PR

Total Deaths Reported through 2000, due to AIDS = 16,940

HIV Reporting Requirements ? Yes, Name 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? Voluntary HIV testing; no specific law. State follows CDC guidelines; No specific law or language on testing for mothers and newborns.
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
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, Law does not prohibit syringe exchange programs.

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? N/A

Minors' Right to Consent to HIV/STD Services? N/A

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	9,204	Confidential	89	Confidential	9,293	9,204	89	9,293
2001	Confidential	9,471	Confidential	77	Confidential	9,548	9,471	77	9,548
2002	Confidential	10,497	Confidential	63	Confidential	10,560	10,497	63	10,560

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	968	Confidential	379
2001	Confidential	918	Confidential	324

New Pediatric AIDS cases reported
Year
2000	2
2001	0

	1999	2000	2001	Cumulative Totals
City	No	No.	No.	Adults / Adolescents	Children under 13 Years old	Total
San Juan	806	872	701	16,130	242	16,372