July 16, 2013****Executive Order Accelerates Mandatory HIV Testing For All
Citizens<http://www.activistpost.com/2013/07/executive-order-accelerates-mandatory.html>
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[image:
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*Activist 
Post<http://www.activistpost.com/2013/07/executive-order-accelerates-mandatory.html>
*****


President Barak Obama posted an executive order yesterday which appears to
mandate HIV testing for "all individuals ages 15 to 65 years."

The HIV Care Continuum Initiative claims responsibility for recent
successes in the study of HIV but says "further Federal action is
appropriate in response to these new developments."

That federal action appears to be in the form of mandated HIV testing, and
Obama seems to suggest that HIV testing will be free under the Affordable
Care Act.

The Administration says mandatory testing is warranted because early
detection is helpful to fighting HIV and, according to the executive order,
twenty percent of people with HIV remain undiagnosed.

*It doesn't directly say that all citizens will be rounded up and forced to
get HIV tests, rather that clinics will be required to test for HIV as part
of routine testing.*

Read the full Executive Order HIV Care Continuum Initiative below:****


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
Source:
http://www.whitehouse.gov/the-press-office/2013/07/15/executive-order-hiv-care-continuum-initiative
****

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