Community Access National Network (CANN)
@tiicann.org
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National nonprofit working to help those living with HIV/AIDS and/or Viral Hepatitis receive access to care and treatment.
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tiicann.org
Our joint statement with @adapadvocacy.bsky.social on @wsj.com reported funding cuts to #HIV Prevention programs...
JOINT STATEMENT
On Reported HIV Prevention Funding Cuts
March 19, 2025
Critical HIV Prevention Programs Facing Potential Elimination

WASHINGTON, DC (March 19, 2025) - The ADAP Advocacy Association and the Community Access National Network (CANN) express deep concern regarding a recent Wall Street Journal report that the U.S. Department of Health and Human Services is considering significant cuts to domestic HIV prevention funding. According to the report, programs potentially facing reduction or elimination include the Centers for Disease Control and Prevention (CDC)'s PrEP initiative and other prevention efforts, potentially impacting the entire $1.3 billion CDC HIV Prevention Program.
These reported considerations come at a critical time when prevention programs remain essential to our national HIV response. CDC data shows that while PrEP coverage has increased to approximately 36% of people who could benefit, significant racial and geographic disparities persist. The Southern region is disproportionately impacted by HIV, with states like Louisiana having the 6th highest rate of HIV diagnoses nationwide. If implemented, these cuts would directly contradict the goals established in President Trump's Ending the HIV Epidemic initiative, which aims to reduce new HIV infections by 90% by 2030. Prevention tools like PrEP, which can reduce HIV acquisition risk through sexual contact by approximately 99% when taken as prescribed, are essential components of this effort. These programs are critical to the nation's public health infrastructure and represent one of the most cost-effective investments in disease prevention, especially for Black and Hispanic populations who face systemic barriers to healthcare access. Jen Laws, CANN President & CEO, argued: "Prevention programs further support treatment programs with testing, screening activities, and linkage to care upon reactive tests. The economic impact of these programs can be measured in more jobs, more clinics, healthier families, and more productive employees. Conversely, cutting these programs and their associated funding will be measured in terms beyond economic loss. It would be measured in the human toll, the harm to our communities, untreated illness, late diagnoses, families torn apart, and lives lost."

HIV prevention programs support activities across other programs meant to monitor, control, and prevent STI transmission, tuberculosis, and viral hepatitis, as well as aiding community responses to the opioid epidemic. In addition to the negative public health considerations of the proposed changes, states would also experience economic harm via job loss and potential clinic operations disruptions. The impact reaches beyond the CDC's line item of $1.3 billion, reducing drug rebates for these critical programs and supporting even more employment opportunities than might be imagined.

Brandon M. Macsata, ADAP Advocacy Association CEO, added: "During his first term, President Trump was applauded for his Ending the HIV Epidemic initiative, announced in 2019 during a State of the Union address to Congress. The news that potential funding cuts to HIV prevention programs not only would undercut the EHE efforts but would also put thousands of people needlessly at risk for acquiring HIV. A preventable increase in new HIV infections would strain already stretched federal resources dedicated to providing medical care and treatment to the 1.1 million people in the United States already living with HIV."

Both ADAP Advocacy and CANN advocate for continued and expanded funding for comprehensive HIV prevention services, which should remain a bipartisan public health priority. President Trump's own Ending the HIV Epidemic initiativ…
tiicann.org
Black populations experience gonorrhea at 7.7 times the rate of White populations. American Indian/Alaska Native infants face congenital syphilis rates 75 times higher than Asian families. This is who pays when we defund care. Read the full analysis: www.hiv-hcv-watch.com/blog/oct-06-... 5/5
www.hiv-hcv-watch.com
tiicann.org
The consequences are here. Penobscot County, Maine faces largest HIV outbreak in state history after syringe program closures. Broome County, NY reports new HIV diagnoses exceed the previous 4 years combined. We know what happens when we strip prevention infrastructure. 4/5
tiicann.org
March 2025: Trump Administration terminated $11.4 billion in pandemic grants, eliminated 31% of HHS workforce. Proposed FY 2026 budget cuts CDC funding by 53%. George Washington University projects 42,000 eliminated jobs nationwide. #HealthcareAccess 3/5
tiicann.org
CDC's STI Prevention division lost 40% of purchasing power since 2003. Local health departments shed 20% of workforce from 2008-2019. The 2023 Fiscal Responsibility Act cut $1.3 billion—Nevada lost 75% of its STI prevention budget. #PublicHealth 2/5
tiicann.org
STI rates dropped 9% in 2024: chlamydia down 8%, gonorrhea down 10%, syphilis down 22%. This is proof public health interventions work. But congenital syphilis rose 2% to nearly 4,000 cases. 88% were preventable with testing and treatment. 1/5
tiicann.org
Government shutdown halts CDC disease surveillance, community health center funding at risk, and 40% of HHS workforce furloughed. People living with HIV depend on these services. #HealthcareAccess #GovernmentShutdown buff.ly/vemkTPW
Shutdown Halts Some Health Services as Political Risks Test Parties' Resolve
Stalemate centers largely on health coverage under the Affordable Care Act and Medicaid
www.medpagetoday.com
tiicann.org
Trump admin launching AI pilot to approve/deny Medicare treatments in 6 states. Concerns about transparency and how algorithms assess high-cost care—which includes HIV medications many people living with HIV depend on. #Medicare #HIV #HealthcareAccess
AI Will Soon Have a Say in Approving or Denying Medicare Treatments
Trump administration will launch a program to see how much money AI could save the government
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tiicann.org
New @KFF analysis: Only 7% of Medicaid expansion enrollees—1.4 million people—live in counties that may qualify for work requirement hardship exceptions. States must request this relief, and 17 states have no qualifying counties. #Medicaid #HealthcareAccess buff.ly/qaiFM8q
A Look at the Potential Impact of the High Unemployment Hardship Exception to Medicaid Work Requirements | KFF
This issue brief describes the hardship exception for individuals living in counties with high unemployment, and using the most recent available county-level unemployment data, estimates the number…
www.kff.org
tiicann.org
European patients wait up to 989 days for approved treatments while only 29% of new medicines are fully available through EU reimbursement - down from 42% five years ago. Our analysis shows what #MFN pricing could mean for America. #DrugPricing #PatientAccess
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tiicann.org
Today on National Gay Men's HIV/AIDS Awareness Day, we recognize that gay and bisexual men represented 67% of new US HIV diagnoses in 2022. We need increased testing, prevention resources, and treatment access while addressing stigma and discrimination. #HIVAdvocacy #HealthEquity
National Gay Men’s HIV/AIDS Awareness Day | NIH
National Gay Men’s HIV/AIDS Awareness Day is celebrated every year to raise awareness about the impact of HIV and AIDS on gay and bisexual men in the United States.
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tiicann.org
Thank you @AsmMarkGonzalez for standing up for the #HIV community through #AB554. Now, @CAGovernor has to follow through. Read more in @LosAngelesBlade from our very own Kalvin Pugh >> buff.ly/XfZ5Xut
tiicann.org
The Editorial Board notes hospitals employ firms to "scour patient records and prescriptions to maximize discounts" while studies show "little evidence" hospitals use savings for low-income patients - exactly what our CBO analysis revealed. #HealthcareAccess (3/4)
tiicann.org
WSJ highlights the same data we covered: 340B spending surged 11-fold since 2010, contract pharmacy arrangements grew from 1,700 to 212,000, and hospitals use discounts to fund acquisitions rather than help patients. #340B #DrugPricing (2/4)
tiicann.org
Last week we published analysis showing how hospitals exploit the #340B program for billions while reducing charity care. Now the @WSJ Editorial Board confirms: "Rich hospitals have been gaming a discount drug program for the poor." buff.ly/X4VNyUU (1/4)
A Good Idea to Cut Drug Costs
Rich hospitals have been gaming a discount drug program for the poor.
www.wsj.com
tiicann.org
#Healthcare access cannot wait for political theater. Any continuing resolution must include enhanced #ACA subsidy extension through 2026. People with chronic conditions cannot afford treatment interruptions while Congress debates funding. Our analysis: buff.ly/ahol0n6 4/4
www.hiv-hcv-watch.com
tiicann.org
Ryan White grant payments stop immediately during shutdowns. State AIDS Drug Assistance Programs serving 265,000 people face medication supply crises. Community health centers lose federal funding that constitutes 11-18% of revenue, forcing service cuts. 3/4
tiicann.org
Enhanced ACA subsidies expire Dec 31, but insurers already built expected premium spikes into 2026 rates. Median 18% increases hit constituents during election cycle while government systems needed for open enrollment face shutdown disruption. 2/4
tiicann.org
Congress faces Sept 30 #shutdown deadline just as Americans discover 75% premium increases during November open enrollment. For people living with #HIV who rely on #ACA plans but earn too much for Ryan White, this creates impossible choices between treatment and financial survival. 1/4
tiicann.org
BREAKING: CDC strongly recommends injectable lenacapavir as new PrEP option - administered every 6 months with 96-100% efficacy in trials. This breakthrough could transform HIV prevention adherence. Now we need ALL health plans to cover it - looking at you, CVSHealth Caremark. #PrEP #HIVPrevention
Clinical Recommendation for the Use of Injectable Lenacapavir ...
This report describes a clinical recommendation to use injectable lenacapavir as an HIV preexposure prophylaxis.
www.cdc.gov
tiicann.org
Major health insurers pledge to continue covering all vaccines recommended by ACIP as of Sept. 1, 2025, through end of 2026 - regardless of changes by Kennedy's newly appointed panel. Coverage affects 200M Americans as restructured ACIP meets this week. #VaccineAccess buff.ly/GV2Ui5y
Major health insurer group says members will continue to cover vaccines, a step that may ease anxiety over access
Amid concern about Americans’ access to vaccines, a major health insurance association said member plans will continue to cover all shots recommended by the ACIP.
www.statnews.com
tiicann.org
Today is National HIV/AIDS and Aging Awareness Day, focusing on the increasing number of older adults with HIV. Over half of HIV-positive individuals in the US are 50+, and 16% of new 2023 diagnoses are in this age group. It also acknowledges 13,000 aging perinatally-infected survivors. #HIV #Aging
National HIV/AIDS and Aging Awareness Day | NIH
The National HIV/AIDS and Aging Awareness Day (NHAAD) is celebrated every year to highlight the complex issues related to HIV prevention, care, and treatment for older adults, long-term and lifetime…
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tiicann.org
California's #AB144 includes provisions that divert critical funding from the HIV community. @CAGovernor, these are targeted dollars that cannot – and SHOULD NOT – be diverted for other purposes. Read more from CANN's President & CEO >> buff.ly/4wmxmdU #CALeg #ADAP
tiicann.org
As we wrote: this isn't fiscal responsibility, it's fiscal malpractice. The research validates what advocates know: cutting HIV prevention funding today guarantees higher costs and more suffering tomorrow. Read our full analysis: www.hiv-hcv-watch.com/blog/07-14-2... #HIVCare #PublicHealth 8/8
The Coming HIV Care Crisis — HIV-HCV Co-Infection Watch
The One Big Beautiful Bill Act (OBBBA)'s reduction of Medicaid expansion eligibility from 138% to 100% of the federal poverty level (FPL) creates an unprecedented crisis for HIV care in the United…
www.hiv-hcv-watch.com