Good news: HHS has now forwarded the rule to OMB. That leaves OMB with 60 days to clear the rule for publication. I've been giving the Obama administration some grief for stalling on civil rights. But they've done this very carefully and methodically. Yes, the length of time between the law's passage and the rule change will be around a year and a half. But the change of administration was responsible for half of that and the Obama peeps' determination to do this very, very carefully is responsible for the rest. That care has been taken to make sure the rule change is secure, that every legal obstacle is persuasively overcome and that the details work.
The Obama administration may take its time, but the evidence is showing that it gets there in the end. For me, my family and countless others caught in the HIV net, this is wonderful news. We're grateful. And we'll remember.