Global Fund Support and Consultation Services for #AIDSFREE Generation

To accomplish these goals, the President declared that we must undertake a more coordinated national response to the

HIV epidemic. And that’s what the key Federal agencies involved in the fight against AIDS set out to do – working with

state, tribal and local governments, businesses, faith communities, philanthropy, the scientific and medical communities, educational institutions, people living with HIV, and others.

It was and remains an ambitious undertaking, but one that we must continue to prioritize. As noted later in this report, recent national and jurisdictional data indicate we are making gains against HIV. We are making progress and we cannot afford to stop now. In fact, our efforts to implement the Strategy must continue to accelerate, concentrating investments in populations most affected by HIV and with the greatest HIV‐related health disparities, including gay and bisexual men, blacks, and Latinos.

Now, we have the potential to go much further. The nation's HIV prevention efforts are guided by a single, ambitious strategy for combating the epidemic: the National HIV/AIDS Strategy (NHAS).2 Recent scientific breakthroughs have equipped us with an unprecedented number of effective tools to prevent infection.3-6 And in many of the communities hardest hit by HIV, there is growing leadership and momentum for change.

• Focusing on science-driven HIV prevention efforts by supporting and expanding targeted use of evidence-based HIV prevention approaches;
• Making smarter investments by intensifying HIV prevention in the communities where HIV is most heavily concentrated;
• Increasing access to HIV screening and medical care, including through implementation of the Affordable Care Act;
• Supporting a shared response to the domestic epidemic through the support of HIV prevention efforts across all levels of society, including Federal, state, and local governments, centers of learning, faith-based communities, and the private sector.

Continue to Support the National HIV/AIDS Strategy (NHAS) and Expand Investments in Prevention, Care, and Research.

The Budget expands access to HIV/AIDS prevention and treatment activities and supports the goals of the National HIV/AIDS Strategy to reduce HIV incidence; increase access to care and optimize health outcomes for people living with HIV; and reduce HIV-related health disparities.

By providing resources for Affordable Care Act implementation, the Budget will support increased health care coverage for thousands of people living with HIV/AIDS and expand access to HIV testing for millions of Americans.

The Budget makes smarter investments by prioritizing HIV/AIDS resources within high-burden communities and among high-risk groups, including gay men, black Americans and Latino Americans.

Compared to 2012, the Budget increases domestic discretionary Health and Human Services (HHS) HIV/AIDS funding by $73 million and Veterans Affairs (VA) HIV/AIDS funding by $155 million.

Overall, total U.S. Government-wide spending on HIV/AIDS increases from $27.8 billion in FY 2012 to $29.7 billion in the FY 2014 Budget.

Increase Funding for HIV/AIDS Prevention and Service Integration.

The Budget includes $833 million, an increase of $10 million for the Centers for Disease Control and Prevention (CDC) to continue implementing the goals of the National HIV/AIDS Strategy by preventing HIV/AIDS among high-risk communities using evidence-based interventions.

The Budget redirects $40 million from less effective activities to support a new $40 million Community High-Impact Prevention initiative to improve systems that link persons recently diagnosed with HIV to care.

Health Department Funding

CDC funding: $359 million annually, FY2012-FY2016 (assumes level funding)

A new approach to health department funding that better matches prevention dollars to the HIV burden in every state, territory, and heavily affected city, focusing on high-impact interventions.

Expanded Testing Initiative

CDC funding: $111 million total, FY2007-FY2010

Targeted funding for HIV testing in communities at risk. Between 2007 and 2010, provided 2.8 million tests; resulted in more than 18,000 new HIV diagnoses; and helped avert $1.2 billion in direct medical costs.

Enhanced Comprehensive HIV Prevention Planning (ECHPP)

CDC funding: $34.8 million anticipated total, FY2010-FY2012

Innovative demonstration projects implementing combination prevention in 12 cities with the highest AIDS burden. For example, the Houston ECHPP project brought together a diverse range of government agencies to create new links between prevention, care, substance abuse, and other services that can reduce new HIV infections.

Community-Based HIV Prevention for Young MSM and Transgender Persons of Color

CDC funding: $50 million total, FY2012-FY2016 (assumes level funding)

Support for local HIV prevention efforts to reach young MSM and transgender people of color with HIV testing and linkages to care, support, and prevention services, as well as targeted behavioral interventions and other effective approaches.

Estimated Return on U.S. Investment in HIV Prevention, 1991 – 2006

• More than 350,00 infections averted
• More than $125 billion in direct medical costs saved

Our national investment in HIV prevention has contributed to dramatic reductions in the annual number of new infections since the peak of the epidemic in the mid-1980s, and an overall stabilization of new infections in recent years.14 Given continued increases in the number of people living with HIV, this stabilization is in itself a sign of progress. Other important signs of progress include dramatic declines in mother-to-child HIV transmission and reductions in new infections among injection drug users and heterosexuals over time.

HIV prevention has also generated substantial economic benefits. For every HIV infection that is prevented, an estimated $360,000 is saved in the cost of providing lifetime HIV treatment, resulting in significant cost-savings for the health care syste

Proven HIV Prevention Interventions