ExecutiveOrdersEO
MemoMemorandumObama · D Quiet signal

Presidential Memorandum

Implementation of the National HIV/AIDS Strategy

This memorandum directs federal agencies to implement the newly released National HIV/AIDS Strategy and Federal Implementation Plan. It designates lead agencies (HHS, DOJ, DOL, HUD, VA, SSA), assigns coordination roles to the White House Office of National AIDS Policy and HHS Secretary, and requires specific action plans from lead agencies, DOD, State Department, and EEOC within 150 days.

Federal Register Open PDF 75 FR 41687

Impact dates

  1. ONAP Director annual report to President on Strategy implementation

  2. Lead agencies submit operational implementation plans to ONAP and OMB

  3. DOD submits plan aligning health services with Strategy

  4. State Department submits PEPFAR lessons-learned recommendations

  5. EEOC submits employment discrimination recommendations and plan

Key directives

  • ONAP Director to set priorities, monitor implementation, convene regular interagency meetings, and report annually to President
  • Lead agencies (HHS, DOJ, DOL, HUD, VA, SSA) to submit operational plans within 150 days
  • HHS Secretary to coordinate domestic HIV/AIDS programs across government
  • DOD to submit plan aligning military health services with Strategy within 150 days
  • State Department to submit PEPFAR-based recommendations within 150 days
  • EEOC to submit employment discrimination recommendations and plan within 150 days
  • All agencies to ensure programs meet Strategy goals to extent permitted by law
  • Lead agencies to designate coordinators, share annual progress reports, and prioritize via budget process

Who is ordered

Timeline

Immediate

  • ONAP Director assumes role setting priorities and convening agencies
  • HHS Secretary takes on cross-government coordination responsibility

Near term (90d)

  • Lead agencies must submit operational implementation plans (by Dec 10, 2010)
  • DOD must submit alignment plan for military HIV services
  • State Department must submit PEPFAR lessons-learned recommendations
  • EEOC must submit employment discrimination recommendations and plan

Long term

  • Annual progress reports to President on Strategy implementation
  • Ongoing interagency coordination through ONAP
  • Budget prioritization for HIV/AIDS programs through OMB process
  • PACHA monitoring and recommendations continue

Risks & tensions

  • Subject to availability of appropriations may limit implementation
  • 'To the extent permitted by law' and 'feasible' language creates flexibility but also uncertainty
  • No enforcement mechanism for agency compliance beyond OMB budget leverage
  • Streamlining grantee reporting requirements may conflict with congressional oversight demands
  • Cross-agency coordination historically difficult in fragmented federal health programs
Presidential Memorandum: Implementation of the National HIV/AIDS Strategy · Executive Orders