HIV/AIDS Total Budget

nhas-2020-update$31.7 Billion FY 2016 Budget

Total includes Research for a Cure, Housing, Treatment and Prevention.  Also includes the Global Fund.

Known as the National HIV/AIDS Strategy for 2020.  The expanded program re-launched in August 2015.

The program’s main focus is not prevention.

Instead, the focus is on health care access for uninsured patients living with AIDS.  This requires the federal government to qualify AIDS patients for Social Security benefits and Medicare.  In the past, SS and Medicare were for retired citizens and the poor.

Fed Funding

The U.S. HIV/AIDS Strategy – which includes the budget – is divided into three categories:  Treatment, Research, and Global Funding:
  1. Treatment of Americans with HIV/AIDS and Research for a Cure of HIV/AIDS.  The total U.S. Government-wide spending on HIV/AIDS increased by nearly $1 billion, from $30.7 billion in FY15 to $31.6 billion in FY16. (President Bush’s Administration averaged $18 Billion per year from 2001-08.  That was for the U.S. and Globally.)
  2. That $31.6 Billion includes Genetic and Cellular Research for a Cure of HIV/AIDS.  30% of that research is in California which has 2,300 biotech firms that employ 153,000 people.  Source.
  3. Global HIV/AIDS funding.  Known as PEPFAR.  Launched by President Bush in 2003.  “PEPFAR is the largest commitment by any nation to address a single disease. Through PEPFAR, the U.S. government has invested $65 billion dollars, including nearly $50 billion since the beginning of the Obama administration.”

Aids UnitedThe HIV/AIDS Strategy.

The four goals are:  HIV testing, care, treatment continuation (the patient’s responsibility), and increased patient access to pre-exposure drugs.

The NHAS goals— Widespread testing and linkage to comprehensive care; Broad support for treatment adherence for people living with HIV; Universal viral suppression; Full access to PrEP [pre-exposure drug]—can’t be accomplished without a strong infrastructure that supports innovative collaboration between public, private, and nonprofit sectors to meet the complex needs of people impacted by HIV.

AIDS United believes that healthy organizations make for health communities. Whether through our grant making, capacity building, or public policy and advocacy initiatives, AU is committed to ensuring people living with or affected by HIV have access to high quality medical care, support services, and the most effective prevention tools available.

For the past few years, there’s been a growing uncertainty about grant-based funding to support these important programs, prompting many ASOs to develop aggressive strategies to diversify revenue streams and heighten their ability to maximize the impact of each dollar. So the question becomes: how do community-based HIV organizations respond to the changing health care landscape?   Source.

Under Obama’s Patient Protection and Affordable Care Act, eligibility to Medicaid has been overhauled to include anyone at or under 133% of the poverty line (2015 poverty line is $11, 770/year for an individual). This part of the ACA was challenged in the National Federation of Independent Business v. Sebelius Supreme Court case, in which the court decided that the expansion of Medicaid was outside the spending reach of Congress. This left the expansion of the Medicaid program to state discretion.

To date 31 states including DC have expanded Medicaid. As discussed in a previous article, two new states have been recently been added to the fold, Alaska and Utah, who, through Medicaid expansion will insure a further 21,000 and 116,000 Americans, respectively. In 2012, federal spending through the Medicaid program on HIV was approximately $5.3 billion, and when combined with the states’ share of Medicaid spending, Medicaid is the largest source of public financing for HIV care in the U.S. The lion’s share of this spending provides access to life-extending antiretroviral medications. Despite this, HIV is less than 2% of federal Medicaid spending.

As we mark the 50 years of Medicaid, we ask that advocates continue to push the Medicaid expansion in all 50 states. AIDS United strongly supports the continuing efforts to realize the fullest potential of health reform, to support all Americans to lead a life with affordable access to health care.  Source.

Are There Duplications of Activities Within HIV/AIDS Government Agencies?

Most Likely!

Page updated 12/11/2015.