No Time to Lose Getting More from HIV Prevention (2001) / Chapter Skim
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Appendix C: Federal Spending on HIV / AIDS
Appendix C: Federal Spending on HIV / AIDS
Pages 162-172
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From page 162... ...
1 (Foster et al., 1999~. Spending for prevention efforts, in terms of both absolute spending and percentage increases, has lagged far behind investments in HIV/ AIDS-related care and assistance programs and research.
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APPENDIX C Care and assistance 71% Total expenditure: $9.7 billion FIGURE C.1 Fiscal Year 1999 federal HIV/AIDS spending.
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It also briefly discusses DHHS agencies whose primary function is care and assistance (e.g., the Health Care Financing Administration and the Health Resources Services Administration) , as these agencies have a role in expanding prevention efforts to the clinical setting (see Chapter 4~.
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The institutes and centers whose programs are most heavily concerned with HIV/ AIDS include: the National Cancer Institute, the National Institute for Drug Abuse, the National Institute of Mental Health, the National Center for Research Resources, the National Heart, Lung and Blood Institute, the National Institute of Child Health and Human Development, and the National Institute of Allergy and Infectious Diseases (OAR, 1999~. In 1988, NIH established the Office of AIDS Research (OAR)
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From page 166... ...
: · FY97 Impact of new therapies on HIV prevention; primary/acute infection; prevention of perinatal transmission; comprehensive HIV prevention strategies for injection drug users; and biobehavioral issues in the development and utilization of HIV prevention methods under female control. · FY98 Primary priority: Impact of early identification, counseling, and other behavioral interventions, HIV treatment on risk behaviors, the utilization of HIV prevention services, and the transmission of HIV.
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From page 167... ...
block grant is the largest program administered by SAMHSA, with approximately $1.6 billion in funding in FY99. Ninety-five percent of the SAPT block grant funds are distributed to states and territories, based on a formula established by Congress, to support substance abuse treatment and prevention services (SAMHSA, 2000b)
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From page 168... ...
Services funded under this program include outreach, HIV counseling and testing, health education and risk reduction information, access and referrals to testing for sexually transmitted diseases and tuberculosis, substance abuse treatment, primary care, and mental health and medical services. In FY99, CSAT administered $39 million in TCE and outreach grants to enhance and expand substance abuse treatment and services related to HIV/AIDS (SAMHSA, 2000c)
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Title II provides formula grants to all 50 states, the District of Columbia, Puerto Rico, Guam, and the U.S. Virgin Islands for health care and support services for people living with HIV disease.
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Title III programs are funded to provide early intervention services that include: risk reduction counseling; partner involvement in risk reduction; education to prevent transmission; antibody testing; medical evaluation; and clinical care; antiretroviral therapies; protection against opportunistic infections; case management; and interventions to address "co-epidemics," including tuberculosis and substance abuse. In FY99, $94.3 million was provided in early intervention grants under Title III (HRSA, 2000~.
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Individuals with HIV are generally not eligible for Medicaid; however, Maine was granted a demonstration waiver by HCFA in February 2000 to extend Medicaid benefits to nondisabled persons living with HIV disease (Kaiser Family Foundation, 2000~. States are required to provide the full range of Medicaid services covered in the state plan to eligible persons with HIV disease, but have the option of providing services such as targeted case management, preventive services, and hospice care.
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2000c. Targeted Capacity Expansion Program for Substance Abuse Treatment and HIV/AIDS Services.
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