President’s FY2027 Budget Request
On Friday, President Trump released the Budget of the U.S. Government, outlining the Administration’s proposed spending priorities for Fiscal Year (FY) 2027. The Administration also released the Department of Health and Human Services (HHS) Budget in Brief, which proposes significant reductions to health funding, including HIV prevention, and again calls for the creation of the Administration for a Healthy America (AHA).
It is important to note that this proposal is not law. Congress holds the authority to determine final funding levels through the appropriations process.
NASTAD will continue to advocate for the highest possible funding levels to ensure health departments have the resources needed to sustain HIV prevention, care, and surveillance efforts across the country.
Department of Health and Human Services
Office of Infectious Disease and HIV/AIDS Policy
The budget proposes $8 million for these activities at AHA.
Minority HIV/AIDS Fund
The budget proposal eliminates the Secretary’s HIV/AIDS Fund
Centers for Disease Control and Prevention
The Congressional Justification for the Centers for Disease Control and Prevention (CDC) was also released and provides additional detail on proposed funding levels and program changes.
Division of HIV Prevention
The budget proposes eliminating HIV prevention activities at CDC, a decrease of $793.7 million. This would significantly impact funding for health departments, community-based organizations, and surveillance programs.
The proposal also moves the Ending the HIV Epidemic Initiative (EHE) HIV prevention activities to AHA.
Viral Hepatitis, Sexually Transmitted Infections, and Tuberculosis Prevention
The budget proposes $300 million for a consolidated grant program to address Viral Hepatitis, Sexually Transmitted Infections, and Tuberculosis Prevention. The stated goal is to “reduce administrative inefficiency and allow for more coordinated approaches. Also, the budget will be used to enhance surveillance and improve disease outbreak detection.”
Opioid and Infectious Diseases
Funding for the Opioid and Infectious Diseases program has been eliminated in the budget proposal.
Center for Injury Prevention
The Center for Injury Prevention was moved to AHA and a cut in funding was proposed. The new AHA program will continue to support opioid overdose prevention and surveillance activities, but it is unclear what activities will be continued and at what level.
Health Resources and Services Administration (HRSA)
Ryan White HIV/AIDS Program
The budget proposes moving the Ryan White HIV/AIDS Program to be housed within the newly created AHA.
The proposal eliminates Part F programs, including AIDS Education and Training Centers (AETCs), Dental Programs, and Special Projects of National Significance (SPNS). The budget does not show a breakdown for the other parts, but based on the total funding proposed, we can assume all other parts are flat funded in the proposal. The request includes $165 million for EHE within Ryan White.
Bureau of Primary Care
The President’s Budget Request includes $157 million for EHE at the Primary Care section of AHA.
Title X Family Planning Program
The Title X Family Planning Program is eliminated in the proposal.
340B Drug Pricing Program
The budget proposes moving the 340B Drug Pricing Program oversight from HRSA to the Centers for Medicare and Medicaid Services (CMS).
National Institutes of Health (NIH)
The budget proposes cutting NIH by ~$5 billion.
Department of Housing and Urban Development
Housing Opportunities for Persons with AIDS (HOPWA)
The budget proposes to eliminate the HOPWA program, which the Administration describes as “outdated by focusing on housing low-income, homeless, and at-risk HIV-positive individuals, as the prognosis and medical care for HIV have significantly improved since the 1990s. Individuals with HIV who are homeless or at risk of homelessness may be served under the Emergency Solutions Grant program.”
Please contact the PLA team with questions. NASTAD will continue to provide updates on the FY2026 appropriations process.