2013 7:19:11 PM PDT by GingisK
[ Post Reply | Private Reply | To 7 | View Replies]

To: GingisK

Congress has 30 days to nullify this EO - Correct?


17 posted on 07/18/2013 7:23:01 PM PDT by Whenifhow
[ Post Reply | Private Reply | To 16 | View Replies]

To: GingisK; castlebrew

To quote castlebrew from a thread pulled because it was from a nut-bar site:

“What’re ya gonna do? round up and quarantine all the HIV+’s?”

Yes, castlebrew, just like obama’s hero Castro did in Cuba.


18 posted on 07/18/2013 7:25:42 PM PDT by null and void (Republicans create the tools of oppression, and the democrats gleefully use them!)
[ Post Reply | Private Reply | To 16 | View Replies]

To: GingisK

right you are and I will leave you with this little nugget:

‘It is apparent,’ this court said in the Bailey Case ( 219 U.S. 239 , 31 S. Ct. 145, 151) ‘that a constitutional prohibition cannot be transgressed indirectly by the creation of a statutory presumption any more than it can be violated by direct enactment. The power to create presumptions is not a means of escape from constitutional restrictions.’


19 posted on 07/18/2013 7:28:07 PM PDT by phockthis (http://www.supremelaw.org/fedzone11/index.htm ...)
[ Post Reply | Private Reply | To 16 | View Replies]

To: Whenifhow

Congressional Recourse

If Congress does not like what the executive branch is doing, it has two main options. First, it may rewrite or amend a previous law, or spell it out in greater detail how the Executive Branch must act. Of course, the President has the right to veto the bill if he disagrees with it, so, in practice, a 2/3 majority if often required to override an Executive Order.

Congress is less likely to challenge EOs that deal with foreign policy, national defense, or the implementation and negotiation of treaties, as these are powers granted largely to the President by the Constitution. As the Commander-in-Chief of the armed forces, the President is also considered the nation’s “Chief Diplomat.” In fact, given national security concerns, some defense or security related EOs (often called National Security Directives or Presidential Decision Directives) are not made public.

In addition to congressional recourse, Executive Orders can be challenged in court, usually on the grounds that the Order deviates from “congressional intent” or exceeds the President’s constitutional powers. In one such notable instance, President Harry Truman, was rebuked by the Supreme Court for overstepping the bounds of presidential authority. After World War II, Truman seized control of steel mills across the nation in an effort to settle labor disputes. In response to a challenge of this action, the Supreme Court ruled that the seizure was unconstitutional and exceeded presidential powers because neither the Constitution or any statute authorized the President to seize private businesses to settle labor disputes. For the most part, however, the Court has been fairly tolerant of wide range of executive actions.

source
http://www.thisnation.com/question/040.html

also info here - under legal conflict
https://en.wikipedia.org/wiki/Executive_order


20 posted on 07/18/2013 7:29:48 PM PDT by Whenifhow
[ Post Reply | Private Reply | To 17 | View Replies]


Navigation: use the links below to view more comments.
first 1-2021-4041 next last

Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.

Free Republic
Browse · Search
News/Activism
Topics · Post Article

FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson