January 11, 2017 President-elect Donald J. Trump Presidential ...

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Jan 11, 2017 - prescription drugs, preventive services, laboratory testing, and substance use and ..... Zoe Garcia, RN,
January 11, 2017 President-elect Donald J. Trump Presidential Transition Headquarters 1800 F Street NW Washington DC 20270-0117 Dear President-elect Trump: We write as more than 1,050 physicians, pharmacists, advanced practice nurses, physician assistants, nurses and other medical professionals working on the frontlines of the HIV epidemic in the United States who are concerned about our patients’ access to health care coverage and lifesaving care and treatment. Two decades ago the development of antiretroviral therapy transformed HIV/AIDS from a deadly condition to a chronic condition for many. With reliable access to care and treatment that effectively suppresses the virus, patients can now be healthy and live near normal life expectancies, and when they are healthy and virally suppressed their risk of transmitting the virus drops to near zero. The key to this prevention and treatment success is consistent access to medical care and needed medications. Prior to the Affordable Care Act, a majority of our patients were either denied health insurance coverage because of their condition or were unable to afford the extraordinary high cost of the coverage available to them. In most states, Medicaid coverage was available to patients only after they became sick and disabled by AIDS. The ACA leveled the health care playing field by barring plans from denying coverage or charging higher premiums based on health status, setting minimum health coverage standards, and providing premium and cost sharing assistance. Importantly, it modernized the Medicaid program by expanding coverage to families and childless adults up to 138% of the federal poverty level regardless of disability status. As medical professionals committed to our patients with HIV, we strongly urge that any changes to the ACA be based on the key principles below. Do no harm. Prior to making changes to the ACA, a plan must be in place that takes into account the medical needs of low income individuals with complex conditions, like HIV, to avoid dangerous disruptions in health care coverage for our patients with HIV and millions of others. Meaningful health insurance coverage options must offer uninterrupted, affordable coverage for a range of necessary medical services, including prescription drugs, preventive services, laboratory testing, and substance use and mental health treatment. Sustain the federal commitment to the Medicaid program. Maintaining the current funding structure, including the federal entitlement, to the Medicaid program is critical so that states can respond to fluctuations in the demand for Medicaid coverage due to economic downturns, public health outbreaks such as the HIV and hepatitis C outbreaks in Scott County, Indiana and medical advances, such as the recent development of curative hepatitis C treatment. Continue Medicaid expansion. In the 32 states (including the District of Columbia) that have expanded Medicaid, our poorest patients were offered access to comprehensive, affordable coverage with consumer protections tailored to their socioeconomic and medical needs. Withdrawing this coverage will threaten the health of millions of Americans and be a significant set back to our nation’s public health, including to our efforts to end AIDS.

2 Please consider the needs of individuals with HIV as you evaluate changes to the ACA. Their lives and our ability to make significant headway against the HIV epidemic in the U.S. depend on it. Submitted by the undersigned more than 1,050 HIV medical professionals: ALABAMA

Marguerite Barber-Owens, MD Gwendolyn Childs, RN, PhD Jane Cooper, RN BSN, Univ of Alabama at Birmingham C. Ann Gakumo, PhD, RN, Univ of Alabama at Birmingham Wickliffe Many, MD, Univ of Alabama at Birmingham Jeanne Marrazzo, MD, MPH, Univ of Alabama at Birmingham James Raper, PhD, CRNP, Univ of Alabama at Birmingham Stephanie Royster, RN

ARIZONA

Maria Ann Andrews, MSN, FNP-C, Southwest Center for HIV/AIDS J. Kevin Carmichael, MD FIDSA, El Rio Special Immunology Associates Siri Che, PharmD/MBA Lori Fantry, MD, MPH, Univ of Arizona Vittelian Forbes, PharmD Linda Gorgos, MD, MSc El Rio Community Health Center Carlos Hartmann, MD Adonis Jabbour, MD Lauren Lawler, PharmD, BS, Dean Martin, MD, Cigna Medical Group Robert Myers, MD, Maricopa Medical Center Sudha Nagalingam, MD, El Rio Community Health Centre John Post, MD, Maricopa Integrated Health Carol Schneiderman, PharmD, El Rio Community Health Center

ARKANSAS

Sandra Brown, MPH, MSN, RN, Jefferson Comp Care Donna Gullette, PhD. APRN, AGACNP-BC, Univ. of Arkansas for Medical Sciences Danny Hedges Gretchen Jaco, RN Patricia Washington, MSN

CALIFORNIA

Ryan Anson, MSN, East Bay AIDS Center Marvin Belzer, MD, Children's Hospital Los Angeles and USC Constance Benson, MD, Univ of California San Diego Derek Blechinger, MD Steven Bromer, MD, Univ of California, San Francisco Jody Cap, RN, BSN, CNOR Ruben Celiz, Registered Nurse, Kaiser Permanente Heidi Cevallos, PharmD and AAHIVP, Hillcrest Pharmacy Pushpa Chandwani, MD Aarthi Chary, MD, Stanford Univ Carolyn Chu, MD, MSc, UCSF Melissa Chubbuck, MD, MS, Susan Chuck, PharmD, Gilead Jesse Clark, MD, MSc, David Geffen School of Medicine at UCLA Phyllis Cohen, MD, Tarzana Treatment Center Summer Collier, MSN, FNP-BC, Family Health Centers of San Diego Adriana Covate, LCSW Pierre Crouch, PhD, ANP-BC Eric Daar, M.D., David Geffen School of Medicine Michelle Davey, D.O., West County Health Centers, Inc. Carol Dawson-Rose, RN, PhD, UCSF Maura Devereux, MMS, PA-C, Sutter Health/ California Pacific Medical Center Mandeep Dhindsa, M.D, Community Medical Centers Jake Donaldson, MD, Ventura County Health Care Association Jose Eguia, MD, MPH, St. Mary's Medical Center James Yusuf Erskine, DO, FWMC

Alireza FakhriRavari, PharmD William Flores, PA-C, The Doctor Health Center Robert Fontanilla, MSPAS, MPH, PA-C, AAHIVS Monica Gandhi, MD, MPH, UCSF Elsa Gardner, RN, BHSc Dianne Georgetti, BSN Daniel Gluckstein, MD, Inland Valley ID Medical Group, Inc Denise Gomez, MD, North County Health Services Natasha Gonzalez, PharmD, MPH, Long Beach Memorial Medical Center Shelley Gordon, MD, PhD James Gordon, MD, Kaiser Permanente Lindsay Gordon, PharmD, Kaiser Permanente Michael Greene, DNP, MSN, BS, APRN-BC Dineen Greer, MD, Sutter Medical Group Kenneth Griffiths, MD, Family Health Centers of San Diego Kathleen Haight, PharmD Michael Harbour, MD, FACP, PACE Clinic at Santa Clara Valley Medical Center Anne Hughes, PhD,RN, NP, Laguna Honda Hospital Laura Issagholian, PharmD, Kaiser Permanente Henry Iwebor, B.Pharm; PharmD, FWAPCP, AAHIVP Wilbert Jordan, M.D., MPH, Charles Drew Univ Jason Kauffman, DO, UCSF Judith Kelley, MD, Santa Cruz County Health Services Agency Conor Kellicutt Aaron Kofman, MD Marya Krogstad, BA, BSN, MA, MFA, UCSF, CNA Daniel Lee, MD, UCSD Medical Center - Owen Clinic Wendy Leonard, MD, AAHIVS, Santa Cruz County Health Agency Michael Lim, BS, RPh, AAHIVP Alice Litton, BS,BS, BSN, MS, MS Richard Loftus, M.D., Eisenhower Medical Center/USC Cathy Logan, M.D., UCSD David Looney, MD, UCSD Larry Lyle, DO Kirsten Mahoney, BA, MA Christopher Mathews, M.D., MSPH, UCSD Mary Miller, Pharm.D., M.D Anthony Mills, MD, Southern California Men's Medical Group Leo Moore, MD, MSHPM Jesse Dan Moore, MD, ARcare Scott Nass, MD MPA FAAFP AAHIVS Raymond Austin Nation, PhD, RN, California State Univ, Fullerton Hoan Nguyen, MD, California Dept of Correction and Rehabilitation John Nienow, MD Gifty-Maria Ntim, MD, MPH, UCLA William Owen, MD, Sutter Pacific Medical Foundation Marion Pellegrini, RN, BSN Patricia Poole, PharmD, Univ of California at Davis Ryan Racino, PharmD, Merck & Co. Christian Ramers, MD, MPH, Family Health Centers of San Diego Ann Roach, BSN, PHN Michael Roggelin, BSN Sarah Rojas, MD, MAS, AAHIVS, Family Health Centers of San Diego Jennifer Ross, MD Anthony Sayegh, MS Ellen Schell, RN, PhD, Global AIDS Interfaith Alliance, UCSF F Julia Schmidt-Petersen, Rn, BS, CCM, AIDS Healthcare Foundation James Scott, PharmD, M.Ed., Western Univ of Health Sciences David Sears, MD, UCSF Michelle Sherman, BPharm RPh, FASCP, FACA, AAHIVP, MichRx Pharmacist Consulting Services,Inc Vilmary Sierra, MD, Concilio de salud integral de loiza

This letter was organized by the HIV Medicine Association, American Academy of HIV Medicine, Association of Nurses in AIDS Care and the Ryan White Medical Providers Coalition. Please contact Andrea Weddle at [email protected] with questions.

3 Claire Simeone, DNP, FNP, RN, Zuckerberg San Francisco General Jacek Skarbinski, MD Matthew Spinelli, MD, UCSF Carl Stein, MHS, PAC, Sutter Pacific Medical Foundation Lisa Stevens, MD, DTMH, AAHIVMS Suzan Stringari-Murray, RN, MS, ANP-BC, UCSF Christine Suh, Doctor of Pharmacy Nee Tang, PHARM.D., MPH, AAHIVE, Kaiser Permanente Denise Taylor, MD Nicole Thibeau, PharmD, AAHIVP Colleen Thornton, MSPA, Kaiser Permanente Francesca Torriani, MD, UCSD Danny Toub, MD William Towner, MD, Kaiser Permanente Sandra Wallace, MD, Good Samaritan Hospital, Los Angeles, CA Dale Weide, RN, St. Joseph Health System Yvette Wells, RN, BSN, Watts Healthcare Corp Ronald Wing, MD Sheila Winters, RN, BSN, PHN, ACRN, Ventura County Public Health/HIV/AIDS Mallory Witt, MD, Harbor-UCLA Medical Center Rebecca Wittenberg, PharmD, UC Davis Health System Aaron Wolfson, MD, MS, Univ of Southern California John Zaia, MD, City of Hope Adam Zweig, MD, AIDS Healthcare Foundation

COLORADO

Lisa Abuogi, MD, Univ of Colorado, Denver Lucy Bradley-Springer, PhD, MSN, MA, BSN, RN Amber Bunch, MA Eric Cagwin, RN, BSN, Children's Hospital of Colorado Jarad Cox, MPH, Children's Hospital Colorado Amy Davis, MD, MPH, St. Mary's Hospital Jean Finn, RN, BSN, Integrated Health Consultants Andrew Flynn, BA, Univ of Colorado School of Medicine Lucy Graham, PhD, MPH, RN, St. Mary's Hospital and Medical Center Jason Hindman, PharmD, MBA Christine-Eve Kwon, Bachelor of Science, Univ of Colorado, Denver Barbara Mayhugh, NP Suzanne Paul, BSN, MSN, Univ of Colorado, Denver Kim Pierce, B.A., B.S., DNP, RN, CPNP, Children's Hospital Colorado Heather Pujet, MD, Boulder Community Health Daniel Reirden, MD, Univ of Colorado School of Medicine Sarah Rowan, MD, Denver Health and Hospital Authority Travis Sherer, PA Christiana Smith, MD, Univ of Colorado Lora Trevis, MSW, Children's Hospital Colorado

CONNECTICUT

Gerald Friedland, MD, Yale School of Medicine Patricia Garton, MSN, MBA, Circle CARE Center Ritche Hao, MD, Yale New Haven Hospital David Hill, MD, DTMH Frank Netter School of Medicine, Quinnipiac University Seja Jackson, MS, APRN, AAHIVS, St Francis Hospital & Medical Center - Trinity Nicole Jones, RN Tashi Mattis, RN, Leeway Terence Meehan, PhD, Frank H. Netter School of Medicine David Rubin, MD, World Health Clinicians Gary F. Spinner, PA, MPH, AAHIVS, Southwest Community Health Center Rachel Zwick, BA, MA, PhD Candidate, Yale Univ

DELAWARE

Jennifer Andres, PharmD Mary Clare Matsumoto, RN Karen Swanson, RN, BSN,ACRN Susan Szabo, MD

DISTRICT OF COLUMBIA

Joel Ang, MD, FAAFP Lisa Fitzpatrick, MD, MPH, MPA, George Washington Univ Kristina Grabbe, MPH, Jhpiego

W. David Hardy, MD, Whitman-Walker Health Veronica Jenkins, MD, FMCS Jaime Martinez, MD, Nancy Murphy, NP, PhD Frances Sundt, RN, BSN

FLORIDA

Jonathan Appelbaum, MD, Florida State Univ College of Med Laura Armas-Kolostroubis, MD, Orlando Immnology Center Jeffrey Beal, MD Albert Canas, MD, Albert Canas MD and Associates Manuel Castro, MD Katherine Chadwell, RN,ARNP, DNP, FAU Ravi Challi, PharmD Naghmana Chughtai, MBBS Radu Clincea, M., Florida Department of Health Jean Dauphin, DO, Jackson Health System Johnna Dettis, MSN MPH ARNP AAHIVS, McGregor Clinic Katie Fillion, MD Jorge Gilete, MD, Correctional Medicine Anne Hemingway Feuer, BS, RN, BSN, MS, AIDS Healthcare Foundation Kimberly Holding, MD Deborah Holmes, MD, AIDS Healthcare Foundation Jennifer Janelle, MD, Univ of Florida College of Medicine Inwha Kim, MD Marco Lorio, MD, University of Miami Kurtis Mohr, MD, Premise Health Sharon Murphy, RN, ACRN, The McGregor Clinic, Inc. Edward Navarretti, DNP, ARNP, Empower U, Inc Nilda Nieves-Serrano, MD, AAHIVS, Orlando Family Phycisians Ajegbu Okeke, PharmD Sanique Olkuch, MSN,ARNP, Care Resource Vincent Petrosini, MSN,FNP,ACRN, Five Star Senior Quality Care INC. Gerald Pierone, MD, AIDS Research & Treatment Center of the Treasure Coast William Robbins, MD, FACP, AAHIVS, UCF-SCHOOL OF MEDICINE Willie Roberts, RN,BSN,MSHA Ana Rua Dobles, MSN, FNP-BC, Florida Department of Health David Shepp, MD Elizabeth Sherman, PharmD Sean Shirk, PharmD Karen Slazinski, PharmD Kenneth South, MDiv Douglas Steele, BSN, AIDS Healthcare Foundation Andra Tucker, BPharm, MPH, FPA, AAHIVP Christine Uranaka, BSN, Orlando EMA Robert Wallace, MD, Love the Golden Rule Inc. Tim Walsh, BA/Medical Student, Florida State Univ College of Med Genetta Watts, PharmD, AHF Mitchell Whitehead, MD Ruby Wilson, RN, BSN, ACRN

GEORGIA

Africa Alvarez-McLeod, MD, MPH, Southside Medical Center ID Clinic Wendy Armstrong, MD, Emory Univ Hermeyone Bell, NP, Intown Primary Care Annette Bernard, MD, MS, Private practice Joshua Brown, BS Valeria Cantos, MD, Emory Univ Michael Brown, MD, Absolute Care Medical Center Christopher Cary, Student Nurse, Georgia Southwestern State Univ Brianna Casciello, Student Nurse, FNP/CNM, Emory Sch of Nursing Kenneth Castro, MD, Emory Univ Rasheeta Chandler, PhD, MSN, APRN, FNP-BC, Emory Univ Miyesha Cheeks, DNP, MSN, BSN, To Our Shores Helen Clark,, Emory Univ Jonathan Colasanti, MD, MSPH, Emory Univ Jeffrey Collins, MD, MPH, Emory Univ William Connors, MD, Positive Impact Health Centers Jesse Couk, MD, Piedmont Atlanta Hospital Karen Davis, BSN, MPH, Association of Nurses in AIDS Care

This letter was organized by the HIV Medicine Association, American Academy of HIV Medicine, Association of Nurses in AIDS Care and the Ryan White Medical Providers Coalition. Please contact Andrea Weddle at [email protected] with questions.

4 Carlos del Rio, MD, Emory Univ Rollins Sch of Public Health Rebecca Dollar, PhD William Emery, BSN, MPH, RN Monica Farley, MD, Emory Univ School of Medicine Deborah Fincher, MS, RPh, Alliance Community Pharmacy Joy Ford, MS, Grady Health System - IDP Rachel Friedman-Moraco, MD, Emory Univ Sch of Med Linda Gates, RN, ACRN, Grady Infectious Disease Clinic Stephanie Hackett, MPH, MMSc, PA-C Mary Beth Harris, BA and MEd Sophia Hussen, MD, MPH, Emory Univ Jesse Jacob, MD, Emory Univ Kara Jacobs Slifka, MD, MPH, Emory Univ Andrea Jefferson-Saboor, MSN, FNP Ameeta Kalokhe, MD, Colleen Kelley, MD, MPH, Emory Univ Russell Kempker, MD, MSc, Emory Univ Mary Kouba, BS, BSN, RN, Colleen Kraft, MD, MSc, Emory Univ Alison Kyle, BA, BSN, MSN, Grady Health SystemsGrady Infectious Disease Program Cecile Lahiri, MD, MSc, Emory Univ Alison Lauber (Shrum), MD, AID Atlanta & AIDS HealthCare Foundation Dara Lingerfelt, RN Suzanne Lipe, BSP, RPH, AAHIVP, AIDS Healthcare Foundation Schuyler Livingston, MD, Emory Univ School of Medicine Charles Livingston, PharmD Alvaro Lopez, MD, ID Consultants Michael Lucas, BSN, MSN, Grady Health System Sophie Lukashok, MD, Intown Infectious Diseases, LLC Vincent Marconi, MD, Emory Univ Abeer Moanna, MD, Emory Univ Joy Myers, MD, Kaiser Permanente Jason Nevoit, RN, BSN, Grady Hospital Igho Ofotokun, MD, MSc, Emory Univ Sch of Med Nora Oliver, MD, MPH, Atlanta VAMC Federico Palacio, MD, Emory Univ Anar Patel, MD, Emory Univ Eugene Paul, MD, MPH Paulina Rebolledo, MD, MSc, Emory Univ Susan Richardson, MN, MPH, FNP-BC, Emory Univ Sch of Med David Rimland, M.D., Emory Univ School of Medicine J. Peter Rissing, MD, Augusta Univ Joel Rosenstock, MD, MPH, AbsoluteCARE Medical Center David Serota, MD, Emory Univ Mary Elizabeth Sexton, MD, Emory Univ Anandi Sheth, MD, MSc, Emory Univ Jennifer Spicer, MD, MPH John Stanton, MPH, MSN Candidate, Emory Univ, School of Nursing Gary Stuart, MED Jeri Sumitani, MMSc, PA-C Nathan Summers, MD Mark Swancutt, MD, PhD, DTM&H Portia Thomas, MSN, MPH Melanie Thompson, MD Zandraetta Tims-Cook, MD, MPH, Atlanta Medical Center Laura Tison, BSN, MPH Zelda Tolbert, BSN Sara Turbow, MD, MPH, Emory Univ Jay Varkey, MD, Emory Univ School of Medicine Carline Victor-Daudier, Administration, Grady/Emory Hospital Jesse Waggoner, MD, Emory Univ Drenna Waldrop-Valverde, PhD Sandra Ward, Master of Physician Assistant, Grady Health System Melissa Watkins, RN, CCM Zanthia Wiley, MD, Emory Univ Eva Williams, RN, MSN, FNP, MPH, AACRN Henry Wu, MD

ILLINOIS

Denise Andrews, RN, ANP, BSN, MS Michael Bredenkamp, BA, MA, RN Rebecca Castner, PharmD, Christian Community Health Center Nina Clark, MD Rosemary Cleaveland, RN, ACRN, Presence Health Care Karen Coleman, RN, BSN, ACRN Katie Daley, MSN, RN Terrence Donovan, PA-C, Heartland Health Centers Erica Gaddy, MPH, MSN, RN, NP Cynthia Goetting, Bachelor of Science, Carle Foundation Hospital Maya Green, MD, MP Pamela Guess, BS, RN-BC, Carle Ronald Hazen, MPH, Walgreens David Holland, MD, MHS, Emory Univ Neel Jhobalia, PharmD, Rust Univ Medical Center Amir Khan, MD, Carle Foundation Hospital Deborah Killingsworth, MD Jessica Lue, MD Sarah Michienzi, PharmD Arthur Moswin, MD John Parisot, PhD, MSN, RN Norma Rolfsen, MS, BSN, FNP, RN Julia Rosebush, DO, FAAP, Univ of Chicago Sheila Roth, BSN, CPG Beverly Sha, MD, Rush Univ Medical Center Nirav Shah, MD, MPH, NorthShore University HealthSystem Kaleo Staszkow, MD, AIDS Healthcare Foundation Joan Swiatek, RN, APN-NP, Rush Univ Medical Center Jennifer Thorne, RN-BC Santina Wheat, MD, MPH, Erie Family Health Center Sherryl Wolfe, BSN, Northwestern Univ

INDIANA

Mark Barricklow, RPH, Indiana Univ Health Julie Borum, Nurse Practitioner, IUHealth LifeCare clinic (Adult HIV) Jill Carr, MPA, MLS Kristi Combs, MSW, LCSW, IU Health Sonya Cork, BSW Lana Dbeibo, MD, Indiana University School of Medicine Dexter Etter, BSW, The Damien Center Eric Farmer, PharmD, Indiana Univ Health Kenneth Fife, MD, PhD Indiana University School of Medicine Nikkiya Fraser, MD James Graber, Health and Hospital Corp Samir Gupta, MD, Indiana Univ School of Medicine Christiane Hadi, MD, Indiana University Veronica Halsema, MPH Dean Hensel, BSN John Humphrey, MD Indiana University School of Medicine Diane Janowicz, MD Indiana University School of Medicine Quay Kester, PHD, Indiana Univ Health Andre Melendez, MD, Parkview Health Aimee O'Connor Gading, BSN Lindsey Reese, MD Marc Reese, MSW, LCSW, IU Health LifeCare Jason Richmond, MSW, LSW, Eskenazi Health Erin Rodman, PharmD, Indiana Univ Health Gloria Sachdev, PharmD, Employers Forum of Indiana Linda Santoro, BA, MSW Brooke Stevens, PharmD, BCPS, AAHIVP, Indiana Univ Health Mary Anne Thomas, MSN, Matthew 25 Tuan Tran, MD, PhD Tate Trujillo, PharmD, Indiana Univ Health

IOWA

Kristi Walz, MD, Siouxland Community Health Center

KANSAS

Jeanne Blom, MS, RPh, AAHIVP This letter was organized by the HIV Medicine Association, American Academy of HIV Medicine, Association of Nurses in AIDS Care and the Ryan White Medical Providers Coalition. Please contact Andrea Weddle at [email protected] with questions.

5 Taylor Gill, PharmD, Via Christi Hospitals Wichita, Inc Mary Jacobs, APRN, KU School of Medicine Jill Peltzer, PhD, APRN-CNS, RN Donna Sweet, MD

KENTUCKY

Bobbi Andriakos, MSN Suur Ayangeakaa, MPH, BA, Univ. of Louisville Sch of Public Health & Information Sciences Robert Ball, UK Blue Grass Care Clinic Karen Ball, MSW, University of Kentucky Diana Ball, MSW, Bluegrass Care Clinic Andrea Banks, MD Tara Boling, BSN BASW, Matthew 25 AIDS Services Donna Burgess, RPh, Univ of Kentucky HealthCare Cyndee Burton, BSN, Matthew 25 AIDS Services Forrest Burton, BSW,University of Kentucky Dawna Cobb, Kentucky Clinic Barbara Davis, University of Kentucky Amy Downs, MSW Tonya Dixon, , Matthtew 25 AIDS Services, Inc. Shannon Elliott, , Matthew 25 Monica Elveus, MSW, University of Kentucky: Bluegrass Care Clinic Tina Eunice, LPN, Medical Case Manager Matthew25 Aids Services Penny Gilbert, MSN, MBA Saritha Gomadam, DO, University of Kentucky Dan Grantz, PharmD, University of Kentucky Jessica Greene, MSW, UK Healthcare Ann Hays, MD, University Health Service, University of Kentucky Gerhard Hildebrandt, MD, University of Kentucky Jacob Kiper, MA, Matthew 25 AIDS Services Tracey Klauder, MATTHEW 25 AIDS CLINIC Karen Krigger, BA, MEd, MD Nicole Leedy, MD Michelle Lofwall, MD, University of Kentucky College of Medicine Nicole Lowe, Bachelor of Health Services Administration, James McCormick, MD, University of Kentucky Mandi Morgan, Matthew 25 AIDS Services Jessica Morris, MSW, University Of Kentucky Rajesh Mourya, MD, University of Kentucky Thein Myint, MBBS, University of Kentucky Thamsanqa Ncube Robert Parrish, Master's of Social Work Chad Peterson, MD Anne Pittman, MD, MBA, University of Kentucky College of Medicine Missy Powell Jillian Richardson, MPH, KY AIDS Education and Training Center Takako Schaninger, MD, University of Kentucky Catherine Spencer, PharmD, BCPS, AAHIVP, Univ of Louisville Alice Thornton, MD, University of Kentucky Joshua Tweddell, MS, MA, Univ of Kentucky Healthcare Sharon Walsh, M.S., Ph.D., University of Kentucky Ryan Weeks, BA, University of Kentucky Bluegrass Care Clinic Sally Welch, BA, Matthew 25 AIDS Services, Inc. Christine Weyman, MD, Lake Cumberland District Health Department Courtney Woolfork, HR Matthew 25 AIDS Services

LOUISIANA

Yussef Bennani, MD, MPH Sandra Bright, BSN, ANA, Sigma Theta Tau International Lori Gordon, PharmD, Xavier Univ of Louisiana Rebecca Han, PharmD Mitchell Handrich, FNP Tavell Kindall, DNP, APRN, FNP-BC, GOCARE Alfred Luk, MD, Tulane Univ Osei Prempeh, MD, MPH, Read Medical Associates Tamara Sexton, RN, Univ Medical Center New Orleans Sandra Silva, MM, Greater Lawrence Family Health Center Joshua St. Louis, MD, MPH, Lawrence Family Medicine Residency Vincent Waite, MD, MPH, Greater Lawrence Family Health Center

MAINE

Andrea Danielson, APRN

Jennifer Rogers, NP, Greater Portland health

MARYLAND Sheika Adams, MHA, BSN, RN Tracy Agee, NP, BSN MSN, Johns Hopkins Univ School of Medicine Karla Alwood, CRNP, JHU Annukka Antar, MD PhD, JHU Joshua Bailey, PharmD, AAHIVP Stephen Berry, MD, PhD, JHU Sarah Bowsky, BScN, R.N., MPH Alma Brooks-Barnes, LPN, Faith Based Community Diane Brown, MSN, RN Rachel Butch, BS, JHU Marie Butts, BA Amanda Cary, BSN, RN, ACRN, JHU Larry Chang, MD, MPH, JHU Shawn Chiambah, PhD, Univ of Maryland Medical Center Natasha Chida, MD, MSPH, JHU Emily Comstock, MSN, BSN, BA Jill Crank, CRNP, MSN/MPH Lawrence D'Angelo, MD, MPH, Children's National Medical Center Jared Davis, BA, BSN, RN, Johns Hopkins Univ School of Nursing Simmone Debeaubien, RN, BSN, Chase Brexton Health Care Richard DeBenedetto, PharmD. MS, Mary DeGrezia, PhD, RN, ACRN, Univ of Maryland School of Medicine Shanna Dell, BS, BSN, RN Kelly Dooley, MD, PhD, MPH, JHU Liz Ellis, Nursing, Univ of MD Jason Farley, PhD, MPH, ANP-BC, AACRN, JHU Michael Fingerhood, MD, JHU Cristine Fisher, MSW, JHU Massiel Garcia Sandra Garlic, BSN, MSN Lee Gilman, BSN, RN, MSN-AGNP Candidate, JHU School of Nursing Juan Pablo Gomez, BSW, MPH, JHU Martin Hamlette, JD,MHA, National Medical Association (NMA) Jameelah Hasan, CCMA, JHU Patrice Henry, JHU Joyce Jones, MD, MS, JHU Stephanie Katz, MSN, RN, JHU Sara Keller, MD, MPH, MSHP Jeanne Keruly, MS, CRNP, JHU Mohammed Kiddugavu, MD MPH, Mukta Medical INC Hana Kim, PharmD, BCPS Angela Kim, PharmD Kristina Krieger, MSN, FNP, CRNP, AAHIVS, Total Health Care Esther Lee, PharmD Eduardo Leon Guerrero, MD Michael l Levin, MD, JHU of Maryland Medical Institutions Jueli Li, BS Psychology, PharmD Kelly Lowensen, RN, MSN, JHU Demetrius Marcoulides, BSN Julie McArthur, MS, JHU Robin McKenzie, MD, JHU David McMaster, BSN, JHU Michael Melia, MD, JHU Jamie Mignano, MSN, MPH, RN, The JACQUES Initiative, Institute of Human Virology, Univ of Maryland School of Medicine Veronica Njie-Carr, PhD, RN, Univ of Maryland, Baltimore Kisten Nolan, MPH, BSN, BA, JHU School of Medicine Toyin Opesanmi, MD, GMC William Osburn, PhD, JHU Ligia Peralta, MD Tonia Poteat, PA-C, PhD, JHU Kellen Riley, PharmD Dennis Rivera, MSW, JHU Amanda Rosecrans, MD, MHS, JHU Adrienne Russell, PharmD,AAHIVP Lisa Scotti, MSN, MPH, Baltimore City Health Department Cynthia Sears, MD, JHU Heath Shirkey, BSN, JHU

This letter was organized by the HIV Medicine Association, American Academy of HIV Medicine, Association of Nurses in AIDS Care and the Ryan White Medical Providers Coalition. Please contact Andrea Weddle at [email protected] with questions.

6 LaQuita Snow, Bachelors of Science in Nursing, Laura Starbird, PhD(c), MS, RN, JHU Millicent Stettler, BSN Tim Teeter, BSN, JHU Carmelita Tuazon, MD, George Washington Univ Med Center Lisa Waddell, MS, JHU Lisa Ware, BA Maire Wray, MSN, AGNP-C, JHU Iryne Zziwa-Kabenge, MSN, CRNP, JHU

MASSACHUSETTS

Carolina Abuelo, MD MSc, MGH Jamilah Ali Alexander, PA-C, MPH, Baystate Health Jasmine Allende, RN Greater Lawrence Family Health Center Justin Alves, BSN, RN, ACRN, CARN Zachary Bay, MD, Greater Lawrence Family Health Center Marguerite Beiser, ANP-BC, Boston Health Care for the Homeless Program Kristen Benjamin, RN BSN, Baystate Philip Bolduc, MD, Univ of Massachusetts Amy Bositis, MNS, Greater Lawrence Family Health Center Christopher Bositis, MD, Greater Lawrence Family Health Center Edward Butler, MD, HALLMARKHEALTH Jaehyun Byun, MD, Holyoke Health Center Jaehyun Byun, MD, Holyoke Health Center Patricia Caya, BSN, MPH, Catherine Croswell, RN, Greater Lawrence Family Health Center Steven Crowell, BPH Patricia Daoust, RN MSN FAAN, MGH Charles Dewan, RN Keith Egan, DO Rachel Epstein, MD, Boston Medical Center Donna Fisher, MD, Baystate Medical Center Kathleen Fitch, MSN, Massachusetts General Hospital R. Michael Flores, MD, AAHIVS Kathryn Foley, RN, MS, Association of Nurses in AIDS Care Jonna Gaberman, MD, Baystate Medical Center Donna Gallagher, PhD,MSN,ANP-BC, Univ of MA Medical Center Lakshmi Ganapathi, MD, Rajesh Gandhi, MD, Massachusetts General Hospital Zoe Garcia, RN, MS, CNS, Healthcare for the Homeless Elizabeth Glaser, PhD, MS, Global Health Service Partnership Alex Gonzalez, MD MPH, Fenway Health Thomas Greenough, MD, Carole Hohl, MHS, PA-C, Boston Health Care for the Homeless Peogram Rachel Jones, PhD, RN, FAAN, Northeastern Univ Katherine Krauskopf, MD, MPH Regina LaRocque, MD, Harvard Medical School Janice Lemoine, BSN, RN, ACRN, Greater Lawrence Family Health Center Alyssa Letourneau, MD, MPH, Massachusetts General Hospital Victor Lewis, MD, MGH/Chelsea Cynthia MacLeod, BS Nursing Claire Magauran, MD, Baystate Medical Center Margaret Marini, RN, ACRN Barbara McGovern, MD, Seres Therapeutics Molly McHenry, FNP Kaitlin Nichols, BSN RN Debra Poutsiaka, MD, PhD, Tufts Medical Center Samuel Russo, BA, Boston Health Care for the Homeless Program Shiva Saboori, MD, AAHIVS, Lynn Community Health Center Alejandra Salazar, PharmD Cathryn Samples, MD, MPH, Boston Children's Hospital Gail Scully, MD ,MPH, Umass Medical Center Sandra Silva, MM, Greater Lawrence Family Health Center Joshua St. Louis, MD, MPH, Lawrence Family Medicine Residency Vincent Waite, MD, MPH, Greater Lawrence Family Health Center Anela Stanic, PharmD, Boston Health Care for the Homeless Program

Ramnath Subbaraman, MD, Harvard Medical School, Brigham and Women's Hospital Susan Tapia, LPN, Sidney Borum Health Center Gustavo Velasquez, MD, MPH, Associate Physician, Division of Infectious Diseases, Brigham and Women's Hospital Ira Wilson, MD, MSc, Brown Univ

MICHIGAN

Peter Gulick, DO, Michigan State Univ David Gysin, Pharm D, CARES of Soutwest Michgan Eyassu Habte-Gabr, MD, Hurley Med Ctr and Michigan State Univ-retired Leonard Johnson, MD, St. John Hospital and Medical Center Zachary Levine, MD, Ascension Health - St John Hospital and Medical Center Danielle Osterholzer, MD Maria Patterson, MD, PhD, Michigan State Univ Paula Peters, MSN, BSN, RN, ACRN, Great Lakes Bay Health Centers Rebecca Schein, MD, Michigan State Univ Mamta Sharma, MD, St John Hospital & Medical Center Tulika Singh, MD, MS, AAHIVS, MHP, MUSKEGON, MI James Sunstrum, MD, Beaumont Health Anegelia Williams, MSN, BSN, RN, Great Lakes Bay Health Centers Mariam Younas, MD Caleb Youngblood, MMS, PA-C

MINNESOTA

Robert H Carlson, Jr, PA-C, AAHIVS, HEALTHPARTNERS Evelyn F. Couture, RN, BSN, PHN, ANAC William K Henry, MD, FACP, Hennepin County Medical Center/U of Minnesota Daniel Jude, PharmD Mary Jo Kasten, MD, Mayo Clinic Nicholas Vogenthaler, MD, MPH Amanda Woodhull, NP

MISSOURI

Bernadine Bowie, LPN, Shelby County Health Dept E-P. Barrette, MD, Washington Univ Brett Courtright, PharmD Maithe Enriquez, APRN, PhD, ANAC Erica Kaufman West, MD, Saint Louis Univ John Krueger, MD Stephen Merjavy, MD, Partners in Health Kristina Mitchell, BSN RN Amanda Partee, RN BSN, New Hope Clinic at SLU William Salzer, MD, Univ of Missouri-Columbia Sch of Med Marcia Sokol-Anderson, MD, St. Louis Univ Mark Speier, Rn, BSN, Family healthcare William Wade, DO, MPH Jim Nora, MD, Consultants in Infectious Disease

NEVADA

Sharon Brown Warren, RN BSN CCM, Deaf Centers of Nevada Tracy Ceragioli, MSW Dino Gonzalez, MD John Phoenix, APRN, Huntridge Family Clinic Jan Richardson, RN, CCM, BSN Natasha Ross, BSN Merylyn Yegon, RN Theresia Younes, BSN, Southern Nevada Health District

NEW HAMPSHIRE

Susan L Gaston, MSN RN, Dartmouth-Hitchcock ID Dept Patricia Gocklin, BSN, MHA, MS Tim Lahey, MD, MMSc, Dartmouth's Geisel School of Medicine Kerry Nolte, PhD, APRN

NEW JERSEY

Tarashon Broomes, DNP Christie Lyn Costanza, MPH Michelle DallaPiazza, MD, Rutgers NJMS William Farrer, MD, Trinitas Regional Medical Center Helen Ferlazzo, RN APN-C ACRN, Vnacj community health center Elizabeth Fletcher, MSN, APN, Cooper Univ Hospital

This letter was organized by the HIV Medicine Association, American Academy of HIV Medicine, Association of Nurses in AIDS Care and the Ryan White Medical Providers Coalition. Please contact Andrea Weddle at [email protected] with questions.

7 Sigrid Gabler, PhD, MSN, Columbia Univ School of Nursing Elaine Gross, MSN, FXB Center, School of Nursing, Rutgers Univ Jean Haspel, MSN APN AAHIVS, CompleteCare Health Network Mary Jo Hoyt, MSN, ANAC Melida Melise-Grant, BSN-MSA John Nelson, MSN, PhD, Rugters Univ Susan Nierenberg, BA, BSN, RN, MSN, CNM, St. Joseph's Reg. MedicalCenter William Short, MD, MPH, Univ of Pennsylvania Monique Welbeck, DNP Jentora White, PharmD

NEW MEXICO

James Adams, MD, Southwest CARE Center Miriam Bell, BSN Christina Casson, RN, ACRN, UNMMG Truman Health Services Joel Gallant, MD, MPH, Southwest CARE Center James Graham, CNP, DrPH, Southwest Care Center Larry Pineda, PharmD, PhC, BCPS, AAHIVP Kathleen K. Roeder, PA-C Tamara Saimons, MSN, Southwest CARE Center Elaine Thomas, MD, Univ of New Mexico Bruce Williams, MD, MPH, Univ of New Mexico

NEW YORK

Elaine Abrams, MD, Columbia Univ Attisso Akakpo, MA, NYC Health + Hospitals?Jacobi Iris Alicea, BA Social Work, ECMC Jessica Atrio, MD MSc, Montefiore Medical Center and Albert Einstein School of Medicine Louise Austin, PA-C, MPH John Barazzuol, BSN, MPA Rachel Bartash, MD Deborah Batson, RN, MA, ANAC William Belecz, MBA, Trillium Health Uri Belkind, MD, MS, Callen-Lorde Community Health Center Kathleen Bernock, BSN, MSN, FNP-BC, Bedford Stuyvesant Family Health Center Susan Bredice Claire Brown, MD Kristie Brundage, LPN, ECMC James Brust, MD, Albert Einstein College of Medicine & Montefiore Medical Center Jeanne Caverly Joseph Cervia, MD, MBA, FIDSA, AAHIVS, Hofstra Northwell School of Medicine Michelle Cespedes, MD, MS, Icahn School of Medicine at Mount Sinai Paul Chambliss, MD MPH, Acacia Network Kristen Clancy Laurene Clark, BSN, RN Carol Cohen, RN Katherine Cox, DO Michele Crespo-Fierro, RN, MS/MPH, AACRN, NYU Rory Meyers College of Nursing Joan Csaposs, RN, MSN FNP-BC DCNP, Upstate Dermatology Michael Cynamon, M.D., VAMC Syracuse Michelle Dahdouh, MD, St. Barnabas Hospital David Dayan-Rosenman, MD, Montefiore Medical Center Andrea DeMeo, MBA, Trillium Health Rebecca DeMuth, RN BS Public Health Nurse, Wyoming County DOH Anthony Desouza, FNP, ACACIA Johanna Dooley, RN, BS, MPS, CNS, MS, FNP-BC Jenny Doyle, NP, MPH, North Shore Univ Hospital Johanna Kristin Ellerup, PharmD David English, MD Addi Feinstein, MD, Lincoln hospital Uriel Felsen, MD,MPH, Montefiore Medical Center Kathleen Fibich, RN, IAFN Daniel Fierer, MD, Icahn School of Medicine at Mount Sinai Christina Floridia, RN Marissa Fontanez, BSPsy, DNP-S, Univ at Buffalo Sharon Foster, MD, MPH

Samara Gabree, ANP-BC, MS, Catholic Charities Project Safe Point Jonathan Giftos, MD, NYC Health & Hospitals / Rikers Island Daniel Gillespie, MSN, Care For the Homeless Margaret Glausser, MD, Mount Sinai Downtown Marshall Glesby, MD, PhD Ina Goldberg, NP, MA, MBA Mary Goodspeed, RN, BS, Erie County Medical Center Celine Gounder, MD, ScM, FIDSA Jeanne Green, RN Robert Grossberg, MD, Montefiore Medical Center Vincent Guilamo-Ramos, PhD, MPH, RN, LCSW, New York Univ Sherita Heath, RN David Herman, MD, Assistant Professor, Internal Medicine, Albany Medical Center Lynn Higgins, PAC, Cornerstone Family Health Julie Hoffman, MD, Albert Einstein College of Medicine Molly Holshouser, RN, MSN, MPH, Mount Sinai School of Medicine Elina Horata, Rph Helen Huang, PharmD, Walgreens Archimedes Jao, MD, MPH, AAHIVS, Keith D. Cylar Community Health Center Liz Jenny, MD, Jacobi Medical Center Ronald Johnson, BS, GMHC, Walgreens Mary Jones, RN, Trillium Health Diego Grisales, Family Nurse Pratitioner, Trillium Health Carol Kao, MD Emma Kaplan-lewis, MD Lori Karaban, MS, RN, Mount Sinai Hospital Marla Keller, MD, Albert Einstein College of Medicine and Montefiore Medical Center Jason Leider, MD, Jacobi Medical Center Theodore Lenox, MD, Metropolitan Hospital Martha Lepow, BA MD, Albany Medical Center Chester Lerner, MD, Weill Cornell Medicine Doug Lindke, BS, Trillium Health Anna Lowell, DO, MPH, Mount Sinai Beth Israel Tiffany Lu, MD Theresa Mack, MD MPH Theresa Madaline, MD, Albert Einstein College of Medicine Mark Malahosky, BPharm, Trillium Health Kelly Mateja, MCRP Joseph McGowan, MD, FIDSA, AAHIVS, North Shore Univ Hospital Raquel Menchaca, MSN,BSN, Montefiore Medical Center Samuel Merrick, MD Darlene Meyer, Assocaiate, CASAC, ECMC Hospital Susan Michaels-Strasser, PhD, MSN, MPH, ICAP at Columbia Univ Cynthia Miller, MD, Albany Medical College Jaimie Mittal, MD, Montefiore Medical Center Loyce Mol, BS, PharmD, North shore Univ hospital Arthur Kgethololo Motlaleng Victoria Muggia, MD, Montefiore Medical Center Robert Murayama, MD, MPH, Apicha Community Health Center Alice Myerson, MSN, ANP, CPNP, Montefiore Medical Center Kathleen Nicoletti, RN, BS, Nursing, Mount St. Mary's Hospital Ellen O’Brien, BA, Erie County Medical Center Corporation Caroline Ortiz, BSN Hilda Ortiz-Morales, NP, DHA, AACRN, AAHIVS, Montefiore Medical Center Georgina Osorio, MD, MPH, Mount Sinai Connie Park, MD, Montefiore Medical Center Alina Pellot Aviles, PharmD Russell Perry, MD, Bronx Lebanon Family Practice Miriam Pinon, DNP, MPH, MS David Ray, MD, Albany Medical College Dalilah Restrepo, MD, AIDS Healthcare Foundation Noah Robbins, MD, CM, Montefiore Medical Center Jean Roemer, BSN Lisa Rowley, RN Thomas Saglimbeni, DNP, Gotham Medical Group Eustolia Santana, RN, MSN DNP student Roberto Santos, MD, MSCS, FAAP, AAHIVS, Albany Medical Center

This letter was organized by the HIV Medicine Association, American Academy of HIV Medicine, Association of Nurses in AIDS Care and the Ryan White Medical Providers Coalition. Please contact Andrea Weddle at [email protected] with questions.

8 Nidhi Saraiya, PharmD, Montefiore Medical Center Maureen Scahill, MS, NP, Univ of Rochester - Infectious Diseases Division Julie Schultz, MD, MPH Barak Sered, MD Anjali Sharma, MD, MS, Albert Einstein College of Medicine Lisa Sheehan, RN, New York State Yolanda Sims, NYS Certified Peer Worker Magdalena Slosar-Cheah, MD Frances Smith, BSN Oluwwakemi Sosanya, MSN,FNP-c, Montefiore Medical Center Dalia Spektor, PhD, Montefiore Medical Center Melanie Steilen, RN,BSN,ACRN, CAI Global/ANAC David Stein, MD, Jacobi Medical Center Jennifer Stella, MD, AAHIVS, New York City Health and Hospitals Jacqueline Stith, BS, ACRN, Tracy Swanson, BS, JD Joyce Torge, RN Debra Tristram, MD, Albany Medical Center William Valenti, MD, Trillium Health Tillly Varughese, MD, Infectious Diseases Geoffrey Weinberg, MD, Univ of Rochester Medical Center Caryn Weiss, ANP-C, MSN, MPA, AAHIVS, Montefiore Health Systems Susan Weiss, MSN, FNP, Callen-Lorde Community Health Center Robert Weissberg, MD, Whitney M. Young, Jr. Health Center Ellen Wexler, MD, Albert Einstein College of Medicine/Montefiore Medical Center Rebecca Wilson, DNP, FNP-BC Rodney Wright, MD, Montefiore Medical Center Michael Yin, MD, Columbia University Hyun Ah Yoon, MD, Montefiore Medical Center/ Albert Einstein College of Medicine Barry Zingman, MD, Montefiore Medical Center/ Albert Einstein College of Medicine

North Carolina

Jennifer Abbott, MD, WNC Community Health Services Laura Bachmann, MD, MPH, Wake Forest Univ Health Sciences Courtney Caiola, PhD, MPH, RN, Univ of North Carolina Greensboro Miriam Chicurel- Bayard, RN, BSN, Univ of North Carolina at Chapel Hill Meredith Clement, MD, Duke Univ Medical Center Danielle Clement, M.Ed, BSN, RN, Janet Cote, BS Health Fitness, Ryan White Clinic Coleen Cunningham, MD, Duke Univ Medical Center Dawn Daly-Mack, RN, Rural Health Group Dorothy Dow, MD, Duke Univ Tagbo Ekwonu, MD, Eastowne Family Physicians Claire Farel, MD, MPH, UNC-Chapel Hill Julieta Giner, RN Jeffrey Hatcher, MD FACP, Cone Health Jason Hardin, BSN James Harmon, DNP, RN, ANP, Duke Univ School of Nursing Claire Hicks, MD, Ryan White Program Barbara Johnston, MD, Lincoln Community Health Center Jeanne Kemppainen, PhD, RN, Univ of North Carolina Wilmington Ralph Mangusan, MSN, Western Carolina Community Health Services Michelle Ogle, MD, FAAP, Warren-Vance Community Health Center, Inc. Jonah Pierce, RN Eveylyn Byrd Quinlivan, MD, AIDS Health Care Foundation UNC, Chapel Hill Liz Ramseur, Master of Public Health, ALFA Rita Riddick-Seels, MSN, FNP, AAHIVS, Karen Ridino Sarah Seaver, BS, BSN, MSN Cornelius Van Dam, MD, Cone Health Aimee Wilkin, MD MPH, Wake Forest School of Medicine OHIO Barbara Akpanudo, MSN, MPH, FNP-BC Jona Banzon, MD

Brian Beesley, DO, AAHIVS, Mount Carmel Medical Group Elizabeth Bernard, J.dD. Elena Borukh, MD, Cleveland Clinic Janet M Briggs, MSN, RN, ANP-BC, AACRN, ANAC and Dept of Veteran's Affairs Kyle Brizendine, MD Alan Cadesky, MD Cassandra Calabrese, DO, Cleveland Clinic Jan Clark, PharmD, Ohio State Univ Medical Center Colleen Clayton, MD, CCF Joan Duggan, MD, Univ of Toledo Carl Fichtenbaum, MD, Univ of Cincinnati College of Medicine Scott Fulton, MD Barbara Gripshover, MD William Hardy, MA, MDiv, Equitas Health James Hekman, MD, Cleveland Clinic Evelyn Hemmingsen, MD, Cleveland Clinic Amy Hite, MD, Summa Health System Jane Hunkler, RN Robert Kalayjian, MD, MetroHealth Med Ctr Elizabeth Kirchner, MSN, Cleveland Clinic Shakuntala Kithari, MD, Cleveland Clinic Susan Koletar, M.D., Ohio State Univ Laura Lipold, MD, Cleveland Clinic Lili Lustig, D.O., Cleveland Clinic Carlos Malvestutto, MD, MPH, Ohio State Univ Medical Center Kristin Martinez, Doctor of Pharmacy, Teresa Mitchell, RN ACRN, Ursuline Sisters HIV AIDS Ministry Sherif Mossad, MD, Cleveland clinic Lisa Navracruz, MD, FAAFP, AAHIVS, Care Alliance Melissa Osborn, MD, MetroHealth Medical Center Andrea Pallotta, PharmD Michael Para, MD, OSU Wexner Medical Center Brandon Pollak, MD Susan Rehm, MD, Cleveland Clinic Eric Sahloff, PharmD, Univ of Toledo Medical Center Ryan White Program Jennifer Solivas-Maluyao, MD Alan Taege, MD, Cleveland Clinic Puja Van Epps, MD, Case Western Reserve Univ, Louis Stokes Cleveland VA Medical Center Joachim Voss, RN, PHD, CWRU Todd Wagner, MD, MPH Ken Koon Wong, MD, Cleveland Clinic Akron General Oklahoma Stephanie Marrs, MSN, Family Nurse Practitioner, AAHIVS Jeannie Ong, PharmD

Oregon

Brian Camp, ADN Brian Camp, RN, ONA, ACRN Marci Donaldson, MSN Christopher Fox, RN, MS, ANP-BC, Oregon Health and Science Univ Lori-Ann Lima, BA, BSN, MN, FNP, Multnomah County Primary Care Rhonda Loprinzi Orazio, RN, BSN, MPH, ACRN, Multnomah County Health Dept Maria Patterson, MD, PhD, Michigan State Univ Molly Stenzel, MD, Kaiser Permanente Northwest

PENNSYLVANIA

Erika Aaron, MSN, CRNP, Drexel Univ College of Medicine Jessica Adams, PharmD, Univ of the Sciences Bilaal Ahmed, MPH, Penn State College of Medicine Patsi Albright, DNP, CRNP, AAHIV, Hershey Medical Center Jennifer Aldrich, MD, Louis Katz School of Medicine, Temple Univ Obianuju Allen Myahwegi, PharmD, James Becker, MD, Univ of Pennsylvania Jody Borgman, MD, Einstein Medical Center Amy Cheng, PharmD, Temple Univ William Fife, MD, Lancaster General Health Justina Frimpong, PharmD, Asceline Go, MD, Family First Health; York Hospital

This letter was organized by the HIV Medicine Association, American Academy of HIV Medicine, Association of Nurses in AIDS Care and the Ryan White Medical Providers Coalition. Please contact Andrea Weddle at [email protected] with questions.

9 Marla Gold, MD, Drexel Univ Anisha Grover, PharmD, BCACP Patricia Harrington, RN, EdD, The Univ of Scranton Randy Heemer, PharmD, LECOM School of Pharmacy Van Hellerslia, PharmD, Temple Univ Margaret Hoffman-Terry, MD, FACP Jeffrey Jacobson, MD, Temple Univ Paula Johnston, BSPharm, AAHIVP, Coordinated Care Network Pharmacy Deborah Kahal, MD, MPH Michael Katzman, MD, Penn State Hershey Medical Center Patrick Kenny, EdD, MSN, BSN, Chandler Hall Hospice William Keough, MD, MSc, FAAP, Infectious Diseases Society of America Jeffrey Kirchner, DO, FAAFP, LG HEALTH Adam Lake, MD, AAHIVS, CMQ, Lancaster General Ana Lapp, RN Nellie Lazar, MSN, CRNP, Children's Hospital of Philadelphia Carol Ann Lynch, BSN, Children's Hospital of Philadelphia Margaret Miklich, PharmD, Christopher Min, B., PharmD Theresa Peterka-Carey, RN CCM AD, Amerihealth Caritas/Keystone First Denise Ramsden, MSN RN CNL Jarrett Sell, MD, AAHIVS, Penn State Medicine Gina Simoncini, MD, MPH AAHIVM FACP, Temple Univ School of Medicine Kathleen Squires, MD, Thomas Jefferson Univ Mary Tanney, MSN, MPH, Children's Hospital of Philadelphia Adolescent Medicine Carole Treston, RN, MPH, ACRN, FAAN Kristin Walker, RN, MSN, Health Federation of Philadelphia Patience Wilkerson, RN Sue Willard, PhD. MSN Rachel Wion, MS, BSN, Pennsylvania State Univ Judith Wolf, MD, Drexel Univ Emily Wong, MD, PhD, HAN Infectious Disease Joseph Yozviak, DO

RHODE ISLAND Kathy Melbourne, PharmD, Gilead Sciences Loretta Winde, RN, BSN, ACRN

SOUTH CAROLINA

Vilmarie Allison, ADN LW Preston Church, MD Jacob Lines, PharmD Candidate Sandile Maziya Ada Stewart, RPh,MD,FAAFP

TENNESSEE

Benjamin Andrews, MD, Christ Community Health Services Drew Armstrong, PharmD Robert Blackwell, MSN, RN, Beverly Byram, MSN, FNP, Vanderbilt Univ Medical Center Wadih Chakkour, Infectious Diseases, ETSU Cody Chastain, MD, Vanderbilt Univ Medical Center Kevin Hartman, PharmD, NPS Pharmacy Rebecca Jackson, RN, BSN, Knox County Health Dept - COE Catherine McGowan, MD, Vanderbilt Univ Medical Center Robertson Nash, PhD, ACNP, BC, Anna Person, MD, Vanderbilt Univ Medical Center April Pettit, MD, MPH, Vanderbilt Univ Medical Center Courtney Pitts, DNP, MPH, FNP-BC, Stephen Raffanti, MD MPH, Vanderbilt Univ Medical Center Anne Wilkes, LCSW CCM, BCBST

TEXAS

Ogechika Alozie, MD MPH Laura Benjamins, MD, MPH Maria Berger, PA, Univ of TX Medical Branch Jeremy Chow, MD, MS, Univ of Texas Southwestern Medical Center Ronald Davis, BS Pharmacy, St. Hope Foundation Pharmacy D. Trew Deckard, PA-C, MHS, AAHIVS, Steven M. Pounders, MD, PLLC

Lauren Dunnet, PharmD, Walgreens Lynne Eger, M.D., Cook Children's Medical Center, Dept of Pediatric ID Ruth Eser Jose, MSN Esther Fasanmi, PharmD Gabrielle Flores, BSN Jason Gillman, MD, AIDS Arms, Inc. Thomas Giordano, MD Christina Harbison, PharmD, Walgreens Selassie Hayibor, Bachelor of Pharmacy Tracy Hicks, MSN, APRN, FNP/PMHNP-BC, Wellness Pointe Parker Hudson, MD, MPH, Dell Medical School Bethsheba Johnson, MSN, Gilead Sciences Kenn Kirksey, PhD, RN, FAAN Eric Kok Jennifer Klein, BA, BSN, MSN, Trinity Health and Wellness Center Victoria Langston, MSN RN Francesca Lee, MD Judy Levison, MD, MPH, Baylor College of Medicine Januari Lewis, PharmD Carson Lo, MD Anthony Luedicke, BS, MBA, Walgreens Specialty Robert Manning, BSN, Harris Health System Jacob Martinez, BSN, RN Ann McCarty, PharmD Chivon McMullen-Jackson, RN, BSN, Texas Children's Hospital/ Baylor College of Medicine Brian Metzger, MD, MPH Amy Moss, PharmD, Harris Health System Pablo Okhuysen, MD Benjamin Portnoy, MD, AIDS Healthcare Foundation Steven Pounders, MD, Baylor Univ Med Center, UTSW, Texas Health Presbyterian,Dallas Terry Raburn, RN, BSN, ACRN, Texas Children's Hospital Rachel Rivera, MD Regina Ruffin, BS Bryan Sackey, PharmD Emmily Simmons, Pharm D Gary Sinclair, MD, AIDS ARMS Inc. Claire Thomas, MD Cindi Tolliver, RPh, Walgreens Specialty Pharmacy Jason Vercher, BA, MPAS, UTHSCSA Gene Voskuhl, MD, AIDS Arms, Inc Alexa Vyain, PharmD, Univ of Houston College of Pharmacy

UTAH

Anna Atkinson, RN, MSN, ACRN, APHN-BC Claudia Goulston, MD, Univ of Utah Christine Jamjian, Pharm.D, Univ of Utah Romany Redman, MD Harry Rosado-Santos, MD, UU School of Medicine Edward Stenehjem, MD, MSc, Intermountain Medical Center Mary-Margaret Andrews, MD, Dartmouth Medical School Dennis O'Neill, RN, ANAC/ACRN

Krystine Spiess, DO, Univ of Vermont Medical Center

VIRGINIA

Erin Athey, DNP, FNP-BC, RN, George Washington Univ Yoseph Birku, MD Janette Bowers, MSN, FNP-BC, Frederiksted Health Care Robert Brennan, MD Vivian Bruzzese, MD Lindsey Buscemi, PharmD Ella Curry, PhD, MTS, RN Alycia Dickens, DNP, FNP-BC Kyle Kinderknecht, MD Crystal Leibrand, PharmD, PhD Candidate Cindy Lewis, BSN, Eastern Virginia Medical School Kathleen McManus, MD MSCR, Univ of Virginia Rohit Modak, MD, MBA, Virginia Hospital Center Jane Pollner, MD, Infectious Disease Consultants Judy Wessell, DNP, EVMS, VCU, ODU

This letter was organized by the HIV Medicine Association, American Academy of HIV Medicine, Association of Nurses in AIDS Care and the Ryan White Medical Providers Coalition. Please contact Andrea Weddle at [email protected] with questions.

10 WASHINGTON

Paul Algeo, PA-C, PharmD, AAHIVS Lindley Barbee, MD, MPH, University of Washington Rachel Bender Ignacio, MD MPH, University of Washington, Fred Hutchinson Cancer Research Center Judith Billings, BA, MA, JD, Washington State HIV Steering Planning Committee Betsy Brown, MD, The Polyclinic Katherine Brown, MD, Group Health Steven Burrows, MD Byron Doepker, MD, Group Health Permanente George Froehle, PA-C, Dr. Shalit & Associates Pamela Kohler, BSN, MPH, PhD, University of Washington Sylvia LaCourse, MD, MPH, University of Washington Glenna Martin, MD, MPH, Family Medicine Resident Susan Mitchell, DNP, Group Health Jeff Olliffe, MD, Swedish Medical Center Robert Rakita, MD, University of Washington Alison Roxby, MD, MSc, University of Washington Joshua Schiffer, MD, MSc, Fred Hutch Jeffrey Schouten, MD, JD, Fred Hutchinson Cancer Research Center and the University of Washington Peter Shalit, MD, PhD Adrienne Shapiro, MD, PhD, University of Washington Ranwedzi Sinthumule, Diploma in Nursing, South African Nursing Association Joanne Stekler, MD MPH, University of Washington

WEST VIRGINIA

Judith Feinberg, MD, West Virginia University Christy Gibson, MSN, FNP-BC, Marshall Health Carolyn Kidd, BSN, WVU Positive Health Clinic Jeannette Southerly, BSN, RN, ACRN, WVRP of the MAAETC

WISCONSIN

Ian Gilson, MD, Froedtert and MCW Mary Grosklaus, RN, BSN, ARCW Lori Hartz, MSN, APNP, Milwaukee Health Services Brian Hilgeman, MD, AAHIVS, Medical College of Wisconsin Andrew Petroll, MD John Fangman, MD, AIDS Resource Center of Wisconsin Dawd Siraj, MD, MPH, UW- Madison James Sosman, MD, Univ of Wisconsin Sch of Med and Public Health Valerie Thomas, BSN, Froedtert Health & the Medical College of Wisconsin

This letter was organized by the HIV Medicine Association, American Academy of HIV Medicine, Association of Nurses in AIDS Care and the Ryan White Medical Providers Coalition. Please contact Andrea Weddle at [email protected] with questions.