 DAPCAN
Desert AIDS Project Community Action Newsletter
October 3, 2013
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 Affordable Care Act Arrives, Republicans Shut Down Government
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Editorial Staff
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David Brinkman
Chief Executive Officer
Barry Dayton
Director, Marketing & Communications
Alexis Ortega
Integrated Communications Associate
Steve Bolerjack
Senior Editor
John Lewis
Volunteer Co-Editor
Eric Jannke
Volunteer Co-Editor

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Update on Government Shutdown
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Social Security and Veterans Affairs to remain open with limited service
During the federal government shutdown, local Social Security offices will remain open to help you apply for benefits or make an appeal, but will reduce services--you won't be able to get a new or replacement card, or proof of income letter. But payments to beneficiaries will continue with no change. Online services will remain open. To read the Social Security's Agency Shutdown Contingency Plan, brace yourself and click here. The Bureau of Veterans Affairs has funds to continue programs through late October. It has produced a two-page Field Guide to Government Shutdown which will be updated as needed. The field guide lists affected programs on one page, those not affected on the other, is easy to make sense of and has phone numbers for further questions. (ej)
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Update on Affordable Care Act
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Enrollment under the Affordable Care Act has begun!
Last Tuesday, October 1 marked the start of the Affordable Care Act (ACA) or "Obamacare." It begins a six-month open enrollment period in which an estimated six million Californians can sign up for insurance online at CoveredCA.com or by calling 1.800.300.1506. Everyone who signs up by December 15 will have coverage beginning January 1, 2014. Filling out one application lets you:
· compare prices of all plans available in your area
· see whether you can get help paying for insurance
· sign up for Medi-Cal (a no-cost program) if you're eligible
If you have insurance through your job, or if you already have Medicare or Medi-Cal, you don't have to do anything. You are already covered and can keep the insurance you have. Newly sold health insurance plans must cover services that fall into 10 categories of essential health benefits: ambulatory patient care, emergency services, hospitalization, maternity and newborn care, mental health and substance abuse disorder treatment, prescription drugs, rehabilitation and habilitation services and devices, lab services, preventive and wellness services and chronic disease support, and children's services, including dental and vision care. Click here for a fact sheet on Changes Coming to Health Care in 2014. Through HIV Health Reform, the Harvard Law School's Center for Health Law & Policy Innovation offers an Assessment workbook and worksheet to compare benefits and costs, to help determine whether insurance plans being offered are a good fit for people with HIV.
Heard at Tuesday's Positive Life Series about RCHC and Affordable Care Act
If you are currently enrolled in Riverside County Health Care (RCHC), you will be automatically transitioned into the ACA's Medi-Cal Expansion on January 1, 2014. You don't need to do anything to make that happen. If you currently have a provider that does not accept Medi-Cal, coverage will continue for up to 12 months for chronic issues, cancer treatments, scheduled surgeries, etc. RCHC has already mailed information, so watch for it if you're an RCHC member. In November, RCHC will send information about enrolling in either the Inland Empire Health Plan (IEHP) or Molina Managed Care as part of the Medi-Cal expansion. Even if you do nothing with the enrollment information, Medi-Cal will do its best to keep you in a plan that covers your Primary Care Provider (PCP) treatment and medications. Then in December, you'll receive a welcome letter from either IEHP or Molina, effective January 1. In addition, you will now be able to use any pharmacy in the state to get your medications.
Out2Enroll urges LGBT community to "Be out, be healthy and get covered"
A specific site, Out2Enroll.org has been created to promote enrollment of LGBT people under the Affordable Care Act. "Getting covered is a marathon, not a sprint," said a spokesperson. "You have until next March to sign up, so there's time to consider choices. We know you'll have questions, so you'll hear more from Out2Enroll beginning on National Coming Out Day on October 11." Out2Enroll is a collaborative effort of the Sellers Dorsey Foundation, Center for American Progress and the Federal Agencies Project to educate LGBT communities about the ACA and to direct them to resources necessary for enrollment. Click here to watch the White House briefing on Obamacare and the LGBT community.
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More on our state's insurance exchange: Covered California
Approximately 13.8 percent of D.A.P. clients have some sort of private health insurance and 16.8 percent have none at all. If you fall into one of these categories, you are the likeliest to benefit from new healthcare options. (The remainder of our clients have Medicare, Medi-CAL or some other public assitance and will not be affected by the new laws). To review, open enrollment for the new healthcare exchanges began October 1 and remains open until March 31, 2014. If you enroll before the end of the year, coverage could begin by January 1. If you have no insurance or need to improve what you have, click healthcare.gov for the federal government site and general information, then click CoveredCA for specific information on plans available in the state. (sb)
Important: make sure you are viewing a legitimate site. Kaiser Health warns that fake websites may pop up, mimicking real ones, in attempts to defraud new customers. Read Kaiser's warning information here. If you encounter any suspicious websites or if you receive unsolicited calls from someone offering you insurance, don't respond but inform your D.A.P. caseworker!
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Tuesday, November 5, 6:00 PM
Positive Life Series: HIV and kidney health
 Dr. Ruben Gamundi will discuss how HIV affects the kidneys and how you can help protect them. Positive Life presentations are always on the first Tuesday of each month at the Sinatra Auditorium of Desert Regional Medical Center (corner of Tachevah and Miraleste). A light supper is served at 6:00 PM, and the program begins at 6:30 PM. ASL provided. Email positivelifeseries@gmail.com with any questions. You need not RSVP.
Future program:
Dec. 3: Aging well with HIV
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Saturday, October 19, 8:00 AM Desert AIDS Walk draws near!
 Now in its 26th year, the Desert AIDS Walk is a grassroots community event supporting HIV and AIDS services, prevention, and advocacy at Desert AIDS Project. This year, Walk will benefit both D.A.P. and dozens of community partners collaborating with us on Get Tested Coachella Valley, a new regional campaign designed to dramatically reducing HIV transmission. Join our fundraising efforts today. It's online, safe and easy. Create your own team or register as an individual. Set your own goal and collect donations from your colleagues, friends and family. Click here for more information and to register. (jl)
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Desert AIDS Project's Community Center houses many activities and programs including arts and crafts workshops, bingo, movies, lending library and drop-in hours. The Center also hosts educational programs and classes designed to increase health literacy and empower clients to participate more in their own care. Click here for information about upcoming events at D.A.P.'s main website, and for details about next week's featured events. If you would like to attend any of them, please RSVP to Ray Robertson or feel free contact him about any of the following events listed below.
Ray's contact information: 760.323.2118, ext. 295 - phone
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Upcoming Community Center featured events:
Thursday, October 10, LUNCHEON! - 12:00 - 1:00 PM
HIV MEDICATION OVERVIEW
 Speaker Jack Degnan will discuss Atripla and other HIV medications in a presentation and Q&A session. Lunch starts at 11:45 AM. Registered D.A.P. clients only. ASL interpreted upon request. Sponsored by Bristol-Myers Squibb. Contact Ray at least 48 hours in advance to RSVP.
Learn as much as you can about your medications!
Mondays and Wednesdays, drop-in hours at 9:30 AM
PING PONG practice for upcoming TOURNAMENTS!
Come to practice sessions, starting in the DHD room every Monday and Wednesday. It's a great way to have some fun and see how good you are with a paddle! Watch DAPCAN for upcoming games and tournaments. First and third Fridays, 1:00 - 4:00 PM
Free HAIRCUTS FOR CLIENTS!
Sign up outside the Walgreen's room in the Community Center. Twelve slots are available, first come first served. NO appointments or reservations taken by phone ahead of time. Please show up with clean hair. Get a good clip 'n snip!
Coming soon: STOP SMOKING CLASSES!
 If you are ready to give up your nicotine addiction, this course may be the help, direction and support you've been looking for! No scare tactics, patches or medications are involved. Just safe, healthy techniques and positive support as you finally quit this increasingly expensive, unhealthy habit! We'll do two one-hour sessions a week for four weeks. Facilitated by Ray Robertson, Certified Chemical Dependency Specialist. Call Ray to get on the list so we can set up classes to best accommodate the group or with any questions. You can even just show up show up for the first session! Watch DAPCAN for further details. Commit to kicking the habit in 2013!
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Every Thursday, 1:00 PM, Movie & Pizza
October 10, Grace is Gone (2007)
 Stan Philips' wife Grace is a sergeant with the U.S. Army. While she is stationed in Iraq, Stan stays home in Minnesota with their two daughters, ages 12 and eight. Bad news comes and Stan takes the girls for a car ride that turns into a spontaneous road trip, as he tries to find a way to tell his daughters what has happened to their mother. Starring John Cusack, with Marisa Tomei and Mary Kay Place. Directed by James Strouse. Reviewers called it a sad but accurate picture of what families had to face at home during the Iraqi War.
Come out for a good flick!
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Ongoing Community Center activities:
- Support groups
- Hepatitis C therapy education
- Diabetes education
- Stitch in Time (needlecraft) - third Wednesday each month
- Community Center Computer Lab
- Lending Library
- Free films, Thursdays, 1:00 PM
- Afternoon tea, Wednesdays, 3:00 PM
New groups coming in October!
- Cooking Classes: 2:00 PM, second and fourth Wednesdays;
- Living Sober Support Group: 3:00 PM, first and third Tuesdays;
- HIV and Aging Support Group: 10:00 AM, every Thursday;
- Caregivers Support Group: 3:00 PM, second and fourth Tuesdays;
- "Life Skills" classes: 2:30 PM, first and third Wednesdays
Again, for more information on any of the above, please contact Ray Robertson at the above phone or email. Check out the complete Community Center Schedule for all programs, activities and drop-in hours.
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Learn more about your bloodwork
It's a familiar ritual: every few months, you get a blood draw, then have your doctor explain the results to you a week or two later. Hopefully, you're undetectable, stable and all is well. But labs have become more sophisticated and complex over the years, measuring more useful data. Some of the readings and acronyms may appear baffling. But there are plenty of online resources that will help you understand your labs before you go to the doctor. With routine appointments sometimes as short as 10 or 15 minutes, don't waste time with things you can learn on your own. Click here and here for good overviews about reading your labs. And Google anything on your labs that you don't understand. (sb)
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Help fight cancer, participate in historic study
The American Cancer Society is inviting people between ages 30 and 65 who have no personal history of cancer to participate in historic research--the Cancer Prevention Study-3 (CPS-3). Its purpose is to better understand lifestyle, behavioral, environmental and genetic factors that cause or prevent cancer, and use that data to find an end to the disease. Researchers wish to enroll 300,000 adults from various racial/ethnic backgrounds across the U.S. Local participation is easy and enrollment will be at locations in Palm Springs and Rancho Mirage, November 12 - 22. Click here for details about locations, dates, times, appointments and more about the study. Whether or not you are able to enroll, please forward this website to friends, coworkers and family members in the desert area and encourage them to help cancer research by enrolling in CPS-3. The main website is www.cancer.org/cps3 or call toll-free at 1.888.604.5888. (sb)
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Update on UCSD study on HIV, aging and how to participate
Researchers at the University of California, San Diego (UCSD) are studying HIV's effects on the brain among older HIV-positive individuals. They are reaching out to the HIV community in the Palm Springs area who are interested in traveling to San Diego for cognitive and medical tests, and who will agree to organ and tissue donation after death. (This donation agreement is required to enroll and participate in this study, and for transportation to be provided. If you are not willing to meet this requirement, UCSD researchers have other studies for which you may be eligible). The study is known as the California NeuroAIDS Tissue Network (CNTN), part of a larger national research program, the National NeuroAIDS Tissue Consortium (NNTC). Together, these researchers use their shared knowledge and resources to develop uniform methods for studying HIV-affected populations with neurological disorders. Participants will be compensated for their time, and transportation will be provided to and from the research center in San Diego. Overnight accommodations will be provided as necessary. If you are interested in learning more, please contact Susanna Concha-Garcia at 619.543.5098 with any questions you have about travel or compensation. Click here for the UCSD researchers' website. (sb)
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New polls shows majority of Americans now support ENDA
A new poll from prominent Republican pollster Alex Lundry shows that a supermajority of Americans--68 percent--now support the Employment Non-Discrimination Act (ENDA), while 56 percent of Republicans also back the legislation. This means it might finally be considered by the U.S. Senate soon--an encouraging development considering the GOP's dismal record on LGBT issues. Click here for the full story. (sb)
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The Sound of Music rings out in Palm Springs  You know you love it. We all grew up with the story and the tunes. Now the stage version of perennial favorite The Sound of Music opens at the Palm Canyon Theatre this weekend for a week's run. Come see Maria sing her way through skirmishes with nuns, Nazis and the fabulously dressed baroness. And remember Palm Canyon Theatre now offers discount tickets to the D.A.P. community, so come and support one of our supporters! Click here for tickets and showtimes. (sb)
"♬ She climbs a tree and scrapes her knee, her dress has got a tear....♬"
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Revival of Larry Kramer's The Normal Heart at Fountain Theatre in LA
Larry Kramer's classic 1985 play about the early years of AIDS, The Normal Heart, is playing at the Fountain Theatre in Los Angeles through November 3. It stars Tim Cummings as Ned Weeks, a New York writer (based on the playwright) who is spurred to indignant activism by the devastation of the epidemic. Others in the cast are Bill Brochtrup, Lisa Pelikan, Verton R. Banks and Matt Gottlieb. Simon Levy directs. The Normal Heart is a landmark play about our own history and is worth attending if you've not seen it. Click here for the latest review. For showtimes, directions and tickets, call 323.663.1525 or visit fountaintheatre.com. (sb)
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Armistead Maupin completes final novel in beloved Tales of the City series
 Many of us remember sitting up all night reading Tales of the City by Armistead Maupin, one of the first popular gay-themed novel series which gained broad appeal. We couldn't wait to find out what happened next to Michael, Mary Ann and their  eccentric landlady, Anna Madrigal. The book is now seen as a period piece of San Francisco gay life in the 1970s. More Tales, Further Tales, Babycakes and several other books followed. Now Maupin has completed Anna's story in the final book of the series, The Days of Anna Madrigal. Click here to read about Maupin and more about the farewell installment. (sb)
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Benefits, Resources & Discounts
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Discounted tickets courtesy of Palm Canyon Theatre
 As Palm Canyon Theatre celebrates its 16th anniversary as the only equity theatre in the desert, it is offering an ongoing special $20 ticket price to D.A.P. clients, staff and volunteers--a savings of $12. To get your tickets, call the Box Office at least two days before the show's first performance and mention D.A.P. Click here for the theater's website and all you need to know about schedules and tickets. (jl)
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Gym discounts for D.A.P. clients
  Two area gyms offer ongoing significant discounts for D.A.P. clients. World Gym at Sunrise and Vista Chino offers 20% off regular annual or monthly memberships. And WorkOUT Gym on Via Escuela between Palm and Indian Canyon offers monthly memberships of just $20 to D.A.P. clients, employees and supporters. Click here for World Gym's website and here for WorkOUT Gym's site. Even with health issues, going to the gym for a light workout is a great way to get out, socialize a bit and get some exercise. It always makes you feel better! (sb)
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Positively Aware's online HIV drug guide
Check here anytime for the latest information about your antivirals: dosages, side-effects, interactions, classification, etc., courtesy of Positively Aware. (sb)
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Dedicated phone line for RCHC HIV patient medications
The Warm Line, also known as the Compliance Program Line, is a separate phone line for Riverside County HealthCare's (RCHC) HIV patients to order refills and receive medications from Riverside County Regional Medical Center (RCRMC) pharmacy. The number below enables patients to reach a special pharmacist to ensure they receive the medications needed. Call: 951.486.4442, Monday to Friday, 8:00 AM to 4:00 PM, excluding holidays. And allow two business days before picking up meds at RCRMC Pharmacy in Moreno Valley, and seven business days if mailed to a patient's home. Voice mails are generally returned within one business day. (rv) (sb)
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Help with Medicare The State Health Insurance Assistance Program (SHIP) offers one-on-one counseling and assistance to people with Medicare and their families. This includes information about original Medicare, Medicare Health Plans, Medicare Prescription Drug Plans, Medicare Supplemental policies and Long-term Care Insurance. The California Department of Aging (CDA) is responsible for statewide administration of SHIP, which is delivered through the Health Insurance Counseling and Advocacy Program (HICAP). HICAP services can be accessed via a toll-free line at 800.434.0222. The local HICAP counselor is located at the Mizell Center in Palm Springs and can be reached at 760.323.5689. Follow this link for more information.
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Centers for Disease Control's HIV website
The Centers for Disease Control and Prevention's (CDC) website covers the latest HIV/AIDS science and public health information, as well as educational materials, policies and guidelines. The site is a bit front-heavy on prevention but has portals to many other types of information. Click through sub-sections for more on living with HIV, treatments, etc. Click www.cdc.gov/hiv for the website. (jl) (sb)
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Help paying for prescription medications
Among the resources available to HIV-positive people to help pay for prescription medications is NeedyMeds. The mission of NeedyMeds is to make information about assistance programs available to low-income patients and their advocates at no cost. Go to www.needymeds.org, look up the medications you need and you'll be directed to the patient assistance program website for that manufacturer. The site also offers a free drug discount card that is accepted at more than 62,000 pharmacies.
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Medically Indigent Services Program (MISP)
AIDS Drug Assistance Program (ADAP)
For those who qualify, medical care and help paying for your medications are available through the MISP and ADAP programs.* Find out if you qualify: schedule an appointment by calling the numbers below. You can schedule your MISP and ADAP appointments together for Moreno Valley office ONLY. Call no sooner than four weeks before your ADAP qualifying expiration date (usually around your birthday). If you qualify for ADAP only, the local ADAP office is right across the driveway, south of D.A.P., at the Palm Springs Family Care Center. Specify the Palm Springs office when you call. Here are the numbers:
877.501.5085 - toll free 951.486.5375 - English
951.486.5400 - Spanish 951.486.4635 - fax
*NOTICE: Faxed MISP/ADAP applications can get lost in the process. It's best to apply in person in Moreno Valley, and get a "receipt of application," and use that as proof that you applied to avoid uninterrupted services with your D.A.P. medical doctor visits. You should also follow up by phone after your application to ensure all paperwork was received and is complete and do so each year after your annual eligibility meeting with ADAP. The agency still relies on paper faxes which have been known to go astray often.
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ADAP may pay Medicare Part D premium
ADAP-eligible clients who have to purchase Part D prescription drug coverage may qualify to have their Part D premium paid by the State of California. Follow this link to the Part D Premium Payment Program Application. You can also call the State of California at 916.449.5900 for more information. (jl)
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D.A.P. contact information
The local phone number of Desert AIDS Project is 760.323.2118. If you don't know the extension, simply dial 0 and you'll be connected to a D.A.P. operator during business hours. The toll-free number is 866.331.3344 and the website is www.desertaidsproject.org.
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D.A.P. holiday closings for remainder of year
Monday, October 14 - Columbus Day
Monday, November 11 - Veterans' Day
Thursday-Friday, November 28-29 - Thanksgiving
Wednesday, December 25 - Christmas Day
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Riverside County's 211 number for essential services
2-1-1 is a toll-free service for residents needing information about essential human services such as affordable housing, food pantries, help for an aging parent, free or low cost health services, addiction prevention programs, employment, support groups, volunteer opportunities, and 1,700 additional services! (jl)
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Contact information for state and federal officials--click on name:
Desert AIDS Project - Community Action Newsletter (DAPCAN) presents published material, reprinted with permission, and neither endorses or opposes any material. All information contained in this newsletter, including information relating to health conditions, products, and treatments is for informational purposes only. It is often presented in summary or aggregate form. It is not meant to be a substitute for the advice provided by your own physician or other medical professional. Always discuss treatment options with a physician who specializes in treating HIV. Publication of the name or likeness of any individual in articles in this newsletter is not to be construed as any indication of the HIV status of such individual. If you do not wish to receive this e-newsletter, please notify us by using the email address below:
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Additional Contacts & Social Networking
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