How We're Spending
Each year, the U.S. government spends billions of dollars to help people in the United States and countries around the world who are living with HIV/AIDS.
By law, Federal programs must provide information on how they spend the funds they receive. Transparency in government promotes accountability, and provides meaningful access to information so that citizens can know what their government is doing and how Federal dollars are being spent. Review the chart below for an overview of Federal budget allocations for domestic HIV/AIDS programs and research over a three-year period. (Read blog posts about the nation’s HIV/AIDS budget and the HIV/AIDS elements in the President’s the Fiscal Year 2013 budget.)
Federal Domestic HIV/AIDS Programs & Research Spending
(USD $ Millions)
|Ryan White Program 2,3||$2,336.7||$2,392.2||$2,471.8|
|CDC Domestic Prevention (& Research)||$800.4||$786.2||$826.4|
|National Institutes of Health (domestic only)5||$2,683.5||$2,710.5||$2,686.1|
|Substance Abuse & Mental Health Services Admin (SAMHSA)||$178.1||$177.6||$178.6|
|Department of Veterans Affairs (VA)||$852.0||$922.0||$996.0|
|Housing Opportunities for Persons with AIDS (HOPWA)||$334.3||$332.0||$330.0|
|Minority HIV/AIDS Initiative (non-add)||$419.9||$426.2||$432.3|
|Other domestic discretionary6||$317.7||$326.4||$296.5|
|Social Security Disability Insurance (SSDI)||$1,818.0||$1,865.0||$1,925.0|
|Supplemental Security Income (SSI)||$585.0||$520.0||$570.0|
|Federal Employees Health Benefits (FEHB) Plan||$150.0||$159.0||$173.0|
|CDC Prevention and Public Health Fund||$0.0||$0.0||$0.0|
NOTES: (1) Data are rounded and adjusted to reflect across-the-board rescissions to discretionary programs as required by appropriations bills in some years and some data are still considered preliminary. FY 2013 represents the President’s budget request only and not final, enacted amounts. (2) Ryan White totals include $25 million for Special Projects of National Significance (SPNS) in each fiscal year. (3) In FY 2012, the President announced the availability of an additional $15 million for Ryan White Part C grantees, $10 million of which will be provided from other HHS activities via the HHS Secretary’s transfer authority, and is counted in the Ryan White total for FY 2012 above, and $5 million of which will be provided from the federal health center program budget and is counted in “other domestic discretionary” funding; (4) ADAP funding in FY 2010 includes $25 million in emergency funds provided as new competitive, grant funding to address ADAP waiting lists and cost containment measures. In FY 2011, the ADAP total of $885 million includes $40 million to address ADAP waiting lists and cost containment measures, of which $25 million was provided to those states that had received emergency funding in 2010 and $15 million was provided as new, competitive grant funding. In FY 2012, the ADAP total of $933.3 includes $75 million to address ADAP waiting lists and cost containment measures, of which $40 million will be provided to those states that had received emergency funding in 2011 and $35 million will be provided as new, competitive grant funding. (5) The NIH does not define HIV research as “domestic” given its broad application. However, for purposes of this analysis, all HIV research funding not designated as “global” was considered to be domestic research. (6) “Other domestic funding” includes amounts at: DHHS Office of the Secretary; Health Resources and Services Administration; Food and Drug Administration; Indian Health Service; Agency for Healthcare Research and Quality; and the Departments of Defense, Justice, and Labor.
On February 13, 2012 President Obama sent his fiscal year 2013 budget proposal to Congress. The budget proposal renews the President’s commitment to ending the AIDS pandemic and maintains the strong Federal commitment to fighting HIV/AIDS in the United States by implementing the National HIV/AIDS Strategy. Within a constrained budget environment, the 2013 Budget:
- Supports HIV/AIDS research.
- Expands investments in prevention and care.
- Funds cross-cutting innovative efforts for care and prevention.
- Expands the Ryan White HIV/AIDS Program.
- Increases funding for HIV/AIDS prevention and service integration.
- Modernizes the Housing Opportunities for Persons with AIDS (HOPWA) Program.
- Fights the stigma of HIV/AIDS.
Read more about the Fiscal Year 2013 budget’s HIV/AIDS elements in this fact sheet from the White House: Fighting the HIV/AIDS Epidemic and Supporting People Living with HIV/AIDS.
Last revised: 06/01/2012