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[10/17/1996 – 10/25/1996]
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[10/17/1996 – 10/25/1996]
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Presidential Electronic Mail from the Automated Records Management System (ARMS)
Automated Records Management System (ARMS) Email from the White House Office (WHO) Bucket
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Withdrawal/Redaction Sheet Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 001. email From: Mail Link Monitor, To: Jeffrey Levi, Re: Confirmation: Appt. 10/17/1996 b(7)(C), b(7)(F), b(6) Request for Levi, Jeffrey W [Personally Identifiable Information] [partial] (1 page) 002. email From: Jeffrey Levi, To: Jeffrey Levi, Re: Appt. Request - Levi, 10/17/1996 b(6) Raymond and Others [Personally Identifiable Information] [partial] (1 page) 003. email From: Jeffrey Levi, To: Kimberly Farrell, Re: Bruce [personal] 10/18/1996 b(6) [partial] (1 page) 004. email From: Elizabeth Drye, To: Many Recipients, Re: Larry Elworth Party 10/18/1996 Personal Misfile #2 (2 pages) 005. email From: [email protected], To: Jeffrey Levi, Re: Truman 10/20/1996 Personal Misfile Interns (2 pages) 006. email From: Elizabeth Drye, To: Many Recipients, Re: Talking Points on 10/21/1996 P3/b(3) Campaign Finance Reform [partial] (1 page) 007. email From: Jeffrey Levi, To: Patsy Fleming, Re: Wednesday Morning 10/21/1996 b(6) [personal] [partial] (1 page) 008. email From: Jeffrey Levi, To: Ursula Sanville, Re: As Mentioned [personal] 10/22/1996 b(6) [partial] (1 page) 009. email From: Jill Pizzuto, To: Jeffrey Levi, Re: Kennedy Center Tickets (1 10/23/1996 Personal Misfile page) 010. email From: Jeffrey Levi, To: Jill Pizzuto, Re: Kennedy Center Tickets (1 10/23/1996 Personal Misfile page) COLLECTION: Clinton Presidential Records Automated Records Management System [Email] WHO ([Jeffrey Levi...]) OA/Box Number: 500000 FOLDER TITLE: [10/17/1996 - 10/25/1996] 2018-0759-F jn436 RESTRICTION CODES Presidential Records Act - |44 U.S.C. 2204(a)] Freedom of Information Act - 15 U.S.C. 552(b)] P1 National Security Classified Information |(a)(1) of the PRA] b(1) National security classified information |(b)(1) of the FOIA| P2 Relating to the appointment to Federal office |(a)(2) of the PRA] b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute |(a)(3) of the PRAJ an agency [(b)(2) of the FOIA] P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate 8 Federal statute [(b)(3) of the FOIA] financial information [(a)(4) of the PRA| b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information [(b)(4) of the FOIA] and his advisors, or between such advisors [a)(5) of the PRA] b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy [(b)(6) of the FOIA] personal privacy |(a)(6) of the PRA] b(7) Release would disclose information compiled for law enforcement purposes |(b)(7) of the FOIA] C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions [(b)(8) of the FOIA] PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells |(b)(9) of the FOIA] RR. Document will be reviewed upon request. Withdrawal/Redaction Sheet Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 011. email From: Jeffrey Levi, To: Remote Addressee, Re: Sugarbusters (1 page) 10/24/1996 Personal Misfile COLLECTION: Clinton Presidential Records Automated Records Management System [Email] WHO ([Jeffrey Levi...]) OA/Box Number: 500000 FOLDER TITLE: [10/17/1996 - 10/25/1996] 2018-0759-F jn436 RESTRICTION CODES Presidential Records Act - 144 U.S.C. 2204(a)] Freedom of Information Act - 15 U.S.C. 552(b)] P1 National Security Classified Information [(a)(1) of the PRA] b(1) National security classified information [(b)(1) of the FOIA] P2 Relating to the appointment to Federal office [(a)(2) of the PRA| b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute |(a)(3) of the PRA] an agency |(b)(2) of the FOIA] P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute [(b)(3) of the FOIA] financial information [(a)(4) of the PRA] b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information [(b)(4) of the FOIA] and his advisors, or between such advisors [a)(5) of the PRAJ b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy [(b)(6) of the FOIA] personal privacy |(a)(6) of the PRA] b(7) Release would disclose information compiled for law enforcement purposes [(b)(7) of the FOIA] C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions [(b)(8) of the FOIA] PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells [(b)(9) of the FOIA] RR. Document will be reviewed upon request. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Ursula Sanville (SANVILLE_U) (OPD) CREATION DATE/TIME:17-OCT-1996 10:46:05.83 SUBJECT: fyi TO: Jeffrey Levi (LEVI_J) (WHO) READ:17-OCT-1996 10:46:28.17 TEXT: ATTACHMENT 1 ATT CREATION TIME/DATE:16-OCT-1996 17:38:00.00 ATT BODYPART TYPE:E ATT CREATOR: Weniger, Bruce ATT SUBJECT: "Host" info for conference call ATT TO: Sanville, Jane (White House) (sanville_u@A1@CD) TEXT: Dear Jane, Here's the "host" info provided by Kimberly and AT&T regarding our upcoming AIDS vaccine conference call next Friday, for which the reserved time is 9:50 am to 11:45 am EDT: Dial-in number: 1-800-403-1032 Participant access code: 512853 Host ID code: 805553 Official Host: "Alexandra Levine" Organization: "Social & Scientific Systems" Number to call in advance to change parameters: 1-800-401-8343 Number to punch while on the call to reach operator: "# 0" If we get a message during the session that someone cannot get into the call, we may have used up our 20 ports, and perhaps you or I could punch # 0, give the operator our host code, and request 5 or so more ports to be added. Thanks, Bruce Tel: [1] (404) 639-8779 Fax: [1] (404) 639-8616 E-mail: [email protected] NIP (E-61), CDC, Atlanta, GA 30333 USA END ATTACHMENT 1 ATTACHMENT 2 ATT CREATION TIME/DATE:16-OCT-1996 16:45:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from conversion.pmdf.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Wed, 16 Oct 1996 16:45:26 -0400 (EDT) Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Wed, 16 Oct 1996 16:45:23 -0400 (EDT) Received: from cdcl.cdc.gov by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]> for [email protected]; Wed, 16 Oct 1996 16:42:19 -0700 (MST) Received: from SmtpOut.em.cdc.gov by cdcl.cdc.gov (5.0/SMI-SVR4) id AA08137; Wed, 16 Oct 1996 16:45:18 -0400 Received: by SmtpOut.em.cdc.gov with Microsoft Mail id <[email protected]>; Wed, 16 Oct 1996 16:46:22 -0500 (EST) END ATTACHMENT 2 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:17-OCT-1996 18:20:58.88 SUBJECT: weekly on i drive TO: Elizabeth E. Drye (DRYE_E) (OPD) READ:17-OCT-1996 18:28:05.28 TEXT: under weekly.jl RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: [email protected]@INET@EOPMRX CREATION DATE/TIME:17-OCT-1996 15:06:00.00 SUBJECT: PACHA Conference Calls TO: SMTP:[email protected]' (LEVI_J@A1@CD)(WHO) READ:17-OCT-1996 15:13:28.64 CC: Van Ness, Peggy ([email protected]@INET@EOPMRX) READ:NOT READ CC: Jackson, Linda (OAR/Internet) ([email protected]@INET@EOPMRX) READ:NOT READ TEXT: A rather disturbing incident for SSS has been created by Bruce Weniger. It seems that he does not prefer to arrange or verify conference calls for the Research Committee through SSS. He sent me an email on Oct. 15 requesting the "host" access codes for the Research conference calls in case Dr. Levine or someone from ONAP was not on the call and the committee needed to access the AT&T operator. I sent the code to both Bruce and Jane S. He the proceeded to telephone AT& T directly (without contacting me) to "verify" the arrangements for the future conference calls. Normally, AT&T will not adjust any of the calls with notifying the "arranger/host" since this affects costs, billing, etc., but since Bruce was able to provide them with the access code they made adjustments that he requested. I was quite upset with AT&T for doing this without contacting me first, since this can cause big problems for us and the accounting of our contract funds. AT&T then further "investigated" to find out which AT&T staff person had spoken with Bruce. It seems that Bruce did not dial into AT&T using the SSS (800) account number and when questioned by the AT&T operator as to why he didn't use our normal number, he informed them that he "worked" with Kimberly Farrell at SSS, leading them to believe he was a member of our staff and was authorized to make these changes. As you can understand, this could potentially lead to big trouble for us...especially considering how SSS must carefully account for use of all contract funds, the authorization of their use, billing, etc...we must provide tons of back up documentation for any and all contract costs.. I cannot adequately account for changes -- increases or decreases -- if I am not aware of what is being arranged You may want to contact Bruce to "explain" to him the standard procedures everyone else on the PACHA is working under ATTACHMENT 1 ATT CREATION TIME/DATE:17-OCT-1996 15:07:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from conversion.pmdf.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Thu, 17 Oct 1996 15:05:43 -0400 (EDT) Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Thu, 17 Oct 1996 15:05:32 -0400 (EDT) Received: from 206.65.240.10 (206.65.240.10) by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]>for [email protected]; Thu, 17 Oct 1996 15:02:21 -0700 (MST) Received: from SSSHQ5 ([206.65.240.10]) by ssshq5.s-3.com (post.office MTA v2.0 0813 ID# 0-18294U110) with SMTP id AAA105 for <[email protected]>; Thu, 17 Oct 1996 15:07:38 -0400 X-Mailer: Worldtalk (NetConnex V4.00a)/MIME END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:17-OCT-1996 11:06:25.41 SUBJECT: Re: lunch -Reply -Reply TO: Timothy Westmoreland ([email protected]@INET@EOPMRX ) READ:NOT READ TEXT: that's fine..let me know where you want to meet RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:17-OCT-1996 11:37:26.35 SUBJECT: Re: lunch -Reply -Reply -Reply TO: Timothy Westmoreland ([email protected]@INET@EOPMRX ) READ:NOT READ TEXT: ok RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:17-OCT-1996 18:12:00.19 SUBJECT: NIH RECONSIDERS FUNDING NEEDLE EXCHANGE STUDY TO: Remote Addressee ([email protected]@INET@EOPMRX) READ:NOT READ TEXT: Date: 10/17/96 Time: 15:20 NNIH Reconsiders Funding Needle Exchange Study WASHINGTON (AP) The government agreed to reconsider Thursday whether to pay for a $2.7 million study of needle exchanges in Alaska after a consumer advocate charged the experiment was "highly unethical." The study would have recruited 600 intravenous drug users, but only allowed 300 of them to get free clean needles in a newly established needle-exchange program, said Dr. Sidney Wolfe of the consumer group Public Citizen. The other 300 would be blocked from trading their used needles for clean ones, Wolfe wrote Thursday to director of the National Institutes of Health, Harold Varmus. They would be told to try to buy syringes from pharmacies. Then University of Alaska researchers would test members of each group to determine which became more infected with hepatitis B and the AIDS virus, diseases spread by dirty needles, Wolfe said. But previous studies have found needle exchanges cut new cases of HIV infection by 33 percent in Connecticut and caused an eightfold drop in hepatitis in Washington. ``It is simply unconscionable for the NIH, the nation's leading health research institution, to fund a project that so clearly violates basic research ethics in a manner that the researchers themselves admit in their grant proposal `represents the withholding of a potentially lifesaving service," Wolfe wrote. By noon, Varmus had decided to review whether the study, scheduled to start in Anchorage in December, should proceed. "This study, when it was conceived and designed, was recognized as ethically sensitive," said NIH spokeswoman Anne Thomas. She noted that the study had been approved both by the University of Alaska's review board and the federal Office of Protection from Research Risks. But she could not immediately say why the two groups deemed the study appropriate. University of Alaska lead researcher Dr. Dennis Fisher did not return a phone call. The National Research Council and the Centers for Disease Control and Prevention have declared needle exchanges effective, but Congress in 1988 banned federally funded needle exchanges until the surgeon general declared they work. The Clinton administration has drawn the ire of AIDS activists for refusing to do that. Critics charge the exchanges could encourage drug use. The scientific findings make it unethical for Alaska researchers to deny drug users the chance to use a needle exchange, Wolfe said. Most such studies compare disease rates between addicts who voluntarily use the nation's 55 privately funded needle exchanges with addicts who do not, he said. Also, the Alaska study did not offer the addicts a highly effective vaccine against hepatitis B, he said. About one-third of AIDS patients are infected through intravenous drug use. APNP-10-17-96 1533EDT RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:17-OCT-1996 10:45:04.74 SUBJECT: RE: lunch -Reply TO: Timothy Westmoreland ([email protected]@INET@EOPMRX ) READ:NOT READ TEXT: name another time and i am yours RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:17-OCT-1996 15:30:45.56 SUBJECT: fyi TO: Ursula Sanville (SANVILLE_U) (OPD) READ:17-OCT-1996 17:24:24.35 TEXT: ATTACHMENT 1 ATT CREATION TIME/DATE:17-OCT-1996 16:01:00.00 ATT BODYPART TYPE:E ATT CREATOR: Kimberly Farrell ATT SUBJECT: PACHA Conference Calls ATT TO: "SMTP:[email protected]' (LEVI_J@A1@CD) ATT CC: Van Ness, Peggy ([email protected]@INET@EOPMRX) ATT CC: Jackson, Linda (OAR/Internet) ([email protected]@INET@EOPMRX) TEXT: A rather disturbing incident for SSS has been created by Bruce Weniger. It seems that he does not prefer to arrange or verify conference calls for the Research Committee through SSS. He sent me an email on Oct. 15 requesting the "host" access codes for the Research conference calls in case Dr. Levine or someone from ONAP was not on the call and the committee needed to access the AT&T operator. I sent the code to both Bruce and Jane S. He the proceeded to telephone AT& T directly (without contacting me) to "verify" the arrangements for the future conference calls. Normally, AT&T will not adjust any of the calls with notifying the "arranger/host" since this affects costs, billing, etc., but since Bruce was able to provide them with the access code they made adjustments that he requested. I was quite upset with AT&T for doing this without contacting me first, since this can cause big problems for us and the accounting of our contract funds. AT&T then further "investigated" to find out which AT&T staff person had spoken with Bruce. It seems that Bruce did not dial into AT&T using the SSS (800) account number and when questioned by the AT&T operator as to why he didn't use our normal number, he informed them that he "worked" with Kimberly Farrell at SSS, leading them to believe he was a member of our staff and was authorized to make these changes. As you can understand, this could potentially lead to big trouble for us especially considering how SSS must carefully account for use of all contract funds, the authorization of their use, billing, etc...we must provide tons of back up documentation for any and all contract costs., I cannot adequately account for changes -- increases or decreases -- if I am not aware of what is being arranged You may want to contact Bruce to "explain" to him the standard procedures everyone else on the PACHA is working under END ATTACHMENT 1 ATTACHMENT 2 ATT CREATION TIME/DATE:17-OCT-1996 15:07:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from conversion.pmdf.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Thu, 17 Oct 1996 15:05:43 -0400 (EDT) Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Thu, 17 Oct 1996 15:05:32 -0400 (EDT) Received: from 206.65.240.10 (206.65.240.10) by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]> for [email protected]; Thu, 17 Oct 1996 15:02:21 -0700 (MST) Received: from SSSHQ5 ([206.65.240.10]) by ssshq5.s-3.com (post.office MTA v2.0 0813 ID# 0-18294U110) with SMTP id AAA105 for <[email protected]>; Thu, 17 Oct 1996 15:07:38 -0400 X-Mailer: Worldtalk (NetConnex V4.00a)/MIME END ATTACHMENT 2 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Ursula Sanville (SANVILLE_U) (OPD) CREATION DATE/TIME:17-OCT-1996 14:45:51.74 SUBJECT: Grandparents project TO: Patsy Fleming (FLEMING_P) (WHO) READ:17-OCT-1996 17:30:07.74 TO: Jeffrey Levi (LEVI_J) (WHO) READ:17-OCT-1996 15:11:52.33 TEXT: Patsy and Jeff- -- I have tentatively scheduled a meeting for next Wednesday at 2:00 with two of Carol Williams staff to follow-up on the monograph idea and discuss possible issues that could be addressed by the Abandoned Infants Center. Would you like to attend? If the time doesn't work we can change it. Jane RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: [email protected]@INET@EOPMRX CREATION DATE/TIME:17-OCT-1996 10:44:00.00 SUBJECT: lunch -Reply TO: LEVI_J (LEVI_J@A1@CD) (WHO) READ:17-OCT-1996 10:45:11.61 TEXT: When you say "lunch tomorrow," do you mean Friday? I cannot. I have to go to lunch with four of my students to talk about their Medicaid memos. I would be happy to meet with you tomorrow at other times. Good debate prep. TMW ATTACHMENT 1 ATT CREATION TIME/DATE:17-OCT-1996 10:44:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from conversion.pmdf.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Thu, 17 Oct 1996 10:43:54 -0400 (EDT) Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Thu, 17 Oct 1996 10:43:35 -0400 (EDT) Received: from WPGATE.LAW3.GEORGETOWN.EDU by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]> for [email protected]; Thu, 17 Oct 1996 10:40:00 -0700 (MST) Received: from LAWCAMPUS-Message_Server by WPGATE.LAW3.GEORGETOWN.EDU with Novell_GroupWise; Thu, 17 Oct 1996 10:43:23 X-Mailer: Novell GroupWise 4.1 Content-disposition: inline END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: [email protected]@INET@EOPMRX CREATION DATE/TIME:17-OCT-1996 10:58:00.00 SUBJECT: Re: lunch -Reply -Reply TO: LEVI_J (LEVI_J@A1@CD) (WHO) READ:17-OCT-1996 11:05:49.67 TEXT: I'm saving that message to use out of context. ATTACHMENT 1 ATT CREATION TIME/DATE:17-OCT-1996 10:59:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from conversion.pmdf.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Thu, 17 Oct 1996 10:57:37 -0400 (EDT) Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]>for [email protected]; Thu, 17 Oct 1996 10:57:19 -0400 (EDT) Received: from WPGATE.LAW3.GEORGETOWN.EDU by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]> for [email protected]; Thu, 17 Oct 1996 10:53:32 -0700 (MST) Received: from LAWCAMPUS-Message_Server by WPGATE.LAW3.GEORGETOWN.EDU with Novell_GroupWise; Thu, 17 Oct 1996 10:56:59 -0500 X-Mailer: Novell GroupWise 4.1 Content-disposition: inline END ATTACHMENT I RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: [email protected]@INET@EOPMRX CREATION DATE/TIME:17-OCT-1996 21:39:00.00 SUBJECT: Shadowing Assignment summary TO: Jeffrey Levi (LEVI_J@A1@CD) (WHO) READ:17-OCT-1996 21:44:34.06 TEXT: Jeff, Thanks for forwarding your bio so quickly. Here is the draft of the summary that I would like to forward to the USDA Grad School. Please comment as necessary. In particular, please give me your feedback on the last paragraph. Would the Office be interested in hearing more formally from the EPP about future assignments? There is no immediate hurry on this. I'd like to send it by November 1 if possible. Scott "Executive Shadowing Assignment Summary Submitted by: Scott B. McCombs Dates of Shadowing Assignment: October 9 - October 11, 1996 Executive Shadowed: Jeffrey Levi, Deputy Director Office of National AIDS Policy 750 17th Street, NW, Suite 600 Washington, DC 20503 Biography: Jeffrey Levi has served as Deputy Director of the White House Office of National AIDS Policy since 1994. The Office of National AIDS Policy is is part of the President's Domestic Policy Council and is responsible for coordinating the federal government's response to the HIV epidemic. Mr. Levi has been involved in AIDS policy issues since the beginning of the epidemic. From 1990 to 1994 he was director of government affairs and director of public policy and program development for the AIDS Action Council and AIDS Action Foundation. AIDS Action is the only national organization devoted solely to AIDS public policy advocacy. Mr. Levi has worked on AIDS issues since 1983, when he joined the staff of the National Gay and Lesbian Task Force as its Washington representative. He served three years as its executive director. Outline of a typical day: I'm not sure I would describe any of the three days I was there as "typical" from my viewpoint, but there were some standing agenda items that facilitated the Office's work on a daily basis: 1. President's Domestic Policy Council conference call: 15-minute summary of the President's activities for the day; information of concern or activity needed from Office. 2. Office of National AIDS Policy check-in meeting: 10-minute summary for Office staff of the day's meetings, conference calls, scheduling, and events. Opportunity for each staff member to discuss high-priority activities for the day. 3. Daily meeting with the Director: to bring Ms. Fleming up-to-date on activity on any of a list of standing issues related to AIDS policy (e.g., immigration, welfare reform, SSI/SSDI, housing, Office administration issues, strategy). In addition, Mr. Levi's calendar was full of meetings that required his attendance on behalf of the Office. These included: a meeting to discuss involvement of the President and First Lady, and the Vice President and Mrs. Gore in the display of the Names Project AIDS Memorial Quilt on the National Mall; a meeting at the Office of Management and Budget with Department of Health and Human Services agencies on FY1997 AIDS funding and activities; and a meeting of the Treatment Access Subcommittee of the Presidential Advisory Council on HIV/AIDS. The only activity from which I was excluded (because of my status as a permanent career employee in the Executive Branch) was Mr. Levi's participation in the Administration's response team for the Vice Presidential Debate on October 9, 1996. Finally, Mr. Levi kept a running list of telephone calls that needed to be made. He was on the phone much of the time that he was not actively engaged in another activity. Notable characteristics: Excellent oral communications skills: clear, direct, polite, sensitive (e.g., specifically reminded caller to discuss particularly sensitive issues with third party in advance of a public forum, so as to allow the third party an opportunity to prepare for public forum). Assertive problem solver: directly follows up to get responses or results. Takes responsibility to resolve questions/issues rather than waiting for others to offer the information. Explicitly asked in meetings what the Office to could to move issues forward toward resolution. Highly flexible: able to move easily from list of planned activities to respond to an issue that needs immediate response, and then pick up again with planned activities. Willing to assume whatever responsibilities are necessary to complete the work of the Office. High level of technical expertise: experienced dealing with full range of issues related to HIV/AIDS policy: epidemiologic, biomedical, social, health care financing, legal, political. Recommendation for future programs: I would highly recommend that the USDA Graduate School contact the Office of National AIDS Policy in a formal manner to discuss future collaboration to meet the needs of EPP participants and the Office. The Office functions with only two White House FTEs (the Director and Deputy Director positions). The rest of the staff consists of permanent employees on voluntary, temporary assignments from other Agencies. The Office's obviously strong leadership brings these people together into a cohesive unit. EPP participants with knowledge of health care issues (AIDS in particular, or general issues related to health care financing, access, etc.), or with a desire to see how policy development occurs at the highest level of the Executive Branch, would benefit from such an assignment." ATTACHMENT 1 ATT CREATION TIME/DATE:17-OCT-1996 21:40:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from conversion.pmdf.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Thu, 17 Oct 1996 21:39:43 -0400 (EDT) Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Thu, 17 Oct 1996 21:39:41 -0400 (EDT) Received: from cdcl.cdc.gov by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]> for [email protected]; Thu, 17 Oct 1996 21:36:39 -0700 (MST) Received: from SmtpOut.em.cdc.gov by cdcl.cdc.gov (5.0/SMI-SVR4) id AA25045; Thu, 17 Oct 1996 21:39:39 -0400 Received: by SmtpOut.em.cdc.gov with Microsoft Mail id <[email protected]>; Thu, 17 Oct 1996 21:40:48 -0500 (EST) END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:17-OCT-1996 15:31:04.09 SUBJECT: fyi TO: Ursula Sanville (SANVILLE_U) (OPD) READ:17-OCT-1996 17:25:47.00 TEXT: ATTACHMENT I ATT CREATION TIME/DATE:17-OCT-1996 15:14:00.00 ATT BODYPART TYPE:B ATT CREATOR: Jeffrey Levi ATT SUBJECT: Conference calls ATT TO: Remote Addressee ([email protected]@INET@EOPMRX) ATT CC: Patsy Fleming (FLEMING_P) ATT CC: Remote Addressee ([email protected]@INET@EOPMRX) ATT CC: Remote Addressee ([email protected]@INET@EOPMRX) TEXT: Bruce--I have been advised by SSS that you contacted AT&T directly about arrangements for the next conference call. Because these calls involve obligation of funds, only SSS should be making these arrangements -- that is why we have contracted with them and it is the only way we can keep tabs on and control costs associated with the Advisory Council. In the future, I hope you will contact SSS if any adjustments need to be made to any conference calls. Thanks very much. Jeff END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:17-OCT-1996 15:13:21.35 SUBJECT: RE: Grandparents project TO: Ursula Sanville (SANVILLE_U) (OPD) READ:17-OCT-1996 17:23:04.33 CC: Patsy Fleming (FLEMING_P) (WHO) READ:17-OCT-1996 17:31:02.76 TEXT: we both have a meeting at omb at 2 on Wednesday.... i don't have a problem with your going ahead without me RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:17-OCT-1996 09:27:06.85 SUBJECT: lunch TO: Remote Addressee ([email protected]@INET@EOPMRX ) READ:NOT READ TEXT: so should we still do lunch tomorrow???? RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: [email protected]@INET@EOPMRX CREATION DATE/TIME:17-OCT-1996 16:52:00.00 SUBJECT: New Educational Materials 10/16/96 TO: levi_j (levi_j@A1@CD) (WHO) READ:17-OCT-1996 16:55:10.68 TEXT: CDC National AIDS Clearinghouse Educational Materials Database NEW MATERIALS October 16, 1996 The Clearinghouse's Educational Materials Databases contain bibliographic information about more than 14,000 brochures, videos, booklets, and other materials with education/prevention messages. NAC ONLINE users can search these databases by selecting "Clearinghouse Databases" from the NAC ONLINE main menu. When asked to enter a database name, specify "UNPB" (which stands for unpublished materials) to search all materials, regardless of availability; "CNPB" (which stands for current materials) to search only materials currently available from the distributor; or "ANPB" (which stands for archival materials) to search only materials which are no longer available. To access the NAC ONLINE BBS, set your communications software to dial (800) 851-7245, and set the options for 8 data bits, N parity, 1 stopbit, full duplex, and complete a new user questionnaire. Only non-profit organizations, government agencies, educational institutions, and health departments are given full access to NAC ONLINE and the NAC databases. Over the weekend, 10 newly catalogued materials were loaded to the UNPB Educational Materials Database. This brings the total number of materials on the Database to 17,664. Document 1 AN AD0020216. TI Keep It Safe: Protecting Oneself & Others Against HIV. FM 08 - Brochure. Print Material. AC 300 - General Public, Consumers. 376 - Sex Partners. AV National Institute of Public Health Banergatan 28 Box 27848 Stockholm, S-11593, Sweden. +46 8 783 35 00. ISBN: 91-97220388. Swedish Physicians Against AIDS Villagatan 5 Box 5610 Stockholm, S-11486, Sweden. 08-7903300. Noah's Ark Red Cross Foundation Drottninggatan 61 Stockholm, S-111 21, Sweden. 46 8 23 50-60. AB This booklet provides fundamental information about HIV risk factors and the prevention of disease transmission. The booklet describes HIV infection risks associated with various forms of sexual activity and discusses the importance of condoms and lubricated spermicides. Sexual abstinence and monogamy are reviewed. The booklet considers HIV transmission through shared intravenous drug equipment, blood and blood product transfusions, mother-to-child infection, and HIV risks for health care workers. (This material contains sexually explicit language and/or pictorials that may offend some readers/viewers.) MJ Sexual transmission. Safer sex. Occupational transmission. HIV prevention. Injection drug use. Blood transfusions. Document 2 AN AD0020217. TI Get Sure: Testing for HIV - Why, How & Afterwards. FM 08 - Brochure. Print Material. AC 300 - General Public, Consumers. 335 - Persons Practicing High Risk Behavior. 445 - HIV Positive Persons. 376 - Sex Partners. AV National Institute of Public Health Banergatan 28 Box 27848 Stockholm, S-11593, Sweden. +46 8 783 35 00. ISBN: 91-97220396. Swedish Physicians Against AIDS Villagatan 5 Box 5610 Stockholm, S-11486, Sweden. 08-7903300. Noah's Ark Red Cross Foundation Drottninggatan 61 Stockholm, S-111 21, Sweden. 46 8 23 50-60. AB This pamphlet addresses HIV-antibody testing and explains the importance of determining one's HIV status from a personal and societal perspective. The pamphlet describes the actual testing process, translates possible test results, and explains the implications of an HIV-positive status. These implications affect childbearing, sexual activity, self-care, and legal and civil rights. The HIV-related provisions of the Swedish Disease Control Act are also reviewed. MJ Antibody tests. Sexual transmission. National health policies. HIV positive persons. Laws. Document 3 AN AD0020228. TI A Hands - on Guide to Planning and Evaluation: How to Plan and Evaluate Programs in Community - Based Organizations. FM 28 - Manual. Print Material. AC 210 - Advocates. 290 - Volunteers. 304 - Administrators. 673 - Community Organizations. 116 - Planners. AV Canadian Public Health Association National AIDS Clearinghouse 1565 Carling Ave., Ste.400 Ottawa, K1Z 8R1, Canada. (613) 725-3769. ISBN: 0-920967-04-3. A photocopy of this material is available from the CDC National AIDS Clearinghouse Document Delivery Service P.O. Box 6003 Rockville, MD 20849-6003. (800) 458-5231. Price: $18.80. AB This is a step-by-step guide to planning and evaluating community-based AIDS education and prevention programs. The book explains structured planning and evaluation processes in an effort to help the reader develop expertise in planning and evaluation at the community level. It includes sample work sheets and models designed specifically for AIDS education and prevention programs. The four types of evaluation reviewed are needs assessment, process evaluation, outcome evaluation, and causal evaluation. The causal evaluation process, including the program logic model, enables community-based groups to demonstrate the link between their activities and changes in participants' attitudes, knowledge, and behavior. Extensive worksheets and references are included. MJ Evaluation methods. Program evaluation. Community organizations. HIV/AIDS education needs. KABB questionnaire. HIV prevention. Health planning. Program management. Document 4 AN AD0020230. TI Swedish National Public Health Policy for STDs / HIV: Basis and Principles. FM 42 - Report. Print Material. AC 116 - Planners. 304 - Administrators. 632 - Federal Agencies. 210 - Advocates. AV Folkhalsoinstitutets Distributionstjanst S-120 88 Stockholm, Sweden. FAX +46 8 449 88 11. AB This monograph contains Sweden's national public health policy regarding HIV/AIDS. The policy represents a consolidation of the basic principles that have guided Swedish sexually transmitted disease (STD) and HIV/AIDS policy over the years. The monograph presents a historical overview of epidemiological developments in Sweden. The objectives of the public health policy include preventing the spread of STDs/HIV/AIDS, reducing the personal and social consequences of STDs/HIV/AIDS, and mobilizing and maintaining national, regional, and local prevention and education efforts. MJ National health policies. Policy development. Public policies. Community health planning. STD prevention. HIV prevention. Document 5 AN AD0020231. TI STD and HIV Prevention in Sweden. FM 08 - Brochure. Print Material. AC 116 - Planners. 200 - Community Service Professionals. 304 - Administrators. 630 - Government Agencies. 670 - Organizations. 210 - Advocates. AV Folkhalsoinstitutets Distributionstjanst S-120 88 Stockholm, Sweden. FAX +46 8 449 88 11. AB This booklet describes the components of the Swedish national HIV/AIDS prevention and awareness campaign. Prevention and education strategies that have proven successful in reducing the incidence and prevalence of other sexually transmitted diseases (STDs) have been modified to address the HIV/AIDS epidemic. The booklet addresses Sweden's antibody testing programs, partner notification procedures, local and national awareness projects, and the information dissemination system. Target populations and funding information are briefly reviewed. MJ National health programs. Prevention marketing campaigns. Public awareness campaigns. Policies. Government roles. Federal government. ATTACHMENT 1 ATT CREATION TIME/DATE:17-OCT-1996 16:52:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from conversion.pmdf.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Thu, 17 Oct 1996 16:52:06 -0400 (EDT) Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]>for [email protected]; Thu, 17 Oct 1996 16:51:35 -0400 (EDT) Received: from aspen3.aspensys.com (aspensys3.aspensys.com) by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]> for [email protected]; Thu, 17 Oct 1996 16:47:04 -0700 (MST) Received: by aspen3.aspensys.com (SMI-8.6/SMI-SVR4) id QAA18966; Thu, 17 Oct 1996 16:50:05 -0400 Errors-to: [email protected] Precedence: bulk Originator: [email protected] X-Comment: CDC National AIDS Clearinghouse X-Listprocessor-version: 6.0c -- ListProcessor by Anastasios Kotsikonas END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Ursula Sanville (SANVILLE_U) (OPD) CREATION DATE/TIME:17-OCT-1996 17:30:54.26 SUBJECT: Out of the office TO: Patsy Fleming (FLEMING_P) (WHO) READ:17-OCT-1996 17:34:47.21 TO: Jeffrey Levi (LEVI_J) (WHO) READ:17-OCT-1996 18:07:15.37 TO: Lahoma Romocki (ROMOCKI_L) (OPD) READ:22-OCT-1996 10:42:51.11 TO: Carmena Parris (PARRIS_C) (OPD) READ:18-OCT-1996 07:38:46.25 TO: Richard Sorian (SORIAN_R) (OPD) READ:NOT READ TEXT: I'll be out tomorrow and back in the office Monday. Have a nice weekend. Clinton Presidential Records Automated Records Management System [EMAIL] and Tape Restoration Project [Email] This is not a presidential record. This is used as an administrative marker by the William J. Clinton Presidential Library Staff. This marker identifies a responsive email, already made available within another collection. Collection: 2013-0365-F Bucket: WHO Creation Date: 1996-10-17 Subject: Funding Opportunities 10/16/96 Creator: [email protected]@INET@EOPMRX Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 001. email From: Mail Link Monitor, To: Jeffrey Levi, Re: Confirmation: Appt. 10/17/1996 b(7)(C), b(7)(F), b(6) Request for Levi, Jeffrey W [Personally Identifiable Information] [partial] (1 page) COLLECTION: Clinton Presidential Records Automated Records Management System [Email] WHO ([Jeffrey Levi...]) OA/Box Number: 500000 FOLDER TITLE: [10/17/1996 - 10/25/1996] 2018-0759-F jn436 RESTRICTION CODES Presidential Records Act - |44 U.S.C. 2204(a)] Freedom of Information Act - 15 U.S.C. 552(b)] P1 National Security Classified Information [(a)(1) of the PRA] b(1) National security classified information [(b)(1) of the FOIA] P2 Relating to the appointment to Federal office [(a)(2) of the PRA] b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute |(a)(3) of the PRA| an agency |(b)(2) of the FOIA] P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute [(b)(3) of the FOIA] financial information |(a)(4) of the PRA] b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information [(b)(4) of the FOIA] and his advisors, or between such advisors |a)(5) of the PRA] b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy [(b)(6) of the FOIA] personal privacy |(a)(6) of the PRAJ b(7) Release would disclose information compiled for law enforcement purposes [(b)(7) of the FOIA] C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions [(b)(8) of the FOIA] PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells |(b)(9) of the FOIA] RR. Document will be reviewed upon request. RECORD TYPE: PRESIDENTIAL (WAVES RECEIPT) CREATOR: Mail Link Monitor (MAILMGT) (SYS) CREATION DATE/TIME:17-OCT-1996 09:38:39.30 SUBJECT: CONFIRMATION: APPT. REQUEST FOR LEVI, JEFFREY W TO: Jeffrey Levi (LEVI_J) (WHO) READ:17-OCT-1996 10:29:47.95 TEXT: FROM: WAVES OPERATIONS CENTER - ACO: (b)(6), (b)(7)c, (b)(7)f Date: 10-17-1996 Time: 09:37:53 This message serves as confirmation of an appointment for the visitors listed below. [001] Appointment With: LEVI, JEFFREY W Appointment Date: 10/19/96 Appointment Time: 3:00:00 PM Appointment Room: WW Appointment Building: WH Appointment Requested by: LEVI JEFFREY Phone Number of Requestor: 21090 Comments: WAVES APPOINTMENT NUMBER: U53985 If you have any questions regarding this appointment, please call the WAVES Center at 456-6742 and have the appointment number listed above available to the Access Control Officer answering your call. TOTAL NUMBER OF NAMES SUBMITTED FOR ENTRY : 2 TOTAL NUMBER OF NAMES OF CLEARED FOR ENTRY: 2 LEVI, RAYMOND (b)(6) LEVI, VIRGINIA Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 002. email From: Jeffrey Levi, To: Jeffrey Levi, Re: Appt. Request - Levi, 10/17/1996 b(6) Raymond and Others [Personally Identifiable Information] [partial] (1 page) COLLECTION: Clinton Presidential Records Automated Records Management System [Email] WHO ([Jeffrey Levi...]) OA/Box Number: 500000 FOLDER TITLE: [10/17/1996 - 10/25/1996] 2018-0759-F jn436 RESTRICTION CODES Presidential Records Act - [44 U.S.C. 2204(a)] Freedom of Information Act - 15 U.S.C. 552(b)] P1 National Security Classified Information |(a)(1) of the PRA] b(1) National security classified information [(b)(1) of the FOIA] P2 Relating to the appointment to Federal office |(a)(2) of the PRAJ b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute |(a)(3) of the PRAJ an agency [(b)(2) of the FOIA] P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute [(b)(3) of the FOIA] financial information |(a)(4) of the PRA] b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information [(b)(4) of the FOIA] and his advisors, or between such advisors [a)(5) of the PRA] b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy |(b)(6) of the FOIA] personal privacy |(a)(6) of the PRA] b(7) Release would disclose information compiled for law enforcement purposes |(b)(7) of the FOIA] C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions [(b)(8) of the FOIA] PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells |(b)(9) of the FOIA] RR. Document will be reviewed upon request. RECORD TYPE: PRESIDENTIAL (WAVES REQUEST) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:17-OCT-1996 09:34:00.99 SUBJECT: Appt. request - Levi, Raymond and others TO: Jeffrey Levi (LEVI_J) (WHO) READ:NOT READ TEXT: Date Appointment with 19-Oct-1996 LEVI, JEFFREY W Room No. Bldg. Requested by Phone # WW WH Jeffrey Levi 632-1090 Comments: TIME VISITOR'S LAST, FIRST NAME BIRTHDATE SOC. SEC. # 03:00pm Levi Raymond (b)(6) - - Levi Virginia (b)(6) - - [002] RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:17-OCT-1996 18:10:23.82 SUBJECT: Oh joy! TO: Carol H. Rasco (RASCO_C) (WHO) READ:17-OCT-1996 18:10:30.84 TO: Jeremy D. Benami (BENAMI_J) (WHO) READ:17-OCT-1996 18:27:02.27 TEXT: Date: 10/17/96 Time: 15:20 NNIH Reconsiders Funding Needle Exchange Study WASHINGTON (AP) The government agreed to reconsider Thursday whether to pay for a $2.7 million study of needle exchanges in Alaska after a consumer advocate charged the experiment was ``highly unethical." The study would have recruited 600 intravenous drug users, but only allowed 300 of them to get free clean needles in a newly established needle-exchange program, said Dr. Sidney Wolfe of the consumer group Public Citizen. The other 300 would be blocked from trading their used needles for clean ones, Wolfe wrote Thursday to director of the National Institutes of Health, Harold Varmus. They would be told to try to buy syringes from pharmacies. Then University of Alaska researchers would test members of each group to determine which became more infected with hepatitis B and the AIDS virus, diseases spread by dirty needles, Wolfe said. But previous studies have found needle exchanges cut new cases of HIV infection by 33 percent in Connecticut and caused an eightfold drop in hepatitis in Washington. ``It is simply unconscionable for the NIH, the nation's leading health research institution, to fund a project that so clearly violates basic research ethics in a manner that the researchers themselves admit in their grant proposal represents the withholding of a potentially lifesaving service," Wolfe wrote. By noon, Varmus had decided to review whether the study, scheduled to start in Anchorage in December, should proceed. "This study, when it was conceived and designed, was recognized as ethically sensitive," said NIH spokeswoman Anne Thomas. She noted that the study had been approved both by the University of Alaska's review board and the federal Office of Protection from Research Risks. But she could not immediately say why the two groups deemed the study appropriate. University of Alaska lead researcher Dr. Dennis Fisher did not return a phone call. The National Research Council and the Centers for Disease Control and Prevention have declared needle exchanges effective, but Congress in 1988 banned federally funded needle exchanges until the surgeon general declared they work. The Clinton administration has drawn the ire of AIDS activists for refusing to do that. Critics charge the exchanges could encourage drug use. The scientific findings make it unethical for Alaska researchers to deny drug users the chance to use a needle exchange, Wolfe said. Most such studies compare disease rates between addicts who voluntarily use the nation's 55 privately funded needle exchanges with addicts who do not, he said. Also, the Alaska study did not offer the addicts a highly effective vaccine against hepatitis B, he said. About one-third of AIDS patients are infected through intravenous drug use. APNP-10-17-96 1533EDT RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: [email protected]@INET@EOPMRX CREATION DATE/TIME:17-OCT-1996 15:28:00.00 SUBJECT: Returned mail: Host unknown TO: LEVI_J (LEVI_J@A1@CD) (WHO) READ:17-OCT-1996 15:30:21.46 TEXT: Transcript of session follows 550 frompol.s-3.com (smtp) 550 Host unknown 554 <[email protected]>. 550 Host unknown (Authoritative answer from name server) Unsent message follows Received: from pmdf.eop.gov by gatekeeper.eop.gov; (5.65v3.2/1.1.8.2/17Oct95-0424PM) id AA10711; Thu, 17 Oct 1996 15:22:53 -0400 Received: from mr.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]>; Thu, 17 Oct 1996 15:25:27 -0400 (EDT) Received: with PMDF-MR; Thu, 17 Oct 1996 15:14:54 -0400 (EDT) Mr-Received: by mta DALE; Relayed; Thu, 17 Oct 1996 15:14:54-0400 Mr-Received: by mta EOPMRX; Relayed; Thu, 17 Oct 1996 15:25:01 -0400 Alternate-Recipient: prohibited Date: Thu, 17 Oct 1996 15:14:28 -0400 (EDT) From: Jeffrey Levi <[email protected]> Subject: RE: PACHA Conference Calls In-Reply-To: <[email protected]> To: Kimberly Farrell <[email protected]> Cc: "Van Ness, Peggy" <[email protected]>, "Jackson, Linda (OAR/Internet)" <[email protected]> Message-Id: <A583ZWNMLS1NW*/R=CD/R=A1/U=LEVI_J/@MHS.eop.gov> Mime-Version: 1.0 Content-Type: TEXT/PLAIN; CHARSET=US-ASCII Content-Transfer-Encoding: 7BIT Posting-Date: Thu, 17 Oct 1996 15:14:00 -0400 (EDT) Importance: normal Priority: normal Ua-Content-Id: A583ZWNMLS1NW X400-Mts-Identifier: [;45415171016991/3334768@CD] Al-Type: MAIL Hop-Count: 2 I will contact Bruce about this. ATTACHMENT 1 ATT CREATION TIME/DATE:17-OCT-1996 15:28:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from conversion.pmdf.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Thu, 17 Oct 1996 15:27:09 -0400 (EDT) Received: from gatekeeper.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Thu, 17 Oct 1996 15:26:59 -0400 (EDT) Received: by gatekeeper.eop.gov; (5.65v3.2/1.1.8.2/17Oct95-0424PM) id AA10910; Thu, 17 Oct 1996 15:22:53 -0400 END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Ursula Sanville (SANVILLE_U) (OPD) CREATION DATE/TIME:17-OCT-1996 17:26:24.50 SUBJECT: RE: fyi TO: Jeffrey Levi (LEVI_J) (WHO) READ:17-OCT-1996 18:05:43.33 TEXT: Nicely done. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:18-OCT-1996 12:29:46.11 SUBJECT: RE: Shadowing Assignment summary TO: McCombs, Scott ([email protected]@INET@EOPMRX) READ:NOT READ TEXT: This looks good; thanks for the kind words. The only thing that needs clarification is the VP debate -- this was not the Administration's response team -- I did this on my own time, not as part of my official duties. Thanks. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jill Pizzuto (PIZZUTO_J) (OPD) CREATION DATE/TIME:18-OCT-1996 09:29:20.58 SUBJECT: CHR / Monday schedule TO: Janet B. Abrams (ABRAMS_J) (VPO) READ:18-OCT-1996 10:24:27.01 TO: Jeremy D. Benami (BENAMI_J) (WHO) READ:18-OCT-1996 09:56:49.87 TO: Molly Brostrom (BROSTROM_M) (WHO) READ:18-OCT-1996 09:50:32.95 TO: Dennis Burke (BURKE_D) (OPD) READ:18-OCT-1996 09:58:49.87 TO: Pamela Cicetti (CICETTI_P) (WHO) READ:18-OCT-1996 09:31:55.50 TO: Elizabeth E. Drye (DRYE_E) (OPD) READ:18-OCT-1996 10:09:16.38 TO: Deborah L. Fine (FINE_D) (OPD) READ:18-OCT-1996 15:41:41.57 TO: Diana M. Fortuna (FORTUNA_D) (OPD) READ:18-OCT-1996 09:37:43.69 TO: Christopher C. Jennings (JENNINGS_C) (WHO) READ:22-OCT-1996 10:38:36.28 TO: Dorothy K. Craft (CRAFT_D) (OPD) READ:21-OCT-1996 08:13:54.49 TO: Jennifer L. Klein (KLEIN_J) (OPD) READ:18-OCT-1996 11:55:11.02 TO: Jeffrey Levi (LEVI_J) (WHO) READ:18-OCT-1996 10:12:57.93 TO: Cathy R. Mays (MAYS_C) (OPD) READ:18-OCT-1996 09:30:19.46 TO: Carol H. Rasco (RASCO_C) (WHO) READ:18-OCT-1996 09:29:57.08 TO: Bruce N. Reed (REED_B) (WHO) READ:18-OCT-1996 10:24:57.70 TO: Diane Regas (REGAS_D) (OPD) READ:18-OCT-1996 11:27:32.27 TO: Stephen C. Warnath (WARNATH_S) (OPD) READ:18-OCT-1996 09:52:53.00 TO: Paul J. Weinstein, Jr (WEINSTEIN_P) (OPD) READ:18-OCT-1996 11:23:36.84 TO: Lyndell Hogan (HOGAN_L) (OPD) READ:18-OCT-1996 09:40:00.41 TO: Jeanine D. Smartt (SMARTT_J) (OPD) READ:18-OCT-1996 09:37:07.60 TO: Michael Cohen (COHEN_M) (OPD) READ:18-OCT-1996 10:26:32.93 TO: Jill Pizzuto (PIZZUTO_J) (OPD) READ:18-OCT-1996 09:41:38.67 TO: Patsy Fleming (FLEMING_P) (WHO) READ:18-OCT-1996 10:23:07.73 TO: Claudia M. Rayford-Williams (RAYFORDWIL_C) (OPD) READ:18-OCT-1996 09:50:27.47 TO: FAX (9720-5166,Larry Elworth / Fran (TLXA1MAIL_\F:9720-5166\C:Larry Elworth / Fran\\) READ:NOT READ TO: Leanne A. Shimabukuro ( SHIMABUKUR_L) (OPD) READ:18-OCT-1996 10:11:11.10 TO: Mia Masten (MASTEN_M) (OPD) READ:NOT READ TEXT: anyone who needs to get give me briefing material for Monday's schedule, DEADLINE TODAY is 4:00p. 12:30p Olivia meeting 3-5:00 Child Welfare Session thanks. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:18-OCT-1996 10:14:25.52 SUBJECT: my whereabouts TO: Jill Pizzuto (PIZZUTO_J) (OPD) READ:18-OCT-1996 10:22:33.75 TEXT: I should be page-able and in DC this weekend -- 202-291-0277 is my home phone. I will be out of town Monday and Tuesday -- at 540-743-1728. Thanks. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Elizabeth E. Drye (DRYE_E) (OPD) CREATION DATE/TIME:18-OCT-1996 12:27:09.60 SUBJECT: Extra table up for grabs -- see attached. TO: Jeremy D. Benami (BENAMI_J) (WHO) READ:18-OCT-1996 12:51:23.34 TO: Janet B. Abrams (ABRAMS_J) (VPO) READ:18-OCT-1996 12:27:58.11 TO: Molly Brostrom (BROSTROM_M) (WHO) READ:18-OCT-1996 15:19:27.98 TO: Sandra L. Bublick-Max ( BUBLICKMAX_S) (OPD) READ:18-OCT-1996 12:27:26.43 TO: Dennis Burke (BURKE_D) (OPD) READ:18-OCT-1996 12:29:21.03 TO: Michael Cohen (COHEN_M) (OPD) READ:18-OCT-1996 14:39:44.96 TO: Patsy Fleming (FLEMING_P) (WHO) READ:18-OCT-1996 14:02:09.79 TO: Diana M. Fortuna (FORTUNA_D) (OPD) READ:18-OCT-1996 12:53:51.47 TO: Lyndell Hogan (HOGAN_L) (OPD) READ:18-OCT-1996 13:13:57.67 TO: Christopher C. Jennings (JENNINGS_C) (WHO) READ:18-OCT-1996 20:08:48.17 TO: Dorothy K. Craft (CRAFT_D) (OPD) READ:21-OCT-1996 08:09:07.30 TO: Jennifer L. Klein (KLEIN_J) (OPD) READ:18-OCT-1996 12:38:44.59 TO: Jeffrey Levi (LEVI_J) (WHO) READ:18-OCT-1996 12:27:45.50 TO: Cathy R. Mays (MAYS_C) (OPD) READ:18-OCT-1996 12:41:49.20 TO: Bruce N. Reed (REED_B) (WHO) READ:18-OCT-1996 12:34:06.06 TO: Diane Regas (REGAS_D) (OPD) READ:18-OCT-1996 13:50:33.33 TO: Jeanine D. Smartt (SMARTT_J) (OPD) READ:18-OCT-1996 12:57:25.78 TO: Stephen C. Warnath (WARNATH_S) (OPD) READ:18-OCT-1996 12:27:19.78 TO: Paul J. Weinstein, Jr (WEINSTEIN_P) (OPD) READ:18-OCT-1996 15:15:44.80 TO: Jill Pizzuto (PIZZUTO_J) (OPD) READ:18-OCT-1996 13:07:28.22 TO: Claudia M. Rayford-Williams (RAYFORDWIL_C) (OPD) READ:18-OCT-1996 12:32:26.74 TO: Leanne A. Shimabukuro ( SHIMABUKUR_L) (OPD) READ:18-OCT-1996 12:37:25.13 TEXT: ATTACHMENT I ATT CREATION TIME/DATE:18-OCT-1996 11:57:00.00 ATT BODYPART TYPE:B ATT CREATOR: Sandra L. Bublick-Max ATT SUBJECT: extra table ATT TO: Elizabeth E. Drye (DRYE_E) TEXT: Elizabeth, We have a table/desk in our office that we no longer need. Do you know of anyone who has a need for one? Sandy END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:18-OCT-1996 10:52:36.10 SUBJECT: life expectancy TO: Pauline M. Abernathy (ABERNATHY_P) (OPD) READ:18-OCT-1996 12:56:56.32 TEXT: I want you to know i have not forgotten i have some calls out but the truth is that there is likely to be little or no data -- since I think these analyses usually have a several-year time lag. But I will let you know if I get something RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: [email protected]@INET@EOPMRX CREATION DATE/TIME:18-OCT-1996 08:19:00.00 SUBJECT: Bruce.. TO: "SMTP:[email protected]' (LEVI_J@A1@CD) (WHO) READ:18-OCT-1996 08:47:47.09 TEXT: It seems I've started a war with Bruce!! Anyway in an attempt to explain - All PACHA calls are always set up with the chair person being the "host" and I send the host access codes to you guys as well The problem with the last Research call being cut off was because the call was only scheduled for one-hour. It wasn't made clear to me ahead of time that they needed more time than that. For example, when Prevention provided me with their "schedule" for calls they indicated they wanted 1 1/2 hours which I arranged. And...after the last Research problem I now went back and scheduled all the Research calls for 2 hours. (I don't want to decrease this time in case they run over.) Also, AT&T does not charge us for time that is not used..so, it's better to schedule for more time than may actually be needed I think he is really overeacting I just don't want him arranging, adjusting calls because I then can't track the charges until we receive the AT&T bill..I have to provide Linda with estimates of costs on a weekly basis ATTACHMENT I ATT CREATION TIME/DATE:18-OCT-1996 08:20:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from conversion.pmdf.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Fri, 18 Oct 1996 08:19:40 -0400 (EDT) Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]>for [email protected]; Fri, 18 Oct 1996 08:18:58 -0400 (EDT) Received: from 206.65.240.10 (206.65.240.10) by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]>for [email protected]; Fri, 18 Oct 1996 08:14:43 -0700 (MST) Received: from SSSHQ5 ([206.65.240.10]) by ssshq5.s-3.com (post.office MTA v2.0 0813 ID# 0-18294U110) with SMTP id AAA93 for <[email protected]>; Fri, 18 Oct 1996 08:19:14 -0400 X-Mailer: Worldtalk (NetConnex V4.00a)/MIME END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:18-OCT-1996 10:13:34.82 SUBJECT: mmwr TO: Patsy Fleming (FLEMING_P) (WHO) READ:18-OCT-1996 10:23:17.41 TO: Ursula Sanville (SANVILLE_U) (OPD) READ:21-OCT-1996 13:23:04.93 TO: Lahoma Romocki (ROMOCKI_L) (OPD) READ:22-OCT-1996 10:48:01.09 TEXT: ATTACHMENT 1 ATT CREATION TIME/DATE:18-OCT-1996 10:03:00.00 ATT BODYPART TYPE:E ATT CREATOR: aidsnews ATT SUBJECT: MMWR 10/18/96: Ten Leading Nationally Notifiable Infectious ATT TO: levi_j (levi_j@A1@CD) TEXT: MORBIDITY AND MORTALITY WEEKLY REPORT Centers for Disease Control and Prevention October 18, 1996 Vol. 45, No. 41 Ten Leading Nationally Notifiable Infectious Diseases -- United States, 1995 The National Notifiable Diseases Surveillance System (NNDSS) is a national passive surveillance system comprising 52 infectious diseases designated by the Council of State and Territorial Epidemiologists as reportable to CDC (1). This report is based on the Summary of Notifiable Diseases for 1995 (2) and presents the most commonly reported nationally notifiable diseases for 1995. During 1995, sexually transmitted diseases (STDs) predominated and were reported among all age groups. The 10 most frequently reported nationally notifiable infectious diseases for 1995 were, in descending order, chlamydia, gonorrhea, acquired immunodeficiency syndrome (AIDS), salmonellosis, hepatitis A, shigellosis, tuberculosis (TB), primary and secondary syphilis, Lyme disease, and hepatitis B (2). The STDs of chlamydia, gonorrhea, AIDS, primary and secondary syphilis, and hepatitis B accounted for 87% of cases reported for these 10 diseases. Although 1995 was the first year genital infections with Chlamydia trachomatis were nationally notifiable, this condition was the most commonly reported disease for 1995. Most cases were reported among women; infection with C. trachomatis is tested for and reported less frequently for men than for women. Rates for AIDS and TB were substantially higher among males than females. Consistent with previous surveillance data, the rate of AIDS reported among men was more than four times that for women, and for TB, nearly twice that for women. Except for AIDS, TB, and genital infection with C. trachomatis, sex-specific rates of notifiable diseases were similar. The most commonly reported infectious diseases varied by age group. Salmonellosis and shigellosis continued to be the most common notifiable diseases reported among children aged less than 5 years (61.8 and 46.3 per 100,000 population, respectively). Among children aged 5-14 years, gonorrhea and shigellosis (rates of 21.8 and 20.1, respectively) were the most frequently reported diseases. Gonorrhea remained the most common disease reported among persons aged 15-24 years (645.0), and rates for both gonorrhea and AIDS were high among persons aged 25-44 years (162.4 and 65.3, respectively) and persons aged 45-64 years (22.3 and 27.8, respectively). Among persons aged greater than 65 years, TB was the most commonly reported notifiable disease (16.3). Age-specific data about chlamydial infections were not available for 1995. Reported by: Council of State and Territorial Epidemiologists. Div of Public Health Surveillance and Informatics (proposed), Epidemiology Program Office, CDC. Editorial Note: The findings in the Summary of Notifiable Diseases reflect only diseases that are diagnosed by health-care or laboratory workers and reported to state and local health departments, who then report to CDC. Resources available for conducting surveillance vary widely by disease (3). In addition, patterns of detection and reporting probably vary by disease, age or population group, state, and locality. Consequently, for many of these conditions, the true incidences in the United States probably are underestimated. Despite such limitations, however, these and other surveillance data are useful for monitoring trends and for determining relative disease burdens. As part of the MMWR series, CDC will release on October 25 the Summary of Notifiable Diseases, United States, 1995 (2). This publication contains summary tables of the official statistics for the reported occurrence of nationally notifiable diseases during 1995. Data for 1995 are presented by month; geographic location; and patient age, sex, and race/ethnicity in maps and graphs for many conditions. Also included are a brief history of notifiable disease reporting, highlights of important developments in the reported occurrences of selected nonnotifiable diseases (e.g., dengue fever, hantavirus pulmonary syndrome, penicillin-nonsusceptible Streptococcus pneumoniae, and Ebola hemorrhagic fever), and data from the Public Health Laboratory Information System. References 1. Koo D, Wetterhall SF. History and current status of the National Notifiable Diseases Surveillance System. Journal of Public Health Management Practice 1996;2:4-10. 2. CDC. Summary of notifiable diseases, United States, 1995. MMWR 1996;44(53) (in press). 3. Osterholm MT, Birkhead GS, Meriwether RA. Impediments to public health surveillance in the 1990s: the lack of resources and the need for priorities. Journal of Public Health Management Practice 1996;2:11-5. END ATTACHMENT 1 ATTACHMENT 2 ATT CREATION TIME/DATE:18-OCT-1996 10:04:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from conversion.pmdf.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Fri, 18 Oct 1996 10:03:33 -0400 (EDT) Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Fri, 18 Oct 1996 10:03:23 -0400 (EDT) Received: from aspen3.aspensys.com (aspensys3.aspensys.com) by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]> for [email protected]; Fri, 18 Oct 1996 10:00:11 -0700 (MST) Received: by aspen3.aspensys.com (SMI-8.6/SMI-SVR4) id KAA17737; Fri, 18 Oct 1996 10:03:15 -0400 Errors-to: [email protected] Precedence: bulk Originator: [email protected] X-Comment: CDC National AIDS Clearinghouse X-Listprocessor-version: 6.0c -- ListProcessor by Anastasios Kotsikonas END ATTACHMENT 2 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 READ RECEIPT) CREATOR: POSTMASTER (SYS) CREATION DATE/TIME:18-OCT-1996 10:13:00.00 SUBJECT: Auto reply from SANVILLE_U TO: Jeffrey Levi (LEVI_J) (WHO) READ:18-OCT-1996 10:13:43.90 TEXT: I will be out of the office Friday October 18th and will return on Monday October 21st. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:18-OCT-1996 12:20:20.86 SUBJECT: daily news TO: Patsy Fleming (FLEMING_P) (WHO) READ:18-OCT-1996 12:23:59.00 TO: Ursula Sanville (SANVILLE_U) (OPD) READ:21-OCT-1996 13:26:56.87 TO: Lahoma Romocki (ROMOCKI_L) (OPD) READ:22-OCT-1996 10:48:48.16 TEXT: ATTACHMENT 1 ATT CREATION TIME/DATE:18-OCT-1996 10:56:00.00 ATT BODYPART TYPE:E ATT CREATOR: aidsnews ATT SUBJECT: CDC AIDS Daily Summary 10/18/96 ATT TO: levi_j (levi_j@A1@CD) TEXT: AIDS Daily Summary October 18, 1996 The Centers for Disease Control and Prevention (CDC) National AIDS Clearinghouse makes available the following information as a public service only. Providing this information does not constitute endorsement by the CDC, the CDC National AIDS Clearinghouse, or any other organization. Reproduction of this text is encouraged; however, copies may not be sold, and the CDC National AIDS Clearinghouse should be cited as the source of this information. Copyright 1996, Information, Inc., Bethesda, MD "Ten Leading Nationally Notifiable Diseases--United States, 1995" "Questions on Ethics Lead to Review of Needle-Exchange Study" "Biotech Firms Find Structure of Protein for Hepatitis C" "Merck Looks to Attack Price Variations in EU With Launch of AIDS Treatment" "Ten-Year-Old Fraud Suit Settled for $14.5 Million" "Hospitals Keep Drug Packs in Case of AIDS Accidents" "PM's Brother Testifies at Blood Probe" "Inside Politics: Dating Clinton" "Physicians Try Unusual Drugs to Fight Cryptosporidium" "Tosoh Says It Has Created Way to Count Viral Particles in Blood" "Ten Leading Nationally Notifiable Diseases--United States, 1995" Morbidity and Mortality Weekly Report (10/18/96) Vol. 45, No. 41, Last year, sexually transmitted diseases (STDs) represented 87 percent of all cases of the 10 most frequently reported infectious diseases in the United States, federal researchers report. According to the Centers for Disease Control and Prevention, the 10 most prevalent infectious diseases in the United States in 1995 were, in descending order: chlamydia, gonorrhea, HIV/AIDS, salmonellosis, hepatitis A, shigellosis, tuberculosis (TB), syphillis, Lyme disease, and hepatitis B. Rates for HIV/AIDS and TB were significantly higher among men than women, with more than four times as many AIDS cases reported in men than in women, and twice as many TB cases. "Questions on Ethics Lead to Review of Needle-Exchange Study" New York Times (10/18/96) P. A22; Leary, Warren E. Amid charges that a proposed needle exchange study in Alaska is unethical, the National Institutes of Health announced Thursday that it would review the plan. The $2.7 million, three-year study at the University of Alaska at Anchorage was slated to begin recruiting patients in December. The researcher will attempt to determine whether injection drug users can reduce their risk of viral infection by exchanging their used needles and syringes for clean ones. The Washington-based Public Citizens' Health Research Group said the study was unethical because it would deny access to clean needles to half of the drug users, those in the control group. A spokeswoman for the NIH said that the study had been approved by two ethics boards, but that it would be reviewed again soon. Dennis G. Fisher, the researcher leading the study, has defended it. He pointed out that the control group would be told where to go for needles and how to get them. He explained the study design is necessary to prove that needle exchanges work. "Biotech Firms Find Structure of Protein for Hepatitis C" Wall Street Journal (10/18/96) P. B3; Johannes, Laura Vertex Pharmaceuticals and Agouron Pharmaceuticals have separately identified the structure of a protein necessary to the reproduction of the hepatitis C virus, sparking a more intense competition between the two to find a drug for the treatment of hepatitis C. The discovery, published in separate articles in the Friday edition of the journal Cell, provides a starting point to develop a drug that would interfere with the protease that helps the virus to replicate. The research builds on the success of HIV protease inhibitors, but the hepatitis C virus protease may well be a more difficult target than the HIV protease, because its working end is "broader and more open," notes Agouron CEO Peter Johnson. Analyst Rachel Leheny of Hambrecht & Quist, meanwhile, predicts that an effective drug for the treatment of hepatitis C could bring in $2 million to $3 million in annual revenue. "Merck Looks to Attack Price Variations in EU With Launch of AIDS Treatment" Wall Street Journal (10/18/96) P. A13A; Moore, Stephen D.; Murray, Shailagh Merck is introducing its AIDS drug Crixivan in the European market, hoping to prevent "parallel trading" of the drug between countries by selling the drug at a fixed price across the European Union (EU). The legal practice of parallel trading, buying goods in the cheapest EU states and selling them for higher prices in other places, is opposed by drug companies because it harms the market and denies patients a steady supply of medicine. While pharmaceutical makers have opposed such trade for years, they now have on their side AIDS activists, who are demanding access to powerful new drugs like Crixivan. However, EU officials have not yet been persuaded that parallel-drug trading is as detrimental as the industry claims. "Ten-Year-Old Fraud Suit Settled for $14.5 Million" Wall Street Journal (10/18/96) P. B5 ICN Pharmaceuticals reports that it has settled a 10-year-old class action investor lawsuit for $10 million in cash and $4.5 million in common stock. According to an attorney for the plaintiffs, the suit alleged that ICN had defrauded investors by making claims about possible effects on patients of its AIDS drug ribavirin. A New York jury rejected seven of 13 claims made in the case, but was deadlocked over the remaining six and a new trial date needs to be scheduled. A spokesman for the drug maker notes that the company "has consistently maintained that the allegations upon which it was based were false." "Hospitals Keep Drug Packs in Case of AIDS Accidents" Toronto Globe and Mail (10/17/96) P. A7; Coutts, Jane Hospitals in Toronto are starting to prepare for the accidental exposure of health-care workers to HIV by keeping drugs to treat such exposures on hand. The plan is based on recommendations made by the U.S. Centers for Disease Control and Prevention in July, which call for treating HIV-exposed workers with a combination of antiviral drugs that includes a protease inhibitor. Studies in the United States have found that immediate treatment can reduce a worker's risk of developing AIDS by 70 percent. The CDC recommends that the drugs, which cost about $1,200 per person, are used only in very high-risk cases, like a deep prick from a needle that has been used on an AIDS patient. The agency said the level of risk should be balanced against the effects of the drug. The government of British Colombia has stocked every emergency room in the province with five-day starter packs of the drugs, to be available for anyone accidentally exposed to HIV. "PM's Brother Testifies at Blood Probe" Toronto Globe and Mail (10/17/96) P. A12; Grange, Michael Concerns about the possibility of HIV being transmitted through the blood supply had diminished by 1987, testified Michel Chretien, co-chairman of a study about the disease with Justice Horace Krever in 1987-1988, on Wednesday. Chretien, the brother of Canadian Prime Minister Jean Chretien, was called by the province of Ontario to testify at the federal inquiry into the country's tainted blood scandal. Ontario is one of the parties that could be cited for misconduct in Krever's final report for failing to take precautions to protect the blood supply from HIV. The Ontario government called Chretien to show that little was known about AIDS, or how to protect the blood supply, at the time. "Inside Politics: Dating Clinton" Washington Times (10/18/96) P. A6 Members of the AIDS Coalition to Unleash Power, or ACT UP, have placed an ad in the Washington Blade, Washington, D.C.'s gay newspaper, urging AIDS activists not to support President Clinton. "He keeps toying with our affections. Do we really want another date with this man?" asks the ad. "Physicians Try Unusual Drugs to Fight Cryptosporidium" American Medical News (10/07/96) Vol. 39, No. 37, P. 19 Creative new therapies are being developed to treat cryptosporidiosis, the diarrhea-causing infection for which nearly 100 potential drugs have been tried. NTZ, a drug initially developed for dogs with worms, will enter final testing at the National Institutes of Health in November. AIDS patients are demanding the drug, and are importing supplies from Mexico, where it is used to treat both humans and animals. Moreover, of the first 29 U.S. AIDS patients given NTZ, one-third experienced at least some benefit. UniMed Pharmaceuticals is offering NTZ to 150 patients as an experimental therapy. Another drug is being developed using the milk produced by cows just after giving birth. The mothers' antibodies are thought to attach to Cryptosporidium and help block its spread through the intestines. Meanwhile, the biotechnology firm GalaGen is pretreating 250,000 cows to increase their antibody production. About half of the 21 AIDS patients treated in initial testing have reported significant declines in diarrhea. The Centers for Disease Control and Prevention's Dan Colley noted, "We need to be cautious," though "we clearly need to think outside the normal" drug therapies, which have failed. "Tosoh Says it Has Created Way to Count Viral Particles in Blood" Nikkei Weekly (10/07/96) Vol. 34, No. 1743, P. 10 Tosoh Corp., a Japanese chemical maker, has developed a new method for measuring the number of viral particles in a blood sample. The test, which uses a special ion-exchange resin to isolate viral genes, may be used to diagnose viral infections and has the potential to be automated. The company has reported that the test can detect as few as 100 viral particles and is able to give a count if at least 10,000 particles are present. The new assay has been successfully tested on blood samples that contained HIV and cytomegalovirus, Tosoh said. END ATTACHMENT 1 ATTACHMENT 2 ATT CREATION TIME/DATE:18-OCT-1996 11:00:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from conversion.pmdf.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Fri, 18 Oct 1996 10:58:59 -0400 (EDT) Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> : for [email protected]; Fri, 18 Oct 1996 10:58:03 -0400 (EDT) Received: from aspen3.aspensys.com (aspensys3.aspensys.com) by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]> for [email protected]; Fri, 18 Oct 1996 10:53:39 -0700 (MST) Received: by aspen3.aspensys.com (SMI-8.6/SMI-SVR4) id KAA24383; Fri, 18 Oct 1996 10:56:43 -0400 Errors-to: [email protected] Precedence: bulk Originator: [email protected] X-Comment: CDC National AIDS Clearinghouse X-Listprocessor-version: 6.0c -- ListProcessor by Anastasios Kotsikonas END ATTACHMENT 2 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jill Pizzuto (PIZZUTO_J) (OPD) CREATION DATE/TIME:18-OCT-1996 15:34:14.28 SUBJECT: Rasco longterm schedule TO: David S. Beaubaire (BEAUBAIRE_D) (WHO) READ:21-OCT-1996 09:11:48.80 TO: Janet B. Abrams (ABRAMS_J) (VPO) READ:18-OCT-1996 15:54:17.96 TO: Jeremy D. Benami (BENAMI_J) (WHO) READ:18-OCT-1996 15:37:24.62 TO: Molly Brostrom (BROSTROM_M) (WHO) READ:18-OCT-1996 15:57:20.58 TO: Dennis Burke (BURKE_D) (OPD) READ:18-OCT-1996 15:36:55.79 TO: Pamela Cicetti (CICETTI_P) (WHO) READ:18-OCT-1996 16:44:34.16 TO: Elizabeth E. Drye (DRYE_E) (OPD) READ:18-OCT-1996 17:05:27.46 TO: Deborah L. Fine (FINE_D) (OPD) READ:18-OCT-1996 15:41:50.49 TO: Diana M. Fortuna (FORTUNA_D) (OPD) READ:18-OCT-1996 17:39:17.86 TO: Christopher C. Jennings (JENNINGS_C) (WHO) READ:27-OCT-1996 21:34:06.55 TO: Dorothy K. Craft (CRAFT_D) (OPD) READ:21-OCT-1996 08:50:24.75 TO: Jennifer L. Klein (KLEIN_J) (OPD) READ:18-OCT-1996 15:39:21.91 TO: Jeffrey Levi (LEVI_J) (WHO) READ:18-OCT-1996 15:38:18.76 TO: Cathy R. Mays (MAYS_C) (OPD) READ:18-OCT-1996 15:49:24.05 TO: Carol H. Rasco (RASCO_C) (WHO) READ:18-OCT-1996 16:10:05.33 TO: Bruce N. Reed (REED_B) (WHO) READ:21-OCT-1996 10:16:49.83 TO: Diane Regas (REGAS_D) (OPD) READ:18-OCT-1996 15:35:11.58 TO: Stephen C. Warnath (WARNATH_S) (OPD) READ:18-OCT-1996 15:34:13.12 TO: Paul J. Weinstein, Jr (WEINSTEIN_P) (OPD) READ:18-OCT-1996 15:57:43.93 TO: Lyndell Hogan (HOGAN_L) (OPD) READ:18-OCT-1996 16:03:48.83 TO: Jeanine D. Smartt (SMARTT_J) (OPD) READ:18-OCT-1996 15:45:11.86 TO: Michael Cohen (COHEN_M) (OPD) READ:18-OCT-1996 16:00:31.45 TO: Jill Pizzuto (PIZZUTO_J) (OPD) READ:18-OCT-1996 15:34:28.63 TO: Patsy Fleming (FLEMING_P) (WHO) READ:18-OCT-1996 17:43:46.77 TO: Claudia M. Rayford-Williams (RAYFORDWIL_C) (OPD) READ:18-OCT-1996 15:57:08.52 TO: FAX (9720-5166,Larry Elworth / Fran (TLXAIMAIL_\F:9720-5166\C:Larry Elworth / Fran\\) READ:NOT READ TO: Leanne A. Shimabukuro (SHIMABUKUR_L) (OPD) READ:18-OCT-1996 16:05:48.39 TO: Mia Masten (MASTEN_M) (OPD) READ:18-OCT-1996 16:11:08.57 TEXT: PRINTER FONT 12_POINT_ROMAN TO: DPC STAFF FR: JILL PIZZUTO RE: CHR CALENDAR HIGHLIGHTS Oct. 21: 3 -5:00p Child Welfare Chat Session, CHR office Oct. 22: am Family Service Agencies meeting re: welfare reform; CHR office pm Arrive Reno, NV Oct. 23: Reno, Nevada "Welfare Reform and Innovative Responses in Child Care" Summit/ Policy Session (conference on welfare reform and child care and corporate sector) Oct. 24: Reno, Nevada National Center to view classes and sessions of the National Council of Juvenile and Family Court Judges training program; roundtable discussion with class of Judges; lunch with the Dean, faculty & Judges. Oct. 25: Reno, Nevada Reno Police Department, meeting with Police Chief Jim Weston & other ATF & local law enforcement. Also attend a Reno public school to view a Gang Resistance Education and Training (G.R.E.A.T.) program. Oct. 30: 3 -5:00p Child Welfare Chat Session, CHR office Oct. 31: 3 -5:00p Child Welfare Chat Session, CHR office Oct. 29: 2:00p Angelique Skoulas meeting re: dental / healthcare issues Oct. 30: 10:00a Crme Weekly 11:00a Immigration Weekly 1:00p NGA/APWA/NCSL & agencies re: welfare reform 3 -5:00p Child Welfare Chat Session Oct. 31: 10:00a Joan Lombardi re: child care for school -age children 11:15a Rural Development meeting 3 -5:00p Child Welfare Chat Session Nov. 1: 11:00a JD Hoye re: school to work initiatives Nov. 14: Depart for Corpus Christi, Texas Nov. 15: Corpus Christi, Texas Texas A&M Dedication of the Early Childhood Development Center RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Patsy Fleming (FLEMING_P) (WHO) CREATION DATE/TIME:18-OCT-1996 14:15:18.79 SUBJECT: RE: targeted cities TO: Jeffrey Levi (LEVI_J) (WHO) READ:18-OCT-1996 14:20:51.67 TEXT: Oh God - Eric is leading RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:18-OCT-1996 12:36:47.43 SUBJECT: Finding me TO: Jennifer L. Klein (KLEIN_J) (OPD) READ:18-OCT-1996 12:38:56.11 TEXT: I think i have clarified my phone numbers with the signal operator but just in case -- fyi -- I am off Monday and Tuesday and out of pager range at 540-743-1728 RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: [email protected]@INET@EOPMRX CREATION DATE/TIME:18-OCT-1996 14:08:00.00 SUBJECT: Re: Shadowing Assignment summary TO: Jeffrey Levi (LEVI_J@A1@CD) (WHO) READ:18-OCT-1996 14:20:43.31 TEXT: Thanks for the vital clarification - I actually thought your work on the response team was part of your duties. Since it was not official business, I think it would be best for me to exclude it entirely. Scott From: Jeffrey Levi To: McCombs, Scott Subject: RE: Shadowing Assignment summary Date: Friday, October 18, 1996 12:28PM Return-Path: <[email protected]> Received: from cdcl.cdc.gov by SmtpIn.em.cdc.gov id <[email protected]>; Fri, 18 Oct 96 12:46:23 EST Received: from gatekeeper.eop.gov by cdcl.cdc.gov (5.0/SMI-SVR4) id AA03970; Fri, 18 Oct 1996 12:45:14- Received: from pmdf.eop.gov by gatekeeper.eop.gov; (5.65v3.2/1.1.8.2/17Oct95-0424PM) id AA17989; Fri, 18 Oct 1996 12:42:10 -0400 Received: from mr.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Fri, 18 Oct 1996 12:44:53 -0400 (EDT) Received: with PMDF-MR; Fri, 18 Oct 1996 12:29:58 -0400 (EDT) Mr-Received: by mta DALE; Relayed; Fri, 18 Oct 1996 12:29:58 -0400 Mr-Received: by mta EOPMRX; Relayed; Fri, 18 Oct 1996 12:44:46 -0400 Alternate-Recipient: prohibited Date: Fri, 18 Oct 1996 12:28:41 -0400 (EDT) From: Jeffrey Levi <[email protected]> Subject: RE: Shadowing Assignment summary In-Reply-To: <[email protected]> To: "McCombs, Scott" <[email protected]> Message-Id: <A602ZWNNHUBA4*/R=CD/R=AI/U=LEVI_J/@MHS.eop.gov> Mime-Version: 1.0 Content-Type: TEXT/PLAIN; CHARSET=US-ASCII Content-Transfer-Encoding: 7BIT Posting-Date: Fri, 18 Oct 1996 12:29:00 -0400 (EDT) Importance: normal Priority: normal Ua-Content-Id: A602ZWNNHUBA4 X400-Mts-Identifier: [;85922181016991/3340639@CD] Al-Type: MAIL Hop-Count: 2 content-length: 285 This looks good; thanks for the kind words. The only thing that needs clarification is the VP debate -- this was not the Administration's response team -- I did this on my own time, not as part of my official duties. Thanks. ATTACHMENT 1 ATT CREATION TIME/DATE:18-OCT-1996 14:08:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from conversion.pmdf.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Fri, 18 Oct 1996 14:07:48 -0400 (EDT) Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Fri, 18 Oct 1996 14:07:27 -0400 (EDT) Received: from cdcl.cdc.gov by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]> for [email protected]; Fri, 18 Oct 1996 13:02:27 -0700 (MST) Received: from SmtpOut.em.cdc.gov by cdcl.cdc.gov (5.0/SMI-SVR4) id AA05178; Fri, 18 Oct 1996 13:05:28 -0400 Received: by SmtpOut.em.cdc.gov with Microsoft Mail id <[email protected]>; Fri, 18 Oct 1996 13:06:36 -0500 (EST) END ATTACHMENT I Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 003. email From: Jeffrey Levi, To: Kimberly Farrell, Re: Bruce [personal] 10/18/1996 b(6) [partial] (1 page) COLLECTION: Clinton Presidential Records Automated Records Management System [Email] WHO ([Jeffrey Levi...]) OA/Box Number: 500000 FOLDER TITLE: [10/17/1996 - 10/25/1996] 2018-0759-F jn436 RESTRICTION CODES Presidential Records Act - |44 U.S.C. 2204(a)] Freedom of Information Act - 15 U.S.C. 552(b)] P1 National Security Classified Information |(a)(1) of the PRA] b(1) National security classified information [(b)(1) of the FOIA] P2 Relating to the appointment to Federal office [(a)(2) of the PRA] b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute [(a)(3) of the PRA| an agency [(b)(2) of the FOIA] P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute [(b)(3) of the FOIA] financial information [(a)(4) of the PRA] b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information [(b)(4) of the FOIA] and his advisors, or between such advisors [a)(5) of the PRA] b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy [(b)(6) of the FOIA] personal privacy |(a)(6) of the PRA] b(7) Release would disclose information compiled for law enforcement purposes [(b)(7) of the FOIA] C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions [(b)(8) of the FOIA] PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells [(b)(9) of the FOIA] RR. Document will be reviewed upon request. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:18-OCT-1996 08:47:44.52 SUBJECT: RE: Bruce.. TO: Kimberly Farrell ([email protected]@INET@EOPMRX) READ:NOT READ TEXT: (b)(6) [003] You have handled this appropriately and I don't want anyone other than committee chairs having this control. Thanks. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeremy D. Benami (BENAMI_J) (WHO) CREATION DATE/TIME:18-OCT-1996 16:42:11.50 SUBJECT: returing TO: Jeffrey Levi (LEVI_J) (WHO) READ:18-OCT-1996 17:04:51.40 TEXT: been trying to return to your call today, but line is always busy!?? call me RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:18-OCT-1996 13:20:33.83 SUBJECT: This may not be fair TO: William G. White (WHITE_W) (OMB) READ:18-OCT-1996 18:48:28.77 TEXT: I am sure that I have missed something vitally important here, but in looking at the AAR data from 1994, it seems that under Title I, for every office-based health visit paid for, there are 1.4 case management encounters; Title II has a better ratio: 2.7 case management encounters for every office based health visit. So maybe these reports tell us something despite themselves!! RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:18-OCT-1996 13:38:26.06 SUBJECT: targeted cities TO: Patsy Fleming (FLEMING_P) (WHO) READ:18-OCT-1996 14:14:23.98 TEXT: Gordon Agress called to say that OMB has asked Goosby to set up a meeting with HHS staff to pursue the targeted city (cities) idea...we will be informed and invited and involved. RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: [email protected]@INET@EOPMRX CREATION DATE/TIME:18-OCT-1996 10:04:00.00 SUBJECT: MMWR 10/18/96: Ten Leading Nationally Notifiable Infectious TO: levi_j (levi_j@A1@CD) (WHO) READ:18-OCT-1996 10:13:12.08 TEXT: MORBIDITY AND MORTALITY WEEKLY REPORT Centers for Disease Control and Prevention October 18, 1996 Vol. 45, No. 41 Ten Leading Nationally Notifiable Infectious Diseases -- United States, 1995 The National Notifiable Diseases Surveillance System (NNDSS) is a national passive surveillance system comprising 52 infectious diseases designated by the Council of State and Territorial Epidemiologists as reportable to CDC (1). This report is based on the Summary of Notifiable Diseases for 1995 (2) and presents the most commonly reported nationally notifiable diseases for 1995. During 1995, sexually transmitted diseases (STDs) predominated and were reported among all age groups. The 10 most frequently reported nationally notifiable infectious diseases for 1995 were, in descending order, chlamydia, gonorrhea, acquired immunodeficiency syndrome (AIDS), salmonellosis, hepatitis A, shigellosis, tuberculosis (TB), primary and secondary syphilis, Lyme disease, and hepatitis B (2). The STDs of chlamydia, gonorrhea, AIDS, primary and secondary syphilis, and hepatitis B accounted for 87% of cases reported for these 10 diseases. Although 1995 was the first year genital infections with Chlamydia trachomatis were nationally notifiable, this condition was the most commonly reported disease for 1995. Most cases were reported among women; infection with C. trachomatis is tested for and reported less frequently for men than for women. Rates for AIDS and TB were substantially higher among males than females. Consistent with previous surveillance data, the rate of AIDS reported among men was more than four times that for women, and for TB, nearly twice that for women. Except for AIDS, TB, and genital infection with C. trachomatis, sex-specific rates of notifiable diseases were similar. The most commonly reported infectious diseases varied by age group. Salmonellosis and shigellosis continued to be the most common notifiable diseases reported among children aged less than 5 years (61.8 and 46.3 per 100,000 population, respectively). Among children aged 5-14 years, gonorrhea and shigellosis (rates of 21.8 and 20.1, respectively) were the most frequently reported diseases. Gonorrhea remained the most common disease reported among persons aged 15-24 years (645.0), and rates for both gonorrhea and AIDS were high among persons aged 25-44 years (162.4 and 65.3, respectively) and persons aged 45-64 years (22.3 and 27.8, respectively). Among persons aged greater than 65 years, TB was the most commonly reported notifiable disease (16.3). Age-specific data about chlamydial infections were not available for 1995. Reported by: Council of State and Territorial Epidemiologists. Div of Public Health Surveillance and Informatics (proposed), Epidemiology Program Office, CDC. Editorial Note: The findings in the Summary of Notifiable Diseases reflect only diseases that are diagnosed by health-care or laboratory workers and reported to state and local health departments, who then report to CDC. Resources available for conducting surveillance vary widely by disease (3). In addition, patterns of detection and reporting probably vary by disease, age or population group, state, and locality. Consequently, for many of these conditions, the true incidences in the United States probably are underestimated. Despite such limitations, however, these and other surveillance data are useful for monitoring trends and for determining relative disease burdens. As part of the MMWR series, CDC will release on October 25 the Summary of Notifiable Diseases, United States, 1995 (2). This publication contains summary tables of the official statistics for the reported occurrence of nationally notifiable diseases during 1995. Data for 1995 are presented by month; geographic location; and patient age, sex, and race/ethnicity in maps and graphs for many conditions. Also included are a brief history of notifiable disease reporting, highlights of important developments in the reported occurrences of selected nonnotifiable diseases (e.g., dengue fever, hantavirus pulmonary syndrome, penicillin-nonsusceptible Streptococcus pneumoniae, and Ebola hemorrhagic fever), and data from the Public Health Laboratory Information System. References 1. Koo D, Wetterhall SF. History and current status of the National Notifiable Diseases Surveillance System. Journal of Public Health Management Practice 1996;2:4-10. 2. CDC. Summary of notifiable diseases, United States, 1995. MMWR 1996;44(53) (in press). 3. Osterholm MT, Birkhead GS, Meriwether RA. Impediments to public health surveillance in the 1990s: the lack of resources and the need for priorities. Journal of Public Health Management Practice 1996;2:11-5. ATTACHMENT 1 ATT CREATION TIME/DATE:18-OCT-1996 10:04:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from conversion.pmdf.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Fri, 18 Oct 1996 10:03:33 -0400 (EDT) Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Fri, 18 Oct 1996 10:03:23 -0400 (EDT) Received: from aspen3.aspensys.com (aspensys3.aspensys.com) by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]> for [email protected]; Fri, 18 Oct 1996 10:00:11 -0700 (MST) Received: by aspen3.aspensys.com (SMI-8.6/SMI-SVR4) id KAA17737; Fri, 18 Oct 1996 10:03:15 Errors-to: [email protected] Precedence: bulk Originator: [email protected] X-Comment: CDC National AIDS Clearinghouse X-Listprocessor-version: 6.0c.-- ListProcessor by Anastasios Kotsikonas END ATTACHMENT 1 Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 004. email From: Elizabeth Drye, To: Many Recipients, Re: Larry Elworth Party 10/18/1996 Personal Misfile #2 (2 pages) COLLECTION: Clinton Presidential Records Automated Records Management System [Email] WHO ([Jeffrey Levi...]) OA/Box Number: 500000 FOLDER TITLE: [10/17/1996 - 10/25/1996] 2018-0759-F jn436 RESTRICTION CODES Presidential Records Act - [44 U.S.C. 2204(a)] Freedom of Information Act - 15 U.S.C. 552(b)] PI National Security Classified Information [(a)(1) of the PRA) b(1) National security classified information [(b)(1) of the FOIA] P2 Relating to the appointment to Federal office [(a)(2) of the PRA b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute [(a)(3) of the PRA] an agency [(b)(2) of the FOIA] P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute |(b)(3) of the FOIA] financial information [(a)(4) of the PRA] b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information [(b)(4) of the FOIA] and his advisors, or between such advisors |a)(5) of the PRAJ b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy |(b)(6) of the FOIA] personal privacy |(a)(6) of the PRA b(7) Release would disclose information compiled for law enforcement purposes [(b)(7) of the FOIA] C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions [(b)(8) of the FOIA] PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells [(b)(9) of the FOIA] RR. Document will be reviewed upon request. RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: [email protected]@INET@EOPMRX CREATION DATE/TIME:18-OCT-1996 10:59:00.00 SUBJECT: CDC AIDS Daily Summary 10/18/96 TO: levi_j (levi_j@A1@CD) (WHO) READ:18-OCT-1996 12:20:04.42 TEXT: AIDS Daily Summary October 18, 1996 The Centers for Disease Control and Prevention (CDC) National AIDS Clearinghouse makes available the following information as a public service only. Providing this information does not constitute endorsement by the CDC, the CDC National AIDS Clearinghouse, or any other organization. Reproduction of this text is encouraged; however, copies may not be sold, and the CDC National AIDS Clearinghouse should be cited as the source of this information. Copyright 1996, Information, Inc., Bethesda, MD "Ten Leading Nationally Notifiable Diseases--United States, 1995" "Questions on Ethics Lead to Review of Needle-Exchange Study" "Biotech Firms Find Structure of Protein for Hepatitis C" "Merck Looks to Attack Price Variations in EU With Launch of AIDS Treatment" "Ten-Year-Old Fraud Suit Settled for $14.5 Million" "Hospitals Keep Drug Packs in Case of AIDS Accidents" "PM's Brother Testifies at Blood Probe" "Inside Politics: Dating Clinton" "Physicians Try Unusual Drugs to Fight Cryptosporidium" "Tosoh Says It Has Created Way to Count Viral Particles in Blood" "Ten Leading Nationally Notifiable Diseases--United States, 1995" Morbidity and Mortality Weekly Report (10/18/96) Vol. 45, No. 41, Last year, sexually transmitted diseases (STDs) represented 87 percent of all cases of the 10 most frequently reported infectious diseases in the United States, federal researchers report. According to the Centers for Disease Control and Prevention, the 10 most prevalent infectious diseases in the United States in 1995 were, in descending order: chlamydia, gonorrhea, HIV/AIDS, salmonellosis, hepatitis A, shigellosis, tuberculosis (TB), syphillis, Lyme disease, and hepatitis B. Rates for HIV/AIDS and TB were significantly higher among men than women, with more than four times as many AIDS cases reported in men than in women, and twice as many TB cases. "Questions on Ethics Lead to Review of Needle-Exchange Study" New York Times (10/18/96) P. A22; Leary, Warren E. Amid charges that a proposed needle exchange study in Alaska is unethical, the National Institutes of Health announced Thursday that it would review the plan. The $2.7 million, three-year study at the University of Alaska at Anchorage was slated to begin recruiting patients in December. The researcher will attempt to determine whether injection drug users can reduce their risk of viral infection by exchanging their used needles and syringes for clean ones. The Washington-based Public Citizens' Health Research Group said the study was unethical because it would deny access to clean needles to half of the drug users, those in the control group. A spokeswoman for the NIH said that the study had been approved by two ethics boards, but that it would be reviewed again soon. Dennis G. Fisher, the researcher leading the study, has defended it. He pointed out that the control group would be told where to go for needles and how to get them. He explained the study design is necessary to prove that needle exchanges work. "Biotech Firms Find Structure of Protein for Hepatitis C" Wall Street Journal (10/18/96) P. B3; Johannes, Laura Vertex Pharmaceuticals and Agouron Pharmaceuticals have separately identified the structure of a protein necessary to the reproduction of the hepatitis C virus, sparking a more intense competition between the two to find a drug for the treatment of hepatitis C. The discovery, published in separate articles in the Friday edition of the journal Cell, provides a starting point to develop a drug that would interfere with the protease that helps the virus to replicate. The research builds on the success of HIV protease inhibitors, but the hepatitis C virus protease may well be a more difficult target than the HIV protease, because its working end is "broader and more open," notes Agouron CEO Peter Johnson. Analyst Rachel Leheny of Hambrecht & Quist, meanwhile, predicts that an effective drug for the treatment of hepatitis C could bring in $2 million to $3 million in annual revenue. "Merck Looks to Attack Price Variations in EU With Launch of AIDS Treatment" Wall Street Journal (10/18/96) P. A13A; Moore, Stephen D.; Murray, Shailagh Merck is introducing its AIDS drug Crixivan in the European market, hoping to prevent "parallel trading" of the drug between countries by selling the drug at a fixed price across the European Union (EU). The legal practice of parallel trading, buying goods in the cheapest EU states and selling them for higher prices in other places, is opposed by drug companies because it harms the market and denies patients a steady supply of medicine. While pharmaceutical makers have opposed such trade for years, they now have on their side AIDS activists, who are demanding access to powerful new drugs like Crixivan. However, EU officials have not yet been persuaded that parallel-drug trading is as detrimental as the industry claims. "Ten-Year-Old Fraud Suit Settled for $14.5 Million" Wall Street Journal (10/18/96) P. B5 ICN Pharmaceuticals reports that it has settled a 10-year-old class action investor lawsuit for $10 million in cash and $4.5 million in common stock. According to an attorney for the plaintiffs, the suit alleged that ICN had defrauded investors by making claims about possible effects on patients of its AIDS drug ribavirin. A New York jury rejected seven of 13 claims made in the case, but was deadlocked over the remaining six and a new trial date needs to be scheduled. A spokesman for the drug maker notes that the company "has consistently maintained that the allegations upon which it was based were false." "Hospitals Keep Drug Packs in Case of AIDS Accidents" Toronto Globe and Mail (10/17/96) P. A7; Coutts, Jane Hospitals in Toronto are starting to prepare for the accidental exposure of health-care workers to HIV by keeping drugs to treat such exposures on hand. The plan is based on recommendations made by the U.S. Centers for Disease Control and Prevention in July, which call for treating HIV-exposed workers with a combination of antiviral drugs that includes a protease inhibitor. Studies in the United States have found that immediate treatment can reduce a worker's risk of developing AIDS by 70 percent. The CDC recommends that the drugs, which cost about $1,200 per person, are used only in very high-risk cases, like a deep prick from a needle that has been used on an AIDS patient. The agency said the level of risk should be balanced against the effects of the drug. The government of British Colombia has stocked every emergency room in the province with five-day starter packs of the drugs, to be available for anyone accidentally exposed to HIV. "PM's Brother Testifies at Blood Probe" Toronto Globe and Mail (10/17/96) P. A12; Grange, Michael Concerns about the possibility of HIV being transmitted through the blood supply had diminished by 1987, testified Michel Chretien, co-chairman of a study about the disease with Justice Horace Krever in 1987-1988, on Wednesday. Chretien, the brother of Canadian Prime Minister Jean Chretien, was called by the province of Ontario to testify at the federal inquiry into the country's tainted blood scandal. Ontario is one of the parties that could be cited for misconduct in Krever's final report for failing to take precautions to protect the blood supply from HIV. The Ontario government called Chretien to show that little was known about AIDS, or how to protect the blood supply, at the time. "Inside Politics: Dating Clinton" Washington Times (10/18/96) P. A6 Members of the AIDS Coalition to Unleash Power, or ACT UP, have placed an ad in the Washington Blade, Washington, D.C.'s gay newspaper, urging AIDS activists not to support President Clinton. "He keeps toying with our affections. Do we really want another date with this man?" asks the ad. "Physicians Try Unusual Drugs to Fight Cryptosporidium" American Medical News (10/07/96) Vol. 39, No. 37, P. 19 Creative new therapies are being developed to treat cryptosporidiosis, the diarrhea-causing infection for which nearly 100 potential drugs have been tried. NTZ, a drug initially developed for dogs with worms, will enter final testing at the National Institutes of Health in November. AIDS patients are demanding the drug, and are importing supplies from Mexico, where it is used to treat both humans and animals. Moreover, of the first 29 U.S. AIDS patients given NTZ, one-third experienced at least some benefit. UniMed Pharmaceuticals is offering NTZ to 150 patients as an experimental therapy. Another drug is being developed using the milk produced by cows just after giving birth. The mothers' antibodies are thought to attach to Cryptosporidium and help block its spread through the intestines. Meanwhile, the biotechnology firm GalaGen is pretreating 250,000 cows to increase their antibody production. About half of the 21 AIDS patients treated in initial testing have reported significant declines in diarrhea. The Centers for Disease Control and Prevention's Dan Colley noted, "We need to be cautious," though "we clearly need to think outside the normal" drug therapies, which have failed. "Tosoh Says it Has Created Way to Count Viral Particles in Blood" Nikkei Weekly (10/07/96) Vol. 34, No. 1743, P. 10 Tosoh Corp., a Japanese chemical maker, has developed a new method for measuring the number of viral particles in a blood sample. The test, which uses a special ion-exchange resin to isolate viral genes, may be used to diagnose viral infections and has the potential to be automated. The company has reported that the test can detect as few as 100 viral particles and is able to give a count if at least 10,000 particles are present. The new assay has been successfully tested on blood samples that contained HIV and cytomegalovirus, Tosoh said. ATTACHMENT 1 ATT CREATION TIME/DATE:18-OCT-1996 11:00:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from conversion.pmdf.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Fri, 18 Oct 1996 10:58:59 -0400 (EDT) Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]>for [email protected]; Fri, 18 Oct 1996 10:58:03 -0400 (EDT) Received: from aspen3.aspensys.com (aspensys3.aspensys.com) by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]>for [email protected]; Fri, 18 Oct 1996 10:53:39 -0700 (MST) Received: by aspen3.aspensys.com (SMI-8.6/SMI-SVR4) id KAA24383; Fri, 18 Oct 1996 10:56:43 -0400 Errors-to: [email protected] Precedence: bulk Originator: [email protected] X-Comment: CDC National AIDS Clearinghouse X-Listprocessor-version: 6.0c -- ListProcessor by Anastasios Kotsikonas END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: [email protected]@INET@EOPMRX CREATION DATE/TIME:20-OCT-1996 15:07:00.00 SUBJECT: Test TO: Levi_J (Levi_J@A1@CD)(WHO) READ:21-OCT-1996 17:33:11.88 CC: LDEYTON ([email protected]@INET@EOPMRX ) READ:NOT READ TEXT: This is a test. Lawrence Deyton E:mail: [email protected] Phone: 301 496-7291 FAX: 301 402-0369 Address: Solar Bldg Rm 3C20 NIAID, NIH Bethesda, MD 20892 ATTACHMENT 1 ATT CREATION TIME/DATE:20-OCT-1996 15:08:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from conversion.pmdf.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Sun, 20 Oct 1996 15:07:38 -0400 (EDT) Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Sun, 20 Oct 1996 15:07:32 -0400 (EDT) Received: from mercury.niaid.nih.gov by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]> for [email protected]; Sun, 20 Oct 1996 15:04:25 -0700 (MST) Received: by mercury.niaid.nih.gov with SMTP (Microsoft Exchange Server Internet Mail Connector Version 4.0.993.5) id <[email protected]>; Sun, 20 Oct 1996 15:07:32 -0400 X-Mailer: Microsoft Exchange Server Internet Mail Connector Version 4.0.993.5 END ATTACHMENT 1 Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 005. email From: [email protected], To: Jeffrey Levi, Re: Truman 10/20/1996 Personal Misfile Interns (2 pages) COLLECTION: Clinton Presidential Records Automated Records Management System [Email] WHO ([Jeffrey Levi...]) OA/Box Number: 500000 FOLDER TITLE: [10/17/1996 - 10/25/1996] 2018-0759-F jn436 RESTRICTION CODES Presidential Records Act - |44 U.S.C. 2204(a)] Freedom of Information Act - 15 U.S.C. 552(b)] P1 National Security Classified Information |(a)(1) of the PRA) b(1) National security classified information [(b)(1) of the FOIA] P2 Relating to the appointment to Federal office |(a)(2) of the PRA] b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute |(a)(3) of the PRA] an agency |(b)(2) of the FOIA] P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute [(b)(3) of the FOIA] financial information [(a)(4) of the PRA] b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information |(b)(4) of the FOIA] and his advisors, or between such advisors |a)(5) of the PRA] b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy [(b)(6) of the FOIA] personal privacy [(a)(6) of the PRA] b(7) Release would disclose information compiled for law enforcement purposes |(b)(7) of the FOIA] C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions [(b)(8) of the FOIA] PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells |(b)(9) of the FOIA] RR. Document will be reviewed upon request. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Elizabeth E. Drye (DRYE_E) (OPD) CREATION DATE/TIME:21-OCT-1996 15:41:42.90 SUBJECT: Talking points on campaign finance reform TO: Elizabeth E. Drye (DRYE_E) (OPD) READ:21-OCT-1996 16:29:18.73 TO: Jeremy D. Benami (BENAMI_J) (WHO) READ:21-OCT-1996 18:37:56.36 TO: Molly Brostrom (BROSTROM_M) (WHO) READ:21-OCT-1996 15:57:39.70 TO: Dennis Burke (BURKE_D) (OPD) READ:21-OCT-1996 17:08:29.58 TO: Diane Regas (REGAS_D) (OPD) READ:21-OCT-1996 16:25:37.01 TO: Patsy Fleming (FLEMING_P) (WHO) READ:21-OCT-1996 15:49:01.11 TO: Diana M. Fortuna (FORTUNA_D) (OPD) READ:21-OCT-1996 15:42:20.57 TO: Christopher C. Jennings (JENNINGS_C) (WHO) READ:22-OCT-1996 10:40:11.49 TO: Jennifer L. Klein (KLEIN_J) (OPD) READ:21-OCT-1996 18:21:00.56 TO: Jeffrey Levi (LEVI_J) (WHO) READ:21-OCT-1996 17:25:41.98 TO: Jill Pizzuto (PIZZUTO_J) (OPD) READ:21-OCT-1996 15:53:20.69 TO: Stephen C. Warnath (WARNATH_S) (OPD) READ:21-OCT-1996 15:42:44.87 TO: Paul J. Weinstein, Jr (WEINSTEIN_P) (OPD) READ:22-OCT-1996 09:50:28.30 TO: Lyndell Hogan (HOGAN_L) (OPD) READ:21-OCT-1996 18:03:03.97 TO: Jeanine D. Smartt (SMARTT_J) (OPD) READ:21-OCT-1996 17:15:44.54 TO: Michael Cohen (COHEN_M) (OPD) READ:21-OCT-1996 16:14:54.41 TO: Sandra L. Bublick-Max ( BUBLICKMAX_S) (OPD) READ:22-OCT-1996 10:37:55.79 TO: Leanne A. Shimabukuro (SHIMABUKUR_L) (OPD) READ:21-OCT-1996 16:43:56.04 TEXT: ATTACHMENT 1 ATT CREATION TIME/DATE:21-OCT-1996 14:45:00.00 ATT CREATOR: ACCOUNT, BEAUBAIRE_D1 ATT SUBJECT: FINANCE REFORM-TP ATT TO: Remote Addressee ATT TO: Remote Addressee ( [[email protected]@INET) ATT TO: Remote Addressee ([email protected]@INET) ATT TO: Remote Addressee ([email protected]@INET) ATT TO: Remote Addressee ([email protected]@INET) ATT TO: Remote Addressee ([email protected]@INET) ATT TO: Remote Addressee ([email protected]@INET) ATT TO: Remote Addressee ([email protected]@INET) ATT TO: Chantale Wong (WONG_C) ATT TO: Michelle M. Jolin (JOLIN_M) ATT TO: Jennifer Palmieri (PALMIERI_J) ATT TO: John C. Angell (ANGELL_J) ATT TO: Barry J. Toiv (TOIV_B) ATT TO: Martha Foley (FOLEY_M) ATT TO: Janice A. Enright (ENRIGHT_J) ATT TO: Patricia A. McHugh (MCHUGH_P) ATT TO: Remote Addressee ([email protected]@INET) ATT TO: Thomas O'Donnell (ODONNELL_T) Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 006. email From: Elizabeth Drye, To: Many Recipients, Re: Talking Points on 10/21/1996 P3/b(3) Campaign Finance Reform [partial] (1 page) COLLECTION: Clinton Presidential Records Automated Records Management System [Email] WHO ([Jeffrey Levi...]) OA/Box Number: 500000 FOLDER TITLE: [10/17/1996 - 10/25/1996] 2018-0759-F jn436 RESTRICTION CODES Presidential Records Act - |44 U.S.C. 2204(a)] Freedom of Information Act - 15 U.S.C. 552(b)] PI National Security Classified Information [(a)(1) of the PRA] b(1) National security classified information [(b)(1) of the FOIA] P2 Relating to the appointment to Federal office |(a)(2) of the PRA] b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute [(a)(3) of the PRA] an agency [(b)(2) of the FOIA| P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute [(b)(3) of the FOIA] financial information [(a)(4) of the PRA| b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information |(b)(4) of the FOIA] and his advisors, or between such advisors [a)(5) of the PRA] b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy [(b)(6) of the FOIA] personal privacy [(a)(6) of the PRA] b(7) Release would disclose information compiled for law enforcement purposes |(b)(7) of the FOIA] C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions [(b)(8) of the FOIA] PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells [(b)(9) of the FOIA] RR. Document will be reviewed upon request. ATT TO: Elizabeth E. Drye (DRYE_E) ATT TO: Remote Addressee ([email protected]@INET) ATT TO: Remote Addressee (b)(3) [006 ] ATT TO: Remote Addressee ([email protected]@INET) ATT TO: Janet L. Crist (CRIST_J) ATT TO: FAX (97364495, Thomas Donilon) (TLXA1MAIL_\F:97364495\C:Thomas Donilon\\) ATT TO: FAX (96471811, William Burns) (TLXA1MAIL_\F:96471811\C:William Burns\\) ATT TO: FAX (97367555,Elaine Shocas) (TLXA1MAIL_\F:97367555\C:Elaine Shocas\\) ATT TO: FAX (912124154029, Stuart Jones) (TLXAIMAIL_\F:912124154029\C:Stuart Jones\\) ATT TO: FAX (53390,Peter Scher) (TLXA1MAIL_\F:53390\C:Peter Scher\\) ATT TO: FAX (9260-0279,) Peter Robertson) (TLXA1MAIL_\F:9260-0279\C:Peter Robertson\\) TEXT: PRINTER FONT 12_POINT_ROMAN PRESIDENT CLINTON: FIGHTING FOR POLITICAL REFORM OCTOBER 21, 1996 PRINTER FONT_11_POINT_ROMAN_ITALIC "America's challenge to those of us in this hallowed hall tonight [is] to reinvent our government and make our democracy work for [all of us]...I challenge Congress to go further -- to curb special interest influence in politics by passing the first truly bipartisan campaign reform bill in a generation. You, Republicans and Democrats alike, can show the American people that we can limit spending and open the airwaves to all candidates." President Clinton, State of the Union Address, January 23, 1996 PRINTER FONT_12_POINT_ROMAN President Clinton has consistently fought to open up the political process, toughen ethics codes for government officials, and reform the nation's campaign finance laws. He has enacted the most sweeping reforms in decades, and is pushing to go even further. THE RECORD: Toughest ethics code ever. President Clinton imposed the strictest administration ethics code ever to close the "revolving door"-- including a lifetime ban on lobbying for foreign governments, and a five-year ban on lobbying your own agency after leaving government service. (January, 1993.) Toughest lobbying reform in half a century. President Clinton fought for and signed the Lobbying Disclosure Act -- the toughest lobbying reform bill in 50 years. It requires lobbyists to disclose who they work for, what they are spending, and what legislation they are trying to pass or defeat. President Clinton also closed the tax loophole for lobbying, ending the tax deductibility of lobbying expenses for lobbyists and corporations. (December, 1995.) Banning gifts from lobbyists to lawmakers. President Clinton pushed for and won a ban on gifts, meals and entertainment from lobbyists to lawmakers. (Summer, 1995.) Making Congress live under the laws it passes. President Clinton pushed for and signed the Congressional Accountability Act, to ensure that the same laws that apply to the rest of America apply to Congress as well. (January, 1995.) The Line-Item Veto. President Clinton pushed for and won the line-item veto, allowing the President to eliminate wasteful, special interest spending and tax breaks -- closing the door on business as usual in Washington. (April, 1996.) Expanding voter rolls through "Moter Voter." President Clinton made it easier for more than 11 million Americans to vote by pushing for and winning the National Voter Registration Act ("Moter Voter"). It has already created the greatest expansion in voter registration since the 19th century. (May, 1993.) Saving limits on campaign spending. President Clinton worked to defeat the effort by Senators Dole and McConnell to effectively end presidential spending limits by repealing public funding for presidential campaigns. (May, 1995; May, 1996.) - MORE - PUSHING FOR BIPARTISAN REFORM: Strongly endorsed McCain-Feingold bill to ban PAC's and "soft money." President Clinton has publicly and repeatedly urged passage of the bipartisan McCain-Feingold bill, to limit campaign spending, end the "soft money" system, ban PAC's, and give free and discounted broadcast time to open up the airwaves to candidates. (February, 1996.) Tried to appoint bipartisan commission with Speaker Gingrich. President Clinton publicly shook hands and agreed with House Speaker Newt Gingrich to appoint a bipartisan commission on campaign finance reform, and asked two prominent Americans to get the commission started, although the Speaker did not follow-up on this agreement. (June, 1995.) SPEAKING OUT FOR REFORM: "I have strongly supported campaign finance reform if you want to cut the PRINTER FONT_11_POINT_ROMAN_ITALIC costs of campaigns, you have to open the airwaves, because what drives the costs of campaigns are the costs of advertising on television, radio, newspaper, mass mailings For every one of you who stood up here and asked a question tonight, I promise you, there's 100,000 Americans who say, 'I wish I could have asked that question' we have to change the nature of politics." President Clinton, San Diego Presidential Debate, October 16, 1996 "We have passed political reform, the line-item veto, the motor voter bill, tougher registration laws for lobbyists, making Congress live under the laws they impose on the private sector, stopping unfunded mandates to state and local government. We've come a long way; we've got one more thing to do. Will you help me get campaign finance reform in the next four years?" President Clinton, Democratic National Convention, August 29, 1996 PRINTER FONT 12_POINT_ROMAN "Influence groups too often promote their own interest at the expense of the public interest. Too often they operate in secret. Too often they have special privileges ordinary Americans don't even know exist If we truly believe in a government that puts ordinary Americans ahead of the powerful and privileged, then we must act and act now." PRINTER FONT 11_POINT_ROMAN_ITALIC President Clinton, Supporting McCain-Feingold Bipartisan Campaign Reform, February 17, 1996 END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 READ RECEIPT) CREATOR: POSTMASTER (SYS) CREATION DATE/TIME:21-OCT-1996 17:32:00.00 SUBJECT: Auto reply from FLEMING_P TO: Jeffrey Levi (LEVI_J) (WHO) READ:21-OCT-1996 17:33:29.99 TEXT: I will be in Boston for a meeting on Tuesday, October 22. Will return on Wednesday, Oct. 23. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Carol H. Rasco (RASCO_C) (WHO) CREATION DATE/TIME:21-OCT-1996 08:17:07.25 SUBJECT: RE: The future TO: Jeffrey Levi (LEVI_J) (WHO) READ:21-OCT-1996 09:11:48.57 TEXT: I have not been ignoring your excellent message. I am trying to work through with COS office and others different issues for next term and may not be allowed to do indepth discussions with DPC staff until after election on who is staying and for how long, etc. I am very interested in what you write but don't know that I can tell you much definitive until post-Nov. 5 I'll keep you posted and in the meantime I would be interested in your timeline for a decision. Thanks so much! RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: [email protected]@INET@EOPMRX CREATION DATE/TIME:21-OCT-1996 11:08:00.00 SUBJECT: Problem definition -Reply -Forwarded TO: levi_j (levi_j@A1@CD) (WHO) READ:21-OCT-1996 14:32:18.67 TEXT: Date: 10/21/1996 09:17 am (Monday) From: Christina Ritter To: internet:[email protected] CC: internet:[email protected]:[email protected]. gov,internet:[email protected] Subject: Problem definition -Reply Aimee- Your write-up looks great to me, the only real problem I think we face is defining quality! All of the reading I have been doing alludes to two aspects of health care quality, something that is very subjective, (1) patient satisfaction with treatment and (2) health outcomes (mortality, morbidity, functional status, quality of life) for specific indications. What do you think of the following? quality: providing the necessary diagnostic tests and treatments that already are known to lead to good health outcomes and that also satisfy patient expectations. I really like your expanded definition. It mirrors the background info I compiled. I will try to work the two together by Thursday. I have supported what you wrote with information on the number of individuals under managed care today. I use cites from the extensive JAMA study finding the impoverished and elderly have poorer physical and mental health outcomes under managed care vs. FFS and the 1995 Common Wealth Fund (an independent group) Study finding poor perceptions of and satisfaction with care for low income managed care patients vs. FFS patients. I also have a JAMA meta-analysis, cited by AAHP, that finds no difference between managed care and FFS. I have included the rate of conversion to managed care for Medicaid and Medicare. Finally, I noted the current trends, both toward state legislation (400 new pieces of legislation introduced this year) and toward increasing demand for quality measures by sponsors, Medicare, and other purchasing agents. Do you think this is too much?? I am hesitant to use the graph on page three - only because it brings up problems with managed care that we are not really addressing, or that we are not addressing at that level - such as directly addressing preventative care. But I'm open. Off the cuff, I would be inclined to do a similar chart using the three problems of managed care cited in the problem definition. Also, for our policy objective - I have come up with the following. policy objective: To ensure a minimum level of quality care in the managed care setting for all plan members. Any thoughts? Thanks again for the consumer bill of rights, I have found it very useful. I Hope I haven't taken too much of your time - See you Wednesday. Chris ATTACHMENT 1 ATT CREATION TIME/DATE:21-OCT-1996 11:08:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from conversion.pmdf.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Mon, 21 Oct 1996 11:07:40 -0400 (EDT) Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Mon, 21 Oct 1996 11:07:30 -0400 (EDT) Received: from hcfa.gov (158.73.85.22) by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]> for [email protected]; Mon, 21 Oct 1996 11:02:55 -0700 (MST) Received: from HCFA-Message_Server by hcfa.gov with Novell_GroupWise; Mon, 21 Oct 1996 11:05:30 -0500 X-Mailer: Novell Group Wise 4.1 END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: [email protected]@INET@EOPMRX CREATION DATE/TIME:21-OCT-1996 09:14:00.00 SUBJECT: UNSUB AIDSNEWS TO: levi_j (levi_j@A1@CD) (WHO) READ:21-OCT-1996 14:33:38.71 TEXT: You have been removed from list [email protected]. Thanks for being with us. ATTACHMENT I ATT CREATION TIME/DATE:21-OCT-1996 09:15:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from conversion.pmdf.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Mon, 21 Oct 1996 09:14:23 -0400 (EDT) Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]>for [email protected]; Mon, 21 Oct 1996 09:14:13 -0400 (EDT) Received: from aspen3.aspensys.com (aspensys3.aspensys.com) by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]>for [email protected]; Mon, 21 Oct 1996 09:10:47 -0700 (MST) Received: by aspen3.aspensys.com (SMI-8.6/SMI-SVR4) id JAA10256; Mon, 21 Oct 1996 09:13:49 -0400 Errors-to: [email protected] X-Comment: Aspen Systems List Server X-Listprocessor-version: 6.0c -- ListProcessor by Anastasios Kotsikonas END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:21-OCT-1996 14:44:27.73 SUBJECT: RE: The future TO: Carol H. Rasco (RASCO_C) (WHO) READ:21-OCT-1996 14:47:53.99 TEXT: Thanks for your message. My first preference is to stay with the Administration if we can work this out. I certainly understand that nothing can be discussed in detail or decided prior to the election. I have told Patsy that it is my plan to leave the AIDS office by December 1st. If staying on in another capacity is not likely to work out, I will need to be able to talk with some specificity with potential funders (for some independent policy work) by mid-November -- in order to have some projects in place by the first of the year. Let me know if this timeline works for you thanks again. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:21-OCT-1996 14:34:22.65 SUBJECT: RE: UNSUB AIDSNEWS TO: listproc ( [email protected]@INET@EOPMRX ] READ:NOT READ TEXT: why was I removed? i did not make this request and want to continue to receive it!!! RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Elizabeth E. Drye (DRYE_E) (OPD) CREATION DATE/TIME:21-OCT-1996 12:11:12.69 SUBJECT: FYI POTUS/VPOTUS Sites and Messages, next two weeks. TO: Elizabeth E. Drye (DRYE_E) (OPD) READ:21-OCT-1996 14:20:37.90 TO: Jeremy D. Benami (BENAMI_J) (WHO) READ:21-OCT-1996 12:13:22.46 TO: Molly Brostrom (BROSTROM_M) (WHO) READ:21-OCT-1996 13:31:06.07 TO: Dennis Burke (BURKE_D) (OPD) READ:21-OCT-1996 13:23:23.33 TO: Diane Regas (REGAS_D) (OPD) READ:21-OCT-1996 14:31:18.57 TO: Patsy Fleming (FLEMING_P) (WHO) READ:21-OCT-1996 12:11:36.07 TO: Diana M. Fortuna (FORTUNA_D) (OPD) READ:21-OCT-1996 12:13:08.02 TO: Christopher C. Jennings (JENNINGS_C) (WHO) READ:27-OCT-1996 21:35:55.97 TO: Jennifer L. Klein (KLEIN_J) (OPD) READ:21-OCT-1996 18:19:52.50 TO: Jeffrey Levi (LEVI_J) (WHO) READ:21-OCT-1996 14:28:48.02 TO: Jill Pizzuto (PIZZUTO_J) (OPD) READ:21-OCT-1996 12:13:51.59 TO: Stephen C. Warnath (WARNATH_S) (OPD) READ:21-OCT-1996 12:46:06.23 TO: Paul J. Weinstein, Jr (WEINSTEIN_P) (OPD) READ:21-OCT-1996 13:39:30.73 TO: Lyndell Hogan (HOGAN_L) (OPD) READ:21-OCT-1996 12:40:45.35 TO: Jeanine D. Smartt (SMARTT_J) (OPD) READ:21-OCT-1996 12:33:40.42 TO: Michael Cohen (COHEN_M) (OPD) READ:21-OCT-1996 14:34:18.85 TO: Sandra L. Bublick-Max (BUBLICKMAX_S) (OPD) READ:21-OCT-1996 15:03:20.52 TO: Leanne A. Shimabukuro (SHIMABUKUR_L) (OPD) READ:21-OCT-1996 14:25:06.28 CC: Carol H. Rasco (RASCO_C) (WHO) READ:21-OCT-1996 13:32:48.26 TEXT: ATTACHMENT 1 ATT CREATION TIME/DATE:21-OCT-1996 11:24:00.00 ATT BODYPART TYPE:H ATT CREATOR: Claudia M. Rayford-Williams ATT SUBJECT: Here are the minutes from the 11am ATT TO: Elizabeth E. Drye (DRYE_E) ATT CC: Jill Pizzuto (PIZZUTO_J) TEXT: PRINTER FONT 12_POINT_COURIER Notes from Ilam conf. call - 10/21/96 Stephanie Street: Week ahead- Potus Today Clevland, Ohio (Education message) DNC lunch Detroit/airport ribbon cutting Tuesday NATO speech - Detroit- Fischer Theatre Miami Day Community College- Education speech Wed. Daytona Beach/Welfare to Work program remarks Thursday Birmingham, Alabama - Value & Families Lake Charles, Louisiana - Job retraining or Welfare to Work New Orleans - possibl messages - value or crime Friday Youth Day rally - Georgia State University Macon - Keeping America's defense's strong w/ Sen. Nunn Tape radio address Sat. Off - Mrs. Clinton's birthday Note: Message - President has been asking about editorial boards that have been done by the agencies. The # that have been done so far have been very good. Please continue to submit reports. VP's schedule (Lorraine) Today Las Vegas (Technologies) LA (Latino leaders) Reception for Calif. Senate Tues. Montana Wed. Deluth Minneapolis - Crime Thursday Madison - Wisconsin education association N.Y. - fundraising Fri. Michigan Ohio - Unsure Don Baer - Message Undescoring vision for 21st century & plan to lead us there. Drawing more contrast between himself & his opponent. Making clear there is a real practical consequence to the vote. Look at his closing statement from the final debate for talking points. Issues like Education, welfare to work, & all familiy values issues, crime, youth crime in particular, finishing the job of welfare reform. New report from Dept. of Education on how well the new direct lending program has worked. Will have more college loans if he is elected. Daytona - Welfare reform, may have some announcement to be made there w/ a welfare to work program. Values/family community issues message will start in Birmingham, Grumman factory in Lake Charles & then in New Orleans. Atlanta, large youth rally hooked up throughout the country. He'll make a strong contrast point where he is & where the opponent is on education. No real hot news. Continuing to press the old themes. End of Call 11:15am. PRINTER FONT6_POINT_COURIER CRW END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:21-OCT-1996 17:32:57.13 SUBJECT: RE: AIDS disability policy TO: Margaret A. Murray ( Margaret A. Murray@EOP@LNGTWY@EOPMRX ) READ:NOT READ CC: Patsy Fleming (FLEMING_P) (WHO) READ:23-OCT-1996 09:35:51.14 TEXT: Meg--the agenda looks good. One comment: we need to be careful about how we articulate this issue -- we have only short-term data on the impact of protease inhibitors. We certainly need to be careful about not reopening the case definition at this time. Two related issues we may want to raise: (1) It would be useful to discuss what is happening with the DA&A recertification process. There are many people with HIV who got their original eligibility through DA&A but also need SSI because of their HIV. (2) About a month ago our office did a conference call between client services managers of some of the AIDS service providers and SSA to discuss the problems some of them are experiencing getting presumptive eligibility for their clients. SSA is supposed to be following up with some training and guidance for their field offices. It would be good to get a status report. Thanks for all you help on this. Jeff RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: Margaret A. Murray@EOP@LNGTWY@EOPMRX CREATION DATE/TIME:21-OCT-1996 13:37:00.00 SUBJECT: AIDS disability policy TO: sshaker ([email protected]@INET) READ:NOT READ TO: rgraydon ([email protected]@INET) READ:NOT READ TO: jklemm ([email protected]@INET) READ:NOT READ TO: LEVI_J (LEVI_J@A1@CD) (WHO) READ:21-OCT-1996 14:30:36.61 TO: FLEMING_P (FLEMING_P@A1@CD)( (WHO) READ:21-OCT-1996 13:51:14.08 TO: Ireed2 ([email protected]@INET) READ:NOT READ TO: lhardy ([email protected]@INET) READ:NOT READ TO: CMcMille ([email protected]) READ:NOT READ TO: Richard E. Green ( Richard E. Green@EOP@LNGTWY@EOPMRX) READ:NOT READ TO: Katie Hong (Katie Hong@EOP@LNGTWY@EOPMRX) READ:NOT READ CC: Barry T. Clendenin ( Barry T. Clendenin@EOP@LNGTWY@EOPMRX) READ:NOT READ CC: Mark E. Miller (Mark E. Miller@EOP@LNGTWY@EOPMRX) READ:NOT READ CC: Barbara E. Washington ( Barbara E. Washington@EOP@LNGTWY@EOPMRX] READ:NOT READ CC: Anne E. Tumlinson ( Anne E. Tumlinson@EOP@LNGTWY@EOPMRX). READ:NOT READ CC: Wm G. White ( Wm G. White@EOP@LNGTWY@EOPMRX) READ:NOT READ CC: Richard J. Turman Richard J. Turman@EOP@LNGTWY@EOPMRX) READ:NOT READ TEXT: Message Creation Date was at 21-OCT-1996 13:33:00 The meeting on AIDS disability will take place in the New Executive Office Building at 725 17th Str, NW in room 9104 from 2-4. The purpose for the meeting is to discuss current disability policy with respect to AIDS and how this might change given the protease inhibitors. There will be representives from the White House Office of National AIDS Policy, HCFA, SSA, ASPE, ASMB and OMB. The agenda will include: Clinical and Medicaid Policy Context SSA statistics for People with AIDS (PWA) How many people does SSA estimate will be on SSI and SSDI who are disabled due to HIV/AIDS in FY 98? How much will be spent on an aggregate basis in SSI and SSDI on the HIV/AIDS population in FY 98? How much is spent on a per capita basis? Please describe collaboration between HCFA and SSA in terms of AIDS policy and baseline estimation. Could SSA estimate the change in expenditures and enrollment of changes in disability policy? Current Disability Policy for People with AIDS What are the current disability policies for AIDS? Should AIDS still be considered a permanent disability leading to death or should it be considered a nonperment disability, given the new Protease Inhibitor drugs? Please describe the continuing eligiblity review process for AIDS beneficiaries. What is the periodicity of the reviews? How might this be impacted by the changes in AIDS therapy (i.e. disability cycling)? For how long are PWA typically eligible for SSI and SSDI? How often are redeterminations actually done? Current Work Incentive Policies Please explain the policy allowing Medicare or Medicaid coverage to continue after entitlement to SSDI or SSI ends. How many people are using the 1619(a) and 1619(b) programs? How many could be eligible for it who are not taking advantage of it? How many are HIV-postive? What type of outreach is done to attract people into the 1619(a) and (b) programs? RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:21-OCT-1996 09:14:39.14 SUBJECT: Susan DeLaurentis TO: Patsy Fleming (FLEMING_P) (WHO) READ:21-OCT-1996 10:35:29.48 TEXT: A reminder about checking with Betsy DeJamoos about Susan's appointment -- the OARAC meeting is next week, I believe. RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: Margaret A. Murray@EOP@LNGTWY@EOPMRX CREATION DATE/TIME:21-OCT-1996 13:46:00.00 SUBJECT: P.S. The AIDS/disability meeting is on Wednesday, Oct 23. TO: sshaker ([email protected]@INET) READ:NOT READ TO: rgraydon ([email protected]@INET) READ:NOT READ TO: jklemm ([email protected]@INET) READ:NOT READ TO: LEVI_J (LEVI_J@A1@CD) (WHO) READ:21-OCT-1996 14:31:53.01 TO: FLEMING_P (FLEMING_P@A1@CD) (WHO) READ:21-OCT-1996 13:53:29.27 TO: Ireed2 ([email protected]@INET) READ:NOT READ TO: lhardy ( [email protected]@INET) READ:NOT READ TO: CMcMille ([email protected]@INET) READ:NOT READ TO: Richard E. Green ( Richard E. Green@EOP@LNGTWY@EOPMRX) READ:NOT READ TO: Katie Hong (Katie Hong@EOP@LNGTWY@EOPMRX) READ:NOT READ CC: Barry T. Clendenin ( Barry T. Clendenin@EOP@LNGTWY@EOPMRX ). READ:NOT READ CC: Mark E. Miller (Mark E. Miller@EOP@LNGTWY@EOPMRX) READ:NOT READ CC: Barbara E. Washington ( Barbara E. Washington@EOP@LNGTWY@EOPMRX) READ:NOT READ CC: Anne E. Tumlinson ( Anne E. Tumlinson@EOP@LNGTWY@EOPMRX ). READ:NOT READ CC: Wm G. White ( Wm G. White@EOP@LNGTWY@EOPMRX) READ:NOT READ CC: Richard J. Turman (Richard J. Turman@EOP@LNGTWY@EOPMRX) READ:NOT READ TEXT: Message Creation Date was at 21-OCT-1996 13:38:00 Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 007. email From: Jeffrey Levi, To: Patsy Fleming, Re: Wednesday Morning 10/21/1996 b(6) [personal] [partial] (1 page) COLLECTION: Clinton Presidential Records Automated Records Management System [Email] WHO ([Jeffrey Levi...]) OA/Box Number: 500000 FOLDER TITLE: [10/17/1996 - 10/25/1996] 2018-0759-F jn436 RESTRICTION CODES Presidential Records Act - |44 U.S.C. 2204(a)] Freedom of Information Act - 15 U.S.C. 552(b)| PI National Security Classified Information [(a)(1) of the PRA] b(1) National security classified information [(b)(1) of the FOIA] P2 Relating to the appointment to Federal office |(a)(2) of the PRA] b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute |(a)(3) of the PRA] an agency [(b)(2) of the FOIA] P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute |(b)(3) of the FOIA] financial information [(a)(4) of the PRA] b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information [(b)(4) of the FOIA] and his advisors. or between such advisors [a)(5) of the PRA] b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy |(b)(6) of the FOIA] personal privacy [(a)(6) of the PRA] b(7) Release would disclose information compiled for law enforcement purposes [(b)(7) of the FOIA] C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions ((b)(8) of the FOIA] PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells [(b)(9) of the FOIA] RR. Document will be reviewed upon request. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:21-OCT-1996 14:47:50.39 SUBJECT: Wednesday morning TO: Patsy Fleming (FLEMING_P) (WHO) READ:21-OCT-1996 15:27:49.18 CC: Carmena Parris (PARRIS_C) (OPD) READ:22-OCT-1996 07:44:18.56 CC: Lahoma Romocki (ROMOCKI_L) (OPD) READ:22-OCT-1996 10:43:13.26 CC: Ursula Sanville (SANVILLE_U) (OPD) READ:21-OCT-1996 14:48:19.32 TEXT: I will be back in the office late on Wednesday -- (b)(6) (b)(6) but I [007 I should be in by 1 p.m. in advance of the meeting with OMB and SSA. Thanks. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:22-OCT-1996 15:43:31.38 SUBJECT: RE: OARAC -Reply TO: Timothy Westmoreland ([email protected]@INET@EOPMRX ) READ:NOT READ TEXT: not a clue who peggy is perhaps she is calling your mother? RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Leanne A. Shimabukuro (SHIMABUKUR_L) (OPD) CREATION DATE/TIME:22-OCT-1996 14:35:06.06 SUBJECT: daily memo -- reminder to all TO: Elizabeth E. Drye (DRYE_E) (OPD) READ:22-OCT-1996 16:28:29.95 TO: Jeremy D. Benami (BENAMI_J) (WHO) READ:22-OCT-1996 19:22:34.53 TO: Molly Brostrom (BROSTROM_M) (WHO) READ:22-OCT-1996 14:35:42.01 TO: Dennis Burke (BURKE_D) (OPD) READ:22-OCT-1996 14:38:54.75 TO: Diane Regas (REGAS_D) (OPD) READ:22-OCT-1996 14:50:02.60 TO: Patsy Fleming (FLEMING_P) (WHO) READ:23-OCT-1996 10:13:31.15 TO: Diana M. Fortuna (FORTUNA_D) (OPD) READ:22-OCT-1996 17:22:22.36 TO: Christopher C. Jennings (JENNINGS_C) (WHO) READ:27-OCT-1996 21:37:14.13 TO: Jennifer L. Klein (KLEIN_J) (OPD) READ:22-OCT-1996 17:16:34.36 TO: Jeffrey Levi (LEVI_J) (WHO) READ:22-OCT-1996 21:08:40.54 TO: Jill Pizzuto (PIZZUTO_J) (OPD) READ:22-OCT-1996 15:06:27.69 TO: Stephen C. Warnath (WARNATH_S) (OPD) READ:22-OCT-1996 14:42:46.28 TO: Paul J. Weinstein, Jr (WEINSTEIN_P) (OPD) READ:22-OCT-1996 14:42:20.26 TO: Lyndell Hogan (HOGAN_L) (OPD) READ:28-OCT-1996 08:58:43.09 TO: Jeanine D. Smartt (SMARTT_J) (OPD) READ:22-OCT-1996 16:25:22.89 TO: Michael Cohen (COHEN_M) (OPD) READ:22-OCT-1996 15:19:25.45 TO: Sandra L. Bublick-Max (BUBLICKMAX_S) (OPD) READ:22-OCT-1996 14:52:41.97 TEXT: Please remember if you want to include a bullet in the President's daily, please send it to me as soon as possible. I need to ship off the memo by 3:00 so your speed is appreciated! RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:22-OCT-1996 10:45:20.79 SUBJECT: RE: Meeting on National Strategy TO: Ursula Sanville (SANVILLE_U) (OPD) READ:22-OCT-1996 10:50:51.58 TEXT: No...I can't make it at 10:30 on Wednesday --- I think I cc'd you on an e-mail to Patsy saying I would be in by 1 tomorrow. I can do it either before or after the OMB meeting. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:22-OCT-1996 10:47:50.37 SUBJECT: OARAC TO: Remote Addressee ([email protected]@INET@EOPMRX) READ:NOT READ TEXT: have you heard anything back re Susan's appointment to OARAC? I spoke to Betsy DeJamoos last week; Patsy spoke with her Friday; I reminded her to follow up yesterday -- but didn't hear anything back. Do we still need to be pushing this? thanks. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Elizabeth E. Drye (DRYE_E) (OPD) CREATION DATE/TIME:22-OCT-1996 12:14:16.70 SUBJECT: Daily memos to the President TO: Elizabeth E. Drye (DRYE_E) (OPD) READ:NOT READ TO: Jeremy D. Benami (BENAMI_J) (WHO) READ:22-OCT-1996 19:19:58.77 TO: Molly Brostrom (BROSTROM_M) (WHO) READ:22-OCT-1996 12:16:24.65 TO: Dennis Burke (BURKE_D) (OPD) READ:22-OCT-1996 12:58:34.92 TO: Diane Regas (REGAS_D) (OPD) READ:22-OCT-1996 12:35:03.21 TO: Patsy Fleming (FLEMING_P) (WHO) READ:23-OCT-1996 10:12:36.21 TO: Diana M. Fortuna (FORTUNA_D) (OPD) READ:22-OCT-1996 12:51:18.87 TO: Christopher C. Jennings (JENNINGS_C) (WHO) READ:23-OCT-1996 15:29:30.25 TO: Jennifer L. Klein (KLEIN_J) (OPD) READ:22-OCT-1996 12:38:39.67 TO: Jeffrey Levi (LEVI_J) (WHO) READ:22-OCT-1996 21:07:53.81 TO: Jill Pizzuto (PIZZUTO_J) (OPD) READ:22-OCT-1996 12:15:38.42 TO: Stephen C. Warnath (WARNATH_S) (OPD) READ:22-OCT-1996 12:26:10.70 TO: Paul J. Weinstein, Jr (WEINSTEIN_P) (OPD) READ:22-OCT-1996 14:42:47.70 TO: Lyndell Hogan (HOGAN_L) (OPD) READ:28-OCT-1996 08:57:51.33 TO: Jeanine D. Smartt (SMARTT_J) (OPD) READ:22-OCT-1996 16:24:13.95 TO: Michael Cohen (COHEN_M) (OPD) READ:22-OCT-1996 12:55:15.44 TO: Sandra L. Bublick-Max (BUBLICKMAX_S) (OPD) READ:22-OCT-1996 12:41:07.22 TO: Leanne A. Shimabukuro (SHIMABUKUR_L) (OPD) READ:22-OCT-1996 12:14:57.16 TEXT: Good News: We are not doing another weekly before the election. Bad News: The President has asked for daily briefing memos. Per attached, we should send worthy items in paragraph format to COS office by 3:00 pm every day. Leanne will consolidate. Please save any entries on the i drive by 2:00 pm each day save as daily.[your initials] and send Leanne an e-mail when you've done so. All -- Carol asked that we err on the side of providing too much info. JBA and Diana - Carol asked that you do a paragraph on this morning's meeting, noting that you met w/family service agencies before they met w/WP and noting their concerns. Jill -- Carol will forward daily updates on her trip activities in the evenings for inclusion in the following day's report. ATTACHMENT 1 ATT CREATION TIME/DATE:22-OCT-1996 10:58:00.00 ATT BODYPART TYPE:B ATT CREATOR: Brooks Scoville ATT SUBJECT: POTUS Daily Trip Memo ATT TO: Brooks Scoville (SCOVILLE_B) ATT TO: Betsy Myers (MYERS_B) ATT TO: Jason S. Goldberg (GOLDBERG_JS) ATT TO: Daniel Taberski (TABERSKI_D) ATT TO: Stacey L. Rubin (RUBIN_S) ATT TO: Janet Murguia (MURGUIA_J) ATT TO: Cheryl L Sweitzer (SWEITZER_C) ATT TO: Stephen B. Silverman (SILVERMAN_S) ATT TO: Katherine B. Hubbard (HUBBARD_K) ATT TO: Elizabeth M. Toohey (TOOHEY_E) ATT TO: Karin J. Abramson (ABRAMSON_K) ATT TO: John O. Sutton (SUTTON_J) ATT TO: James T. Heimbach (HEIMBACH_J) ATT TO: Michelle Crisci (CRISCI_M) ATT TO: Teresa Wildman (WILDMAN_T) ATT TO: Kevin Moran (MORAN_K1) ATT TO: Holly Carver (CARVER_H) ATT TO: Kathleen M. Wallman (WALLMAN_KM) ATT TO: Jodie R. Torkelson (TORKELSON_J) ATT TO: Michael D. Malone (MALONE_M) ATT TO: Karen L. Hancox (HANCOX_K) ATT TO: Gordon Li (LI_G) ATT TO: Edward F. Hughes (HUGHES_E) ATT TO: Lee A. Satterfield (SATTERFIEL_L) ATT TO: Michele M. Jolin (JOLIN_M) ATT TO: Shelley N. Fidler (FIDLER_S) ATT TO: LAWRENCE J. HAAS (HAAS_L) ATT TO: Elizabeth E. Drye (DRYE_E) ATT TO: Thomas O'Donnell (ODONNELL_T) ATT TO: John C. Angell (ANGELL_J) ATT TO: Jennifer Palmieri (PALMIERI_J) TEXT: Hello. We've decided to send a daily activities memo to the President today. If your office has anything to include, please e-mail it to me, or bring it on disk to the office by 3 pm. If you do not have anything to include, please e-mail me to let me know. Thanks! END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: [email protected]@INET@EOPMRX CREATION DATE/TIME:22-OCT-1996 11:03:00.00 SUBJECT: OARAC -Reply TO: LEVI_J (LEVI_J@A1@CD) (WHO) READ:22-OCT-1996 15:42:53.76 TEXT: I've heard nothing back about that. When I had lunch with Patsy last week, she asked me about it and said that she woudl "talk to Peggy." I didn't ask who Peggy is, but I assume you know. Any help you can give would be, of course, appreciated. TMW ATTACHMENT 1 ATT CREATION TIME/DATE:22-OCT-1996 11:03:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from conversion.pmdf.eop.gov by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Tue, 22 Oct 1996 11:02:59 -0400 (EDT) Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Tue, 22 Oct 1996 11:02:56 -0400 (EDT) Received: from WPGATE.LAW3.GEORGETOWN.EDU by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]> for [email protected]; Tue, 22 Oct 1996 10:59:18 -0700 (MST) Received: from LAWCAMPUS-Message_Server by WPGATE.LAW3.GEORGETOWN.EDU with Novell_GroupWise; Tue, 22 Oct 1996 11:03:47 X-Mailer: Novell GroupWise 4.1 Content-disposition: inline END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:22-OCT-1996 15:42:23.35 SUBJECT: RE: Meeting on National Strategy TO: Ursula Sanville (SANVILLE_U) (OPD) READ:22-OCT-1996 15:48:18.32 TEXT: the omb meeting is scheduled for 2 hours; I can do it after the Ricia meeting, if I can be out the door by 5:45 -- I have class tomorrow night. thanks. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Ursula Sanville (SANVILLE_U) (OPD) CREATION DATE/TIME:22-OCT-1996 15:50:32.61 SUBJECT: RE: Meeting on National Strategy TO: Jeffrey Levi (LEVI_J) (WHO) READ:22-OCT-1996 21:08:53.24 TEXT: Let's do it after the Ricia meeting and we'll get done as much as we can. Thanks. Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 008. email From: Jeffrey Levi, To: Ursula Sanville, Re: As Mentioned [personal] 10/22/1996 b(6) [partial] (1 page) COLLECTION: Clinton Presidential Records Automated Records Management System [Email] WHO ([Jeffrey Levi...]) OA/Box Number: 500000 FOLDER TITLE: [10/17/1996 - 10/25/1996] 2018-0759-F jn436 RESTRICTION CODES Presidential Records Act - |44 U.S.C. 2204(a)] Freedom of Information Act - 15 U.S.C. 552(b)] PI National Security Classified Information [(a)(1) of the PRA] b(1) National security classified information [(b)(1) of the FOIA] P2 Relating to the appointment to Federal office |(a)(2) of the PRA] b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute |(a)(3) of the PRA] an agency [(b)(2) of the FOIA] P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute |(b)(3) of the FOIA] financial information |(a)(4) of the PRA] b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information |(b)(4) of the FOIA] and his advisors, or between such advisors |a)(5) of the PRAJ b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy [(b)(6) of the FOIA] personal privacy [(a)(6) of the PRAJ b(7) Release would disclose information compiled for law enforcement purposes |(b)(7) of the FOIA] C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions [(b)(8) of the FOIA] PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells |(b)(9) of the FOIA] RR. Document will be reviewed upon request. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:22-OCT-1996 10:46:36.37 SUBJECT: as mentioned TO: Ursula Sanville (SANVILLE_U) (OPD) READ:22-OCT-1996 10:57:59.05 TEXT: ATTACHMENT 1 ATT CREATION TIME/DATE:21-OCT-1996 14:46:00.00 ATT BODYPART TYPE:B ATT CREATOR: Jeffrey Levi ATT SUBJECT: Wednesday morning ATT TO: Patsy Fleming (FLEMING_P) ATT CC: Carmena Parris (PARRIS_C) ATT CC: Lahoma Romocki (ROMOCKI_L) ATT CC: Ursula Sanville (SANVILLE_U) TEXT: I will be back in the office late on Wednesday -- (b)(6) (b)(6) but I [008] should be in by 1 p.m. in advance of the meeting with OMB and SSA. Thanks. END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Ursula Sanville (SANVILLE_U) (OPD) CREATION DATE/TIME:22-OCT-1996 10:57:44.79 SUBJECT: RE: Meeting on National Strategy TO: Jeffrey Levi (LEVI_J) (WHO) READ:22-OCT-1996 15:41:32.38 TEXT: You did, sorry. Let's try after the OMB meeting, say around 3:30? Patsy has a meeting with Ricia McMahon at 4:00. If this doesn't work we can try after PF's meeting. Richard said he can make it either time. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Ursula Sanville (SANVILLE_U) (OPD) CREATION DATE/TIME:22-OCT-1996 10:40:22.75 SUBJECT: Meeting on National Strategy TO: Patsy Fleming (FLEMING_P) (WHO) READ:23-OCT-1996 10:12:04.17 TO: Jeffrey Levi (LEVI_J) (WHO) READ:22-OCT-1996 10:44:09.63 TO: Richard Sorian (SORIAN_R) (OPD) READ:NOT READ TEXT: Patsy and Jeff -- There are a number of things we need to go over for the Strategy to get ready for a 11/2 release. From everyone's schedule it looks like Wednesday at 10:30 is a good time. (Richard will be out Thursday and Friday.) I've asked Carmena to hold that time on your schedules. Jane RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Sarah S. Freeman (FREEMAN_S) (WHO) CREATION DATE/TIME:23-OCT-1996 16:51:26.44 SUBJECT: AIDS letters TO: Jeffrey Levi (LEVI_J) (WHO) READ:23-OCT-1996 17:42:39.27 TEXT: I need your guidance on answering a few letters. two letters expressing concern over staff departures in the HIV/AIDS Division of USAID. several letters from AIDS groups thanking the President for his efforts to secure increases in the Ryan White CARE Act and the ADAP -- these are pure thank you letters. Is it appropriate to respond? one letter from the AIDS Policy Center goes on to ask the President to push NIH and the FDA for women and children's access to new AIDS treatments Thanks. sarah x65514 let me know if you want me to fax you the original letters. RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: [email protected]@INET@EOPMRX CREATION DATE/TIME:23-OCT-1996 18:48:00.00 SUBJECT: Tipper TO: levi_j (levi_j@Al@CD) (WHO) READ:24-OCT-1996 09:04:36.93 TEXT: How are things going with getting Tipper to the Leland opening?!! -Bob ATTACHMENT 1 ATT CREATION TIME/DATE:23-OCT-1996 18:49:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Wed, 23 Oct 1996 18:48:53 -0400 (EDT) Received: from igc7.igc.apc.org (igc7.igc.apc.org) by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]> for [email protected]; Wed, 23 Oct 1996 18:45:38 -0700 (MST) Received: from igc3.igc.apc.org (igc3.igc.apc.org [192.82.108.33]) by igc7.igc.org (8.7.6/8.7.3) with ESMTP id OAA12962 for <[email protected]>; Wed, 23 Oct 1996 14:48:57 -0700 (PDT) Received: from ppp4-21.igc.org ([email protected] [198.94.4.21]) by igc3.igc.apc.org (8.7.6/8.7.3) with SMTP id OAA29391 for <[email protected]>; Wed, 23 Oct 1996 14:32:01 -0700 (PDT) X-Sender: [email protected] (Unverified) X-Mailer: Windows Eudora Pro Version 2.2 (16) END ATTACHMENT 1 Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 009. email From: Jill Pizzuto, To: Jeffrey Levi, Re: Kennedy Center Tickets (1 10/23/1996 Personal Misfile page) COLLECTION: Clinton Presidential Records Automated Records Management System [Email] WHO ([Jeffrey Levi...]) OA/Box Number: 500000 FOLDER TITLE: [10/17/1996 - 10/25/1996] 2018-0759-F jn436 RESTRICTION CODES Presidential Records Act - |44 U.S.C. 2204(a)| Freedom of Information Act - [5 U.S.C. 552(b)] P1 National Security Classified Information |(a)(1) of the PRA] b(1) National security classified information |(b)(1) of the FOIA] P2 Relating to the appointment to Federal office [(a)(2) of the PRA] b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute [(a)(3) of the PRA] an agency |(b)(2) of the FOIA] P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute [(b)(3) of the FOIA] financial information |(a)(4) of the PRA] b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information [(b)(4) of the FOIA] and his advisors, or between such advisors [a)(5) of the PRA] b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy [(b)(6) of the FOIA] personal privacy [(a)(6) of the PRA] b(7) Release would disclose information compiled for law enforcement purposes [(b)(7) of the FOIA] C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions [(b)(8) of the FOIA] PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells [(b)(9) of the FOIA] RR. Document will be reviewed upon request. Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 010. email From: Jeffrey Levi, To: Jill Pizzuto, Re: Kennedy Center Tickets (1 10/23/1996 Personal Misfile page) COLLECTION: Clinton Presidential Records Automated Records Management System [Email] WHO ([Jeffrey Levi...]) OA/Box Number: 500000 FOLDER TITLE: [10/17/1996 - 10/25/1996] 2018-0759-F jn436 RESTRICTION CODES Presidential Records Act - [44 U.S.C. 2204(a)] Freedom of Information Act - 15 U.S.C. 552(b)] PI National Security Classified Information |(a)(1) of the PRA] b(1) National security classified information |(b)(1) of the FOIA] P2 Relating to the appointment to Federal office [(a)(2) of the PRAJ b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute [(a)(3) of the PRA] an agency [(b)(2) of the FOIA] P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute [(b)(3) of the FOIA] financial information [(a)(4) of the PRA] b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information [(b)(4) of the FOIA] and his advisors, or between such advisors [a)(5) of the PRA] b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy |(b)(6) of the FOIA] personal privacy |(a)(6) of the PRA] b(7) Release would disclose information compiled for law enforcement purposes |(b)(7) of the FOIA] C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions |(b)(8) of the FOIA] PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells |(b)(9) of the FOIA] RR. Document will be reviewed upon request. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Leanne A. Shimabukuro (SHIMABUKUR_L) (OPD) CREATION DATE/TIME:23-OCT-1996 15:23:41.06 SUBJECT: Daily TO: Elizabeth E. Drye (DRYE_E) (OPD) READ:23-OCT-1996 16:10:26.59 TO: Jeremy D. Benami (BENAMI_J) (WHO) READ:23-OCT-1996 15:44:58.96 TO: Molly Brostrom (BROSTROM_M) (WHO) READ:23-OCT-1996 15:24:27.02 TO: Dennis Burke (BURKE_D) (OPD) READ:23-OCT-1996 15:25:32.85 / TO: Diane Regas (REGAS_D) (OPD) READ:23-OCT-1996 15:48:38.06 TO: Patsy Fleming (FLEMING_P) (WHO) READ:23-OCT-1996 15:47:01.21 TO: Diana M. Fortuna (FORTUNA_D) (OPD) READ:23-OCT-1996 15:25:10.77 TO: Christopher C. Jennings (JENNINGS_C) (WHO) READ:27-OCT-1996 22:08:41.26 TO: Jennifer L. Klein (KLEIN_J) (OPD) READ:23-OCT-1996 15:23:56.87 TO: Jeffrey Levi (LEVI_J) (WHO) READ:23-OCT-1996 15:34:35.30 TO: Jill Pizzuto (PIZZUTO_J) (OPD) READ:23-OCT-1996 15:48:43.79 TO: Stephen C. Warnath (WARNATH_S) (OPD) READ:23-OCT-1996 15:30:09.81 TO: Paul J. Weinstein, Jr (WEINSTEIN_P) (OPD) READ:23-OCT-1996 18:08:25.40 TO: Lyndell Hogan (HOGAN_L) (OPD) READ:28-OCT-1996 09:01:37.22 TO: Jeanine D. Smartt (SMARTT_J) (OPD) READ:23-OCT-1996 15:32:07.01 TO: Michael Cohen (COHEN_M) (OPD) READ:23-OCT-1996 15:40:00.41 TO: Sandra L. Bublick-Max (BUBLICKMAX_S) (OPD) READ:23-OCT-1996 19:37:34.08 TEXT: Please remember to save any bullets you want included in the daily to the i:\dpc\data drive. Save it as "daily" followed by your initials. Thanks! RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Leanne A. Shimabukuro (SHIMABUKUR_L) (OPD) CREATION DATE/TIME:23-OCT-1996 12:24:14.88 SUBJECT: Reminder for daily-- please submit your bullet points TO: Elizabeth E. Drye (DRYE_E) (OPD) READ:23-OCT-1996 15:54:32.92 TO: Jeremy D. Benami (BENAMI_J) (WHO) READ:23-OCT-1996 15:42:08.11 TO: Molly Brostrom (BROSTROM_M) (WHO) READ:NOT READ TO: Dennis Burke (BURKE_D) (OPD) READ:23-OCT-1996 12:24:30.43 TO: Diane Regas (REGAS_D) (OPD) READ:23-OCT-1996 13:53:54.06 TO: Patsy Fleming (FLEMING_P) (WHO) READ:23-OCT-1996 12:24:30.94 TO: Diana M. Fortuna (FORTUNA_D) (OPD) READ:23-OCT-1996 12:56:56.39 TO: Christopher C. Jennings (JENNINGS_C) (WHO) READ:27-OCT-1996 22:08:32.16 TO: Jennifer L. Klein (KLEIN_J) (OPD) READ:23-OCT-1996 15:23:10.70 TO: Jeffrey Levi (LEVI_J) (WHO) READ:23-OCT-1996 13:48:14.03 TO: Jill Pizzuto (PIZZUTO_J) (OPD) READ:23-OCT-1996 13:28:23.35 TO: Stephen C. Warnath (WARNATH_S) (OPD) READ:23-OCT-1996 12:38:41.54 TO: Paul J. Weinstein, Jr (WEINSTEIN_P) (OPD) READ:23-OCT-1996 14:12:23.48 TO: Lyndell Hogan (HOGAN_L) (OPD) READ:28-OCT-1996 09:00:33.40 TO: Jeanine D. Smartt (SMARTT_J) (OPD) READ:23-OCT-1996 13:46:03.61 TO: Michael Cohen (COHEN_M) (OPD) READ:23-OCT-1996 12:50:14.18 TO: Sandra L. Bublick-Max (BUBLICKMAX_S) (OPD) READ:23-OCT-1996 12:29:20.88 TEXT: to me by 2:00pm. THANKS!! RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Ursula Sanville (SANVILLE_U) (OPD) CREATION DATE/TIME:24-OCT-1996 14:44:51.71 SUBJECT: scheduling request TO: Patsy Fleming (FLEMING_P) (WHO) READ:24-OCT-1996 14:55:18.24 TO: Jeffrey Levi (LEVI_J) (WHO) READ:24-OCT-1996 14:45:45.13 TEXT: I'll rework it. How do you want to handle the names issue - in the meeting yesterday we decided to go broad and not list names. Go with the list we had? ATTACHMENT 1 ATT CREATION TIME/DATE:24-OCT-1996 14:36:00.00 ATT BODYPART TYPE:B ATT CREATOR: Jeremy D. Benami ATT SUBJECT: Scheduling request ATT TO: Patsy Fleming (FLEMING_P) ATT TO: Jeffrey Levi (LEVI_J) ATT TO: Ursula Sanville (SANVILLE_U) ATT CC: Jill Pizzuto (PIZZUTO_J) TEXT: I have looked at the scheduling request and have the following thoughts: (1) this isn't a "Cabinet meeting" technically. People will react negatively to that term. Instead say "Meeting with Agency Heads and Cabinet Members" both in the request and in the purpose and background sections. (2) Reference the drug meeting earlier this year -- the purpose is similar: demonstrate that the President is engaged in leading the work of the administration on the issue (3) List some of the specific folks who would be included - both Cabinet and non. Our old request on this topic listed specific people. END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:24-OCT-1996 09:41:15.06 SUBJECT: Letters TO: Sarah S. Freeman (FREEMAN_S) (WHO) READ:24-OCT-1996 09:53:02.17 TEXT: I will send in a separate e-mail a memo we sent to the Advisory Council on USAID. Re the thank you letters -- always nice to acknowledge, but not necessary. Re David Harvey: a general letter saying this is indeed an important issue, this is why the Vice President has asked the FDA Commissioner to make recommendations on this matter is that enough??? RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Leanne A. Shimabukuro (SHIMABUKUR_L) (OPD) CREATION DATE/TIME:24-OCT-1996 14:23:36.19 SUBJECT: Daily report reminder-- please submit ASAP. Thanks! TO: Elizabeth E. Drye (DRYE_E) (OPD) READ:NOT READ TO: Jeremy D. Benami (BENAMI_J) (WHO) READ:24-OCT-1996 14:24:16.34 TO: Molly Brostrom (BROSTROM_M) (WHO) READ:24-OCT-1996 14:39:14.64 TO: Dennis Burke (BURKE_D) (OPD) READ:24-OCT-1996 14:50:25.21 TO: Diane Regas (REGAS_D) (OPD) READ:24-OCT-1996 14:45:19.22 TO: Patsy Fleming (FLEMING_P) (WHO) READ:NOT READ TO: Diana M. Fortuna (FORTUNA_D) (OPD) READ:24-OCT-1996 14:29:55.69 TO: Christopher C. Jennings (JENNINGS_C) (WHO) READ:27-OCT-1996 22:10:08.01 TO: Jennifer L. Klein (KLEIN_J) (OPD) READ:24-OCT-1996 14:23:58.43 TO: Jeffrey Levi (LEVI_J) (WHO) READ:24-OCT-1996 14:29:36.79 TO: Jill Pizzuto (PIZZUTO_J) (OPD) READ:24-OCT-1996 14:27:48.35 TO: Stephen C. Warnath (WARNATH_S) (OPD) READ:24-OCT-1996 14:30:47.53 TO: Paul J. Weinstein, Jr (WEINSTEIN_P) (OPD) READ:24-OCT-1996 14:47:47.94 TO: Lyndell Hogan (HOGAN_L) (OPD) READ:28-OCT-1996 09:05:32.28 TO: Jeanine D. Smartt (SMARTT_J) (OPD) READ:24-OCT-1996 17:22:41.31 TO: Michael Cohen (COHEN_M) (OPD) READ:24-OCT-1996 18:49:30.29 TO: Sandra L. Bublick-Max (BUBLICKMAX_S) (OPD) READ:NOT READ TEXT: RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:24-OCT-1996 14:02:28.23 SUBJECT: Memo from Patsy Fleming TO: Remote Addressee ([email protected]@INET@EOPMRX) READ:NOT READ TO: FAX (9-208-1821,Bob Hattoy) (TLXA1MAIL_\F:9-208-1821\C:Bob Hattoy\\) READ:NOT READ TO: FAX (914152554784,Ben Schatz) (TLXA1MAIL_\F:914152554784\C:Ben Schatz\\) READ:NOT READ TO: FAX (9-1-212-459-8061,Stephen Abel) (TLXA1MAIL_\F:9-1-212-459-8061\C:Stephen Abel\\) READ:NOT READ TO: FAX (916128223042, Carole LaFavor) (TLXA1MAIL_\F:916128223042\C:Carole LaFavor\\) READ:NOT READ TO: FAX (95460738, Alexander Robinson) (TLXA1MAIL_\F:95460738\C:Alexander Robinson\\) READ:NOT READ TO: FAX (9-1-510-267-7980,Mike Rankin) (TLXA1MAIL_\F:9-1-510-267-7980\C:Mike Rankin\\) READ:NOT READ TO: FAX (915059866120,Jeremy Landau) (TLXA1MAIL_\F:915059866120\C:Jeremy Landau\\) READ:NOT READ TO: FAX (915124732829, Tom Henderson) (TLXA1MAIL_\F:915124732829\C:Tom Henderson\\) READ:NOT READ TO: FAX (912126140057, Debra Fraser Howz (TLXA1MAIL_\F:912126140057\C:Debra Fraser Howze\\) READ:NOT READ TO: FAX (918028657701, Terje Anderson) (TLXA1MAIL_\F:918028657701\C:Terje Anderson\\) READ:NOT READ TO: FAX (914157770869,Nick Bollman) (TLXA1MAIL_\F:914157770869\C:Nick Bollman\\) READ:NOT READ TO: FAX (913145261684,Charles Troupe) (TLXA1MAIL_\F:913145261684\C:Charles Troupe\\) READ:NOT READ TO: FAX (912137640060,Alexandra Levine) (TLXA1MAIL_\F:912137640060\C:Alexandra Levine\) READ:NOT READ TO: FAX (914155753935, Steve Lew) (TLXA1MAIL_\F:914155753935\C:SteveLew\) READ:NOT READ TO: FAX (913122362321,Bob Fogel) (TLXAIMAIL_\F:913122362321\C:Bob Fogel\\) READ:NOT READ TO: FAX (918189060766,Ed Gould) (TLXA1MAIL_\F:918189060766\C:Ed Gould\) READ:NOT READ TO: FAX (918109397170,Kathy Gerus) (TLXA1MAIL_\F:918109397170\C:Kathy Gerus\) READ:NOT READ TO: FAX (912132320018,Altagracia Perez) (TLXA1MAIL_\F:912132320018\C:Altagracia Perez\\ ) READ:NOT READ TO: FAX (916122930706,Ric Stafford) (TLXA1MAIL_\F:916122930706\C:Rick Stafford\\) READ:NOT READ TO: FAX (914154873089, Regina Aragon) (TLXAIMAIL_\F:914154873089\C:Regina Aragon\\) READ:NOT READ TO: FAX (914048729661,Sandy Thurman) (TLXAIMAIL_\F:914048729661\C:Sandy Thurman\\) READ:NOT READ TO: FAX (98333472,Phyllis Greenberger) (TLXA1MAIL_\F:98333472\C:Phyllis Greenberger\\) READ:NOT READ TO: FAX (917028775342,Jerry Cade) (TLXA1MAIL_\F:917028775342\C.Jerry Cade\\) READ:NOT READ TO: FAX (914154766042,1 Helen Miramontes) (TLXA1MAIL_\F:914154766042\C:Helen Miramontes\\) READ:NOT READ TO: FAX (912126447485, Tonio Burgos) (TLXA1MAIL_\F:912126447485\C:Tonio Burgos\\) READ:NOT READ TO: FAX (913106573904,Scott Hitt) (TLXA1MAIL_\F:913106573904\C:ScotHit\) READ:NOT READ TO: Remote Addressee ([email protected]@INET@EOPMRX) READ:NOT READ TO: Remote Addressee ([email protected]@INET@EOPMRX ) READ:NOT READ TO: FAX (9-1-201-485-7769,Mary Boland) (TLXA1MAIL_\F:9-1-201-485-7769\C:Mary Boland\\) READ:NOT READ TO: FAX (9-1-615-385-7213,Debbie Runion (TLXA1MAIL_\F:9-1-615-385-7213\C:Debbie Runions\\) READ:NOT READ TO: Remote Addressee ([email protected]@INET) READ:NOT READ TO: FAX (9-1-404-639-8616,Bruce Weniger (TLXA1MAIL_\F:9-1-404-639-8616\C:Bruce Weniger\\) READ:NOT READ TEXT: PRINTER FONT 12_POINT_ROMAN October 24, 1996 MEMORANDUM TO THE PRESIDENTIAL ADVISORY COUNCIL ON HIV/AIDS FROM: Patricia S. Fleming, National AIDS Policy Director SUBJECT: Assistance to Native Americans under the Ryan White CARE Act Many of you have expressed concern about the recent developments regarding Federal assistance to organizations serving Native American populations under the Ryan White CARE Act. My office has worked closely with the Department of Health and Human Services and the Health Resources and Services Administration to resolve this issue. For the past five years, the National Native American AIDS Prevention Center (NNAAPC) has received assistance under the Ryan White CARE Act through two grants awarded under the Special Projects of National Significance (SPNS) program. These grants have enabled NNAAPC to establish a network of case management programs to serve Native Americans living with HIV. Earlier this year, NNAAPC applied for a third SPNS grant but that application was recommended for disapproval by an external peer review panel. As a result, NNAAPC was not awarded one of the 19 SPNS grants recently announced by HHS. HHS, HRSA, and ONAP agreed that it was important to find ways to continue to support the case management work being done by NNAAPC. Through some very hard work by HRSA, a plan has been developed to support NNAAPC and its 10 sites around the country. While the details are still being sorted out with NNAAPC, the following is the basic plan: o NNAAPC will be permitted to utilize $85,000 in unobligated funds to support its center in Oakland and Oklahoma until January 31, 1997; HRSA will provide an additional $405,000 in transitional assistance to NNAAPC to enable it to meet its contractual obligations to provide case management services until January 31, 1997; In November 1996, HRSA will issue a Request for Applications to "ensure the ongoing availability of services for Native American communities to enable such communities to care for Native Americans with HIV disease." A total of $1 million will be made available for this RFA under the SPNS program. An award or awards will be made on a competitive, peer review basis in January 1997. I want to thank Jeremy Landau and other members of the Advisory Council who expressed concern about this matter and provided assistance to this office, HHS, and HRSA in developing a flexible, workable solution. I especially want to thank Carole laFavor for her input, her determination, and her passion in this matter. RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: [email protected]@INET@EOPMRX CREATION DATE/TIME:24-OCT-1996 13:17:00.00 SUBJECT: Mathematica study -Reply TO: LEVI_J (LEVI_J@A1@CD) (WHO) READ:24-OCT-1996 13:55:57.20 TEXT: I agree....let me do a little checking with folks at HCFA on this, and I'll get back to you. Thanks for following up. Jeffrey Levi <[email protected]> 10/24/96 10:24am I just wanted to touch base with you about the Mathematica Medicare/HIV study. I am happy to be the heavy on this -- but someone -- ASPE, OMB, or ONAP -- needs to make sure we are fully briefed on the Mathematica study well in advance of the release at APHA so we can discuss how it is presented and how we deal with the budgetary/political implications of their findings. Let me know ATTACHMENT 1 ATT CREATION TIME/DATE:24-OCT-1996 13:17:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Thu, 24 Oct 1996 13:17:16 -0400 (EDT) Received: from OSASPE.DHHS.GOV by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]> for [email protected]; Thu, 24 Oct 1996 13:13:37 -0700 (MST) Received: from aspewise-Message_Server by OSASPE.DHHS.GOV with Novell_GroupWise; Thu, 24 Oct 1996 13:27:45 -0400 X-Mailer: Novell GroupWise 4.1 END ATTACHMENT 1 Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 011. email From: Jeffrey Levi, To: Remote Addressee, Re: Sugarbusters (1 page) 10/24/1996 Personal Misfile COLLECTION: Clinton Presidential Records Automated Records Management System [Email] WHO ([Jeffrey Levi...]) OA/Box Number: 500000 FOLDER TITLE: [10/17/1996 - 10/25/1996] 2018-0759-F jn436 RESTRICTION CODES Presidential Records Act - |44 U.S.C. 2204(a)] Freedom of Information Act - [5 U.S.C. 552(b)] P1 National Security Classified Information |(a)(1) of the PRA] b(1) National security classified information [(b)(1) of the FOIA] P2 Relating to the appointment to Federal office [(a)(2) of the PRA] b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute [(a)(3) of the PRA] an agency [(b)(2) of the FOIA] P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute [(b)(3) of the FOIA] financial information |(a)(4) of the PRA] b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information |(b)(4) of the FOIA] and his advisors, or between such advisors [a)(5) of the PRA] b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy |(b)(6) of the FOIA] personal privacy [(a)(6) of the PRA| b(7) Release would disclose information compiled for law enforcement purposes [(b)(7) of the FOIA] C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions |(b)(8) of the FOIA] PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells [(b)(9) of the FOIA] RR. Document will be reviewed upon request. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Ursula Sanville (SANVILLE_U) (OPD) CREATION DATE/TIME:24-OCT-1996 16:43:38.01 SUBJECT: RE: do you have an e-mail address for ed and pat??? TO: Jeffrey Levi (LEVI_J) (WHO) READ:24-OCT-1996 16:47:26.36 TEXT: yes -- for Ed it is [email protected] RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:24-OCT-1996 11:40:33.30 SUBJECT: Conference call TO: Remote Addressee ([email protected]@INET@EOPMRX) READ:NOT READ TEXT: Can we arrange a conference call for November 4th at 10 a.m. eastern time for the Bollman subcommittee of the Services committee. Please notify the entire services subcommittee plus Terje Anderson. Thanks. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:24-OCT-1996 14:46:14.85 SUBJECT: RE: scheduling request TO: Ursula Sanville (SANVILLE_U) (OPD) READ:24-OCT-1996 16:20:11.09 TEXT: i'd go with the list we had -- we can always add later. RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: [email protected]@INET@EOPMRX CREATION DATE/TIME:24-OCT-1996 16:45:00.00 SUBJECT: Re: Memo from Patsy Fleming TO: LEVI_J (LEVI_J@A1@CD) (WHO) READ:24-OCT-1996 16:48:15.80 TEXT: This is an automatic response to your e-mail addressed to Benjamin Schatz. Mr. Schatz will be out of the country until November 11, and will not be checking his e-mail. If you require assistance, and cannot wait until November 11, please contact Mr. Schatz' assistant, Marcello Lanfranchi at: [email protected] Or contact Associate Director Steve Taravella at: [email protected] You may also reach either of these by phoning 415-255-4547 any time between 9:30 a.m., and 5:30 p.m., PDT. ATTACHMENT 1 ATT CREATION TIME/DATE:24-OCT-1996 16:47:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Thu, 24 Oct 1996 16:45:18 -0400 (EDT) Received: from emout19.mail.aol.com (emout19.mx.aol.com) by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]> for [email protected]; Thu, 24 Oct 1996 15:33:18 -0700 (MST) Received: by emout19.mail.aol.com (8.6.12/8.6.12) id PAA22180 for [email protected]; Thu, 24 Oct 1996 15:31:38 -0400 END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeremy D. Benami (BENAMI_J) (WHO) CREATION DATE/TIME:24-OCT-1996 14:40:48.93 SUBJECT: Scheduling request TO: Patsy Fleming (FLEMING_P) (WHO) READ:24-OCT-1996 14:52:51.40 TO: Jeffrey Levi (LEVI_J) (WHO) READ:24-OCT-1996 14:42:39.33 TO: Ursula Sanville (SANVILLE_U) (OPD) READ:24-OCT-1996 14:42:26.79 CC: Jill Pizzuto (PIZZUTO_J) (OPD) READ:24-OCT-1996 14:41:55.64 TEXT: I have looked at the scheduling request and have the following thoughts: (1) this isn't a "Cabinet meeting" technically. People will react negatively to that term. Instead say "Meeting with Agency Heads and Cabinet Members" -- both in the request and in the purpose and background sections. (2) Reference the drug meeting earlier this year -- the purpose is similar: demonstrate that the President is engaged in leading the work of the administration on the issue (3) List some of the specific folks who would be included -- both Cabinet and non. Our old request on this topic listed specific people. RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: SYSTEM@MRGATE@CD CREATION DATE/TIME:24-OCT-1996 14:12:00.00 SUBJECT: SENT #685267 to 914152554784. 3 pages TO: LEVI_J@A1@CD@CD READ:24-OCT-1996 14:44:04.06 TEXT: FACSIMILE ACTIVITY REPORT SENT STATUS: Sent successfully Recipients FAX number: 914152554784 FAX Completion time: 24-OCT-96 13:59 Number of pages: 3 Transaction number: 685267 (Please call Client Services at 395-7370 for further assistance) ATTACHMENT 1 ATT CREATION TIME/DATE:24-OCT-1996 14:12:00.00 ATT BODYPART TYPE:D TEXT: VMSmail To information: MRGATE::CD::A1::LEVI_J Sender's personal name: System Manager END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:24-OCT-1996 15:07:18.20 SUBJECT: Pennsylvania TO: Remote Addressee ([email protected]@INET@EOPMRX ) READ:NOT READ TEXT: I have gotten some inquiries from folks in PA about the state waiver and whether HIV-relevant questions are being asked by HCFA in its review. I know nothing about the waiver -- and what its status is -- can you help me out with this? thanks. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:24-OCT-1996 09:50:56.49 SUBJECT: USAID issue TO: Sarah S. Freeman (FREEMAN_S) (WHO) READ:24-OCT-1996 09:53:37.27 TEXT: PRINTER FONT 12_POINT_ROMAN MEMORANDUM FOR PRESIDENTIAL ADVISORY COUNCIL MEMBERS FROM: Patsy Fleming RE: USAID Management and Staffing DATE: October 16, 1996 Yesterday I attended a meeting convened by Brian Atwood, Administrator of the U.S. Agency for International Development (USAID). He made a commitment that the agency would address the issues you raised in your resolution during the September Presidential Advisory Council meeting. Administrator Atwood underscored the importance of the HIV/AIDS program and stated that it would continue to be an important priority for the Administration. He also focused on the staffing issue, noting that 9 of the 12 designated HIV/AIDS staff positions had already been filled. The remaining three positions, including that of Chief of the Division, are expected to be filled by the end of the year. I wanted to inform you of this progress. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:24-OCT-1996 16:33:55.99 SUBJECT: do you have an e-mail address for ed and pat??? TO: Ursula Sanville (SANVILLE_U) (OPD) READ:24-OCT-1996 16:41:59.39 TEXT: RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: James A. Dorskind (DORSKIND_J) (WHO) CREATION DATE/TIME:24-OCT-1996 11:22:58.09 SUBJECT: RE: Petitions TO: Jeffrey Levi (LEVI_J) (WHO) READ:24-OCT-1996 11:35:52.02 TEXT: We do send an appropriate acknowledgement to the sponsoring organization. Could you send over a copy of the petition along with the cover letter that came with the petition package? Thanks. JD RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:24-OCT-1996 10:20:09.33 SUBJECT: Petitions TO: James A. Dorskind (DORSKIND_J) (WHO) READ:24-OCT-1996 11:09:08.04 TEXT: Patsy received from AIDS Action Council 60,000 post-card/petitions to the President about AIDS in general (they tried to present the same to Dole....). What's our policy on replying? I assume this is an impossible task? Do we just thank AIDS Action? Thanks. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:24-OCT-1996 10:27:17.27 SUBJECT: Mathematica study TO: Remote Addressee ([email protected]@INET@EOPMRX) READ:NOT READ TEXT: I just wanted to touch base with you about the Mathematica Medicare/HIV study. I am happy to be the heavy on this -- but someone -- ASPE, OMB, or ONAP -- needs to make sure we are fully briefed on the Mathematica study well in advance of the release at APHA so we can discuss how it is presented and how we deal with the budgetary/political implications of their findings. Let me know RECORD TYPE: PRESIDENTIAL (EXTERNAL MAIL) CREATOR: [email protected]@INET@EOPMRX CREATION DATE/TIME:24-OCT-1996 12:13:00.00 SUBJECT: Re: Conference call TO: Jeffrey Levi (LEVI_J@A1@CD) (WHO) READ:24-OCT-1996 13:55:44.98 TEXT: All set the number is (800) 403-2002; host code: 912398; part. code: 414025. The call is set for only 1 1/2 hours AT&T said the schedule is very tight that day, and the number will become unavailable after 11:30 a.m. -- otherwise we can get a different line. Just let me know if I should make the change. Thanks. From: Jeffrey Levi |To: KSF Subject: Conference call Date: Thursday, October 24, 1996 11:39AM Can we arrange a conference call for November 4th at 10 a.m. eastern time for the Bollman subcommittee of the Services committee. Please notify the entire services subcommittee plus Terje Anderson. Thanks. ATTACHMENT 1 ATT CREATION TIME/DATE:24-OCT-1996 12:13:00.00 ATT BODYPART TYPE:D TEXT: RFC-822-headers: Received: from storm.eop.gov (storm.eop.gov) by PMDF.EOP.GOV (PMDF V5.0-4 #6879) id <[email protected]> for [email protected]; Thu, 24 Oct 1996 12:13:09 -0400 (EDT) Received: from 206.65.240.10 (206.65.240.10) by STORM.EOP.GOV (PMDF V5.0-7 #6879) id <[email protected]> for [email protected]; Thu, 24 Oct 1996 12:09:42 -0700 (MST) Received: from SSSHQ5 ([206.65.240.10]) by ssshq5.s-3.com (post.office MTA v2.0 0813 ID# 0-18294U110) with SMTP id AAA187 for <[email protected]>; Thu, 24 Oct 1996 12:15:11 -0400 X-Mailer: Worldtalk (NetConnex V4.00a)/MIME END ATTACHMENT 1 RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:24-OCT-1996 13:55:41.88 SUBJECT: RE: USAID issue TO: Sarah S. Freeman (FREEMAN_S) (WHO) READ:24-OCT-1996 13:57:25.91 TEXT: he has not been in touch with us -- i think it would be fine to summarize the memo. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Sarah S. Freeman (FREEMAN_S) (WHO) CREATION DATE/TIME:24-OCT-1996 12:05:59.04 SUBJECT: RE: USAID issue TO: Jeffrey Levi (LEVI_J) (WHO) READ:24-OCT-1996 13:51:26.39 TEXT: Thanks for your help with the other letters. The USAID letter is also from David Harvey under NORA -- the letter ends saying they will contact Patsy Fleming to discuss this matter further. Has this happened? Does this effect the response? I was planning on summing Patsy's memo in a Presidential letter, but if she has talked with them already that may not be necessary. Let me know. Thanks. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:25-OCT-1996 09:05:56.70 SUBJECT: my text TO: Remote Addressee ([email protected]@INET) READ:NOT READ TEXT: PRINTER FONT 12_POINT_COURIER Problem Statement: There is increasing public debate about the apparent disparity between the quality of health care offered by managed care programs and traditional fee -for -service plans. There is increased public pressure for the government to resolve this problem. What do we mean by managed care? We are essentially talking about an approach that changes the financial equation between provider and consumer. Under managed care plans, providers are offered a flat fee -- known as a capitated rate -- to provide for all the care an individual might need (with some exceptions); under a traditional fee -for -service plan, providers are reimbursed based on the services they provide. Put differently: quote from Finkelstein, et al.: Unlike traditional insurance, managed care combines the roles of insuring against risk and arranging or providing for the actual delivery of medical care. Under the traditional insurance system, there was a clear distinction: providers delivered care and insurance companies paid at least a portion of the charge. Patients perceived that physicians were focused primarily on treating their health needs. Under the new system, providers generally work for or are under contract with the managed care plan, which not only acts as the insurer by bearing the risk; but also, sets the rules under which care is delivered to patients. Today's managed care patients may perceive that their physician has two clients: the plan and the patient. The trend toward managed care, in both public and private settings, has been offered as a more efficient -- and less expensive -- way to deliver health care. While the conversion to managed care has sometimes been shown to reduce cost, there are others who suggest this trend reflects that managed care companies tend to have among their clients those who need less costly forms of care. (For example, demonstration programs putting Medicaid clients into managed care have usually excluded those with disabilities.) The number of people in managed care has increased dramatically over the last several years. In 1991, 47% of those with employment based insurance were in some form of managed care; in 1994 that increased to 65%. The increase is more profound in Medicaid: 14% in 1993, 23% in 1994, xx% in 1995. To repeat, the fundamental difference between managed care and fee -for -service is the discretion given both patients and treating physicians in choosing health care options. Managed care plan managers define limits on treatment options (with difficult appeals processes when patients or providers wish to challenge it) and often offer providers financial incentives to limit care. Because this is the only plan their employer offers or their Medicaid program limits their switching options, the capacity for individuals to switch plans based on dissatisfaction with care is not a natural limit on the plans. There are a number of studies suggesting problems in the quality of health care delivered by managed care plans -- the most recent being (cite JAMA), as well as consumer dissatisfaction with managed care (Commonwealth Fund). While these have not gone without challenge from the managed care industry, the perception is firmly entrenched in the political arena that this is a problem in the health care system -- even as public policy continues to drive more people into managed care under both Medicare and Medicaid. To date, there have been several approaches taken to this problem. At the state level, 33 states passed legislation regulating HMOs in some way in the last year; New York State passed a comprehensive consumer bill of rights; [add outcome of CA initiative] and the Congress passed legislation restricting one HMO practice setting minimum hospital stays for childbirth to eliminate so -called "drive by" deliveries. In addition, the President has created an Advisory Council on Health Care Quality and Consumer Protection [verify name], designed to address this issue in a more comprehensive way. This is a problem. It is more than perception, given the number of studies that have suggested that there are better health outcomes and greater consumer satisfaction (the two are not necessarily the same) in fee -for -service plans than in managed care plans. However, this runs up against a competing problem: cost containment in the health care setting. Clearly any analysis of this problem must be particularly cognizant of the financial implications to the public and private sectors. The options we will consider as potential strategies for addressing this problem reflect different analyses for the cause of the problem as well as different philosophies. For example -- is the disparity caused by a lack of competition among HMO providers as there is among fee -for -service providers? Will an ever increasing (and more middle class) population in managed care provide a natural correction as they advocate for themselves within the system? Is it a money problem -- do reimbursement rates diminish quality? Is this a problem to resolve at the federal or state levels? RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:25-OCT-1996 14:27:44.01 SUBJECT: RE: MMWR 10/25/96: Impact of HIV Protease Inhibitors on TB TO: Wm G. White ( Wm G. White@EOP@LNGTWY@EOPMRX) READ:NOT READ TEXT: I just faxed this to you!!! This does make life complicated. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Virginia A. Huth (HUTH_V) (OMB) CREATION DATE/TIME:25-OCT-1996 13:42:52.37 SUBJECT: Ryan White TO: William G. White (WHITE_W) (OMB) READ:25-OCT-1996 13:44:29.75 TO: Jeffrey Levi (LEVI_J) (WHO) READ:25-OCT-1996 14:13:18.53 TEXT: Oops, I meant to say that the meeting was set for Wednesday, November 6 from 10 -12. Got my meetings mixed up. RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL) CREATOR: Jeffrey Levi (LEVI_J) (WHO) CREATION DATE/TIME:25-OCT-1996 14:26:33.32 SUBJECT: thank you TO: Remote Addressee ([email protected]@INET) READ:NOT READ TEXT: thanks for sending me the mmwr life can be complicated, can't it!