The following information on ETHA has been provided by the HIV Health Care Access Working Group. What ETHA accomplishes: ETHA gives states the option of readily amending their Medicaid eligibility requirements to extend coverage to pre-disabled poor and low-income people living with HIV. ETHA is modeled after the successful Breast and Cervical Cancer Prevention and Treatment Act of 2000 (BCCA), which has allowed all 50 states to provide early access to Medicaid to women with cancer. As with the BCCA, ETHA includes an enhanced federal match rate of 65-83 percent to encourage states to participate. ETHA represents a significant step forward: ETHA addresses a cruel irony in the current Medicaid system—that under current Medicaid rules, people must become disabled by AIDS before they can receive access to Medicaid-provided care that could have prevented them from becoming so ill in the first place. ETHA brings Medicaid eligibility rules in line with federal government guidelines on the standard of care for treating HIV. ETHA also helps address growing waiting lists for access to life-saving medications and limited access to comprehensive health care in many parts of the country. The Early Treatment for HIV Act Is Cost-Effective, Improves Health, Reduces HIV-Related Deaths, and Helps Prevent the Spread of HIV. |