FEDERAL FUNDING OF HIV PROGRAMS

Most HIV-related programs in the United States rely on federal funding. This includes entitlement programs such as Medicare and Medicaid, both of which provide care and treatment to people with HIV, and discretionary programs, such as research at the National Institutes of Health (NIH), surveillance and disease prevention and control at the Centers for Disease Control and Prevention (CDC), the Ryan White Care Program and other medical workforce programs at the Health Resources Services Administration (HRSA), and many more.

Underfunding:

Federal and state programs for HIV/AIDS have been chronically underfunded. This underfunding has real repercussions for the medical health and well-being of people infected with a potentially fatal disease.

The Centers for Disease Control and Prevention (CDC) estimate that there are 56,000 new HIV infections per year in the United States. The need for care, treatment, and other services for people living with HIV grows annually, but federal funding of HIV programs historically grows at a much slower rate.

Various estimates show that the public health sector as a whole, has seen a consistent 5% cut in funding each fiscal year, although this is spread across several federal agencies and dozens of programs.

In recent years, many HIV programs have even seen cuts to funding as budgetary concerns for the country have grown. These cuts have real world consequences for public health, the health system, and patients.

Entitlement Programs:

So-called “entitlement” programs are programs that are traditionally funded automatically as part of the U.S. budget and meet the needs of all who qualify for them. As an example, the Social Security, Medicare, Medicaid programs are all considered entitlement programs. Entitlement programs make up the largest portion of the U.S. budget.

Discretionary Programs:

Discretionary programs are those that Congress funds annually through the appropriations process. Congress retains complete discretion over the funding levels of discretionary programs, and even the parts of certain programs.

Non-defense discretionary programs (NDDs) are programs that are not related to the national defense or homeland security. NDD federal programs include public health, education, transportation programs, scientific research, public safety and law enforcement, job training, infrastructure, weather monitoring, environmental protection, food safety, natural resources, housing and social services, and international relations. These programs touch every American in every state and community across the nation.

For example, funding of research at NIH, provides (among other things) grant money to labs, and scientists across the U.S. researching medical and scientific questions, and developing life-saving innovations.

NDD spending equal only 17% of all federal spending and health funding makes up a total of less than 2%.

Current:

In recent years, federal officials have undertaken extensive efforts to decrease federal spending, trim the U.S. budget, and reduce the federal deficit. These efforts have profound implications for HIV programs.

OUR ADVOCACY EFFORTS

HPAC PrEP Sign On Letter
A sign on letter from HIV community to CDC about PrEP.

Joint Letter to Secretary Burwell Regarding HIVRN
A joint letter from AAHIVM and HIVMA to restore full funding for the HIVRN in FY2016 and FY2017.

Comments to CMS on 2017 Exchange Insurance Issuer Letter
A letter to CMS and CCIIO on the proposed final letter to Issuers of qualified health plans in the state insurance exchanges.

FY17 Funding Letter to Congress
A letter from AAHIVM and the ABAC to Congressional budget leaders on the federal budget requests for HIV programs.

Letter to House And Senate Leaders and Speaker Urging to Vote No on Budget Proposals 3.24.2015
Letter from HIV Health Care Access Working Group & the AIDS Budget and Appropriations Coalition urging to reject the budgets that have been reported out of the House and Senate Budget Committees.

Letter to Burwell Sebelius on HIV Research Funding
Letter from AAHIVM and the HIV Advocacy Community on continued support for funding of HIV research at the National Institutes of Health (NIH) in the FY2015 appropriations process and beyond.

Syringe Ban Community Letter 4.16.2014
Letter from AAHIVM and the HIV advocacy community requesting to lift the ban on federal funding for syringe services programs.

Letter to House and Senate Appropriations Committees on Fiscal Year 2014 Funding for Domestic HIV/AIDs Programs 12.4.2013
Letter from AAHIVM and the AIDS Budget and Appropriatons Coalition to the House and Senate Appropriations Committees on FY14 funding for domestic HIV/AIDS programs.

Letter to Congress on Ending Sequestration December 13
Letter from AAHIVM and the Non-Defense Discretionary (NDD) funding coalition to Congress.

Letter to House and Sentate Appropriations Committees on Fiscal Year 2014 Funding for Domestic HIV/AIDS Programs 12.3.13
Letter from AAHIVM and the AIDS Budget and Appropriations Coalition to the House and Senate Appropriations Committees on FY14 fuding for domestic HIV/AIDS programs.

Letter to House and Senate Budget Chairs on Balancing Budget and HIV Funding November 13
Letter from AAHIVM and the Health Care Access Working Group and AIDS Budget and Appropriations Committee to the House and Senate Budget Chairs on budget conference, balancing the federal budget cuts, and HIV/AIDS funding.

Letter to President Obama on HIV Emergency Relief Funds Transfer 4.8.13
Letter from AAHIVM and the HIV/AIDS community to President Obama in support for the transer of emergency funds to ADAP and the Ryan White HIV/AIDS Program.

Letter to Super Committee on Preserving Funding for HIV Programs During Deficit Reduction 11.14.11
Letter from AAHIVM and HIV Health Care Access Working Group to Super Committee on Preserving Funding for HIV Programs During Deficit Reduction

Letter to House and Senate Appropriators on FY12 HIV Funding 10.27.11
Letter from AAHIVM and the AIDS Budget and Appropriations Coalition to House and Senate Appropriators on FY12 HIV Funding

Letter to President on FY12 Funding for Domestic HIV/AIDS Programs 10.27.11
Letter from AAHIVM and AIDS Budget and Appropriations Coalition to President on FY12 Funding for Domestic HIV/AIDS Programs

Letter to Super Committee on Deficit Reduction Proposals 9.22.11
Letter from AAHIVM and HIV Health Care Access Working Group to Super Committee on Deficit Reduction Proposals

Letter to Senate on Preserving Medicaid Funding During Deficit Reduction 07.19.11
Letter from AAHIVM and HIV Health Care Access Working Group to Senate on Preserving Medicaid Funding During Deficit Reduction

Letter to President Supporting Continued Funding for Medicaid During Deficit Reduction 07.19.11
Letter from AAHIVM and HIV Health Care Access Working Group to President Supporting Continued Funding for Medicaid During Deficit Reduction

Letter to Senate on Preserving Healthcare Programs During Deficit Reduction 5.16.11
Letter from AAHIVM, HIV Health Care Access Working Group and the AIDS Budget and Appropriations Coalition to Senate on Preserving Healthcare Programs During Deficit Reduction

Letter to Appropriators on FY11 Funding for Subcommittee on Labor, Health and Human Services and Education 05.14.11
Letter from AAHIVM and the HIV/AIDS Community to Appropriators on FY11 Funding for Subcommittee on Labor, Health and Human Services and Education

Letter to House and Senate Leadership on FY11 Funding for Domestic HIV/AIDS Programs 03.25.11
Letter from AAHIVM and AIDS Budget and Appropriations Coalition to House and Senate Leadership on FY11 Funding for Domestic HIV Programs

Letter to President on FY11 Funding for Domestic HIV/AIDS Programs 3.25.11
Letter from AAHIVM and AIDS Budget and Appropriations Coalition to President on FY11 Funding for Domestic HIV/AIDS Programs

Letter to House and Senate Appropriators on FY10 HIV Funding 9.29.9
Letter from AAHIVM and the HIV/AIDS Community to House and Senate Appropriators on FY10 HIV Funding

Letter to House and Senate Appropriators Supporting Funding for Housing Opportunities for Persons with AIDS (HOPWA) 05.05.09
Letter from AAHIVM and HIV/AIDS Community to House and Senate Appropriators Supporting Funding for Housing Opportunities for Persons with AIDS (HOPWA)