$600 million in Trump administration health cuts will hit California HIV programs

WASHINGTON — Public health experts warned Tuesday that $600 million in cuts to federal public health funding announced by the Trump administration would endanger one of California’s main early-warning systems for HIV outbreaks, leaving communities vulnerable to undetected disease spread.

The grant terminations affect funding for a number of disease control programs in California, Colorado, Illinois and Minnesota, but the vast majority target California, according to congressional Democrats who received the full list of affected programs Monday. The move is the latest in the White House’s campaign against what it called “radical gender ideology” at the Centers for Disease Control and Prevention.

“These cuts will hurt vital efforts to prevent the spread of disease,” said Sen. Adam Schiff (D-Calif.). “It’s dangerous, and it’s deliberate.”

Under Health and Human Services Secretary Robert F. Kennedy Jr., the CDC has increasingly turned away from evidence-backed HIV monitoring and prevention programs, claiming they “undermined core American values.”

The stoppage will derail $1.1 million slated for the Los Angeles County Department of Public Health’s National HIV Behavioral Surveillance Project, according to the president’s budget office.

The program is a “critical” tool used to detect emerging HIV trends, prevent outbreaks before they spread and reduce HIV incidence, said Dr. Paul Simon, an epidemiologist at the UCLA Fielding School and former chief science officer for the county’s public health department.

“Without this program, we’re flying blind. The first step in addressing any public health threat is understanding what’s happening on the ground,” Simon said. “With HIV in particular, people often have no symptoms for years and can unknowingly spread the virus.”

The White House gave little explanation for the move but claimed the programs it targeted “promote DEI and radical gender ideology.”

Simon pushed back on the claim, calling the move “dangerous” and “shortsighted.”

“It’s particularly dangerous to put your head in the sand and pretend there’s not a problem,” Simon said. “The success we’ve had over the past decades comes from finding cases early. … By treating people early, we can prevent transmission.”

Several local front-line service providers were targeted for cuts including the Los Angeles LGBT Center, which is set to lose $383,000 in investments for community HIV prevention programs.

The LGBT Center has not received official notice of the elimination but said the cuts would disproportionately affect LGBTQ+ communities and other underserved populations.

“These decisions are not guided by public health evidence, but by politics — and the consequences are real,” LGBT Center Chief Executive Joe Hollendoner said in a statement. “Any reduction in funding directly affects our ability to provide care, prevention and lifesaving services to the people who rely on us.”

The Trump administration’s announced cuts are likely to face challenges from states and grant recipients.

The LGBT Center succeeded last year in blocking similar grant cancellations stemming from the president’s executive orders. A federal judge in San Francisco issued a preliminary injunction ruling the administration could not use executive orders to “weaponize Congressionally appropriated funds” to bypass statutory funding obligations.

“We stand ready to bring more litigation against this administration if it is required in order to protect our community,” Hollendoner said.

The White House has repeatedly pushed to halt the flow of billions of dollars to California and other states led by Democrats, a strategy that has sharpened partisan tensions and expanded the scope of California’s legal fight against the administration.

In January, administration officials said they would freeze $10 billion in federal child care, welfare and social services funding for California and four other states, but a federal judge blocked the effort.

Trump later said he would begin blocking federal funds to “sanctuary” jurisdictions such as California and Los Angeles, which have long opposed cooperation with federal immigration agencies.

Last year, the administration made broad cuts to federal funding for minority-serving institutions, leaving California colleges scrambling to figure out how to replace or do without the money. Federal officials argued that such programs were racially discriminatory.

In June, California congressional Democrats demanded the release of $19.8 million in frozen HIV prevention grants to the L.A. County Department of Public Health. That freeze forced the county to terminate contracts with 39 community health providers and nearly shut down HIV testing and other services at the Los Angeles LGBT Center.

The administration reversed course after sustained pressure from Rep. Laura Friedman (D-Burbank) and 22 fellow House Democrats.

“These grants save lives,” Friedman said of recent terminations. “They connect homeless people to care, they support front-line organizations fighting HIV, and they build the public health infrastructure that protects my constituents. Just like I did last time the Trump Administration came after our communities, I won’t stop fighting back.”

In a letter to Kennedy last year, Rep. Robert Garcia (D-Long Beach) said that the Cabinet secretary has a history of peddling misinformation about the virus and disease.

Kennedy’s motivations are “grounded not in sound science, but in misinformation and disinformation you have spread previously about HIV and AIDS, including your repeated claim that HIV does not cause AIDS,” Garcia wrote.

Gov. Gavin Newsom called President Trump’s latest threats to public health funding “a familiar pattern,” and shed doubt on their long-term legal viability.

“The President publicly claims he will rip away public health funding from states that voted against him, while offering no details or formal notice,” Newsom said. “If or when the Trump administration takes action, we will respond appropriately. Until then, we will pass on participating in his attempt to chase headlines.”