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President Obama’s Fiscal Year 2014 Budget Request Continues Focus on HIV Domestic Programs

ronald-johnson-web2By Ronald Johnson, Vice President of Policy and Advocacy, AIDS United

On Wednesday, President Obama released his budget request for Fiscal Year (FY) 2014. The budget calls for total spending of nearly $3.8 trillion. The budget proposal reflects the President’s continued support for domestic HIV/AIDS programs and the ultimate goal of achieving an AIDS-free generation. Funding levels for the majority of the HIV domestic programs are increased or sustained at FY 2012 levels. The President’s budget calls for replacing the automatic spending cuts, known as sequestration, through a more balanced mix of spending cuts and new revenue. This would restore many of the spending cuts made in the current year (FY 2013) as a result of sequestration. AIDS United policy staff has quickly reviewed the President’s FY 2014 budget request for domestic HIV and public health funding for the year beginning October 1, 2013 – September 30, 2014. Further analysis will come later when more detailed information is released. Due to the late decisions on the final FY13 appropriations, the President’s FY14 budget proposal is compared to FY12 funding levels.

The President’s budget increases discretionary funding for the Department of Health and Human Services (HHS) to a total of $80.1 billion (up $3.4 million over FY12). Much of the increased funding is targeted for implementation of the Affordable Care Act (ACA). One ACA change called for in the budget is a delay of one year of the phased reduction of the Disproportionate Share Hospital (DSH) payments. DSH payments help hospitals defray the costs of care for uninsured low-income patients. The delay in reducing the DSH payments would help hospitals in states that will not have accepted Medicaid expansion by Jan. 1, 2014. The budget proposal cuts the base discretionary budget authority for the Centers for Disease Control and Prevention (CDC) by $432 million. The budget calls for transferring $755 million from the ACA’s Prevention and Public Health Fund to support some of the core CDC programs. With other transfers, total funding for CDC would rise to $11.3 billion, $71 million over FY12 funding. The FY14 Budget includes $9 billion for the Health Resources and Services Administration (HRSA), a net increase of $841 million above the FY 2012 enacted level. The Substance Abuse and Mental Health Services Administration (SAMHSA) received an increase of $4 million over FY12 in the request for a total of $3.6 billion in FY14. The National Institutes of Health FY13 budget is $31.3 billion, an increase of $471 million over FY12.

We must acknowledge that we continue to be in a very difficult budget environment with the economic recovery slow and the sequester currently in place for FY13 and the next eight years. Below is a breakdown of major accounts. As additional back-up documents and fact sheets become available, we will provide further analysis of the President’s budget and the outlook going forward.

Centers for Disease Control and Prevention – National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention

President Obama’s Fiscal Year 2014 budget request for the domestic HIV portfolio continues to show his commitment to implementation of the National HIV/AIDS Strategy (NHAS) by prioritizing HIV funding. The CDC National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention receives an increase of nearly $14 million, including $182,000 for Health Department Prevention. The budget request calls for a transfer of $40 million from less effective programs to create a new initiative to improve linkage to care for individuals newly diagnosed with HIV. $40 million of funding will be redirected for national programs to identify and reach high risk populations to link and retain them in care. The budget calls for essentially level funding at $32.4 million for the Division for Adolescent and School Health (DASH); a small increase of $128,000 for Viral Hepatitis; and basically level funding of $161.7 million for Sexually Transmitted Infections (STIs). Funding for TB prevention is increased by $366,000. HIV programs do not receive any funding from the Prevention and Public Health Funding in FY14. Dr. Tom Frieden, Director of the CDC, continues to say that HIV is a winnable battle for the CDC. The commitment to achieving the goals of the National HIV/AIDS Strategy (NHAS) is evident by the focus that the CDC has put on HIV prevention funding and the importance of linkage and retention in care. The CDC has also increased the HIV surveillance budget by $10 million.

HRSA — Ryan White Program

The $20 million increase to the Ryan White Program also shows commitment to the National HIV/AIDS Strategy (NHAS). The increase also includes the President’s World AIDS Day 2011 funding in the base of $50 million (AIDS Drug Assistance Program [ADAP] and Part C funding by $35 million and $15 million respectively) that was transferred in FY12, but not included in the current Continuing Resolution (CR) funding of the government now for the balance of FY13. President Obama’s FY14 request builds on those two programs with an additional $10 million for Part C and $10 million for ADAP to ensure access to treatment and essential medicine for HIV-positive individuals who are eligible for the Ryan White Program. The rest of the Ryan White Program was flat-funded.

Syringe Exchange Programs

AIDS United is pleased that President Obama and the Administration included a provision in the FY14 budget that would allow local communities to use federal funds for the purpose of syringe exchange programs.

Other HHS Programs

The President’s budget includes $327 million for Title X, demonstrating the commitment to family planning programs and reproductive and preventive health services, as well as an additional $104.6 million for the Teen Pregnancy Prevention Initiative. The budget “zeros out” the current $5 million for competitive abstinence-only education grants. The budget does fund Title V abstinence-only at $37 million.

Housing and Urban Development – Housing Opportunities for Persons with AIDS (HOPWA)

The National AIDS Housing Coalition (NAHC) has produced policy papers demonstrating the connection between the need for affordable housing and HIV prevention. It is also well documented that housing sustains HIV-positive individuals in care and treatment. There is some confusion over the HOPWA allocation. There are two different budget numbers in two different places in the budget. The Housing and Urban Development Budget overview says HOPWA received $332 million in FY 14, but in the budget appendix it says HOPWA receives $330 million. The HOPWA budget report language also includes a request to modernize the way the HOPWA formula is allocated by moving from the number of AIDS cases to include the number of HIV cases. This shift will require Congress to change the current law; AIDS United is working with NAHC and other organizations to move this forward. AIDS United is investigating this funding discrepancy with the Administration and will report back once we receive clarification.

Corporation for National and Community Service

President Obama included a $4 million increase for the Social Innovation Fund (SIF) to $49 million and a $5 million increase for the AmeriCorps State and National programs to $346 million. AIDS United has both a SIF grant and an AmeriCorps grant with a focus on HIV and AIDS that funds local access to care programs and the work of AmeriCorps members on HIV throughout the United States. The SIF grant must be matched by our organization and by the grantees on the local level, thus leveraging $2 additional dollars for each $1 federal dollar invested. Often the individuals who serve in AmeriCorps in the HIV arena remain involved in HIV policy, care, treatment, or research for their careers. This is an important pipeline to new HIV workforce members as much of the HIV workforce begins to retire.

Veterans Affairs

The Department of Veterans Affairs has increased its HIV budget for prevention, care, and treatment of HIV-positive veterans by 16% to $1.1 billion in funding.

Department of Justice

The Department of Justice will increase its HIV budget by 7.4% to ensure they have additional resources to enforce the laws against stigma and discrimination of HIV-positive individuals.

Wrap up

President Obama’s HIV domestic FY14 budget request is an increase of $1.2 billion over FY12 from $27.8 billion to $29 billion. Unusually, his budget is the last to be released in the FY14 process for funding this year, as both houses of Congress have already passed FY14 Budget Resolutions. Although coming last, the President’s budget lays out his priorities for the year to Congress. There are reports that the House and Senate Budget Committee Chairs are working to organize a conference committee to reconcile the two budgets. Prospects for a joint budget resolution are considered slight, although House Budget Committee Chair Paul Ryan (R-WI) gave hopeful comments in an interview on Thursday. The House and the Senate appropriations subcommittees will begin the process of hearing from the department secretaries about their priorities in the President’s budget as the appropriations process begins. We will continue to advocate with Congress and the Administration for the highest possible funding amount for the HIV domestic portfolio and keep you informed along the process.

(Information is gathered from the FY 2014 Budget, appendices, and an off the record call with the Office of National AIDS Policy.)

Community Discussion Co-Sponsored by AIDS United Highlights CROI 2013 VOICE Findings

Charles blog

By: Charles Stephens, Regional Organizer, AIDS United

Research is the most successful when scientists and community members work together. Innovation requires the best ideas put forth by diverse stakeholders. The urgency of our present moment necessitates that progress continues to keep pace with the epidemic. For that to happen we must insist upon the collaboration of scientists and community members in sharing information, engaging one and other, and mutually committing to doing their part in moving us closer to an AIDS free generation. Certainly this relationship is not always seamless, but it is definitely necessary. Such a collaboration was manifested beautifully earlier this week at a community discussion I attended.

Monday, March 4th, AVAC along with several partners including AIDS United, hosted a community discussion at CROI (Conference for Retroviruses and Opportunistic Infections). The forum was organized to connect local community members with researchers presenting at the conference. Dazon Dixon Diallo, Founder/President of SisterLove, Inc, which is also an AIDS United partner/grantee, and myself, AIDS United Southern Regional Organizer, were a part of the Atlanta-based planning team.

The event was held in downtown Atlanta not far from the conference. We wanted to ensure the space would be convenient to conference attendees and presenters, and accessible to community members. The Loudermilk Center, the space in which the event was held, is frequently used to host events targeting the HIV/AIDS community. It was very well attended, with 60 or more people present, and there was an excellent mix of community members, conference attendees, research advocates, and scientists.

In our work, the announcement of major research findings has a historical feel. Actually, perhaps all of HIV/AIDS work has a historical feel. We understand perhaps better than most, that history isn’t all grand battles and great events but a series of moving pieces and energies that are harnessed to create the magic that is social change. History is how many of us mark our work in the HIV/AIDS realm ….were you in Vancouver in 96?

One of the major highlights of the discussion was a presentation by Jeanne Marrazzo, an investigator on the VOICE (Vaginal and Oral Interventions to Control the Epidemic) trial. She presented the data earlier at the conference and agreed to attend our community discussion to present to the local community, take questions, and offer perspective.

The VOICE trial looked at the safety, effectiveness and acceptability of three HIV-prevention methods: daily use of a vaginal gel containing the antiretroviral (ARV) drug tenofovir; daily use of oral tablets containing tenofovir, and daily use of oral Truvada, a combination of tenofovir and another ARV, emtricitabine. Essentially the study showed that PrEP was not effective in reducing HIV infections among the heterosexual women being studied. It’s important to note that most of the women enrolled in the trial did not use the oral medications and vaginal gel as directed, prompting questions about adherence issues for this population. Another significant finding from the study indicated that those least likely to use their assigned product, single women under age 25, were also the most likely to become infected. A total of 5,029 women were enrolled in the study from South Africa (4,077 women), Zimbabwe (630 women), and Uganda (322 women).

The presentation of the VOICE results sparked a very rich and passionate discussion around barriers to accessing prevention, the role of gender in navigating research study participation, and how to build “desirability” among members of populations disproportionately impacted by HIV to participate in biomedical HIV prevention research studies. The fact that we were having this discussion in Atlanta, with its legacy of civil rights and social justice, was not lost on the audience. It seemed to animate it.

As the discussion progressed several audience members posed compelling questions and shared their feelings. There was palpable disappointment in the room, and yet there was palpable determination. To work in HIV research, advocacy or programming if nothing else is a continuous exercise in resilience. One of the possible next steps we discussed was continuing to think through dosing strategies and the burden and problem of adhering to daily regimen.

The Working Group on U.S. Women and PrEP also disseminated their statement at the discussion. The group is calling for U.S. government agencies to coordinate a national agenda that will quickly and accurately answer questions about how the antiretroviral (ARV) drug Truvada can best be made available as an HIV prevention option for women at risk of HIV infection.

The evening wrapped up with a panel that I was on. We unpacked the implications of the VOICE results and community engagement in general. There was robust discussion around research translation and community education in which audience participants and panel members offered their insights. The discussion was very powerful and provided an excellent starting point for further discussion and action around HIV prevention research implementation. That evening, we were not divided by institutional affiliation, methodology or discipline, but united as thought partners working together to save lives.

The Importance of AIDSWatch: Reflecting on 2013

AW crowd

The following statements from AIDSWatch 2013 participants highlight the continued importance of a federal advocacy event dedicated solely to HIV/AIDS. We hope that you will be inspired by their stories and will join us next year for AIDSWatch 2014!

Lucy Baglin – Illinois Coordinator, AIDS Foundation of Chicago

“As a first year participant of AIDSWatch, I walk away from this event feeling more inspired than ever. The sense of camaraderie among the HIV/AIDS community was enlightening, and being a part of the resilient Illinois team was an honor.

Alongside the legislative issues at hand, Illinois advocates chose to bring their personal stories to legislators, to put a real person behind the policy, and to pack an even greater congressional punch. When advocating to protect HIV services, an advocate and constituent from the small town of Decatur, Illinois, bravely told her U.S. Congressman how Ryan White Programs saved her life. That she would not be sitting in his office right now without them, and that protecting these funds was critical for her and hundreds of thousands of others living with HIV/AIDS. She asked for this congressman’s support, and I don’t doubt that her story will come to mind when these issues are brought to his table.

AIDSWatch also honed my advocacy skills, and those of my Illinois teammates. We had practiced what we would say, and how we would make the ‘ask’, but when meeting legislators the conversation may not always go as planned. However, as a team, and as individuals, our advocacy and delivery got stronger with each meeting. We tailored our messages to be more effective, and knew how and when to back someone up on an issue. We left each meeting feeling increasingly confident, and by the end of the day we felt like HIV/AIDS Rock stars.”

Marsha Martin – Director, Urban Coalition for HIV/AIDS Prevention Services (UCHAPS)

“UCHAPS was pleased to participate in AIDSWatch this year. We had the opportunity to meet with the leadership in the House and the Senate, providing them with the latest prevention and treatment science, community budget ‘ask’ and express concerns about the impact of the sequester. Among those we had a chance to briefly express our views was Senate Majority Leader Harry Reid, fresh off the floor of the Senate. This was a unique opportunity only possible through the masterfully planned and scheduled AIDSWatch 2013. Visiting the Hill with others from across the US, nearly 200 Republican and Democratic offices, reminded the Members and their staff that we care and we will continue to raise our voices to ensure people living with HIV and those who serve them in government and community agencies receive and keep the resources they need.”

Carolyn McAllaster – Director, Southern HIV/AIDS Strategy Initiative

“SASI (Southern HIV/AIDS Strategy Initiative) was well-represented at AIDSWatch 2013! We had delegates from all of the Deep South states except Mississippi. Our advocacy is important in light of the fact that the South has 46% of new HIV diagnosis while representing only 37% of the US population. We held a SASI meeting to talk about how the AIDSWatch policy agenda affects our regions—the refusal of some Southern states to expand Medicaid, the continuing need for Ryan White Program funding and for all the funding streams identified by AIDS United. We added to our legislative agenda the need to change the HOPWA funding formula so that cumulative AIDS cases are no longer in the mix. SASI representatives also met with Dr. Grant Colfax, director of the White House Office of National HIV/AIDS Policy and with Dr. Ron Valdiserri, Office of HIV/AIDS and Infectious Disease Policy, to first thank them for the new CDC Care and Prevention in the United States Demonstration Project (CAPUS) grants focused on the South and to urge the creation of a convening to bring together federal, state, local and community experts to discuss interventions for the HIV crisis in the South.

I was very pleased with the response received from the North Carolina congressional delegation. Senator Kay Hagan met with us personally and promised to champion the Ryan White Program. We also met with Representatives David Price and Mel Watt, and with legislative aides in Senator Richard Burr’s and Representative Butterfield’s office. Everyone we met with understood the importance of continuing Ryan White Program funding, prevention funding, and changing the HOPWA funding formula.

AIDSWatch is always a powerful experience for me. Watching the energy that builds as we get our training, meet with our state colleagues to formulate our visit strategy, and then actually making the visits is impressive. I also love watching first time attendees realize the advocacy power they can have by just telling their stories. Thanks to TAEP and AIDS United for a well-run AIDSWatch and for bringing us together once again to hold our elected representatives accountable!”

Daniel Nugent – Senior Policy Manager, National Minority AIDS Council

“AIDSWatch 2013 provided an extraordinarily well timed opportunity for PLWHA to offer legislators a personal perspective on the human impact of the impending sequester’s effect on domestic HIV/AIDS programs. As the sequester was slated to take effect within days of the Congressional visits, there was an exceptional relevance and immediacy to constituent narratives about the importance of the Ryan White Program, particularly ADAP benefits that many constituents utilize. AIDSWatch 2013 offered a perfectly timed occasion for constituents to advocate not only on behalf of federal programs most important to ending the epidemic, but also provide perspective on the personal impact the sequester will have on PLWHA.

AIDSWatch 2013 married national policy perspective with state and local acumen to paint a complete impact portrait of sequestration for congressional offices. In particular, AIDSWatch participants were able to relay the landscape of care and treatment services on the ground to both Senator McCaskill and Blunt’s office, providing unique local perspective on the impact of national cuts to HIV/AIDS programs throughout Missouri and what those cuts would look like to programs in centers such as St. Louis. The local perspective resonated with congressional offices.”

Carole Treston – Policy and Advocacy Consultant, Association of Nurses in AIDS Care

“The Association of Nurses in AIDS Care (ANAC) was proud to participate in AIDSWatch 2013. Six ANAC members participated in visits to ten Senate and six House offices and attended the Congressional briefing. We joined with other advocates and consumers and at each visit we presented the perspective of nurses on key issues in HIV prevention, care and research. We educated Hill staff on the remarkable advances in treatment and prevention for our patients as a result of NIH funded research. We described how we are on the verge of achieving an AIDS-free generation and making a dent in new HIV infections through Treatment as Prevention and how critical adequate funding is to implement it on a large scale. We gave first person testimony about the critical role that services such as case-management, transportation assistance, medication education, peer linkages and other Ryan White Program funded services play in getting our patients into our care sites and staying in care. We stressed science and evidence over politics in prevention as we urged for the lifting of the ban on federal funding of syringe exchange programs and described the barriers to testing and linkage and retention in care that HIV criminalization presents. We advocated for full implementation of the Affordable Care Act (ACA) and described the current role of nurses, nurse managed programs and AETCs now and in the expansion of care that we expect will occur with the ACA. It was a great honor to represent just a tiny bit of the
commitment of the thousands of nurses in HIV care and we already are planning for more involvement and representation in AIDSWatch 2014!

Witness to History (Again): Inauguration 2013

head shot, Melissa

By Melissa Donze, Zamora Fellow, AIDS United

Six hours of freezing cold temperatures; six hours of standing in the same place, watching the sun rise over the Capitol; six hours of waiting to hear a single person speak; and it was worth every single second.

Four years ago, I drove to Washington, D.C., with some of my college friends so I could be witness to the historic inauguration of the man who renewed my hope in the collective power of individuals. Being a part of President Obama’s first inauguration is one of my most treasured memories; for the first time in my life, I was part of something bigger than myself, something that we have only begun to understand within the context of history.

Four years later, I found myself in D.C. again, this time as a resident and an advocate for people living with HIV. When the opportunity to attend President Obama’s second inauguration presented itself, I couldn’t say no; I wanted to be a part of history again. This time, the crowd looked different. It was smaller, but hopeful; enthusiastic, but resilient. The past four years had changed all of us in one way or another. I was older, and maybe a little bit wiser. I went abroad and returned home with an altered perspective of the world every time. I graduated from college and got my first taste of the “real world.”

I wasn’t the only one who had changed. President Obama was noticeably greyer this time. Realistic expectations and principles had replaced the unbridled idealism of four years ago. The most noticeable changes, however, were found in his inaugural address. While his first inaugural address was good, it was full of lofty messages and metaphorical abstractions that could have been applied to any time period. This second address, however, was grounded in our time and the struggles we face today. It was guided by the principles of our founding documents and still managed to be forward-moving and progressive. Its premise of equality, the most evident of truths, allowed him to address fair wages for women, gay marriage, voter suppression, immigration, and second amendment controversies. Although he did not directly mention HIV, his address spoke to many of the issues people living with HIV face.

As I stood there and listened to President Obama say the words “Stonewall” and “Newtown,” among many others, my eyes filled with tears. I am so proud that the President will be leading us down the path to ensuring life, liberty and the pursuit of happiness for all Americans. It truly feels to me like we are now on the path to equality.

AmeriCorps Week – Team Detroit Looks To Its Roots (Part 1)

Part one of our AmeriCorps Week piece covers two former members of Team Detroit: Maxwell Cameron and Bré Campbell.

Name of Alum: Maxwell Cameron

Year served: 2009-2010

Placement:

Health Emergency Lifeline Programs (HELP)

How/Why you got involved in the AIDS United program:

While a student at the College of William and Mary, Maxwell started a group to promote HIV/AIDS prevention in rural Tanzania. When he returned home to Royal Oak, Michigan, Maxwell looked for a way to involve himself in HIV work in his community. He toured Michigan AIDS Fund (MAF) and met Terry Ryan (Team Detroit City Supervisor) who later encouraged him to join MAF’s AIDS United AmeriCorps team (Then National AIDS Fund).

Host Agency Duties/Responsibilities:

As an AmeriCorps member at HELP, Maxwell worked in case management services for clients with HIV. He put on prevention and early intervention events and support groups. He worked to introduce clients to mental health therapy. In addition, Maxwell led HELP’s early efforts creating outreach programs to link people with HIV into care.

Favorite Part of the Service Year:

Maxwell’s favorite part of the service year was working on Team Detroit’s Long-term Project. The team put on a fashion show to raise money for AIDS service organizations in Detroit. “It about killed me and the rest of the team,” Maxwell remembers with a laugh, “But it was really rewarding to pull off such a large and successful event.” The fashion show brought in close to 100 people, and the team raised $1,100, which was split between The Horizons Project and Transgender Michigan.

One 5th Day or Service Project that you will always remember:

Maxwell’s favorite 5th Day Project was working with Habitat for Humanity painting houses in Wayne, MI. He says that it was a unique experience, and a fun project.

Is your current employment related to their year or service?

Maxwell is currently employed at HELP. During his service year, he began working to diversify HELP’s financial support through new fundraising events and grant writing. The organization realized that it would need to continue seeking new sources of funding, and as his service year was coming to a close, Maxwell was offered a full-time position to say on at HELP in a fundraising and event-planning role. He is currently working on organizing AIDS Walk Detroit.

Were you able to use the education reward?

After his service year, Maxwell enrolled in a Master’s program at the University of Windsor and was able to use his education award to pay for his studies. He will receive a Master’s in Political Science.

Have you participated in any AmeriCorps or volunteer related activities since the year of service?

Maxwell continues to work with his AU sponsoring agency, now called Michigan AIDS Coalition (MAC). He has volunteered with MAC for Detroit DIFFA and the Mix, Mingle, MAC fundraising event.

One thing you would tell someone who is considering joining AIDS United AmeriCorps:

Maxwell’s advice for someone considering joining AmeriCorps is to choose a program that is right for you. “There are tons of different programs that fall under the AmeriCorps umbrella,” Maxwell explains, “It’s important to seek out a service project that matches and develops one’s own interests.” He also warns against becoming too concerned with matching the hour requirements. “Service is about going above and beyond. Don’t let the hours govern your service year. Focus on getting things done.”

Describe the impact that their year of service had on them as an individual:

Maxwell says that his year with AmeriCorps imparted on him the value of service and non-profit work. Maxwell learned about the vital role of non-profits in combating health issues in the community and was inspired by the impact this work has on the lives of others. In addition, it provided him with an opportunity to develop team-building skills by planning and executing service projects with his team.

Interviewed by: Tony McClafferty (current Team Detroit Member)


Name of Alum: Bré Campbell

Year(s) Served: 2004-2005 and 2005-2006

Placement:

Ruth Ellis (first half of 2004-2005)

Horizons (second half of 2004-2005, and all of 2005-2006)

How/Why you got involved in the AIDS United program:

At the time, Bré was working a minimum wage job that was horrible, and happened to apply for a whole bunch of jobs–5 or 6– and she got the phone call back from the receptionist at Michigan Aids Fund. She explained that they were hiring, and that she should fill out an application. When she asked her what the job description was, she told me, Dont worry about it, and that I should just come in and fill out an application. Luckily, I was working not too far from the [Michigan Aids Fund] office at that time, so I went to pick up the packet the same day, the day before the packets were due. So I did my packet in one day, returned it, and got on the AmeriCorps team.

Host Agency Duties/Responsibilities:

At Ruth Ellis, Bré was in charge of doing any type of intakes and making sure that people who were using the center signed in, and made sure that if they had any issues that needed to be resolved, whether it was counseling, HIV testing, doing laundry, or food assistance, she would help. That was her job, helping the youth. At one point in time, at Ruth Ellis, they were trying to start a mens focus group, and she helped with that. Horizons was totally different than Ruth Ellis, and she felt like she had a lot more roles and responsibilities that had to do with the whole outline of what AmeriCorps members were supposed to be doing. Bré did HIV testing and counseling, and dabbled in care services for a while, she was responsible for recruiting for one of our interventions for MSMs and did a lot of outreach. Every day they were out in schools and peoples homes in the neighborhood, doing really aggressive outreach: passing out condoms, and they would test on the spot. Like I said, it was a totally different experience than working at Ruth Ellis, it was very fast paced.

Favorite Part of the Service Year:

Definitely the Super Fifth Day in Indiana during my second year, it was so interesting to see how their team operated, and the differences between our AmeriCorps team and theirs.

One 5th Day or Service Project That You Will Always Remember:

The first year, our long-term project was at a senior citizen’s center, and it was awesome, because I’d never realized that senior citizens were actually having sex. They were really engaged, they wanted to know the information, and a lot of the older people wanted condoms, but instead of asking us for them, because we were younger than them, they tried to sneak around us. It was really cute, because they reminded me of my own grandparents. Then I thought, “Oh my gosh, my grandfather could be having sex, and he could be at risk for HIV,” so I took him some condoms and we had the whole conversation. It was really great to be at an agency and have so many years between all of us and still be able to have an understanding on one topic. There was an older lady who got up and told her story about how she became HIV positive in her sixties. Her husband had died, and she decided she was going to date someone else–she had sex with him and he gave her HIV, and I thought that was amazing. We’re so used to seeing younger people getting infected with HIV, I never thought in a million years that, when I’m sixty, HIV will be something that I will still have to worry about.

Is your current employment related to your year of service?:

Being that I had a year and a half of experience at Horizons under my belt, it wasn’t that much of a transition [after being hired by the agency]. I will say this: on Thursdays, I missed my Team Days. That was my favorite time in AmeriCorps because not only did we do really good team projects, it was a day we had to focus on other issues in the community besides HIV. I found myself every day, like, “HIV this, HIV that,” and I was like, can we start doing other volunteer work at different places? Because it wasn’t in my job description I couldn’t do it, so I started volunteering at other agencies and organizations and on boards.

Were you able to use the education reward?:

I did use it to go to Wayne State for a couple of semesters–I still have money left, so I haven’t used it all. I do plan on going back to school in the fall and using the rest of it before it expires. It was a blessing: not only did I get out of high school with so much experience, but I had money to go to school.

Have they participated in any AmeriCorps or volunteer related activities since your year of service? :

Not necessarily participated in, where I did work, but the fashion show the AmeriCorps team put on two years ago, I was there, and it was awesome. Last year, we did a service project for MLK day at Cody High School in Detroit.

One Thing They Would Tell Someone Who Is Considering Joining AIDS United AmeriCorps:

Try it, don’t knock it, and don’t think about it too much. I think that was my issue. When you hear HIV and you’ve never heard it before, you kind of get scared because you don’t know what that means. Take a step out on faith and try it. It’s a yearlong program, so if at the end of the year you realize you don’t like it, AmeriCorps still looks wonderful on a resume. There are so many AmeriCorps members in different positions around the country, and just having that on your resume, sometimes, can get you in the door. I know, for me, it’s been a blessing. After I got out of the program, I got an AmeriCorps Alumni Card from Bank of America, and even when I was at Target and places and I was sliding the card, people would say, “Oh you did AmeriCorps, I did too!” Even though they didn’t do it for AIDS United, they were doing it for different programs, for VISTA, for City Year, and when people see that you did AmeriCorps, they really like to talk to you. I guess they feel, “Oh, I went through this program, and it was really amazing, and I got great things from it, so you must have too!” It’s really interesting to talk to other AmeriCorps members, especially from different branches, to kind of see what their experience was like and if you can relate to it in any way, shape, or form.

Describe the impact that their year of service had on them as an individual:

AmeriCorps really raised my self esteem, on so many different levels. On a professional level and on a personal level. If I had never done AmeriCorps I would have never known how to get in contact with the people I needed to get in contact with to transition. Terry [Team Detroit's City Supervisor] was always supportive of my decision, and so were a lot of my team members. AmeriCorps really is responsible for Bré, the advocate, being here, and just being able to work, and to have contacts, and to know people who know people. People say really nice things about me to others, so I feel that AmeriCorps, for me, was awesome. Yeah, I had some rough moments in service, but I don’t think you’ll ever get to work at a place where you don’t have some type of issues. But for the most part, AmeriCorps was the most amazing thing that has ever happened in my life, the most amazing job that I’d ever had. Since I’ve been been out of AmeriCorps, I’ve been working at the agency that hired me in ever since. That was 2007, it’s 2012, and I don’t see myself doing anything else. And I know that if I decide to move to New York, Chicago, D.C., as long as I have AmeriCorps on my resume, I shouldn’t have anything to worry about as far as working in the HIV field, which is amazing. I love AmeriCorps.

Interviewed by: Emma Krasicky (Current Team Detroit member)

Want to see what the current team is up to? https://www.facebook.com/TeamDetroit Check out our Facebook page!

Contest: Name the Syringe Exchange Policy!

**Please note: this contest is no longer active**

Help us win back federal funding for syringe exchange programs by entering the contest to name the policy banning federal funds for syringe exchange!

Last December, Congress passed a policy rider on an appropriations bill that banned local communities from using federal funds for syringe exchange programs (SEPs). SEPs are a key tool to achieving an “HIV-free generation” and are included in President Obama’s National HIV/AIDS Strategy.

People across the United States are working to end the federal ban on SEPs.  The HIV, viral hepatitis, and harm reduction communities CANNOT stand idly by as politicians restrict the ways we can save lives and prevent HIV and hepatitis C infections. The fight to win back federal funding for SEPs starts now!

We need your help thinking of strong and concise messages about SEPs that will get the attention of Congress!

The Contest

AIDS United and many other groups want to come up with a name for the rider that bans the usage of federal funds for SEPs. Think of how some groups have managed to rename the estate tax the “Death Tax.”

How to Enter

Just enter your suggestions in the comment box below. We’ll receive all of the suggestions here and post the best ones for people to see. The final names will be chosen by a committee of SEP experts and will be used in advocacy and lobbying literature. The individuals that submit the best ideas will receive a prize that will fall somewhere between a congratulatory pat on the back and a new car. Note that Bob Barker does not work for AIDS United, so the prize will likely be closer to the former than the latter.

For consideration, all entries must be received by Friday, March 16th.

If you have any questions about the contest, please email Jimmy Schneidewind at jschneidewind@aidsunited.org.

SEP Background

Before giving us your suggestions, please consider the bullet points listed below which summarize some of the strongest arguments against the federal ban on funding for SEPs.

Here is the actual language of the current rider which bans the usage of federal funds for SEPs: “Notwithstanding any other provision of this Act, no funds appropriated in this Act shall be used to carry out any program of distributing sterile needles or syringes for the hypodermic injection of any illegal drug.”

This policy:

  • Cuts off access to programs providing counseling and treatment services to people who inject drugs
  • Will cost millions of dollars to treat people with HIV and hepatitis C infections that could have been prevented
  • Denies local communities the option to spend federal funds in accordance with their own local prevention plan
  • Places outdated ideology over evidence, local control, and common sense

Click here to learn more about SEPs

The Best Suggestions We’ve Received So Far (updated daily)

  1. Promoting Dirty Needles Rider
  2. Blocking Local Solutions to Fighting HIV and Hepatitis Rider
  3. HIV and Hepatitis Promotion Bill (rider)
  4. Health and Science Last Bill (rider)
  5. Dirty Needle Requirement
  6. Let ‘Em Die Rider
  7. Spreading AIDS Rider
  8. AIDS Death Rider
  9. Spreading Death Rider
  10. Death Rider
  11. Stop People from Stopping AIDS Rider
  12. The Death over LIFE Rider
  13. Clean needle ban
  14. The Anti-Science HIV and Hepatitis-Promoting Rider
  15. Pay for the Works
  16. Death by Needle Rider
  17. The Injunction of Infection through Injection
  18. Un”fit”2 exchange
  19. The Disease Spreading Bill
  20. From Addiction to Death Bill
  21. The Bill to Condemn Addicts
  22. Condemn the Vulnerable Bill
  23. Death to the Vulnerable Rider
  24. Punish the Ill Rider
  25. Condemn the Healthy Bill
  26. The Health Ban
  27. The Pro-HIV Bill
  28. The Pro-Hepatitis & HIV Bill
  29. The Punitive Bill
  30. Punish the Healthy Bill
  31. The Promote Illness Bill
  32. Pro-Death Bill
  33. Anti-Health Bill
  34. The Pro-Hepatitis Party Bill
  35. The “Hep-C for You and Me” Rider
  36. The “I love HIV and Hep C” bill
  37. AIDS Transfusion Bill
  38. The Who Cares? Rider
  39. The Ignore the Science Rider
  40. The Spread the Disease Rider
  41. HIV Deficiency Indicator Economic Rider (HIVDIE Rider)
  42. I Choose Death over Science rider
  43. We Support HIV Infection rider
  44. Stopping HIV, Except for Some of You rider
  45. Congressional Act to Promote HIV Infection
  46. Encouraging Americans to Spread HIV rider
  47. Promoting the Spread of HIV rider
  48. I Don’t Want to Stop the Spread of HIV rider
  49. BAN (Block Access to Needles)
  50. Death Penalty for Drug Use Rider
  51. Exchange Death not Needles
  52. The Morbidity & Mortality Rider
  53. The Killer Rider
  54. The Killer Bill
  55. The No Money Yes Death Rider
  56. NOSEY SAMUEL = Needles or Syringes Equal Your Safety and More Useful Elite Legislation
  57. AIDS for America rider
  58. Death exchange rider
  59. The Pale Rider
  60. Death by Condemnation
  61. The Kill Bill
  62. We Love AIDS Act
  63. Just Die Already, Drug Addicts Act
  64. AIDS Exchange Rider
  65. Clean Syringe Ban
  66. The Rider to Promote AIDS and Addiction
  67. Common Sense is Obviously Not Common Bill
  68. PASS; Politicians Against Shared Syringes
  69. The Death Panel Rider