1. www.aids2014.org Presidential Executive Order on LGBT Workplace Discrimination

2. www.aids2014.org BREAK

3. www.aids2014.org Mobilizing nurses in the US for syringe exchange legislative advocacy Carole Treston, RN MPH Chief Nursing Officer Association of Nurses in AIDS Care July 23, 2014

4. www.aids2014.org Association of Nurses in AIDS Care Core Ideology: Public policy must be grounded in patient advocacy, human rights, compassion, and social justice. We promote the inclusion of the nursing perspective in promoting the health, welfare, and rights of all individuals affected by HIV and its comorbidities. Two Fundamental Beliefs: Nurses can have an influential and powerful voice as public policy advocates. Nurses have expertise related to health care and human rights.

5. www.aids2014.org Association of Nurses in AIDS Care Access to Care for All Individuals Living with HIV/AIDS Decriminalization of HIV, HIV transmission and sexual orientation in all jurisdictions, locally and globally. Implementation of evidence based prevention and care programs Workforce Development and Support

6. www.aids2014.org Public Health issues and SEP  IDU rates in US  HIV/HCV impact  Health care access  Harm reduction strategies

7. www.aids2014.org Political background  War on Drugs  Ban on Federal Funds  Annual Appropriations bill  Washington DC Home rule

8. www.aids2014.org Unique 2013 opportunity in Maryland as motivator Senator Mikulski : Chair of Senate Finance Committee Johns Hopkins University School of Public Health Active ANAC Chapter Chapter President with SEP experience Actionable time period

9. www.aids2014.org Coalition Strategies National partner organizations –HIV/HCV –Drug Policy –Harm Reduction Health care organizations Local stakeholders Students

10. www.aids2014.org Actions Informational meeting* Sign on letter* Senate office legislative staff education Engage state ANA Editorial Senate office visit

11. www.aids2014.org Gaps/Lessons learned Time crunch +/- Engage opposition in other critical jurisdictions Broaden base of support Strengthen nurse/police partnership Better articulation of health care savings

12. www.aids2014.org Next steps/Sustainability Develop other local nurse champions Link with other state nursing organizations Target key legislators Link to heroin/opioid concerns & legislation Engage with additional partners Reality of Budget bill in Congress Cost analysis State nursing organizations