San Francisco HIV organizations say they were blindsided by a new round of federal grant cuts that will affect local services, including the Strut clinic operated by the San Francisco AIDS Foundation. The latest setback has drawn attention because it comes after President Donald Trump had previously pledged to defeat AIDS.

According to the report, grantees at a San Francisco HIV clinic said they learned through federal employees that the Office of Management and Budget intervened to stop the program. The move appears to have ended support from a federal grant initiative that had been helping clinics and related HIV work.

The funding loss is significant for providers that rely on federal grants to keep testing, lab analysis and other HIV-related services running. The Strut clinic was identified as one of the sites losing money, putting added pressure on organizations that already serve a high-need population in San Francisco.

The San Francisco HIV grant cuts also underscore a broader political and public health contradiction: local groups are now facing reduced support even though defeating AIDS has been presented as a national goal. For clinics and advocates in the city, the immediate concern is how to absorb the loss of federal dollars while maintaining care and prevention efforts.