Thousands of Kentuckians with HIV or AIDS could have access to more effective treatment because of health care reforms if advocates and providers inform state officials what's needed to make it work — now. "It's like building a plane while we are flying a plane," said Amy Killelea, senior manager for health care access for the National Alliance of State and Territorial AIDS Directors, a national advocacy group. Killelea spoke Wednesday, the second day of a two-day conference on AIDS and HIV that drew advocates and health providers from across Kentucky to Lexington.