In January 2023, it was announced that Tennessee state would reject nearly $9 million in federal funding for HIV testing and prevention, effective June 1, 2023. The public health impact of rejecting federal funding for community-based HIV services in Tennessee may be profound, with the potential to widen disparities in HIV testing and prevention services for racial, sexual/gender, and rural residential minorities. The overarching goal of this project is to provide a near-real-time evaluation of whether and how policy changes to funding HIV testing and prevention in Tennessee are affecting HIV outcomes, particularly among populations highly vulnerable to HIV. Although focused on Tennessee, results are relevant to broader policy discussions around the direction of federal funding to community-based organizations for public health programs already emerging across the US South.

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