Funding for the Ending the HIV Epidemic Initiative
For information about FY2021 HHS budget resources supporting the implementation of the Ending the HIV Epidemic (EHE) initiative, as well as FY2020 and FY2019 budget allocations, see Ending the HIV Epidemic Funding
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 or at risk for HIV.
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 programs and research in FY2020 and FY2021. For information about federal resources supporting the Ending the HIV Epidemic (EHE) initiative, see Ending the HIV Epidemic Funding.
Federal Domestic HIV/AIDS Programs & Research Spending
The U.S. government investment in the domestic response to HIV has risen to more than $28 billion per year, including discretionary spending as well as mandatory spending for Medicare, Medicaid, Social Security benefits, and other mandatory spending.
Funding for HIV services and activities is spread across multiple federal departments, including Health and Human Services (HHS), Housing and Urban Development (HUD), Justice, Veterans Affairs (VA), and Defense. Within HHS, in particular, responsibility for HIV programs is spread across multiple agencies including the Centers for Medicare & Medicaid Services (CMS), the Health Resources and Services Administration (HRSA), the Centers for Disease Control and Prevention (CDC), the Substance Abuse and Mental Health Services Administration (SAMHSA), the Indian Health Service (IHS), the Food and Drug Administration (FDA), the Office of Infectious Disease and HIV /AIDS Policy (OIDP), the Office of Minority Health, and others. Responsibility for HIV research is led by the National Institutes of Health (NIH); in addition, CDC, VA, Defense, and the United States Agency for International Development also support research initiatives. This distribution of responsibility is appropriate, as each agency has its own expertise, and different agencies operate different programs with varying legislative mandates, purposes and with unique histories. (Read more about Federal agencies engaged in HIV activities.)
The table below summarizes the Congressionally enacted budgets for Fiscal Years (FY) 2020 and 2021 (October 1-September 30).
U.S. Federal Domestic Discretionary Funding for HIV/AIDS: FY 2020 & 2021
(Info in USD $ Millions.)
|Program/Account||FY 2020||FY 2021|
|CDC Domestic HIV Prevention||$928.7||$964.7|
|HRSA Ryan White HIV/AIDS Program||$2,389.0||$2,424.0|
|HRSA Health Centers Program (all EHE funding)||$50.0||$102.3|
|Indian Health Service||0||$5.0|
|NIH – AIDS research*||$3,076.0||$3,090.0|
|HHS Minority HIV/AIDS Fund||$53.9||$55.4|
|HUD – Housing Opportunities for Persons With AIDS (HOPWA)||$410.0||$430.0|
|Subtotal: HIV Discretionary Spending||$7,023.6||$7,187.4|
NOTES: *The NIH does not define HIV research as “domestic” given its broad application; the figure listed is for all HIV research regardless of whether it is global or domestic.
U.S. Investment in the Global Response to HIV/AIDS
The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) is the U.S. Government initiative to help save the lives of the more than 36 million individuals living with HIV/AIDS around the world. PEPFAR was launched in 2003 with strong bipartisan support sustained across four presidencies and 10 U.S. Congresses.
Through PEPFAR, the U.S. government has invested over $85 billion in the global HIV/AIDS response, the largest commitment by any nation to address a single disease in history, saving over 20 million lives, preventing millions of HIV infections, and accelerating progress toward controlling the global HIV/AIDS epidemic in more than 50 countries. For details on current and recent funding, view PEPFAR’s Results and Funding page. The PEPFAR Dashboards allow users to view and utilize PEPFAR planned funding, program results, and expenditure analysis data in an accessible and easy-to-use format.