Fiscal Year 2012 Appropriations Update: What it Means for HIV

By jschneidewind on December 16, 2011 in Policy/Advocacy

by Donna Crews, Director of Government Affairs

The House, the Senate, and the Administration came to agreement late last night, December 15, on the final Fiscal Year 2012 (FY12) nine bill appropriations package, H.R. 2055.  This “megabus” as it has been referenced includes the majority of the domestic HIV funding portfolio.  The HOPWA program is a part of the Transportation, Housing and Urban Development, and Related Agencies bill passed last month and funded at $332.5 million, a $2 million decrease from FY 11.  This “megabus” includes the Labor, Health and Human Services, Education, and Related Agencies (Labor-HHS) appropriations bill.  The conference agreement provides the Department of Health and Human Services a total of $69.7 billion, which is nearly $700 million below FY11. The Labor-HHS section also includes a 0.189 percent across-the-board cut to all discretionary programs except for the Pell Grant program.

The Centers for Disease Control and Prevention HIV/AIDS, Viral Hepatitis, Sexually Transmitted Diseases and Tuberculosis Prevention was flat-funded at FY 11 levels. The $30 million that was included in the President’s FY12 budget request in the Prevention and Public Health is not funded in the package.  There is a bipartisan, bicameral (both the House and the Senate) agreement on the allocation of the Fund that the Congress will share with the Administration at a later time.

Budget Activity Conference Amount
Domestic HIV/AIDS Prevention and Research
HIV Prevention by Health Departments $336,912,000
HIV Surveillance $117,667,000
National/Regional/Local/Community/Other $138,059,000
Enhanced HIV Testing $65,401,000
Improving Program Effectiveness $102,406,000
School Health $30,000,000
Viral Hepatitis $19,784,000
Sexually Transmitted Diseases $154,666,000
Tuberculosis $141,100,000

The Ryan White Program was flat-funded except for a $15 million increase for ADAP.  These numbers do not include the President’s announced $50 million for ADAP and Part C.  In contrast to previous reporting, this funding will not be coming from the Prevention and Public Health Fund, for which the President had called in his World AIDS Day speech. The process for securing those funds is not known at this time; the Administration will need to determine where the funds come from.

Budget Activity Conference Amount
Ryan White AIDS Programs
Part A $672, 529
Part B Care $423,141
Part B ADAP $900,000
Part C $205,564
Part D $77,313
Part F – AETC $34,607
Part F – Dental $13,511
Total $2,311,665

The bill includes $30.7 billion for the National Institutes of Health (NIH), the same amount as last year, but actually an increase of $299 million over FY11 since full funding for the U.S. contribution to the Global Fund is now included in the State, Foreign Operations appropriations bill.  The Office of AIDS Research often receives ten percent of the total NIH budget which would total approximately $3 billion.  The National Institutes of Health Office of the Director has a line item for $5,000,000 for HIV testing and treatment of individuals in the District of Columbia.

The Secretary’s fund of the Minority AIDS Initiative (MAI) remains flat as well at $53,783.  We are still determining the total amount but we believe the MAI is flat in the other agencies.

The bill also includes a reinstatement of funding for the Community-Based Abstinence Education (CBAE) program with $5 million. This restores funding to the failed abstinence only programs that have previously been found to be ineffective.  The Teen Pregnancy Prevention Initiative (TPPI), would continue to receive funding at its current level of roughly $105 million. This includes $75 million in direct funding for evidence-based programs and $25 million for innovative programs, with the remaining funds covering the cost of program evaluation and administration.

This bill is the vehicle that reinstated the federal funding ban on syringe exchange for both domestic and global programs.

The House has passed H.R. 2055, the conference agreement, by a vote of 296-121—149 Democrats and 147 Republicans supported the measure; 35 Democrats and 86 Republicans opposed it.  The bill is now being debated in the Senate and expected to get to the President for his signature before midnight tonight when the current Continuing Resolution funding the government expires.

The AmeriCorps program received $345,000 a decrease of $2,360 from FY11. The Social Innovation Fund is funded at $44.9 million, five million less than FY11. Both are funded under the Corporation for National and Community Service.

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