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The 2012-2015 combined Part B Comprehensive Plan & Statewide Coordinated Statement of Need is a 3-year blueprint for the development and enhancement of a comprehensive and responsive system of HIV/AIDS related services that addresses the needs of individuals with HIV disease and the challenges faced over time. This document describes the collaborative process by which the District of Columbia foresees will lead to an “ideal” system of care. It also describes the roles and activities assumed by HIV/AIDS stakeholders in the District to work towards this “ideal” system of care. The comprehensive plan also discusses the challenges faced in the context of an environment of declining federal funding and the changing face of the disease.