Lawmakers Criticize Proposed Ryan White Reauthorization Bill, Geographical Change in Fund Allocation
Lawmakers from California, New Jersey and New York on Thursday criticized proposed changes to funding calculations under the Ryan White CARE Act, which they say could move millions of dollars in HIV/AIDS funding from the northeastern and western U.S. to the South, the AP/Seattle Post-Intelligencer reports (Werner, AP/Seattle Post-Intelligencer, 4/27). Sen. Tom Coburn (R-Okla.) in March introduced a bill (S 2339) that would reauthorize and amend the act, which expired on Sept. 30, 2005. Coburn's bill calls for the creation of new funding formulas that would take into account HIV prevalence, would require that 75% of CARE funding is spent on primary care, and would increase annual funding for AIDS Drug Assistance Programs (CQ HealthBeat, 2/28). The bill also addresses the following: expanding access to testing; removing barriers to diagnosis and ensuring that about 1.5 million rapid tests are available annually; making HIV testing a routine procedure in facilities receiving federal funding and for patients covered by federal health programs, specifically pregnant women and newborns; and ensuring that people who test HIV-positive receive appropriate counseling and care (Kaiser Daily HIV/AIDS Report, 3/9). A 2005 Government Accountability Office report finds that some funding calculations favor states with larger urban areas because the system counts AIDS patients twice in 51 metropolitan areas, the AP/Post-Intelligencer reports. At a hearing of the House Committee on Energy and Commerce Subcommittee on Health Thursday, Rep. Charlie Norwood (R-Ga.) said, "The money needs to follow the infection," adding, "No one should receive the short end of the stick because of where they live." Bush administration officials have not clarified how the changes would affect individual states. Some lawmakers from California seeking to refute the GAO report's findings of unequal fund distribution presented a report, released this week by the not-for-profit organization Communities Advocating Emergency AIDS Relief, that finds the distribution of CARE funding to be more balanced than what the GAO report says. Lawmakers on the House Committee on Energy and Commerce have been negotiating with lawmakers on the Senate Health Committee to write a compromise bill that would update the law (AP/Seattle Post-Intelligencer, 4/27).This is part of the KHN Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.