CA

Persons Reported to be living with HIV infection and with AIDS reported
Year	Adults/Adolescents		Children Under 13 Years old		Total		Cumulative Totals
	HIV	AIDS	HIV	AIDS	HIV	AIDS	Adults / Adolescents	Children Under 13 Years old	Total
2000	Confidential	43,606	Confidential	155	Confidential	43,761	43,606	155	43,761
2001	Confidential	45,285	Confidential	143	Confidential	45,428	45,285	143	45,428
2002	Confidential	52,562	Confidential	154	Confidential	52,716	52,562	154	52,716

HIV Infection Cases from areas with confidential HIV infection reporting
Year		Cumulative Totals
		Adults / Adolescents	Children Under 13 Years old	Total
2000	Confidential	Confidential	Confidential	Confidential
2001	Confidential	Confidential	Confidential	Confidential
2002	Confidential	Confidential	Confidential	Confidential

Adult/Adolescent HIV infection and AIDS cases reported in the United States
Year	Males		Females
	HIV	AIDS	HIV	AIDS
2000	Confidential	4,084	Confidential	629
2001	Confidential	3,741	Confidential	562

Pediatric AIDS cases reported
Year
2000	24
2001	12
2002	154

AIDS cases and annual rates per 100,000 population by Metropolitan area reported through 2001

	1999	2000	2001	Cumulative Totals
City	No	No.	No.	Adults / Adolescents	Children under 13 Years old	Total
Bakersfield	90	82	106	1,124	8	1,132
Fresno	65	93	56	1,252	14	1,266
Los Angeles	2,050	1,644	1,391	43,252	236	43,488
Oakland	345	272	320	8,304	43	8,347
Orange County	261	286	299	5,889	36	5,925
Riverside - San Bernardino	378	399	392	7,260	59	7,319
Sacramento	139	171	130	3,331	24	3,355
San Diego	547	439	478	11,015	55	11,070
San Francisco	851	762	596	28,391	47	28,438
San Jose	152	110	120	3,241	14	3,255
Stockton	61	37	26	781	13	794
Vallejo	110	64	90	1,465	11	1,476
Ventura	47	42	33	846	3	849

Cumulative AIDS Cases

Cumulative Number of AIDS Cases, Reported through 2002	128,064
Cumulative Number of Adult/Adolescent AIDS Cases, Reported through 2002	127,434
Cumulative Number of AIDS Cases in Children <13, Reported through 2002	630

Distribution of Cumulative Adult/Adolescent AIDS Cases by Gender, Reported through June 2002
	CA	USA
Men	115,683	680,909
Women	9,516	146,298
Total	125,199	827,208

New AIDS Cases

New AIDS Cases, Reported through 2002	4,364
New Adult/Adolescent AIDS Cases, Reported in 2001	4,303
New AIDS Cases in Children <13, Reported through December 2001	12

Distribution of New Adult/Adolescent AIDS Cases by Gender, Reported in 2001
	CA	USA
Men	3,741	31,901
Women	562	11,082
Total	4,303	42,983

Persons Living with AIDS

Estimated Number of Persons Living with AIDS at the End of 2002	52,176
Estimated Number of Adults/Adolescents Living with AIDS at the End of 2002	52,562
Estimated Number of Children Living with AIDS at the End of 2002	154
HIV Infection Cases Reported in 2002	Confidential

Total Deaths Reported through 2000, due to AIDS = 73,310

HIV Reporting Requirements ? Yes, Code Based.

HIV Testing Options? Anonymous and Confidential testing
Definitions: Anonymous test: Individual does NOT use their name, and a name is not associated with test result. Anonymous tests are offered at anonymous testing centers, available in many, but not all, states.
Confidential test: Individual DOES use their name. If test is positive, individual's name will be known to their health care provider and, potentially, to other health care professionals and, in some cases, your state's Department of Health.

HIV Testing for Mothers and Newborns
Voluntary or Mandatory Testing? Providers required to offer HIV test. Providers are required by law to offer HIV testing to pregnant women.
Voluntary HIV Testing: All states and the District of Columbia have certified to the CDC that they have measures in place to implement the CDC's 1995 recommendations on HIV counseling and testing of pregnant women. The CDC's 1995 recommendations state that HIV testing of pregnant women and infants should be voluntary and providers must obtain informed consent for testing as required by their state laws. Voluntary testing is noted if the state follows the CDC guidelines but does not have specific guidelines for testing of mothers and newborns.

Status of State Medicaid Expansion Efforts for People with HIV
Approved 1115 Waiver, TWWIIA demonstration? NO, Has considered or is considering an 1115 Waiver to expand Medicaid eligibility to people with HIV.
Definitions: 1115 Waivers: Section 1115 of the Social Security Act authorizes the executive branch of the Federal government to waive the statutory and regulatory provisions of the Medicaid program. States have used "1115 waivers" to make changes in eligibility, benefits, and other areas of their Medicaid programs. The Centers for Medicare and Medicaid Services (CMS--formerly known as the Health Care Financing Administration) and several states have been analyzing the implications of expanding Medicaid eligibility to people with HIV prior to disability through the use of Section 1115 waivers of the Social Security Act. To use 1115 waivers, states face several challenges, particularly the need to demonstrate "budget neutrality" to the Medicaid program - that the costs of an expansion over a designated period of time (usually 5 years) would not exceed the costs to Medicaid in the absence of the expansion.
Ticket to Work/Work Incentives Improvement Act of 1999: TWWIIA expanded State options under Medicaid by creating new Medicaid buy-in options for working individuals with disabilities and extended Medicare cover-age for working individuals with disabilities. The Act also authorized state demonstration programs to provide Medicaid to workers with potentially severe disabilities, including HIV/AIDS, who are not yet disabled but whose health conditions could be expected to cause disability.
Notes: Most people with HIV who qualify for Medicaid do so by meeting the program’s income and disability standards once their illness has already progressed. Many low income people with HIV may be faced with of having their eligibility postponed until they become disabled, even though there are therapies available that may prevent disability and national treatment guidelines recommend access to early treatment. 1115 Waivers and TWWIIA demonstrations are two ways in which states have sought to address this limitation.

Sterile Syringe Exchange Programs? Yes, State Law allows local governments to authorize syringe exchange if they declare a local emergency due to public health crisis.

Notes: U.S. totals include data from the United States (50 states and the District of Columbia), and from U.S. dependencies, possessions, and independent nations in free association with the United States.
Definitions: Programs in operation: includes both state-sanctioned syringe exchange programs and non-sanctioned programs. Because their operation may not necessarily be authorized, it is difficult to account for an exact number of syringe exchange programs operation across the country; therefore, the list may not be comprehensive.

STD/HIV/AIDS Education Requirement? Yes, Must stress abstinence and cover contraception

Minors' Right to Consent to HIV/STD Services? Yes, Minor must be at least 12 years of age. State explicitly classifies HIV/AIDS as an STD or infectious disease, for which minors may consent to testing. Law does not apply to HIV treatment.

Total Ryan White Funding, FY2000 $236,844,348

FY2002 $256,736,116

Total Federal and State Funding for ADAP, FY2001 $147,896,630

Definitions: ADAPs: AIDS Drug Assistance Programs (ADAPs), authorized under Title II of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, provide HIV-related prescription drugs to underinsured and uninsured individuals living with HIV/AIDS. Each state or territory administers its own ADAP.