It bears remembering that the United States has made tremendous strides against HIV in recent years. From 2018 to 2022, new infections declined by 12% nationwide–and by 21% in the communities targeted by the Ending the HIV Epidemic initiative. However, there were still 39,000 new diagnoses in 2023, with over half of them in the South. Eliminating HIV prevention funding now would squander that progress and contradict President Trump’s original commitment to end HIV by 2030. In fact, earlier this fall, National Institutes of Health Director Jay Bhattacharya reaffirmed that goal, noting the elimination of HIV as one of his top priorities. These devastating proposed cuts would make that impossible to achieve.
It is possible to end HIV in the United States within the next decade – lawmakers must make it a reality
We believe congressional authorization for a new government program is unlikely in the near term, given the program’s price tag and its reliance on a centralized mechanism for purchasing drugs and laboratory services.
A more realistic approach, given these constraints, is for Congress to increase funding at the CDC along with targeted grants to community health centers and Ryan White Program clinics, particularly those that can most effectively increase PrEP uptake among Blacks and Latinos and in the South. It’s possible to end HIV in the United States within the next decade. Lawmakers must act to make it a reality.
Congress, don’t cut funding for HIV programs
Over the next few months, congressional appropriation committee leaders will have to hash out spending levels for individual government programs. President Joe Biden’s budget takes an enormous step toward meeting the nation’s goal of ending the HIV epidemic by 2030 through substantially increasing funding for HIV treatment and prevention programs. Some in Congress seem set on slashing spending. And that means domestic HIV funding could be on the chopping block. That’s a tragedy—one that could jeopardize our progress in the fight against the virus.
We can end the HIV epidemic–but Congress must act
Imagine if Congress, with one simple action, could help end a 40-year-old epidemic, erase some of the racial inequities in healthcare, and save money in the process. That may sound too good to be true. But lawmakers can do it if they fund expanding access programs to a highly effective HIV drug in the 2023 spending bill.