A new federal funding formula from the Centers for Disease Control and Prevention in Atlanta will result in a reduction of $2.1 million in federal funding for the state of Michigan for HIV testing and prevention by 2014. Advocates and health officials warn the cuts could have a negative impact on the state’s public health. “The prevention measures to minimize incidence of HIV also impact numerous other Public Health problems such as sexually transmitted infections, teen pregnancy, cervical cancer, infertility, low birth weight, infant mortality, substance abuse and mental health,” says Renee Canaday, deputy health director of the Ingham County Health Department
“„“Under this new formula, in FY 12 Michigan will lose up to $1.4 million (22 percent) of our total current (FY11) award for “core” HIV prevention activities. By 2014, when the funding formula is fully implemented, Michigan’s losses will total up to $2.1 million which represents a reduction of 33 percent of our current federal funding.”
“„“The CDC ‘core’ funding is the
“„source of funding supporting HIV testing in local health departments, partner services, community-based HIV testing, prevention for positives, health education and risk reduction for high risk negative individuals, and community-level interventions such as Mpowerment.”
“„The CDC funding formula change certainly poses a significant challenge for us here in Michigan. The funds awarded for “core” HIV prevention activities are the main source of funding for a variety of efforts, including supporting HIV testing in local health departments, partner services, community-based HIV testing and prevention, education and risk reduction activities.
“„We are currently evaluating the funding reductions and the impact they will have on our prevention portfolio. We want to make sure we complete a thorough analyses – this will be the foundation for decisions we will make about how to best utilize the resources we have while minimizing the impact of the reductions on those we serve. We will also be working with our partners and stakeholders to identify strategies to help us do just that.
“„Michigan has recently been bombarded with sobering news related to the spread of HIV. Recent reports have clearly identified communities in Michigan that are particularly vulnerable to the epidemic. We have yet to see a report revealed that makes a case for less resources and education toward HIV prevention, detection, and treatment, and we now know where resources need to be directed – and yet an ever-diminishing response to the HIV/AIDS crisis is exactly what we are seeing from our federal and state of Michigan budgets.
“„Michigan is reaching a critical point in our battle against the virus and is already operating with the bare minimum of material and staff support. The Healthy Michigan Fund, a portion of the Department of Community Health Budget that funds HIV prevention programs, is still targeted for complete elimination. Michigan cannot afford to wind down our efforts as federal funds fade to the background. Michigan lawmakers must work to protect and replenish the resources the state of Michigan dedicates to combating the spread of HIV.
“„As the letter clearly points out, the Division of Health, Wellness and Disease Control is doing an analysis of the impact these reductions will have on Michigan. I am certain they will be working closely with the state budget office once their analysis is complete to develop the strategies they mention in the letter to lessen the impact of these reductions. We are going to let them do their work and properly assess what this will mean to the program.
“„Federal funding for MDCH HIV and AIDS initiatives is crucial to the department’s efforts and we view a reduction in federal funding as a serious concern. Again, we will let the department do their work evaluating and assessing the situation and allow them to provide their recommendations for how to proceed. DCH will also be issuing a department dashboard in the near future that will outline areas they will be measuring and I would imagine HIV to be a part of that assessment.
“„The state of Michigan will undoubtedly be facing additional tough decisions in the next few years as cuts are made in funding provided by the federal government. Much as we have worked diligently to start putting our fiscal house in order, the Speaker believes the federal government must do the same. That does mean, of course, that previous funding levels at the state and federal level are unsustainable and we will have to look at prioritizing how our limited resources are allocated. It is not yet clear what the impact of the federal cuts could be, so we are not speculating on what those impacts will mean to the state budget yet. Because of our efforts to balance next year’s budget with real numbers while managing to put money into the state’s savings account, we are in a better position to address unexpected financial difficulties than the state has been able to previously. Nevertheless, while we don’t know the answers yet, we do know none of them will be easy.