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In the news ... 2009

President Obama releases
disappointing HIV/AIDS budget

June 1, 2009

On May 7, 2009, President Obama released his proposed budget for Fiscal Year 2010 (October 1, 2009 – September 30, 2010). Advocates had hoped that the budget would reflect the President’s stated desire to mount a renewed fight against the HIV/AIDS epidemic in the United States.

Unfortunately, while the budget does contain some badly needed increases, overall it is a disappointment and highly inadequate. The budget  calls for modest increases to HIV prevention (for the first time in several years) and the Ryan White Program, which funds care and treatment services for low-income people with HIV. However, the increases fall far short of need. For example, the AIDS Drug Assistance Program (ADAP) needs an increase of $269 million to provide adequate treatment access to those in need, but the President proposed less than 10% of that amount – a mere $20 million.

Hepatitis advocates had been hoping that the President would reverse years of shameful underfunding with a meaningful increase. However, the budget calls for a tiny $51,000 increase in funding for viral hepatitis programs – with that funding slated for salary increases.

Perhaps most disappointing is the President’s failure to remove language in the budget that bans the use of federal funding for syringe exchange programs. These programs have been repeatedly shown to reduce HIV/AIDS and hepatitis transmission without increasing drug use. As a candidate, President Obama pledged to support evidence-based policies and to end the federal ban. The President has indicated his desire to remove the ban as part of his upcoming National AIDS Strategy process; however, action is needed now to support these lifesaving programs, many of which could be negatively affected by state and local funding cuts.

Fortunately, the budget is only a proposal. Congress will determine the actual funding levels for HIV/AIDS and hepatitis programs. It also has the ability to remove the syringe exchange ban. Project Inform, along with our partners, will advocate for much higher increases as the budget process unfolds.

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