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How We're Spending

White House Fiscal Year Budget

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 four-year period. Please note: Because funding for the current fiscal year, 2013, was only recently completed through a Continuing Resolution (signed by the President on March 26, 2013), funding levels for FY 13 are not yet available.  (Read blog posts about the nation’s HIV/AIDS budget and the HIV/AIDS elements in the President’s the Fiscal Year 2014 budget.)

Federal Domestic HIV/AIDS Programs & Research Spending
(FY 2011-2014)

Source: Kaiser Family Foundation – U.S. Federal Funding for HIV/AIDS: The President’s FY 2014 Budget Request. Exit Disclaimer

Program/Account
(USD $ Millions)
FY 2011FY 2012FY 2014
(President’s Request)
Ryan White Program 2,3$2,336.7$2,392.2$2,412.2
ADAP (non-add)4$885.0$933.3$943.3
CDC Domestic Prevention (& Research)5$800.4$822.6$836.1
National Institutes of Health (domestic only)6$2,683.5$2,681.6$2,722.6
Substance Abuse & Mental Health Services Admin (SAMHSA)$178.1$177.4$178.1
Department of Veterans Affairs (VA)$852.0$956.0$1,111.0
Housing Opportunities for Persons with AIDS (HOPWA)$334.3$332.0$332.0
Minority HIV/AIDS Initiative (non-add)$419.9$426.2Not available yet
Other domestic discretionary7$316.9$313.4$297.0
Subtotal discretionary$7,502.0$7,675.3$7,888.9
    
Medicaid$5,100.0$5,300.0$5,900.0
Medicare$5,400.0$5,800.0$6,600.0
Social Security Disability Insurance (SSDI)$1,806.0$1,894.0$2,040.0
Supplemental Security Income (SSI)$590.0$535.0$605.0
Federal Employees Health Benefits (FEHB) Plan$150.0$161.0$178.0
CDC Prevention and Public Health Fund$0.0$0.0$0.0
Subtotal mandatory$13046.0$13690.0$15,323.0
Subtotal domestic$20,548.0$21,365.3$23,211.9

 

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 2014 represents the President’s budget request only and not final, enacted amounts. FY 2013 funding was recently finalized in H.R. 933, which includes across the board rescissions, as well as mandated sequestration as part of the Budget Control Act (BCA) of 2011, to be applied equally at the program, project, and activity level within each budget account. However, final FY 2013 estimates are not yet available. (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) FY 2012 and FY 2014 funding levels at CDC include redistributed Business Services Support (BSS) funding to each CDC programmatic budget line and are therefore not directly comparable to prior year levels. (6) 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. (7) “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.

FY2014 BUDGET

On April 10, 2013 President Obama sent his fiscal year 2014 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 2014 Budget:

  • Expands investments in prevention, care, and research.
  • Supports the Ryan White HIV/AIDS Program.
  • Increases funding for HIV/AIDS prevention and service integration.
  • Supports research at the National Institutes of Health (NIH).
  • Supports housing assistance for people living with HIV/AIDS.
  • Increases support for veterans living with HIV/AIDS.
  • Fights HIV/AIDS-related stigma and discrimination.
  • Supports the President’s ambitious goals for global AIDS.
  • Supports and leverages funding for the Global Fund to Fight AIDS, Tuberculosis, and Malaria.

Read more about the Fiscal Year 2014 budget’s HIV/AIDS elements in this fact sheet from the White House: Strengthening the Economy for Those Living With HIV/AIDS and Fighting the HIV/AIDS Epidemic.

Funding Opportunities

How to Get Funding How We're Spending

Last revised: 07/05/2013