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Recession Prompting Increase In Number Of People With HIV Seeking Public Services In California
The Los Angeles Times on Sunday examined how the recession is impacting people living with HIV in California. Brad Hare, medical director of University of California-San Francisco"s Positive Health Program at San Francisco General Hospital, said that people living with HIV who have lost their jobs and private health insurance are turning to public and nonprofit clinics for the first time and are responsible for a 12% increase this year in the clinic"s overall patient visits. He added that many of the patients he sees have gone months without receiving medical care. In addition, at the Los Angeles Gay and Lesbian Center, which also provides HIV treatment, the number of new patients has doubled over the last year, Thomas Soule, a spokesperson for the center, said. The Times also profiled a client of the center (Lin, Los Angeles Times, 5/31).
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Classwide Opioids REMS: A Good Idea, Implement Carefully
On May 27 and 28, 2009, the Food and Drug Administration (FDA) will hear testimony about the FDA-guided effort to develop a classwide Risk Evaluation and Mitigation Strategy (REMS) for all controlled-release opioids from more than 70 patients, scientists, public health professionals, and representatives of pharmacist groups, prescriber groups, and pharmaceutical companies. Controlled-release opioids include prescription pain medications that release the medication over a period of several hours and contain fentanyl, hydromorphone, methadone, morphine, oxycodone, or oxymorphone. More than 21 million prescriptions are written every year for these medications.
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Safety Net Health Plans Endorse House Health Reform Bill
The nation"s major safety net health plans today announced their endorsement of the health care reform legislation now moving through the U.S. House of Representatives. In a letter to congressional leaders, the Association for Community Affiliated Plans (ACAP) said the bill "will expand coverage to more Americans, protect the interests of low-income and medically needy people, and preserve vital safety net programs."
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Rep. Stupak Signals Willingness To Compromise On Abortion Coverage In Health Reform Legislation

Rep. Bart Stupak (D-Mich.) on Monday said that he and House Energy and Commerce Committee Chair Henry Waxman (D-Calif.) are negotiating to resolve the concerns of antiabortion-rights Democrats who want to exclude abortion coverage from the House health reform bill (HR 3200), Dow Jones reports. Stupak said that the compromise would affect how state abortion laws are handled under the bill (Yoest, Dow Jones, 7/20.). According to the AP/Atlanta Journal-Constitution, Stupak did not give details on the negotiations, and aides said that no final deal has been reached (Werner, AP/Atlanta Journal-Constitution, 7/21).Stupak said that he and Waxman"s staff discussed the compromise over the weekend. According to Stupak, a compromise could be voted on this week as an amendment during the committee"s markup of the bill. According to Dow Jones, Stupak holds a key vote on the health bill, which faces opposition from some other conservative Democrats on the panel over costs. His comments on Monday suggest "an easing of tensions" between antiabortion-right Democrats and supporters of the bill, Dow Jones reports. Stupak and 19 other House Democrats last week sent a letter to party leaders stating that they "cannot support a health care reform proposal unless it explicitly excludes abortion from the scope of any government-defined or subsidized health plan." They also stated that they want to ensure that a health benefits advisory council created under the bill "cannot recommend abortion services be included under covered benefits or as part of a benefits package." The advisory council would make recommendations to the HHS secretary, who would make final determinations on what public and private plans would be required to cover in a health insurance exchange. Stupak said that the two sides are "working in good faith" and that other members of the committee should not push their own abortion-related amendments (Dow Jones, 7/20). On Monday, committee voted 20-35 to reject an amendment, offered by Rep. Nathan Deal (R-Ga.), that would have eliminated a provision requiring states to adhere to minimum benefits requirements that employer-sponsored insurance must include. Deal said that states could be required to cover abortion or "out of mainstream" services. Stupak responded, "I hope we"re not going to start using reproductive rights as a red herring on every amendment that comes up." Panel Approves Sex Education AmendmentThe panel voted 33-23 to approve an amendment that would authorize $250 million through 2014 for "evidence-based" sex education programs for teenagers. Rep. Lois Capps (D-Calif.), who offered the amendment, said that abstinence-only programs would not be excluded if they are proven effective. Following debate on Capps" amendment, Rep. Lee Terry (R-Neb.) offered an amendment that would reauthorize the Title V abstinence-only sex education program. Committee Chair Henry Waxman (D-Calif.) said that Title V "has been a failure," adding that 25 states refused to accept the money through the program because it is ineffective. Terry"s amendment was rejected 26-29.The committee also voted 36-23 to adopt an amendment that would provide $150 million in grants through 2014 to state and local governments and not-for-profits for educating residents in "medically underserved" areas on various topics, including sexual behavior (Wayne, CQ Today, 7/21). Reprinted with kind permission from http://www.nationalpartnership.org. You can view the entire Daily Women"s Health Policy Report, search the archives, or sign up for email delivery here. The Daily Women"s Health Policy Report is a free service of the National Partnership for Women & Families, published by The Advisory Board Company. © 2009 The Advisory Board Company. All rights reserved.


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