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Comparing state-only expenditures for AIDS.

M J Rowe1, C C Ryan

  • 1State AIDS Policy Center, Intergovernmental Health Policy Project, George Washington University, Washington DC 20006.

American Journal of Public Health
|April 1, 1988
PubMed
Summary
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State AIDS spending surged 15-fold to $156.3 million between 1984-88. Funding for patient care and testing increased, but overall prevention spending remained below recommended levels.

Area of Science:

  • Public Health
  • Health Policy
  • Epidemiology

Background:

  • State AIDS expenditures, excluding federal and Medicaid funds, were analyzed for fiscal years 1984-1988.
  • The Inter-governmental Health Policy Project at George Washington University conducted the survey.
  • Acquired immunodeficiency syndrome (AIDS) presented a growing public health challenge during this period.

Purpose of the Study:

  • To determine the extent of state-specific financial commitments to AIDS initiatives.
  • To track trends in state AIDS funding allocation and distribution.
  • To assess state expenditures against recommended prevention activity levels.

Main Methods:

  • A nationwide survey of all 50 states was conducted.
  • Data collected covered state-only expenditures for fiscal years 1984-1988.

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  • Analysis included tracking funding for patient care, support services, testing, and counseling.

    • Main Results:

    • State-only AIDS expenditures increased dramatically, rising 15-fold to $156.3 million over the study period.
    • Funding for AIDS patient care and support services doubled from 16% to 35% between fiscal years 1986-1988.
    • The number of states supplementing federal funds for testing and counseling increased from eight to 20.

    Conclusions:

    • Despite significant increases in state AIDS funding, per-person spending on education, testing, and counseling fell below Institute of Medicine recommendations.
    • Five states consistently accounted for the largest AIDS appropriations, with varied funding priorities (e.g., research, specific populations).
    • Indirect resource allocation, potentially from sexually transmitted disease (STD) programs, warrants further examination due to rising STD rates and their link to AIDS.