The “Ending the HIV Epidemic Initiative: A Plan for America”, is a federal effort to reduce new HIV infections in the United States by 75% in five years and 90% in ten years. It was launched by the Trump Administration in 2019, building on efforts made by the Obama Administration and is continuing under the Biden Administration. During Phase 1, the initiative is focusing on the 48 counties in the U.S. with the highest HIV diagnoses, as well as San Juan, Puerto Rico, Washington D.C., and 7 states with a substantial share of rural HIV cases (see Figure 1). The commitment to “ending the HIV epidemic” has been accompanied by additional federal funding, including reprogrammed FY 2019 funding and new Congressional appropriations in FY 2020, FY 2021, and FY 2022. Still, this additional funding accounts for a relatively small share of overall federal HIV funding provided to state and local jurisdictions.

Figure 1: Ending the Epidemic (EHE) Phase 1 Jurisdictions: 48 high burden counties, D.C., San Juan, P.R., and 7 states with a high rural burden

This tracker provides up-to-date data on federal EHE funding, including an overview of funding mechanisms by year, agency, grant mechanism, and jurisdiction. It will be updated over time.

Funding by Year, Agency, and Grant Mechanism

Funding for EHE efforts in FY 2019 were provided through reprogramed funding from the Secretary’s Minority AIDS Initiative. Funding for subsequent years was provided through new Congressional appropriations (see Table 1). In FY21, funding totaled $404.75 million, an increase of $138 million over FY20 but below the Trump Administration’s budget request which totaled $716 million. Funding increased again in FY 2022, to $473 million, a 17% increase over FY 2021 levels, but was again below the budget request. Similarly, the FY 2023 funding level ($573 million) was an increase of $100 million over the prior year but below the request. 

Prior to the funding appropriated by Congress, detailed in Table 1, the administration makes a presidential budget request for Congress to consider. A budget request lays out presidential priorities both in terms of the policy issues identified and discussed and the level of funding requested. Table 2 provides the history of presidential budget requests since the formation of EHE and shows that the funding request for EHE has increased each year since FY 2020 and has surpassed the appropriated amounts (seen in Table 1).

Table 3 provides detail on each federal EHE grant mechanism by agency. Most of this funding has been allocated to EHE jurisdictions, although a subset is for agency grantees outside of EHE jurisdictions to carry out related efforts. For example, in FY 2019, CDC provided $14 million through Strategic Partnerships & Planning to Support EHE in the U.S. funding to 32 EHE jurisdictions and one national organization for providing capacity building and technical support to EHE jurisdictions.

FY 2019 EHE Funding by Jurisdiction

Tables 4 and 5 provide FY 2019 funding (reprogrammed from the Minority AIDS Initiative) directed to Phase 1 EHE jurisdictions. Table 4 includes EHE counties, San Juan, Puerto Rico, and D.C. and Table 5 includes the seven EHE states.

FY 2020 EHE Funding by Jurisdiction

Tables 6 and 7 provide FY 2020 funding directed to Phase 1 EHE jurisdictions and providers located within these jurisdictions. Table 6 includes EHE counties, San Juan, Puerto Rico, and D.C. and Table 7 includes EHE states. FY 2020 marks the first year in which EHE funding allocations resulted from new Congressional appropriations.

FY 2021 EHE Funding by Jurisdiction

Tables 8 and 9 provide FY 2021 funding directed to Phase 1 EHE jurisdictions and providers located within these jurisdictions. Table 8 includes EHE counties, San Juan, Puerto Rico, and D.C. and Table 9 includes EHE states.