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The E-Newsletter of the
National AIDS Housing Coalition
April 28, 2006

Spring 2006 


Contents

1. Members of Congress Sign Letters in Support of Higher Level of Funding for HOPWA
 

2. Update on the FY07 Budget, Appropriations, and the Emergency Supplemental
 

3. AIDS and Behavior to Publish Special Issue on Housing and HIV/AIDS
 

4. Join NAHC for the Second National Housing and HIV/AIDS Research Summit
 

5.NAHC Hosts Briefing on Housing and HIV/AIDS for Congressional Staff

6. Upcoming HRSA Policy Change Proposal
 

7. Of Note…
 

8. Join NAHC Online!
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HIV/AIDS  & Housing Facts of the Quarter:

Being homeless is a barrier to obtaining HIV/AIDS medical care.

People with housing needs who receive any level of housing assistance are almost four times as likely to enter into medical care as those who do not receive assistance.

Housing is a matter of life and death for people living with HIV/AIDS. 

For more information on the Housing-HIV/AIDS connection click here.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

National AIDS Housing Coalition
1518 K Street NW
Suite 410
Washington, DC 20009

Phone

202-347-0333

Fax
202-347-3411

E-mail
nahc@nationalaidshousing.org

We’re on the Web
www.nationalaidshousing.org

 


1.  Members of Congress Sign Letters in Support of Higher Level of Funding for HOPWA

Members in both houses of Congress and on both sides of the aisle recently demonstrated their strong support for the HOPWA program by signing letters to Appropriators asking them to fund the program at $424 million for FY07.  The President’s budget proposal, released in February, recommends funding the program at only $300 million.

Senate Letter
A bipartisan group of 35 Senators sent their version of the letter to Appropriators yesterday, April 27, 2006.  Thirty-five Senators from states as diverse as New York, Vermont, Hawaii, and South Dakota signed on to the letter which was sponsored by Senators Durbin (D-IL) and Smith (R-OR).  This is only the second year that the Senate has circulated a HOPWA letter and more than one-third of the Senate supported it. 
Click here to view the list of signers to see if your Senators signed on and click here to view the letter itself.

House Letter
The House letter, delivered on March 14, 2006, was co-sponsored by Representatives Nadler (D-8th NY), Ros-Lehtinen (R-18th FL), and Crowley (D-7th NY) and was signed by a total of 107 members of the House of Representatives. 
Click here to view the list of signers to see if your Representative signed on and click here to view the letter itself.

The large number of signers on both letters sends a strong message to Appropriators that their colleagues expect an adequate funding level for HOPWA in FY07.  NAHC will use the letters to leverage support for the program and ensure that HOPWA is funded at the highest possible level.

Thank you and congratulations to the many, many individuals and organizations that contacted their members of Congress and requested that they sign on to these two important letters.  If your members signed on, be sure to call and thank them for their support (all Congressional offices can be reached through the Capitol switchboard: 202-255-3121). 

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2.  Update on FY07 Budget, Appropriations and the Emergency Supplemental

Background: A week after returning from the 12 day Easter recess, the House appears to have moved no closer to resolving the issues that have precluded adoption of a Budget resolution (H. Con. Res. 376) which will set spending guidelines for all the FY2007 appropriations bills.  Prior to the recess, the House leadership -- unable to garner the votes for passage -- removed the budget resolution from the House floor. The budget and appropriations process timing is being impacted by the reaction of appropriators to restrictions on earmarks included in Lobbying Reform legislation (H.R. 4975) that the House leadership is anxious to move.

Whether the budget resolution may be brought back to the House floor the first week of May is problematic.  In the meantime, some of the appropriations subcommittees have set tentative dates to mark up their bills and bring them to the floor for action including the Transportation, Treasury, HUD and the Judiciary (TTHUD) Subcommittee which may mark up the last week of May.  In order to meet the target date set by Appropriations Chairman Jerry Lewis (CA) for completion of action on all the spending bills by the July 4 recess, the subcommittees -- including TTHUD --are commencing work likely using the President’s budget request as a starting point. The proposed total HUD budget for FY2007 of $33.65 billion is $622 million lower than the post-rescission FY2006 enacted $34.27 billion. Under this scenario, the TTHUD subcommittee may look to the programs proposed for an increase in the Administration’s budget (including HOPWA) to make up some shortfalls in HUD programs that were slashed, the most notable example, the more than $1 billion cut from the CDBG program.  On the Senate side, funding allocations for the appropriations subcommittees are not anticipated until mid-May when work will commence in earnest on the spending bills. 

In the face of these budget pressures, the House and Senate HOPWA letters urging the Appropriators to fund the program at $424 million and  signed by nearly one-fourth of the House and more than a third of the Senate  (see above article) are critical demonstrations of strong bi-partisan support  and recognition of growing unmet AIDS housing need.  

Action:  Between now and subcommittee action on the HUD bill, AIDS housing advocates should communicate to their congressional delegations the importance of the AIDS housing and the HOPWA program to their communities. Also consider scheduling now for your Representative and Senators to visit AIDS housing in your community during the Memorial Day recess (May 29-June 2) or the Independence Day recess (July 3-7).

On another funding front, the emergency supplemental appropriations bill (H.R. 4939) to fund the war in Iraq and Afghanistan and provide hurricane relief is embroiled in threats of a veto if the measure exceeds the $92.2 billion requested by the President plus an additional $2.3 billion for pandemic flu protection. Potential unrelated additions including funding for fisheries, border security, and veterans’ care and other items threaten to ratchet the total up by several billion dollars. Efforts by low income housing advocates to obtain some relief for Katrina survivors through the Supplemental, including encouraging the funding of evacuees’ transitional housing assistance through HUD’ Disaster Voucher Program rather than through FEMA, have, so far, been unsuccessful. Timing for completion of action on the Emergency Supplemental remained uncertain as the e-newsletter went to press.

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3. 
AIDS and Behavior to Publish Special Issue on Housing and HIV/AIDS

NAHC, AIDS & Behavior, and several researchers in the fields of housing, homelessness, and HIV/AIDS are working together to produce a special supplement of the journal that will focus on the connection between housing and HIV/AIDS.  NAHC is extremely excited about this opportunity to partner with the academic journal and widely disseminate more research about the connection between housing status and individual and community health.

The journal has issued a call for papers for submission into the special issue.  Submissions are by June 1st.  Please click here for more information.

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4.  Join NAHC for the Second National Housing and HIV AIDS Research Summit
October 20-21st, 2006 in Baltimore, MD

NAHC is continuing to move forward with the planning of the Second National Housing and HIV/AIDS Research Summit: Transforming Fact into Strategy – Developing a Public Health Response to the Housing Needs of Persons Living With and At Risk of HIV/AIDS.  Summit II will bring together leading researchers, policy experts, service providers and consumers, to continue the dialogue begun at the first Research Summit regarding the relationship between housing status and HIV prevention and care.  The event will be conducted in partnership with the Department of Health, Behavior and Society of the Bloomberg School of Public Health at Johns Hopkins University.  Dr. David Holtgrave, Chair of the Department, was a convening researcher and the host of Summit I, held in June 2005 at Emory University.

Format
Researchers, policy experts, service providers and consumers have all expressed interest in a meeting format that would provide expanded opportunities to listen to each other, interact, and collaborate on concrete strategies for transforming research findings into public policy.  The meeting will consist entirely of plenary sessions on selected conference topics of concern to all participants.  Each session will include presentations of relevant research findings, followed by comments from a panel of discussants that will include other researchers, policy experts, providers and consumers who have reviewed the research in advance, and concluding with a structured discussion of policy implications and advocacy action strategies.  In addition to these plenary sessions, evening activities on the first day may include a structured discussion among researchers of community based and other innovative methodological approaches and an evening “Research 101” session for consumers, providers, and policy experts.

Logistics
The event will be held at the Mt. Washington Conference Center in Baltimore, MD on October 20 and 21, 2006, convening at 10:00 AM on Friday to allow time for morning travel and ending late Saturday afternoon.  Activities will be held throughout both days.

NAHC has a block of rooms reserved at the Conference Center and nearby hotels that will be available for attendees at a reduced rate.  Book your hotel room early with NAHC to ensure space and the lowest charges (Johns Hopkins’ Parent’s Weekend falls on the same days as Summit II).  More information about hotel booking will be available soon.

Registration and Fees
Registration for the event will begin in June (exact date TBA).  NAHC is charging a flat conference fee that covers:

·          Two days of plenary sessions and discussion meetings

·          All conference materials/publications

·          Meals for both days beginning with lunch on Friday and ending with lunch on Saturday, including dinner, breakfast, and breaks.

The conference fees are as follows:

2006 NAHC members:
Early Registration (cut off date TBA): $300
Regular Registration: $375

General Public:
Early Registration (cut off date TBA): $375
Regular Registration: $450

Presenting Researchers/Policy Experts:
Researchers and Policy Experts whose abstracts are accepted and are presenting at Summit II will receive waived conference fees.

Scholarships/Discounted Rates:
HIV/AIDS housing consumers may be eligible for scholarships and/or discounted conference fees.  More information will be released soon.

Call for Abstracts
NAHC is soliciting abstracts for presentations at Summit II.  Both research and policy abstracts are encouraged. 

Topic Areas Include But Are Not Limited To:

·          Reentry housing for ex-offenders

·          Housing active users

·          Housing impacts on medical service use and attendant cost savings

·          Housing as prevention

·          Housing as healthcare

·          Specific populations including youth aging out of foster care, women with children, residents of rural communities, ethnic sub-populations

·          Alternatives to the “risky person model”

Abstracts for Housing and HIV/AIDS Research Summit II presentations must be submitted by June 15, 2006.  Notification of acceptance will be emailed to the authors no later than August 15, 2006.  Click here to view the complete call for abstracts. 

Click here for more information on Summit II, including a link to the Concept Paper for the event and Summit I at the Emory University Center for AIDS Research.

Products from Summit I
NAHC still has available a few copies of the 450 page briefing book from the first National Housing and HIV/AIDS Research Summit.  The books, which are available at cost, contain the presented research articles, extensive abstracts, and researcher presentations. 
Click here to view the complete table of contents.  Click here for more information on ordering a copy for yourself or your organization. 

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5.  NAHC Hosts Briefing on Housing and HIV/AIDS for Congressional Staff

On Thursday, March 16, 2006 The National AIDS Housing Coalition hosted its fifth Congressional Staff Briefing on AIDS Housing in the Rayburn House Office Building attended by 30 housing and health staffers.  The briefing, sponsored by Senate Housing and Transportation Subcommittee Chair Wayne Allard (R-CO) and Ranking Member Jack Reed (D-RI), featured a short film in which AIDS housing consumers from communities as diverse as Jackson, Mississippi, New York City, Pontiac, Michigan to Louisville, Kentucky, described the impact of stable housing on their lives and ability to devote attention to their healthcare.  Each year since 2002 NAHC has hosted briefings in an effort to update congressional staffers on AIDS housing need and importance in communities across the country.  

 
Senate and House staffers gather in the Rayburn House Office Building
for a briefing on Housing and HIV/AIDS.

The briefing began with a welcome from NAHC board president Joe Carleo and remarks by Daniel Penchina, Legislative Assistant to Rep. Jerrold Nadler (NY), an AIDS Housing champion, chief sponsor of the HOPWA letter on FY2007 Appropriations.  NAHC first Vice President Shawn M. Lang moderated a question and answer session following the film. A buffet lunch was provided courtesy of NAHC board members The AIDS Institute, The Southern AIDS Coalition, AIDS Services of Dallas, Shawn Lang, Debra Fleming and Aaron Riley.

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6.  HRSA to Solicit Comments on Change to the Policy on Use of CARE Act Funds for Short-Term Housing Assistance

The HIV/AIDS Bureau (HAB) in the Health Resources and Services Administration (HRSA) is poised to publish for comment in the Federal Register an amendment to the policy on use of Ryan White CARE Act funds for Housing Referral Services and Short-term or Emergency Housing Needs.  The draft policy- projected to take effect on March 1, 2007 -- limits short-term and emergency housing assistance eligibility for funding under the CARE Act to 24 months in an effort to comport the HRSA definition of short-term housing with that used by HUD Continuum of Care Homeless Assistance Programs and HOPWA. 

Among the concerns is the impact of the policy on the ability of AIDS housing programs to extend transitional housing assistance beyond the 24 month period in communities where permanent housing options are simply unavailable. 

In recent weeks, HRSA has notified EMA’s nationally that it will propose a national policy that would limit total length of stay in CARE funded transitional housing to a 2 year period with no extensions being possible.  In many housing markets where affordable housing options are unavailable and in light of the critical importance of stable housing for people with HIV/AIDS, such a policy, with its lack of flexibility, is unrealistic. 

NAHC will be commenting and urges all providers who depend on CARE -transitional housing to respond to this proposed policy which is expected to appear in the Federal Register during the week of May 1, 2006.  Any written comments to the HRSA proposed policy must be post-marked no later than 60 days after the date of publication in the Federal Register. NAHC will send an email notice and link to the Federal Register notice as soon as it is published.

NAHC member, the San Francisco AIDS Foundation, has volunteered to share the with interested providers for use in crafting their own comments its response to the proposal, arguing that any future HRSA policy should permit extensions for clients when it can be demonstrated that access to non-CARE funded housing is simply not available and that a client risks becoming homeless.  Contact dvangord@sfaf.org if you would like to obtain a copy of SFAF’s comments.  NAHC’s comments will be posted to the NAHC website once the draft policy appears in the Federal Register.

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7.  Of Note…

GAO Report
In February, 2006 the Government Accountability Office released a report, HIV/AIDS: Changes Needed to Improve the Distribution of Ryan White CARE Act and Housing Funds.  GAO’s examination included a review of the method for allocation of CARE Act and HOPWA funds among types of services, variations in distribution differences among CARE Act and HOPWA grantees, and the impact of the CARE Act and HOPWA funding formula on creating these variations as well as the impact of including HIV case counts in the formulas.

GAO recommended that if the Congress acts to revise the formulas to yield more comparable funding per case if the goal is funding for the programs based on the distribution of live AIDS cases.

The full text of the report can be found at   http://www.gao.gov/new.items/d06332.pdf.

NAHC Institute at NAEH Conference in July 2006     
NAHC will be presenting a half-day training institute at the National Alliance to End Homelessness’ annual DC conference July 17-19th, 2006.   The following is a description of the institute, which will take place on Tuesday, July 18th, from 2:00 – 5:15 PM:

AIDS Housing Survival Strategy: Keeping Housing Available to Those who Need It.  Housing is known to improve the health outcomes of individuals living with HIV/AIDS.  It is instrumental in keeping them in care and in compliance with their medication regimens.  As people are living longer, the housing needs become more pronounced and complex.  This Institute will feature long term practitioners in the AIDS housing field who will present practical information on maximizing resources such as the continuum of care, creating strategic alliances with other housing partners, performance measures and evaluation, and mixed use housing.

More information on registering for the conference will be available soon on NAEH’s website: www.endhomelessness.org

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8. Join NAHC Online

Support from members allows NAHC, which operates entirely on grants, donations, and dues, to continue representing the interests of AIDS housing on Capitol Hill and disseminating pertinent information to advocates, providers, and consumers across the country.

From a current NAHC member:

“I just wanted to say how impressed I am with the information that is being provided to NAHC members. It is truly gratifying to see the organization reaching its full potential and you guys are simply doing an incredible job!  I credit much of the information provided by NAHC regarding the HIV/AIDS homeless for assisting our agency in securing a 1.2 million dollar SPNS grant from HUD. My grant writing skills may have helped secure the award, but the information from NAHC was powerful and convincing regarding the needs of the HIV/AIDS homeless. We will be providing housing and supportive services to an additional 62 homeless families living with HIV over the three year project period.”

It is now possible to join or make donations to NAHC ONLINE using your credit card!  Please visit our enrollment and donations page at www.nationalaidshousing.org/join.htm.  Please also be sure to tell your friends and colleagues about membership opportunities in NAHC.

Thank you for your support!

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This page revised on April 28, 2006