Sexually Transmitted Diseases and HIV/AIDS

State survey of HIV/AIDS prevention programs to support testing, treatment and prevention efforts, including education on how to prevent HIV infection.

One-third of teens become pregnant before age 20. One-fourth of young women acquire a sexually transmitted infection by age 19, making them more susceptible to HIV infection.  This 4-page brief describes successful state health and education policies as well as successful targeted youth education activities that can prevent these conditions.

African-American women are hardest hit by HIV/AIDS and sexually transmitted infections, and many are unaware of their infections. The highest teen birth rates occur among Hispanics.  This 12-page brief examines the causes and impact of these disparities, and describes evidence-based policy solutions that states have implemented.

Sexual health education has taken on a whole new venue. Public health programs are offering teens the ability to ask  questions anonymously and get personalized answers through text messaging services and web sites.

More than 1 million people are living with HIV/AIDS in the U.S., and are living longer since drug treatments became available in the 1990's.  African-Americans are disproportionately affected, and represent nearly half of all people living with HIV.  More than half of all Americans living with HIV reside in southern states.  State Medicaid and prevention programs are connecting with communities to help HIV/AIDS patients stay productive and to prevent HIV transmission. Effective policies include HIV testing as part of routine medical care and increasing public awareness of the need for HIV testing.

CSG South

A study by the U.S. Department of Health and Human Services (HHS) Centers for Disease Control and Prevention (CDC) released in October 2008 shows that at the end of 2006 (when the most current data were available) there were more than 1.1 million people in the United States living with the human immunodeficiency virus (HIV). This reflects an 11 percent increase—or approximately 112,000 new cases—from the 994,000 total infections reported at the end of 2003. The study states that there were more than 56,000 new HIV infections reported in the United States in 2006 alone. This increase is at least partly attributable to improvements made to antiviral treatments, which can stave off the onset of AIDS and extend the lives of people infected with HIV. These improvements mean that people are living longer with HIV, a positive development from advances in science and medicine; but it also means that the United States has a rapidly growing population of people infected with the HIV virus.

THEREFORE, BE IT RESOLVED, that The Council of State Governments:
(1) urges the President to provide focused leadership domestically to reduce health disparities, particularly as they relate to HIV/AIDS;

(2) requests the Congress to increase funding for state and local grant programs authorized by the Ryan White Comprehensive AIDS Resources Emergency Act, especially to assure funding for faith-based initiatives providing culturally and linguistically competent prevention and treatment programs;

(3) calls on the Congress and the Secretary of Health and Human Services to ensure that AIDS Drug Assistance Program funding counts towards an individual’s out-of-pocket contributions for Medicare beneficiaries enrolled in Part D;

(4) encourages the Secretary of Health and Human Services to issue guidance requiring that all states’ Medicaid preferred drug lists provide prompt access to HIV/AIDS treatments consistent with established HIV treatment protocols;

(5) urges the Congress to provide increased funding to the Department of Health and Human Services and relevant agencies, including the Centers for Disease Control and Prevention and the Human Resources and Services Administration.

NOW BE IT THEREFORE RESOLVED, The Council of State Governments supports the NLGA effort and the ‘Ending Cervical Cancer in our Lifetime’ campaign, and

BE IT FURTHER RESOLVED, that state officials support comprehensive education on the established facts regarding cervical cancer including abstinence, Pap testing and its availability, and the availability of a HPV vaccine, and that this support may be in the form of personal initiative, legislative, budgetary or executive authority, and