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STATEMENT: CDC Reportedly Not Renewing HIV Prevention Funding for Nearly 100 Community-Based Organizations, Gutting Over $200M in Funding
NEW YORK, NEW YORK – JULY 20, 2026 — The Save HIV Funding campaign is raising alarm following reports that the Centers for Disease Control and Prevention (CDC) will not renew the federal cooperative agreement supporting Comprehensive High-Impact HIV Prevention Programs for Community-Based Organizations (PS21-2102), a funding stream that currently supports 96 community-based organizations across the U.S. The gross grant amount totals over $200M.
The funding supports frontline HIV prevention services, including HIV testing, community outreach, linkage to HIV care, referrals to PrEP and PEP, and local outbreak response. Community-based organizations currently receiving these awards were provided a three-month extension through September 2026 but have now been informed that a new funding opportunity will not be released.
According to published reports, the funding is expected to be redirected to state and local health departments, which may choose to subcontract with community-based organizations. HIV advocates warn the change creates significant uncertainty for organizations that have spent decades building trusted relationships in communities disproportionately impacted by HIV.
The announcement comes as Congress begins consideration of Fiscal Year 2027 appropriations for federal HIV programs, adding new uncertainty for the nation's HIV prevention infrastructure.
BACKGROUND & CONTEXT
The CDC's Comprehensive High-Impact HIV Prevention Programs for Community-Based Organizations (PS21-2102) has supported a nationwide network of 96 community-based organizations delivering frontline HIV prevention services in communities disproportionately impacted by HIV. CDC has directly funded CBOs to do HIV prevention work in this way for more than three decades. These organizations provide HIV testing, prevention education, outreach, linkage to HIV care, referrals to pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP), and local outbreak response, often serving as the first point of contact for people who face barriers to accessing traditional healthcare.
Community-based organizations (CBO’s) received a three-month extension of their current grants after the original funding period ended on June 30, 2026, with the expectation that the CDC would release a new competitive funding opportunity. That extension now expires in September, and advocates have learned that no new funding announcement will be issued. According to published reports, the funding is instead expected to be directed to state and local health departments, which may choose to subcontract with community-based organizations.
Save HIV Funding and its over 150 member organizations and advocates warn that this shift creates significant uncertainty for organizations that rely on these federal awards to sustain prevention programs, maintain experienced staff, and deliver trusted, community-based services. Several affected organizations have reported that losing direct access to this funding could force program reductions, staff layoffs, or organizational closure, disrupting HIV prevention services in communities that already experience disparities in access to care.
STATEMENTS & QUOTES
“Many communities impacted by HIV don’t have access to traditional sexual healthcare, either due to Medicaid and ACA cuts or because of healthcare deserts,” says Michael Chancley, Communications and Mobilization Manager at PrEP4All. “Many people rely on community-based organizations for routine HIV testing and linkage to PrEP care where services are not otherwise accessible or affordable in their communities.”
“The Trump administration is once again playing with fire as it tampers with essential healthcare funding that allows experienced and effective community-based organizations to meet the needs of their communities,” says Jeremiah Johnson, Executive Director of PrEP4All and co-founder of the Save HIV Funding campaign. “As we have already seen too many times in the past year, when we lose critical CDC funding and infrastructure, we see more illness and associated healthcare costs in our communities. If this critical funding stream is discontinued or altered beyond recognition, many local service organizations will have to shut down or lay off staff in areas where resources are already strained. This will increase new HIV cases, resulting in higher human and financial costs to individuals, families, and communities nationwide.”
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HIV FUNDING FAST FACTS
To support reporters covering the urgent policy landscape, the campaign is releasing the following Fact Sheet outlining the impact, scale, and human stakes of ongoing funding threats:
- Global HIV/AIDS Funding Under Attack: Advocates successfully turned back $400M in proposed cuts to PEPFAR as part of a larger attack on international assistance programs in the recissions bill passed by Congress in July 2025. Despite this success, changes implemented unilaterally by the Administration have severely compromised the program, including the elimination of HIV prevention funding for several key populations and replacing existing transparent and highly effective country and regional operations planning with clandestine bilateral contractual negotiations that undermine lifesaving implementation strategies for people living with HIV and seek to extract trade, data, and other unrelated concessions from member countries.
- AIDS Drug Assistance Programs in Crisis: After years of flat federal funding in the midst of rapidly increasing healthcare costs, ten state ADAP programs recently reported deficits in the current fiscal year, and 19 ADAPs forecast deficits for the upcoming year– threatening medication access for thousands of Americans.
- Federal HIV programs have more than 35 years of bipartisan support: In 2003, President George W. Bush created PEPFAR (the President’s Emergency Plan for AIDS Relief), which has saved 25 million lives worldwide. Domestically, Bush signed reauthorizations of the Ryan White CARE Act, expanding federal support for HIV care. Protecting HIV funding has historically been a bipartisan commitment to public health and stability.
- Federal HIV programs are cost-effective: Every $1 invested in HIV prevention saves the health care system $3 to $7 in future treatment costs. Cuts would increase long-term spending.
- Medicaid is the largest source of coverage for people with HIV in the U.S., covering roughly 40% of people living with HIV. Medicaid expansion has been associated with a 33% increase in PrEP prescriptions. Cuts to HIV funding would have ripple effects across the entire Medicaid system, limiting access to care for millions of low-income Americans.
- HIV care is part of the U.S. health care system: Federal HIV funding supports access to preventive care, primary care, mental health services, housing, and medications. Cutting these funds would destabilize programs millions of Americans depend on — including those living with chronic conditions, low-income families, and uninsured people.
- Over 1.2 million Americans are living with HIV, and over 500,000 rely on federal programs like the Ryan White HIV/AIDS Program for lifesaving medication and care.
- HIV prevention funding protects everyone: The federal government funds access to PrEP (pre-exposure prophylaxis), a daily medication that reduces the vulnerability of HIV by 99%. Rolling back funding would increase new HIV cases and long-term costs to the health care system.
- HIV funding is about more than one disease: These programs create a blueprint for coordinated, federally funded responses to health crises — from the opioid epidemic to COVID-19. Gutting HIV funding would weaken America’s preparedness for future public health threats.
- HIV funding protects vulnerable communities: Black and Latine communities account for more than 65% of new HIV diagnoses. Protecting these funds is about protecting racial and health equity.
Additional State-by-State Resources & Fact Sheets
Press Contact:
Tony Morrison
About the Save HIV Funding Campaign:
Launched in 2023 by PrEP4All, AVAC, and the HIV Medicine Association in partnership with the Federal AIDS Policy Partnership, the Save HIV Funding Campaign is a national coalition supported by more than 150 organizations representing advocates, healthcare providers, researchers, and community leaders. The campaign was formed in response to proposed Congressional cuts to federal HIV programs and has since helped avert more than $3.5 billion in domestic HIV funding cuts. Through coordinated advocacy, media engagement, and community mobilization, Save HIV Funding works to place the future of HIV prevention and care squarely in the national conversation. The campaign convenes community health providers and advocates across the country, organizes bipartisan congressional engagement, and mobilizes public voices to ensure that lifesaving HIV programs remain strong, accessible, and fully funded for the communities that rely on them.
