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NIH Explores Transfer of HIV Treatment Guidelines as 2026 Sunset Approaches

Experts fear moving guideline oversight under HHS could undermine the science-driven foundation of HIV care.

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Overview

  • The NIH’s Office of AIDS Research confirmed it will phase out its HIV treatment guidelines by June 2026 and is evaluating moving their management to another HHS agency.
  • Internal NIH emails cite budget cuts and shifting priorities as reasons for seeking a new home for the federal HIV care recommendations.
  • The guidelines inform insurance and Medicare coverage for antiretroviral therapies used by more than one million people living with HIV in the United States.
  • Clinicians warn that placing the guidelines under HHS Secretary Robert F. Kennedy Jr., who has questioned established HIV science, could politicize treatment standards.
  • A special session with guideline panel leaders and the OAR Advisory Council has been scheduled to develop a transition plan and maintain real-time updates.