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Obama budget includes modest increase in AIDS funds

Spending plan calls for $105 million boost in drug program

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Carl Schmid, deputy executive director of the AIDS Institute (Blade file photo by Michael Key)

President Obama’s proposed budget for fiscal year 2012 drew praise from AIDS advocacy groups for its inclusion of small to modest funding increases in federal AIDS programs at a time when the White House and Congress are under great pressure to cut spending.

The proposed budget calls for a $105 million increase in the AIDS Drug Assistance Program, or ADAP, over the fiscal year 2010 spending level.

AIDS and LGBT advocacy groups have pushed hard for funding increases for the federal-state ADAP program as state contributions to the program have dried up due to the national recession, resulting in waiting lists for people who rely on the program for life-saving AIDS medication.

“We realize the resources of the federal government are severely constrained,” said Carl Schmid, deputy executive director of the AIDS Institute. “While the proposed funding levels are far from what is needed to provide the necessary care and treatment for people with HIV/AIDS or to significantly reduce the number of new infections, the AIDS Institute appreciates the budget requests and now urges the Congress to show a similar level of support.”

Schmid and Frank Oldham, president and CEO of the National Association of People With AIDS, expressed concern that Republican leaders of the House of Representatives are proposing cuts of close to 20 percent in federal AIDS programs for the fiscal year 2011 budget, which Congress has yet to finalize.

“The reality of the proposed cuts is that lower-income Americans living with HIV will not have access to the antiviral drugs that keep them healthy – and also make them less likely to pass the virus along to others,” Oldham said. “More people will get sick and die, and a disproportionate number of them will be poor and of color.”

Congress was expected to vote on a final version of the FY 2011 budget within the next few weeks. Last year, after Republicans and Democrats were unable to reach an agreement on the FY 2011 budget for most federal agencies, Congress approved a measure known as a continuing resolution, which keeps the government funded at fiscal year 2010 levels.

In a telephone news briefing on Tuesday, White House Domestic Policy Council Director Melody Barnes said the administration was involved in discussions with members of Congress to address the 2011 budget at the same time that the White House promotes its 2012 budget.

“With the budget that he put out yesterday…he has articulated the values that he has around this set of issues,” Barnes said of Obama’s intentions for the AIDS budget. “So I think his budget really stands as the backdrop and as the platform from which we will be operating as we move forward.”

Barnes added, “Obviously, there will be many conversations going forward about the budget and how we bring the current year to closure. But this [FY 2012] budget really articulates the framework that he believes should be the guiding set of principles.”

During the phone briefing, Jeff Crowley, director of the White House Office of National AIDS Policy, said the 2012 budget also reflects the president’s recently released National HIV/AIDS Strategy document. Crowley noted that strategy document, among other things, calls for targeting federal AIDS funds to population groups that are affected most by the disease, especially gay and bisexual men and people of color.

“People living with HIV should not have to live in fear that their life-saving medications could be taken away from them,” Crowley said.

“By increasing the annual fund by $105 million from early fiscal year 2010, when waiting lists in ADAPs first appeared, the president is demonstrating a strong commitment to standing with people living with HIV and working with states and others to bridge the gap in access to HIV medications until insurance coverage is expanded in 2014 through the Affordable Care Act.”

Crowley was referring to the sweeping health care reform bill initiated by Obama and passed by the Democratic-controlled House and Senate in 2009. With Republicans gaining control of the House this year, the House passed legislation calling for the repeal of the Affordable Care Act. The Senate, which remains under Democratic Party control, defeated the repeal legislation.

AIDS activists have said they remain hopeful that the Affordable Care Act’s provisions expanding health insurance coverage for low-income people will greatly reduce the need for people with HIV to rely on ADAP for their medication.

The president’s fiscal year 2012 budget includes these additional proposals for federal AIDS spending:

• An increase of $5 million over FY 2010 levels for early intervention and primary care service for people with HIV/AIDS under the Ryan White CARE Act.

• An increase of $58 million over FY 2010 for the U.S. Centers for Disease Control and Prevention (CDC) as a means of helping reach the goals of the National HIV/AIDS Strategy document’s call to reduce the number of new HIV infections in the U.S.

• An increase of $750 million above FY 2010 levels for medical research at the National Institutes of Health. Of this amount, $74 million would be allocated for AIDS and HIV prevention research. Crowley said the research would focus on developing an AIDS vaccine and new microbicides to prevent the AIDS virus from infecting people and on the discovery of improved drug therapies to prolong the lives of people with HIV.

• A $325 million funding allocation for the Housing Opportunities for People With AIDS, or HOPWA, at the Department of Housing and Urban Development—the same amount approved for the FY 2010 budget. HOPWA provides rent subsidies and other assistance to low-income people with HIV/AIDS.

Republican leaders said the Obama budget for FY 2012, which calls for $3.7 trillion in spending, is far too large and vowed to make sharp cuts when the budget undergoes the review and approval process on Capitol Hill in the coming weeks.

GOP leaders didn’t initially discuss the 2012 budget’s spending proposals on AIDS programs, but Capitol Hill observers expect House Republicans to make the same proposed cuts as those made for the fiscal year 2011 budget.

“HIV programs are so small a part of the federal budget – less than one tenth of one percent – that even eliminating them entirely will not materially reduce this year’s deficit,” Oldham said in a statement.

“But the proposed cuts will contribute to deficits in years to come, as Americans whose new infections this year could have been prevented for a few dollars come back next year, needing drugs and support services that will cost far more, for years to come,” he said.

During the White House phone news briefing, Barnes said the Obama budget for FY 2012 also calls for small increases in funding at the Justice Department’s civil rights division, which enforces the Mathew Shepard and James Byrd Jr. Hate Crime Prevention Act. The act authorizes the federal government to prosecute hate crimes targeting the LGBT community.

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Health

United States Conference on HIV/AIDS grapples with federal budget cuts

Annual gathering is largest of its kind in the country

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Bishop Antonio José Gallardo Lucena addresses the United States Conference on HIV/AIDS in Anaheim, Calif., on Sep 17, 2026. (Photo by Caleb Kaufman for the Los Angeles Blade)

Advocates, public health experts, and healthcare providers gathered for the United States Conference on HIV/AIDS on Sept. 17 in Anaheim, Calif.

The conference is the largest of its kind in the nation and came amid a wave of new challenges for HIV research and treatment. Since the beginning of the second Trump-Vance administration, federal spending cuts have targeted HIV/AIDS programs, including the gutting of the U.S. Agency for International Development and proposed cuts to PEPFAR, which supports HIV testing and treatment globally, in 2025. 

Last year, Congress maintained funding for HIV programs after proposed cuts faced opposition from advocacy groups and bipartisan criticism. Yet, this year Congress has proposed similar cuts to many of the same programs, which would cut nearly one billion dollars in HIV funding. The majority of the cuts would impact HIV prevention and outreach, which includes ending nearly all Centers for Disease Control and Prevention HIV prevention activities. 

“If we continue down this path,” said Jeremiah Johnson, the executive director of PrEP4ALL, an advocacy group that supports expanding access to HIV prevention. “We’re going to see more people falling off treatment. We’re going to see more wait lists. That’s going to lead to more people dying from AIDS-related complications.”

Cuts and challenges

The funding cuts loomed over the conference and inspired protest from activists. 

On the first day of USCHA, activists with Save HIV Funding organized a mock funeral outside the convention center. Advocates living with HIV wrote eulogies for themselves, meant to show the consequences of diminished access to treatment. Then activists marched through the conference carrying fake coffins. 

Johnson, who helped organize the protest, said that “the Trump administration has eviscerated global aid … and the fears that many of us are just talking about hypothetically for ourselves at the moment are already happening [internationally]. And so we wanted to place that front and center at this conference.”

The attacks on funding for HIV research and outreach come at a complicated time for the movement to end the AIDS epidemic. While options for prevention and treatment have never been more accessible, such as PrEP and antiretroviral therapy, there have been some concerning upticks in infections, particularly among communities of color.

Southern states account for the majority of new HIV infections in the country, despite making up only 38 percent of the population. And these infections impact disproportionately Black and Latino communities. According to the CDC, even as overall HIV infections decreased from 2018 to 2022, diagnoses of HIV among Latinos grew by 17 percent, with a majority of this increase happening in the South. 

Stigma is still the biggest barrier for people seeking out HIV treatment, said Guillermo Chacón, president of the Latino Commission on AIDS. 

“The progress that we [made] in the past two years has been demolished,” he said. 

Chacón blames the federal government for stigmatizing HIV treatment by using harmful rhetoric about queer people. 

“The level of homophobia and transphobia right now is even higher because it has been used as a political message to create fear and division in our country,” he said. 

Chacón believes that research and outreach must be done to reverse the rising HIV infections among Latinos. However, this is exactly the type of research that the Trump-Vance administration is targeting most intensely. Research into “health disparities” — why some health problems impact certain communities more than others — has been heavily criticized by the White House, along with other research that it considers “woke” and claims is not supported by science. 

Impact felt at conference

The opening plenary for the conference addressed some of the funding challenges the movement was facing but tried to shift the focus to the victories the movement has seen over the years. Speakers highlighted historic successful activist campaigns like ACT UP, and recent improvements in medical care and access to treatment. 

Randevyn Pierre, head of U.S. external affairs at ViiV Healthcare, the sponsor of the plenary, took the stage to celebrate the success of the U = U campaign (undetectable viral load =
untransmittable HIV virus), and ViiV’s investment of $33 million in HIV community organizations across the U.S. This comes as the Trump-Vance administration has made moves to end direct funding of community-based organizations, opting to give the funding to state healthcare agencies. 

The speakers at the conference discussed reducing stigma for those living with HIV and the joy of living authentically. They also emphasized the diverse groups of people that are impacted by HIV and how they can come together to fight for a cure. Longtime AIDS activist Rae Lewis Thorton exclaimed, “When they tell me there’s a cure to HIV, I’m gonna take off my 4-inch heels and put on gold slippers,” to applause from the audience. 

The opening plenary also featured song and dance from a variety of artists, many of whom spoke about how HIV has impacted their own lives and how advocacy has uplifted their spirits. However, the joyous atmosphere at the conference would not last. 

On the final day of USCHA, Geri Donenberg, the associate director of AIDS research at the National Institutes of Health, took the stage to address the conference. 

As she spoke, phones began to buzz around the room with breaking news: the Trump-Vance administration was drafting an executive order to create an external board to oversee NIH grants and screen them for political content. NMAC CEO Harold Philips took the stage after Donenberg to address the crowd. “It’s up to us,” Philips said, “to hold NIH accountable.” He added that HIV advocates “have supporters inside NIH who are struggling and working to do the right thing. We have to have their back.” 

Chants of “stand up, fight back, fight AIDS” erupted from the crowd as Philips spoke. “We do have to fight back. We do have to continue to fight,” Philips replied. 

Caleb Kaufman is a California Local News Fellow placed with the Los Angeles Blade. The California Local News Fellowship is a state-funded initiative to support and strengthen local news reporting. Learn more about it at fellowships.journalism.berkeley.edu/cafellows.

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AIDS Healthcare Foundation announces 3 million people globally in its care

Los Angeles-based group lauded ‘historic milestone’

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An AIDS Healthcare Foundation float in the Lima Pride parade in Lima, Peru, on July 1, 2023. (Photo courtesy of Jacob Kessler)

The AIDS Healthcare Foundation, a Los Angeles-based nonprofit group founded in 1987 that has become the world’s largest HIV/AIDS organization, has announced it has three million people in care around the world.

In a statement released on May 26, the organization, known worldwide as AHF, said the latest accomplishment reflects its global commitment to HIV prevention, care, and treatment. It says the accomplishment comes at a time when AHF marks the 25th anniversary of its first global programs launched in South Africa and Uganda in early 2001.

The statement says the three million people in care milestone also comes while the group approaches the 40th anniversary of its founding in 1987.

“Today, AHF provides lifesaving services in 50 countries across Africa, the Americas, Asia, and Europe, supporting millions of people living with HIV through a network of 1,056 global clinics, 79 healthcare centers in the U.S., 67 pharmacies, 96 wellness centers, 26 Out of the Closet thrift stores, outreach programs, and community partnerships,” the statement says.   

“This accomplishment is far more than a number — it represents 3 million individuals whose lives have been touched by compassion, commitment, and the belief that healthcare is a human right,” Condessa M. Curley, the AHF board chair, said in a statement. “We extend our deepest gratitude to every member of the AHF team whose dedication made this milestone possible,” Curley said.

The AHF website notes the organization was founded in 1987 in Los Angeles as a network of hospices committed to “fighting for the living and caring for the dying” at a time when there was no effective treatment for HIV/AIDS. A statement on the website says since that time AHF has greatly expanded, converting its hospices into healthcare centers “and building a new paradigm for HIV care both in the United States and around the world.”  

The statement adds, “Under the leadership of president and co-founder Michael Weinstein, AHF has grown from a group of friends dedicated to creating dignified hospice care to the largest AIDS organization in the world.” It says Weinstein “has been at the forefront of creating cutting-edge healthcare and advocacy programs and continues to drive the organization forward with the aim of saving more lives around the world.”

The statement announcing the milestone has also come at a time when more than 40 million people worldwide are living with HIV, “while hundreds of thousands continue to die annually from AIDS-related illnesses despite the availability of effective treatment.”

It says AHF’s response has included an expansion of its prevention and public health programs worldwide. In 2025 alone, according to the statement, AHF and its affiliated programs provided nearly five million free HIV tests globally and distributed more than 54 million free condoms, “underscoring the organization’s continued emphasis on both prevention and treatment.”

In D.C. AHF operates health care centers at 1701 K St., N.W., Ste. 400 [202-293-8680], 650 Pennsylvania Ave., S.E., Ste. 310 [202-350-5000], and 1647 Benning Road, N.E., Ste. 300 [202-350-5000]. 

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Cannabis Culture

LGBTQ people, weed, and mental health: what you need to know

Community uses marijuana at much higher rates than general population

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(Photo courtesy of NORML)

Uncloseted Media published this story on May 7.

By SPENCER MACNAUGHTON | In 2025, the global cannabis market size was valued at nearly $103 billion. By 2034, that number is expected to explode by roughly 1,400 percent to more than $1.43 trillion.

In short, as an increasing number of countries legalize marijuana use, everyone is starting to consume a lot more weed. And LGBTQ people tend to use cannabis at much higher rates than the general population. One study found that 55 percent of lesbian and 45 percent of gay young adults use marijuana, compared to about 33 percent and 37 percent, respectively, of their straight counterparts.

As LGBTQ people face a mental health crisis, the mainstream stereotypes that depict weed as an antidote for anxiety, panic and depression aren’t painting the full picture. And that could be exacerbating the mental health struggles so many queer people, and especially youth, face.

Here’s what the research demonstrates about marijuana and its effects on mental health:

  • Multiple studies suggest a link between marijuana use and an increased risk of mental health disorders, including schizophrenia, depression and anxiety in individuals who are genetically predisposed.
  • One study found that daily marijuana use, especially among younger people, makes some individuals seven times more likely to develop psychosis.

The increase in higher-potency strains of marijuana could pose unknown risks. In 1995, the average content of Tetrahydrocannabinol (THC) in confiscated marijuana was less than 4 percent. In 2022, it was more than 16 percent. Researchers don’t know the full extent of the impact that these higher concentrations can have on mental health and especially on younger people whose brains are still developing.

  • A systematic review of studies published between 2013 and 2025 found damning results for the mental health of young cannabis users:

They were 51 percent more likely to experience depression, 58 percent more likely to experience anxiety, between 50 and 65 percent more likely to experience suicidal ideation and 80 to 87 percent more likely to have attempted suicide.

  • While the above stats paint a grim picture, there is also some research that suggests benefits of cannabis use:
    • A 2025 systematic review found that “medicinal” weed showed some efficacy in relieving withdrawal symptoms of opioid use disorder. THC use has been associated with improvement of post-traumatic stress disorder symptoms, bipolar symptoms and sleep quality.
    • Other studies found that THC administered in a controlled setting was associated with a decrease of symptoms and adverse effects for a range of mental health disorders, including schizophrenia, psychotic symptoms, and anorexia nervosa.

Beyond what we pulled from academia, there is an astounding lack of information about the interplay between weed and mental health. As we dive deeper into Mental Health Awareness Month, I hope advocacy organizations, influencers and news outlets ramp up their coverage of this important topic that affects the countless LGBTQ weed smokers, many of whom are already struggling.

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