Today, the Obama Administration is taking new action to prioritize
support for Federal HIV/AIDS prevention and care programs. We are
sending to the Congress an amendment to the President’s FY 2011 budget
request to increase HIV/AIDS funding by $65 million. This is comprised
of a requested $35 million increase for HIV prevention in order to
continue exciting new HIV prevention activities described below to
support the National HIV/AIDS Strategy and
a $30 million increase for State AIDS drug assistance programs to
respond to the ongoing crisis States are facing in operating these
essential programs. These resources come on top of proposed increases
for HIV prevention and care at the Centers for Disease Control and
Prevention (CDC) and the Health Resources and Services Administration
(HRSA) that were included in the original budget submission.
Ultimately, the Congress will enact a budget that will establish
Federal funding levels for the fiscal year that begins on October 1st.
Last month, the Obama Administration released the National HIV/AIDS
Strategy. This was the product of a robust dialogue with the HIV
community and other members of the public and identifies a small set of
priority action steps for moving the Nation forward in responding to
the domestic HIV epidemic. On the evening of July 13th, the President
hosted a reception for the HIV community at the White House where he
spoke about the Strategy and his commitment to fighting HIV/AIDS. He
said the following,
Now, I know that this strategy comes at a difficult time
for Americans living with HIV/AIDS, because we’ve got cash-strapped
States who are being forced to cut back on essentials, including
assistance for AIDS drugs. I know the need is great. And that’s why
we’ve increased Federal assistance each year that I’ve been in office,
providing an emergency supplement this year to help people get the
drugs they need, even as we pursue a national strategy that focuses on
three central goals.
We recognize that times are tough and there are significant
challenges faced by people living with HIV/AIDS and other Americans
that must be addressed. The Federal government cannot tackle these
problems alone, but we can do our part.
In the current fiscal year, FY2010, Congress appropriated funding of
$835 million for the AIDS Drug Assistance Program (ADAP). In July, due
to the serious shortfalls in State ADAPs resulting largely from State
cutbacks, HHS Secretary Sebelius took an emergency step by
re-allocating $25 million for ADAPs for a total of $860 million. Our
FY 2011 budget request had included increased ADAP funding, but today’s
proposed $30 million increase would continue funding in FY 2011 for the
emergency supplemental funds announced last month. If the Congress
follows our recommendation, Federal funding for ADAPs would rise to
$885 million next year—a $50 million increase from the level
appropriated by Congress for this year. This action, alone, will not
resolve the challenges faced by ADAPs. We need States to continue to
prioritize their funding for ADAPs even in these difficult times, and
we need our pharmaceutical company partners, businesses, foundations,
and community-based organizations to do their part as well.
On the issue of HIV prevention, Secretary Sebelius announced new
investments in HIV prevention when we released the National HIV/AIDS
Strategy. To ensure that these initiatives continue, we are requesting
$35 million in additional funds for next year. In FY 2010, these
resources are supporting:
Comprehensive HIV prevention ($11.6 million): This will fund the implementation and evaluation of effective
combinations of behavioral and biomedical prevention interventions in
the highest prevalence jurisdictions. These jurisdictions will compete
to scale-up effective comprehensive approaches in subsequent years. The
funding opportunity announcement (FOA) for this initiative is available
on Grants.gov . Be sure to type “CDC-RFA-PS10-10181” as the Funding Opportunity Number to download the FOA.
Increased testing and linkage to care ($4.4 million):
Building on CDC’s new Expanded Testing Initiative, these funds will
ensure that resources are provided to support targeted testing and
linkage services for high prevalence communities, including Black,
Latino, injection drug using (IDU), and gay male communities.
Expanded HIV surveillance ($5.5 million): This
will support work with jurisdictions to ensure that all jurisdictions
report CD4 cell counts and viral loads to the public health
surveillance system, enable jurisdictions to estimate community viral
load, and take other steps to improve the surveillance system.
Consultation, evaluation, technical support and annual MSM survey ($6.5 million): These
resources will support evaluation and monitoring, assisting with
developing and implementing new activities and conducting an annual
internet survey for men who have sex with men (MSM) to collect
behavioral, HIV testing, and other information.
HIV, viral hepatitis, STD prevention and sexual health promotion with Tribal Communities ($1 million): CDC will partner with the Indian Health Service (IHS) to work with Tribal communities on prevention and health promotion.
These activities reflect a new direction that we believe will have a
greater impact at lowering the number of new HIV infections in the
Today’s announcement demonstrates that we are committed to
implementing the National HIV/AIDS Strategy and ensuring that necessary
investments in prevention and care services for people living with HIV