passes new provisions in the Ryan White CARE Act that alter
how HIV cases are counted by the federal government, nine
metropolitan areas in California could lose as much as
$19 million in funding, The Sacramento Bee reports.
Currently, federal AIDS funds are allocated based on
the number of AIDS patients in a region, but a new
bill being considered by Congress changes that to focus
on the number of HIV cases in each state.
AIDS cases in
metropolitan areas also are currently counted both as part
of a city total and as part of a state total for separate
funding streams. The U.S. Department of Health and
Human Services has proposed eliminating the "double
counting" system, which could result in a cut of 62%
in the $31 million allocated to nine California metro areas.
worry that because California provides expensive,
state-of-the-art care for HIV patients, funding cuts could
diminish such care in major cities such as San
Francisco and Los Angeles. Funding cuts also could
lead to scaled-back or even eliminated support programs,
including transportation services, counseling, and other
nonmedical programs, AIDS advocates say.