“A Clear and Unyielding Commitment”

By Rob Banaszak on February 15, 2011 in Policy/Advocacy

President Obama Unveils 2012 Budget

donna_crews1_cropped_webBy Donna Crews, Director, Government Affairs
AIDS United

President Barack Obama submitted his third budget to Congress on Monday, February 14th .  The entire budget was $3.7 trillion with $79.9 billion for the Department of Health and Human Services (HHS) (where the bulk of the HIV domestic portfolio is kept).  In these austere budget times the HIV/AIDS domestic funding portfolio fared well.  At HHS where the discretionary portion of the budget decreased by $72 million, or 0.9 % President Obama showed his commitment to the National HIV/AIDS Strategy (NHAS) and the domestic HIV/AIDS funding portfolio by increasing funding for HIV/AIDS programs at HHS, and Veterans Affairs, and maintaining level funding for HIV/AIDS programs at the Department of Housing and Urban Development (HUD), HOPWA received $335 million, and the Department of Justice.  In this overall budgetary spending environment the increases that were announced in the FY12 President’s Budget shows his clear and unyielding commitment.

At HHS’ Centers for Disease Control and Prevention (CDC) HIV prevention funding was increased by nearly $58 million for a total investment of $858 million in FY12.  Of the $58 million increase, $30 million is an investment from the Prevention and Public Health Fund from the Affordable Care Act.  The prevention program that has garnered wide interest and support, Enhanced Comprehensive HIV Prevention Planning (ECHPP) received $10 million in new funding for a total of $22 million.  This project targets the 12 most highly impacted jurisdictions based on AIDS prevalence in 2007.  To ensure better coordination of the HIV prevention messages with existing STD programs for young people, $40 million of the HIV portion of the school health program in the Chronic Disease Prevention and Health Promotion Program has been transferred to the National Center for HIV, STD, Viral Hepatitis and TB Prevention.

At HHS’ Health Resources Services Administration (HRSA) the Ryan White Program received an increase of a little more than $88 million for a total of $2.376 million.  Due to varied rounding math, in some publications of the budget it appeared to receive $85 million; however the more detailed Congressional Budget Justification for each HRSA verified the $88 million.  Again due to rounding, some documents show ADAP’s increase as $80 million, though our analysis shows it at $82 million.  The breakdown is as follows:

Part A + $1 million

Part B base flat

Part B ADAP +$82 million

Part C +$5 million

Part D +$.166 million

Part F AETC +$.074 million

Part F Dental +$.029 million

At HHS’ National Institutes of Health (NIH) the Office of AIDS Research (OAR) has received a $74 million increase for the HIV/AIDS research portfolio. HIV funding at Substance Abuse and Mental Health Services Administration were flat at $178 million for FY12. Title X programs such as Planned Parenthood where many HIV tests are preformed received an $11 million increase.  Abstinence only programs were not funded again this year.  The teen pregnancy prevention initiative received flat funding of $114.5 million.  New in the budget this year is a provision to provide the Secretary of HHS access to no more than 1% of all discretionary funds for FY12 appropriated to the domestic HIV/AIDS activities, programs, and projects to support the National HIV/AIDS Strategy.  According to the FY 2010 funding levels in HHS’s just released “HHS Operational Plan: Achieving the Vision of the National HIV/AIDS Strategy,” this funding would be 1% of $6.5 billion.

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