State Jurisdiction Research Articles

Trends in Treatments for Multisystem Inflammatory Syndrome in Children (MIS-C), United States, February 2020 - July 2021.

BackgroundMultisystem inflammatory syndrome in children (MIS-C) is a novel severe postinfectious condition associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The purpose of this report is to describe nationwide trends in the evolving clinical management of MIS-C.MethodsPatients with MIS-C were reported from state and local jurisdictions to the Centers for Disease Control and Prevention’s (CDC’s) MIS-C national surveillance system. Patients’ case reports were reviewed to ensure that they met the CDC MIS-C case definition and had sufficient data for analysis. The prevalence of use of treatments for MIS-C, temporal trends in use of these treatments, and frequency of administration of different treatment combinations were analyzed.ResultsThere were 4470 patients meeting the MIS-C case definition with onset dates from 19 February 2020 to 31 July 2021. The proportion of patients admitted to an intensive care unit (ICU) has declined over time, from 78.7% in April 2020 to 57.5% in June 2021 (P = .001). The most common treatments were intravenous immunoglobulin (IVIG), given to 85.6% of patients; steroids (77.7%), and antiplatelet medications (73.7%); use of each of these treatments has increased over time, particularly in patients not requiring admission to an ICU (all P < .001). Older patients and non-Hispanic Black patients were more likely to receive additional modes of therapy including vasoactive medication, noninvasive respiratory support, anticoagulation medication, and intubation/mechanical ventilation.ConclusionsIVIG, steroids, and antiplatelet medication have become increasingly utilized as standard treatment for MIS-C patients, while the use of other treatments may be contingent on the type and severity of clinical findings.

International Law Foundations and Conditions for the Formation of the Russian System of Administrative and Legal Support for Aviation Security

The Russian state system for ensuring aviation security is based on legislation that defines the goals, objectives, principles and a legal status of participants in transport legal relations. The purpose of the study was to determine the international legal foundations and conditions that contribute to the development of Russian legislation in the field of transport security, to study international experience in the fight against terrorism in transport and the main provisions of convention decisions that establish mandatory requirements for participating countries. The paper presents the results of the analysis of international, Russian legislation and the opinions of scientists, practitioners regarding the formation of a sustainable Russian system of transport security, its integration into the international security system. It describes various convention interpretations of the concepts of «aircraft in flight», «illegal acts on board an aircraft», various approaches to determining the jurisdiction of states. Proposals have been made to supplement Art. 20.1 «Petty hooliganism» of the Code of Administrative Offenses of the Russian Federation with the part providing for liability for petty hooliganism committed on board: «Petty hooliganism, that is, a violation of public order that threatens or may threaten the safety of the aircraft.»

First ecological report of bat diversity present in Sierra de Navachiste protected area, Sinaloa, Mexico

In Mexico, studies on bats have reported the presence of eight families and a total of 140 species, of which seven families and 55 species are reported for the state of Sinaloa. However, the Sierra de Navachiste, México is a natural protected area of state jurisdiction registered as an area subject to Ecological Conservation. studies on bat populations in this area are scarce or nonexistent, resulting in their environmental needs, current threats and the impact they have at population level being unknown. Despite finding a low species richness (five species), the migratory species Leptonycteris yerbabuenae was caught in Sierra de Navachiste. This bat is included on the IUCN red list (International Union for the Conservation of Nature) as a "vulnerable" species, and in Mexico it is listed as "Special protection" species. This bat is considered a keystone mutualist within the ecosystem due to its function as pollinator of the dominant columnar cacti and spreading its seeds though fruit consumption. These activities promote the dispersal of these plants and maintains the structure and health of the ecosystem. Due to the importance of the Sierra Navachiste as a refuge for at least five bat species, including one migratory and protected species, it is necessary to establish a management plan in order to protect the chiroptera community that depends on it.

TINJAUAN YURIDIS PENERAPAN UNDANG-UNDANG NO.11 TAHUN 2012 TENTANG SISTEM PERADILAN ANAK, TERHADAP SANKSI PIDANA ANAK SEBAGAI PELAKU TINDAK PIDANA NARKOTIKA (STUDI KASUS PADA WILAYAH HUKUM PENGADILAN NEGERI LUBUK PAKAM No. 10/PID/SUS-Anak/2017/PN-LBP )

The child is a treasure God Almighty that is highly anticipated by a family, because aside from being a descendant of a family of children as well as the next generation of the nation and successor development, namely a generation that is prepared as a subject of implementing sustainable development and control the future of a country. As time goes by children not only as a victim in a crime but there have been many children involved as perpetrators of the crime, in this case was the crime of narcotics is one of the extraordinary crime or "extraordinary crime". Regulations governing the criminal justice system of children aims to protect the rights of the child. Based on the background, the author raised the Thesis entitled "Juridical Review the implementation of the law No. 11 Year 2012 On Child justice system, criminal sanctions against children as perpetrators of Crime Narcotics (case study on Pengadilam of State jurisdiction Lubukpakam No. 14/Pid. Child/Sus-2017/PN-LBP, no. 15/Pid. Sus-child/2017/PN-LBP and no. 32/Pid. Sus-child/2017/PN-LBPMetode research in this thesis is done with normative juridical research is to do an analysis of the problem through legal principles as well as referring to the legal norms contained in the legislation. The data used are sourced from primary and secondary legal materials through the library reseach using research data from a variety of sources such as legislation, reading books, and the internet are judged relevant to this thesis was elevated to discover sejauhmana the application of law number 11 Year 2012 against the perpetrators of the crime of narcotics on the State Court jurisdiction Lubukpakam.

Limits to the Jurisdiction of States in Private Law Matters under International Law

For decades, public and private international law scholars have debated whether the customary international law on the jurisdiction of States applies to private law. In this article, I argue that it does. Subsequently, I analyse the content of the customary law on jurisdiction of States in different fields of private law with an emphasis on tort law.

Research and Testing Lead to Historic Code Change

Abstract Simply substituting wood for conventional building materials could provide almost a tenth of the global carbon emission reductions needed to meet 2030 goals. However, while structural light-frame wood products are the go-to building material in the United States for low-rise residential construction, capturing over 90 percent of the market, any kind of wood-frame construction at the time under examination was limited to 5 stories and 85 feet in height. These story and height limitations dated back decades and prevented the design and construction of larger and taller buildings. In 2014, the American Wood Council (AWC) began developing a plan to expand these limits, but recognized it would require the International Building Code, the predominant model code adopted in most local and state jurisdictions in the United States, to embrace a new type of construction: fire-resistance-rated tall mass timber.

Cross-jurisdictional larval supply essential for eastern Australian spanner crabs (

Context The spanner crab (Ranina ranina) stock of eastern Australia is distributed across two state jurisdictions and, as a non-migratory species with a pelagic larval phase, connectivity within this stock is likely to occur by larval dispersal, driven by ocean currents. Aims To understand connectivity and patterns of larval supply in the eastern Australian spanner crab stock. Methods Lagrangian particle tracking methods were used to simulate larval transport around the key spanner crab fishing regions in eastern Australia. Key results Spawning off central Queensland (Qld) supplies a large proportion of recruits, supporting both the Qld and New South Wales (NSW) fisheries. Lagged larval settlement showed significant correlations to catch-per-unit-effort and the proportion of total harvest taken within the NSW fishery, providing evidence to suggest that the NSW fishery may be reliant on spawning activity in Queensland. Conclusions The Qld and NSW fisheries are highly connected and the broad-scale patterns identified by the current modelling approach could provide an indicator of potentially good or bad recruitment years, particularly as finer resolution, and refined reproductive biology knowledge on spanner crabs becomes available. Implications The Qld and NSW fisheries are highly connected with a source–sink structure and it is recommended that a co-management strategy be adopted.

УЧАСТЬ FATF В МІЖНАРОДНО-ПРАВОВОМУ РЕГУЛЮВАННІ ПРОТИДІЇ ФІНАНСУВАННЮ ТЕРОРИЗМУ: ОЦІНКА МОЖЛИВОСТЕЙ ДЛЯ УКРАЇНИ

In the conditions of the modern development of the international financial sector, the importance of the anti-money laundering and terrorist financing system is particularly important. This system is regulated using FATF standards. The study of the elements of this system should take into account the situation that is happening in the world, in particular, political and military. The purpose of the article is to reveal the specifics of the FATF's activities in order to determine the possibilities of using this group's tools in the fight against Russia's military aggression against Ukraine. Based on the study of literary sources, the peculiarities of FATF functioning are summarized according to such characteristics as the purpose; sphere of interests; term of existence; the organizational structure; forms of cooperation; decision-making procedures at plenary meetings; budget; methods and mechanisms used in the activity. The article provides a retrospective analysis of the FATF's activities, provides an assessment of its expansion in thematic, subject, and geographical aspects. This made it possible to predict the effectiveness of the implementation of FATF tools in combating the financing of terrorism, taking into account the collective efforts of world political actors. The trends of FATF activity were analyzed (identification of state jurisdictions with strategic deficiencies and a weak system; fight against terrorist financing; working out the issue of "virtual assets"). It has been established that all of them are aimed at combating the financing of terrorism. Significant risks from Russia's financing of terrorism during the aggression against Ukraine were emphasized. This violates the requirements and principles of the FATF. In connection with the military aggression, Ukraine is currently trying and taking all possible actions to completely remove Russia from the FATF, as well as blacklisting it. The potential consequences (deterioration of the country's authority; complication of trade operations; reduction of funding for military operations) of the implementation of these procedures and obstacles to their implementation (significant time spent; possibility of blocking from Russia's position; insufficiently high level of effectiveness of the procedure) are identified.

The characterisation principle in South African competition law from a German law perspective

The characterisation principle — or the concept of characterisation — is a modern achievement of the South African competition law, with its roots in United States jurisdiction from which it was originally transferred into the South African legal system. Several far-reaching South African court decisions refer to the characterisation principle and make it an essential part. However, the positioning of the characterisation principle in South African competition law is complex. This is shown by the fact that, for example, the concept of characterisation obviously conflicts with the rationale of the per se prohibitions implemented in the South African Competition Act 89 of 1998. This article attempts to analyse the characterisation principle from a German law perspective in order to define its relevance, impact and limitation more precisely in the South African legal system.

The Intrigues and Intricacies of the Twin Concepts of Flag State Jurisdiction and the Requirement of a Genuine Link under International Maritime Law

The Intrigues and Intricacies of the Twin Concepts of Flag State Jurisdiction and the Requirement of a Genuine Link under International Maritime Law

The Terms of their Deal: Revitalizing the Treaty Right to Limit State Jurisdiction in Indian Country

The Terms of their Deal: Revitalizing the Treaty Right to Limit State Jurisdiction in Indian Country

Extraterritorial Implications of Turkish Legislation

Prescriptive jurisdiction of states is based on principles such as territoriality, nationality, passive nationality, universality, and protection. Although jurisdiction to prescribe is limited to the territory of the relevant State, geographic scope of application of any legislation can be determined in an extraterritorial manner. Regardless of the intense discussions on this issue, extraterritorial prescriptive jurisdiction is not considered a violation of international law. Decision of the Permanent Court of International Justice which was rendered in the SS Lotus case was accepted as the basis for objective territoriality principle and effect doctrine. In other words, States can exercise prescriptive jurisdiction for acts and conducts committed abroad that have an impact on their countries. Principle of objective nationality and effect doctrine are not the only basis for the application of legislation of a state to the conducts taking place abroad or persons living in another country. A state can also exercise extraterritorial prescriptive jurisdiction relying on the principle of passive nationality, protection principle or another basis. In Turkish law, geographic scope of application of an act and other legislation are rarely determined expressly on an extraterritorial basis. The extraterritoriality of any rule is defined by interpretation taking into account the purpose of the relevant rule. Extraterritorial application or implication of Turkish law can be seen in various areas such as legislation on anti-trust, personal data protection, anti-corruption, and securities. In addition to legislations regarding these issues, other legislations that have extraterritorial scope of application in Turkish law are discussed in this study.

Estimating the national fishing mortality of Southern Bluefin TunaThunnus maccoyiifrom Australia’s recreational fishing sector

AbstractSouthern Bluefin Tuna (SBT)Thunnus maccoyii(Castelnau) comprises a single, highly migratory stock that is managed internationally by the Commission for the Conservation of Southern Bluefin Tuna (CCSBT). CCSBT members are expected to provide estimates of all sources of fishing mortality within their allocation, including commercial and recreational catch and any additional mortality associated with discarded or released catch. In the absence of a national registration system for the SBT recreational fishery, which would provide a comprehensive sampling frame, an ensemble of off‐site and on‐site survey methods was used across five state jurisdictions to provide the first species‐specific national assessment of a recreational fishery in Australia. The national harvest of SBT for the 12 months from December 2018 to November 2019 by the recreational sector was 270t(239–301t: 95% CL). This survey has resulted in the first official recognition of a catch set aside to the recreational sector for an Australian Commonwealth managed fishery with 5% per cent of the CCSBT allocation to Australia now set aside for the sector.

Evaluating the effectiveness of problem-solving courts at preventing fatal and non-fatal opioid events: preliminary findings from Indiana

BackgroundFatal and non-fatal events associated with drug misuse are skyrocketing in most United States jurisdictions, including Indiana. Historically, the role of the judiciary is to arrest, impose sanctions and protect society from harm. Adults arrested for drug abuse in Indiana can be sentenced to 1 of 17 correctional facilities. As an alternative, they may be eligible to participate in a problem-solving court (PSC) programme that refers individuals to treatment as a pretrial diversionary strategy. The aim of the study is to determine which interventions offered by PSCs and correctional facilities impact morbidity and mortality. The study began in 2019 and will end in 2023; therefore, the results in this manuscript are preliminary.MethodsThe study cohort included two populations arrested for drug misuse: (1) adults sentenced to Indianan correctional facilities (1 January 2018 to 30 June 2021) and (2) adults participating in an Indiana PSC programme (1 January 2018 to 30 June 2021). The study used a mixed-methods design that integrated qualitative interviews of deputy wardens, PSC team members and service providers with the following quantitative datasets: sentencing information, emergency department visits, inpatient hospitalization admissions, prescription drug monitoring programme data and death records. The individuals will be followed at 2-week, 4-week, 6-month and 1-year intervals post-release. Difference-in-difference and time-to-event analyses will identify impactful interventions. A model will be created to show the effect of impactful interventions in Indiana counties that do not have PSCs.ResultsFindings are preliminary. There is variability amongst correctional facilities regarding programme eligibility, provided services and provision of medication-assisted treatment. All correctional facilities were severely impacted by the COVID-19 pandemic.ConclusionIt is anticipated that the adoption of impactful interventions will lower opioid-related morbidity and mortality rates.

The colonialism of carbon capture and storage in Alberta's Tar Sands

This essay considers carbon capture and storage (CCS) in relation to struggles over value and territorial jurisdiction in the Alberta Tar Sands. Critical engagements with CCS have pointed to the legitimising function of the technology and highlight its role normalising extraction in the tar sands. We suggest that neither the significance of CCS nor the legitimation function it performs can be fully understood absent an analysis of settler colonialism. CCS we argue is a colonial flanking mechanism directly centred on the governance of harm that construes harm in ways that reproduce settler colonial entitlements to Indigenous lands, bodies and ecosystems and helps to consolidate state jurisdiction and power in the tar sands. This construal of harm also productively intersects other colonial strategies of harm reduction relative to the tar sands, including the criminalisation of Indigenous jurisdiction, and is part of a broader relational context that prioritises settler colonial futurity.

Linking ecosystem services and the Sustainable Development Goals in Small Island Developing States: the case of Aruba

The economy and well-being in Small Island Developing States (SIDS) and other Subnational Island Jurisdictions (SNIJ) highly rely on marine and coastal ecosystem services (ESS). Moreover, SIDS and SNIJ share common challenges in achieving the Sustainable Development Goals (SDGs). Building a fact-based solution to demonstrate the link between ESS and SDGs is essential for nature conservation and sustainable development in SIDS and SNIJ. In this study, we developed a 5-step approach to capture the contribution of ESS to the achievement of SDGs in Aruba by means of a shortlist of indicators, with the aim to provide information for optimal policy investments to implement the Aruba 2030 roadmap. The results numerically and spatially demonstrate the contribution of fisheries, nature-based tourism and local cultural recreational ESS to achieve SDG targets 14.7 (increase SIDS' economic benefits from sustainable use of marine resources), 8.9 (devise and implement policies to promote sustainable tourism) and 3.4 (promote mental health and well-being); and how investing in these key ESS could lead to multiplying co-benefits for other SDGs. This paper also discusses how the 5-step approach and the outcomes can be used to assist other SIDS and SNIJ in their ambitions to meet the SDGs.

Constitutional Jurisdictions Between the Supremacy of the Constitution and the Primacy of European Union Law

The interaction between the national constitutional jurisdictions of the Member States and the Court of Justice of the European Union raises questions that often cannot be answered unequivocally. The focus of this debate is, of course, on the fundamental question of whether European Union law takes primacy over national constitutions. This study presents the jurisprudence of the Court of Justice on the establishment of the principle of autonomy of EU law in relation to the internal law of the Member States in its development, since it is precisely the positions it adopts that allow the Court of Justice to derive the principle of primacy over ‘any provision of internal law’ as a logical and natural consequence of the unique nature of EU law. On the other hand, since this integration activity of the Court of Justice is not the result of a conscious activity of the Member States, legitimated by their constitutions, the inevitable question arises of whether the results of the activity in question do not clash with the main task of the constitutional courts ‒ to ensure a coherent and uniform application of the law within the national legal order and above all in accordance with the constitution. The case law of the constitutional courts of the Member States presented in this study leads to the conclusion that they regard autonomy as a relative characteristic, which is why they reject the principle of absolute primacy of European Union law over constitutional rules. It seems that no constitutional court could abdicate its role as a court of ‘last word’ in this respect.

870. Coverage, Cost Sharing, and Out-of-Pocket Costs for Single-Tablet HIV Antiretroviral Regimens in Qualified Health Plans in the United States, 2018-2020

BackgroundA key pillar of the US “Ending the HIV Epidemic” (EHE) plan is rapidly providing antiretroviral therapy (ART) to achieve viral suppression. However, access to ART is hindered by discriminatory benefit design through non-coverage, adverse tiering (including pricier cost sharing via coinsurance instead of copays), and excessive and arbitrary utilization management for ART, all of which make rapid access to HIV treatment challenging. To understand how ACA Qualified Health Plan (QHP) formularies adapt in response to new ART single tablet regimens (STRs), we analyzed QHP coverage of two first-line STRs: dolutegravir/abacavir/lamivudine (Triumeq; approved 2014) and bictegravir/emtricitabine/tenofovir alafenamide (Biktarvy; approved 2018).MethodsFor all QHPs offered in the 2018-2020 ACA Marketplaces, we analyzed Biktarvy and Triumeq coverage, cost sharing, and out-of-pocket (OOP) costs at state, regional, and EHE priority jurisdiction levels.Figure 1. Qualified Health Plan Coverage of Triumeq and Biktarvy by State, 2018-2020 ResultsFor 2018, 2019, and 2020, respectively, we identified 19,533, 17,007, and 21,547 QHPs. In 2018, 26 states had < 50% of QHPs covering Biktarvy, and 9 states had 0%. Conversely, 41 states had 100% of QHPs covering Triumeq, and only 2 states had < 50% (Fig. 1). Biktarvy coverage improved from 2018-2020, especially in the Midwest (27% to 88%). Improvements were driven by increased coverage with copay except in the South, where coverage with copay remained stagnant and coverage with coinsurance increased (22% to 33%) (Fig. 2). Biktarvy coverage increased in EHE jurisdictions from 74% to 90%, driven by increased coverage with coinsurance (20% to 34%) (Fig. 3). Although Biktarvy had a higher national average wholesale price than Triumeq (&4,073 vs. &3,639 per month in 2020, respectively), monthly OOP cost trends only differed regionally in the Midwest and did not differ by EHE priority jurisdiction status (Fig. 4).Figure 2. Qualified Health Plan Coverage and Cost Sharing for Triumeq and Biktarvy by Region, 2018-2020 Figure 3. Qualified Health Plan Coverage and Cost Sharing for Triumeq and Biktarvy by “Ending the HIV Epidemic” Priority Jurisdiction Status, 2018-2020 Figure 4. Monthly Out-of-Pocket Cost for Qualified Health Plan Premium and Triumeq or Biktarvy by Cost Sharing Type and (A) Region or (B) “Ending the HIV Epidemic” Priority Jurisdiction Status, 2018-2020 ConclusionSTR coverage remains heterogenous across the United States. Over time, coverage of the newer STR increased, but many QHPs in EHE jurisdictions still required coinsurance. Access to newer ART regimens may be slowed by delayed QHP coverage or complex negotiations with manufacturers about formulary inclusion as ART options become more competitive, even if patients are insulated from cost differences.Disclosures Kathleen A. McManus, MD, MSCR, Gilead Sciences, Inc. (Research Grant or Support, Shareholder)

Toward Cherokee Removal: Land, Violence, and the White Man's Chance by Adam J. Pratt

Reviewed by: Toward Cherokee Removal: Land, Violence, and the White Man's Chance by Adam J. Pratt John P. Bowes (bio) Toward Cherokee Removal: Land, Violence, and the White Man's Chance. By Adam J. Pratt. (Athens: University of Georgia Press, 2020. Pp. xii, 221. $59.95 cloth) The foundation of Adam Pratt's new book on Cherokee removal is what nineteenth-century Georgians referred to as the "white man's chance." As the author notes in his introduction, this concept "signified a commitment made by the state government to its citizens in which the state would create economic opportunities for some of its citizens by taking away or limiting the prospects of others" (p. 3). In the events described in this book, it meant Georgia's treatment of the Cherokee Nation in the 1820s and 1830s was inextricably connected to the desire to provide opportunities for property and status to the state's white citizens. The history of Cherokee removal has typically been described as a power struggle between state, federal, and tribal authority. Pratt's book fills in many specific details of that history piece-by-piece, describing the people involved and the violence encompassing that struggle, particularly on the Georgian and non-Native side of the equation. Numerous familiar actors take part in this history told over the course of seven chapters, but it is Georgia's elected officials who drive this narrative. Overseeing the expansion of the state's jurisdiction, they seek to bring stability and prosperity to Georgians despite the obstacles presented by poor whites, the Cherokee Nation, and federal authorities. Poor whites did not behave in the orderly manner desired by state officials, the Cherokee Nation asserted its sovereignty and rejected state authority, and the federal government did not follow through on the promises of the Compact of 1802. Yet the state government still had the ability to shape events through what [End Page 75] it did and did not do. As Pratt notes, "the real threat to Cherokee stability and persistence was not the overwhelming power of the state but, rather, how that power encouraged thousands of individual white intruders to disregard Cherokee law, borders, and property" (p. 47). It is the way those white invasions were facilitated that comprises the foundation of Pratt's story and his contribution to the historiography. As can often happen with a familiar story, we can find ourselves assuming knowledge or falling back on generalizations and the experience of the Cherokee Nation is certainly one of the most examined histories when it comes to Indian removal. Yet those with knowledge of this history will find new material to broaden their understanding of this period and the people involved. In the pages of Toward Cherokee Removal the reader will find examinations of the Pony Club and the Slicks, two groups whose violent struggles reveal a more complicated battle over boundaries and lands in Georgia and the Cherokee Nation than most might recognize. The actions of the Georgia Guard in the early 1830s and the responses to them illuminate the differences among Georgia politicians at a time we might often view the state as a monolithic actor in its push to take Cherokee lands. Overall, Toward Cherokee Removal has some substantial contributions to offer its readers. For those with prior knowledge, the book does not shed new light on elements of the Cherokee side of the history, though it does highlight points of alliance between Cherokees and whites. The book's organization sometimes makes it difficult to gauge the timing of events discussed in different chapters, and there are moments when the ins and outs of Georgia state politics bog down the narrative. However, those are stylistic critiques that do not undermine the strengths of the book, namely providing a more detailed understanding of how race and state power shaped the implementation of Cherokee removal in nineteenth-century Georgia. [End Page 76] John P. Bowes JOHN P. BOWES is a professor of history at Eastern Kentucky University. He is the author of Land Too Good for Indians: Northern Indian Removal and Exiles and Pioneers: Eastern Indians in the Trans-Mississippi West. Copyright © 2021 Kentucky Historical Society

Trends in HIV Care Outcomes Among Adults and Adolescents-33 Jurisdictions, United States, 2014-2018.

With significant improvements in the diagnosis and treatment of HIV, the number of people with HIV in the United States steadily increases. Monitoring trends in HIV-related care outcomes is needed to inform programs aimed at reducing new HIV infections in the United States. The setting is 33 United States jurisdictions that had mandatory and complete reporting of all levels of CD4 and viral load test results for each year during 2014-2018. Estimated annual percentage change and 95% confidence intervals were calculated to assess trends in stage of disease at time of diagnosis, linkage to HIV medical care within 1 month of HIV diagnosis, and viral suppression within 6 months after HIV diagnosis. Differences in percentages were analyzed by sex, age, race/ethnicity, and transmission category for persons with HIV diagnosed from 2014 to 2018. Among 133,477 persons with HIV diagnosed during 2014-2018, the percentage of persons who received a diagnosis classified as stage 0 increased 13.7%, stages 1-2 (early infections) increased 2.9%, stage 3 (AIDS) declined 1.5%, linkage to HIV medical care within 1 month of HIV diagnosis increased 2.3%, and viral suppression within 6 months after HIV diagnosis increased 6.5% per year, on average. Subpopulations and areas that showed the least progress were persons aged 45-54 years, American Indian/Alaska Native persons, Asian persons, Native Hawaiian/other Pacific Islander persons, and rural areas with substantial HIV prevalence, respectively. New infections will continue to occur unless improvements are made in implementing the Ending the HIV Epidemic: A Plan for America strategies of diagnosing, treating, and preventing HIV infection.