A Guide to Fiscal Year 1991 Federal Funding for HIV Disease: How Dollars are Spent How to Access Them

IE'ERANS ADM.NISRAION

The Department of Veterans Affairs (VA) administers ongoing HIV programs targeted at providing treatment and services for veterans who are
HIV positive. The VA has more than 12,000 veterans
in HIV treatment and research programs. All HIVpositive veterans receive VA medical benefits, which
include HIV-specific assistance.
The VA FY '91 HIV appropriated budget is
$260,000,000. That budget is divided among
three areas: $223,000,000 for treatment; $29,000,000
for prevention; and $8,000,000 for research.

VA research programs focus on basic science,
clinical trials, and cellular studies.
Veterans wanting more information about VA
HIV-related programs may contact any VA office or
medical center, or contact a VA benefits counselor
(listed in any telephone book).
Susan H. Mather, M.D., (202/233-2621) is the
AIDS coordinator of the VA for HIV-related programs. No VA HIV money is available for extramural
funding.

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The Department of Defense (DOD) HIV-related
programs involve military personnel from recruitment to retirement. The DOD's FY '91 HIV budget
is $143,000,000. That budget encompasses programs focused on three areas: $71,000,000 for treatment; $45,000,000 for research; and $27,000,000 for
prevention.
DOD's treatment budget is used to care for the
more than 6,000 HIV-positive individuals who are in
the military. When military personnel are diagnosed seropositive, they are enrolled in a program which
provides regular medical care and are often eligible
to participate in clinical trials. Once these HIVpositive individuals leave the military, their treatment
and benefits are most often provided by the VA or,
sometimes, the military.
Research conducted by the DOD involves basic
science; studies of cellular structure and etiology;
epidemiology and surveillance; drug and vaccine
development; and clinical trials. Primary responsi
bility for tri-service (Army, Navy, Air Force) research
programs is carried out by the Walter Reed Army
Institute of Research (WRAIR). A portion of the
DOD's epidemiological data is the result of a program
which tests all civilian military applicants for HIV
antibodies. This data has given one of the best pictures of HIV spread in the U.S.
Ongoing prevention programs aimed at military
personnel discuss risk behaviors and ways HIV
transmission occurs. All forms of media are used as
vehicles for prevention messages, including video,
radio, print, and posters. Rates of new infections in
the military are now declining. In addition, training
is provided for all military health-care professionals
in treatment, counseling, and follow-up.
Few DOD HIV monies are spent extramurally; and
these usually by military-related organizations such
as the Henry M. Jackson Foundation for the
Advancement of Military Medicine, the Uniformed
Services University of the Health Sciences, and the
Veterans Administration.

-,EPATMENT OF JUSTICE

The Department of Justice (DOJ) FY '91 HIVappropriated budget is $4,640,863. That budget
is focused on two areas: $4,500,000 for the Bureau
of Prisons; and $140,863 for the Office of Justice
Programs.

of a portion of the Federal prison populations;
$180,000 for prevention education targeting Federal
inmates; and $4,170,000 for medical treatment for
HIV-positive inmates.

Office of Justice HIV-related activities are adminisHIV-related programs conducted by the Bureau of tered by the National Institute of Justice (NIJ). ProPrisons include: $150,000 for testing and counseling grams include: operation of the NIJ AIDS Clear
~1991 ASAP

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~1991~ ASAP Rerdcio yPrisinOl