Reducing New Infections

Goal 1: Step1: Intensify HIV prevention efforts in communities where HIV is most heavily concentrated.

Responsible Agency or Agencies Activity FY 2011 NHAS

Operational Plan

Update FY 2012

NHAS Summary Report

Status of

Activity

Completed

Underway

Planned

CDC CDC will update its funding formula to ensure

that core Federal HIV

prevention allocations

are better aligned with

the epidemic.

On January 1, 2012, the CDC awarded health departments in 67 jurisdictions prevention funding totaling

$339 million. Funding was apportioned to each State,

Territory, or city based on the number of people

reported living with an HIV diagnosis in that jurisdiction. Realignment in funding will be phased in over

five years. Areas with greater concentrations of HIV

cases, including many Southern states and several

major cities, are receiving needed funding increases.

To ensure that even areas with a low burden of HIV

can continue basic prevention activities, each jurisdiction will receive a minimum annual funding amount

($750,000 for States, $250,000 for territCDC will commit

to reviewing its HIV

Prevention Community

Planning process for

allocating Federal HIV

prevention resources at

the local level to ensure

that funds follow the

epidemic.

The guidance, released in July 2012, is the blueprint

for the HIV planning process within jurisdictions.

Jurisdictions are expected to broaden planning

efforts to actively engage the community and other

stakeholders across the continuum of prevention,

care and treatment. They are also expected to use

surveillance data to target resources and the most

scalable, cost-effective interventions to populations

most affected by the local epidemic. Jurisdictions’ HIV

plans are expected to describe how they address the

goals of the Strategy.

X

HUD HUD will propose a

new funding formula to

better target resources to

people living with HIV/

AIDS.

The Department’s FY 2013 budget proposes to

update the Housing Opportunities for Persons with

AIDS (HOPWA) funding formula based upon CDC

surveillance data of persons living with HIV, along

with use of area housing costs and poverty factors,

to target housing resouces to address greatest needs

for people living with HIV. HUD also recommended

changes to HOPWA short-term housing provisions

to expand the range of effective interventions to end

homelessness. Congressional action is needed to

authorize these changes.

X

SAMHSA SAMHSA will work with

HHS to develop a legislative Strategy for updating the criteria that allow

states to use Substance

Abuse Prevention and

Treatment Block Grants

funds for HIV/AIDS

services to drug users.

SAMHSA will work with Congress to change the

requirements for the five percent HIV set-aside in the

Substance Abuse Prevention and Treatment Block

Grant to be based on HIV cases or rates, rather than

AIDS cases. Congressional action is needed to authorize these changes.

X

HUD HUD will work to

utilize HUD assistance

to improve health outcomes, including efforts

to improve linkage with

HIV prevention and care

programs.

A targeted 2011 HOPWA grants competition awarded

$9 million to seven projects to initiate new community approaches that integrate HIV/AIDS Housing

Plan models. These actions expand local partnerships

to address unmet needs and to demonstrate positive

health and housing outcomes. The Assistant Secretary

for Planning and Evaluation has also issued research

funding to review four sites on system integration and

coordination of housing and HIV care services.

X

BOP The Bureau of Prisons (BOP) at DOJ will expand current HIV/STD and viral hepatitis screening to prisoners on entry.

BOP has incorporated universal testing into the BOP Strategic Plan.

An official memo was issued by the BOP Medical Director.

Universal testing has been incorporated into the BOP Preventive Health Clinical Practice Guidelines and into the Performance Work Plans of the BOP Regional Medical Directors.