Overview: The 2012-2014 comprehensive plan of the Washington, DC Regional Ryan White Part A Eligible Metropolitan Area (EMA) describes this complex EMA, its population and health care systems, the regional HIV epidemic as of 2010, the current linked but largely separate systems of care in each of the four jurisdictions, and service needs and gaps of the diverse population of people living with HIV disease (PLWH) throughout the region. It explores likely

changes in the nation’s and the region’s health care systems and funding streams, and outlines an “ideal” system of care for the region. Then it presents a three-year plan for system changes and service improvements to enhance testing, entry into care, retention in care, and positive clinical outcomes for PLWH. Its goals are designed to meet regional needs and contribute to the National HIV/AIDS Strategy goals of reducing new infections, increasing access to care and improving health outcomes for PLWH, eliminating HIV-related health disparities, and achieving a more coordinated national response to the epidemic.