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.