Obama Marks World AIDS Day With Funding Increases

President Barack Obama marked World AIDS Day by announcing a $50 million funding boost for U.S. HIV/AIDS programs.

鈥淲e鈥檙e committing an additional $15 million for the program that supports care provided by HIV medical clinics across the country,鈥 the president said. An additional $35 million will go to state AIDS Drug Assistance Programs, or ADAPs, that pay for HIV medications for uninsured and low-income patients who cannot afford the drugs due to inadequate insurance coverage.

Former President Bill Clinton, speaking at the event by video from Florida, emphasized the government鈥檚 role in fighting AIDS: 鈥淭he AIDS epidemic is coming back in America … and the spending programs have been pared back, especially those that require state match for budgetary reasons. In 2014, if the provisions of the health care bill providing universal care come in, we鈥檒l be able to overcome that. Meanwhile we are stuck with where we are,鈥 he said.

Due to squeezed budgets, some states have been on HIV/AIDS drug programs. That has expanded the numbers of patients waiting to get antiretrovirals and other drugs used to treat HIV and AIDS or its side effects, mental health conditions or opportunistic infections.

But in New York City, the city with the highest number of people in the country infected with HIV, Health Commissioner Thomas Farley announced to provide medicines immediately to any person diagnosed with HIV, according to The Associated Press. The standard protocol for HIV medication had been to postpone drugs until an HIV patient鈥檚 immune system is weakened.

The costs for the new protocol 鈥撀燼s much as $15,000/year聽鈥撀爓ould fall on聽private insurers and the state鈥檚 ADAP program, according to New York City health officials.

Bringing down the cost of HIV medicines has been a long-term problem for HIV/AIDS policy experts, but today the National Alliance of State and Territorial AIDS Directors with Gilead Sciences 鈥渢o extend additional voluntary discounts and rebates鈥 on drugs bought by the state programs and to maintain a price freeze on drugs covered by ADAPs.

The additional $35 million from the federal government will help get people with HIV off state ADAP waitlists, said Murray Penner, director of NASTAD. 鈥淲e are grateful for it, especially in these tough economic times.聽 But it doesn鈥檛 address all of the need. It does depend on how the $35 million is distributed and what future commitments there are for continuing that funding,鈥 Penner said. But with federal action, in addition to the agreement with Gilead, Penner said it鈥檚 a move in the right direction.

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