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HIAS also worked with UNHCR and the United Nations Voluntary Fund for Victims of Torture (UNFVT) to administer a Sexual and Gender Based Persecution (SGBP) programme. (...) Significant changes in the organization In 2014 Housing Works became designated as a 330(h) Federally Qualified Health Center (FQHC) by the United States Health Resources and Services Administration (HRSA). Housing Works is now eligible for federal grants to cover costs of uncompensated care, enhanced Medicaid and Medicare revenue. It also restructured its Board of Directors that oversees health care services to include at least 51% client representation per HRSA guidelines. Also in 2014 HW merged with Positive Health Project (PHP), an organization that provides outreach and harm reduction services to injecting drug users, transgender individuals, and other high - risk populations.

National Electronic Disease Surveillance System • NEDSS uses Public Health Information Network Standards for development of integrated, and interoperable web based surveillance systems at the state and local levels • Includes tools for electronic messaging data transfer to health department from health care system: o Eg real time results from multi-jurisdictional clinical labs, which do 300,000 tests per day from all 50 states PHIN – Select Progress • First year of funding – 2004 • 4,700 PKI digital certificates installed nationally • 55,000 HL7 standard public health lab results from 18 LRN labs • 40 million patient records sent in HL7 format from DoD to public health (BioSense), 30 million records sent in HL7 format from VA to public health (BioSense) • 16,000 HL7 standard, clinical lab notifiable disease results sent to 15 states • Reduction in communicable disease reporting time from ~30 days to 1-2 days (NEDSS Base System) • Experience with making standards work in operating systems (benefits and issues) Public Health Information Network – Process • Document functional requirements to support public health activities (starting with preparedness) • Identify relevant industry standards - technical and data • Develop specifications based on the standards that are concrete enough to do work • Fund through the functions, standards and specifications • Make systems available to support these functions and that use these standards - now • Develop software elements and artifacts to be used in other systems that implement the standards • Support certification of the functions and specifications Fund through the functions, standards and specifications • Written into guidance as required for use of CDC and HRSA preparedness supplemental cooperative agreement funds • CDC director has now stipulated that all CDC grants and cooperative agreements will have language about PHIN (and hence appropriate CHI and FHA) standards adherence - 13 - Make systems available to support these functions and that use these standards • Systems may not meet all requirements, but implement standards that are available now • Look to accelerate implementation – Application Service Provider (ASP) implementations, direct assistance • BioSense, Outbreak Management System, PVS – Countermeasure • Administration, Epi-X, HAN like alerting, NEDSS Base System Develop software element that implement the standards to use in other systems • Support standards-based compatible partner and commercial system development • Modular software elements that can be used in systems to support different functions o PHIN Messaging System – bi-directional secure data exchange, “EDI,” via ebXML o PHIN Vocabulary Services – standard reference table and formal vocabulary support • Other artifacts include logical data model, public health thesaurus, knowledge management metadata specification, etc. (...) • Reference labs – BSL3 labs capable of confirmatory testing for agents such as B. anthracis, and C. botulinum toxin. Focus Area C Funding • Focus Area C is the BT lab component of CDC’s BT cooperative agreement with the 50 states • $286 million since 1999 for laboratory renovation, personnel, equipment, and training • Other focus areas include epidemiology, lab capacity for chemical agents, and risk communication (...) • $2.1 billion in total BT Cooperative Agreement funding to date Provided to Each LRN Lab: Information Technology Support • Provides secure access for more than 1,000 LRN Lab workers • Secure communications on emerging and emergency issues • Order reagents • View protocols for PCR and TRF assays • Report and review proficiency tests •• Receive periodic updates regarding reagent availability, etc..

The first four funding alternatives described in paragraphs 26 to 29 above result in either immediate full funding or projected full funding over a period of 24 to 30 years. (...) Including these potential funding sources as part of the funding strategy would not lead to possible overbudgeting, as the savings cannot be applied automatically to fund after-service health insurance. (...) b To achieve full funding in 12-13 bienniums, followed by additional ongoing assessments to maintain full funding.

Funding under alternative 1 9. The first funding alternative presented in the report sets funding goals of 75 per cent for the regular budget, 60 per cent for extrabudgetary funds and 65 per cent for peacekeeping funds, to arrive at overall funding of about 70 per cent of accrued after-service health insurance liabilities after 30 years. (...) This funding approach is complicated in its underlying structure and will require periodic actuarial review to ensure that the funding objectives by funding source are being achieved. (...) The Secretary-General recommends this funding strategy because the initial infusion of funds immediately reduces the unfunded liability and establishes a funding base to generate investment income.

DHS also conditions federal funding to recipients of financial assistance on nondiscrimination, including a prohibition against CERD/C/USA/10-12 6 discrimination based on race, color, or national origin. (...) HUD has issued guidance on the use of nuisance ordinances and incorporated questions about criminalization in its Notice of Funding Availability, the mechanism used to fund homelessness programs in communities. (...) DOJ’s Office on Violence against Women (DOJ/OVW) administers a grant program that funds transitional housing assistance and support services to victims of domestic and sexual violence, and DOJ administers the Second Chance Act program, which funds state, local, and tribal governments in reducing recidivism for people returning from incarceration. 48.