1. State Health Departments: Focused on the Next Level Ann Robbins Texas Department of State Health Services National Alliance of State and Territorial AIDS Directors

2. Institute of Medicine: Three core functions of public health Assessment Policy Development Assurance

3. Surveillance, Planning, Coordination Contributing to the core, shared understanding of the scope and breadth of the HIV epidemic Assuring that funding, initiatives, efforts are focused on the right leverage points, with the right actions, at the right intensity, at the right time Assuring that funding, initiatives, efforts are focused on the right leverage points, with the right actions, at the right intensity, at the right time

4. Taking action to reduce incidence, ensure quality care & treatment and improve health outcomes Statement of Urgency on Crisis Among Gay Men Statement of Urgency on Crisis Among Gay Men Focus on Focus on reducing Health Disparities examining Social Determinants of health improving health department Program Systems promoting sensible program collaboration & service Integration Developing public health Workforce and Leadership Supporting integration of New Technologies into practice Monitoring Emerging Issues

5. Core Priorities for State Health Departments Advocating for sound Policy with federal, national, state and local partners Providing responsive and proactive Capacity Building and Technical Assistance Assuring effective services and enabling environment Creating Strategic Partnerships Effective Communication