RYAN WHITE HIV/AIDS
Program Funding Opportunities
Provides assistance to Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs)—locales that are most severely affected by the HIV/AIDS epidemic.
QUICK FACTS
- When the first Part A grants were awarded in FY 1991, there were 16 EMAs. Today, 24 EMAs and 32 TGAs receive funding.
- In FY 2010, approximately $679.1 million was appropriated for Part A spending.
Provides grants to States and U.S. Territories. Part B grants include a base grant, the AIDS Drug Assistance Program (ADAP) award, ADAP supplemental grants, grants to States for Emerging Communities, and an award for Minority AIDS Initiative activities.
QUICK FACTS
- For FY 2010, $1.25 billion was appropriated for Part B programs, and $835 million was earmarked for ADAP.
- For FY 2010 $8.4 million was awarded for MAI activities in 33 States, the District of Columbia , Puerto Rico, and the U.S. Virgin Islands
Provides grants for community-based organizations, clinics, hospitals, and other health facilities that provide early intervention services to people infected with HIV/AIDS through intravenous drug use.
QUICK FACTS - EIS
- The FY 2010 appropriation for Part C EIS was $206.8 million.
- Since FY 1991, approximately $1.85 billion has been appropriated for Part C programs.
- In FY 2009, 253 organizations received grants totaling approximately $187.1 million.
Provide outpatient or ambulatory family-centered primary medical care for women, infants, children, and youth with HIV/AIDS.
Part D funds (1) family-centered primary and specialty medical care and (2) support services.
QUICK FACTS
- Since 1994, the Part D Program has provided more than $681.6 million in funding to States and communities;
- The Part D Program has played a significant part in reducing mother-to-child HIV transmission
- It's Part F includes Special Programs of National Significance (SPNS) models of care
- AIDS Education and Training Centers (AETC) training for health care providers
- The Ryan White HIV/AIDS Dental Reimbursement Program (DRP) for agencies to reimburse the uncompensated costs incurred by agencies in providing oral health treatment to PLWHA
- Community Based Dental Partnership Program (CBDPP) to provide oral health care in the community and train dental professionals
- The Minority AIDS Initiative (MAI) to reduce racial/ethnic disparities in service access and outcomes
The Ryan White HIV/AIDS Program
- The Ryan White HIV/AIDS Program (previously known as the Ryan White CARE Act) is a Federal program that funds services for people living with HIV/AIDS (PLWHA).
- Ryan White services are to be used only for those who cannot pay for the care they need and funds are to be used as the “payer of last resort”.
- The legislation spells out who is eligible for services and describes how the money can be used.
- Most Ryan White funds go to pay for medical and support services for PLWHA and their families.
- The major goal of this program is to get PLWHA into care early and help them stay there and remain healthy.
The New Haven/Fairfield Ryan White EMA Part A Program
- Part A funds go to local areas that have been hit hardest by the HIV epidemic.
- These areas are called eligible metropolitan areas (EMAs) or transitional grant areas (TGAs).
- NHFF is a EMA, meaning it is a metropolitan area with between 1,000 and 1,999 new cases of AIDS reported in the past five years and at least 1,500 cumulative living cases of AIDS as of the most recent calendar year.
- Part A money goes to the chief elected official (CEO) of the major city or county government in the EMA or TGA.
- The CEO is legally the grantee, but usually chooses a department or other entity to manage the grant.
- That entity is called the grantee, and is responsible for ensuring that the grant funds are used correctly.
- The grantee works with the Part A planning council in making decisions about how to use the funds.
The Award Process
Each year Congress approves different amounts of funds for Ryan White programs, including Part A which is then divided into formula and supplemental funds.
- EMA's or TGA's must submit a grant application to HAB/DSS each year to receive formula and supplemental Part A funds.
- Grants are written by the Grantee and submitted each September.
- EMA's or TGA's must submit a grant application to HAB/DSS each year to receive formula and supplemental Part A funds.
- Grants are written by the Grantee and submitted each September.
- The grant year or fiscal year runs from March 1st to February 28th each year.
- The annual planning cycle, which the Planning Council operates on, is from September to August each year.
Ryan White Program Parts and Funding
Part A $655.9
Number of Grantees: 24 EMAs; 28 TGAs.
Funds provided to “eligible metropolitan areas” (EMAs), areas with 2,000+ reported AIDS cases over the past 5 years & “transitional grant areas” (TGAs), areas with 1,000-1,999 reported AIDS cases in the past 5 years. TGAs and EMAs must have a population of at least 50,000. Two-thirds of funds are distributed by formula based on area’s share of living HIV (non-AIDS and AIDS) cases and the remainder is distributed via competitive supplemental grants based on “demonstrated need.” EMAs must establish Planning Councils, local bodies tasked with assessing needs, developing HIV care delivery plans, and setting priorities for funding. Most TGAs are not required to have Planning Councils.
Part B $1,315.0
Number of grantees: 50 States, D.C., and 8 Territories/Associated Jurisdictions.
Funds provided to states, Washington, D.C., and territories/associated jurisdictions. Grantees provide services directly, through sub-grantees and/or through Part B “Consortia” (associations set up to plan and deliver HIV care).
Part B components include:
- Base & Supplemental: Funds distributed by formula to states based on state’s share of living HIV (non-AIDS and AIDS) cases, weighted to reflect the presence of EMAs/TGAs. Additional “supplemental” grants are available for states with “demonstrated need.”
- Emerging Communities (ECs): A portion of Part B base funds is set aside for grants to metropolitan areas with 500-999 cumulative reported AIDS cases over the most recent 5 years. Funding distributed via formula.
ADAP (non-add) $900.3
ADAP & ADAP Supplemental: Congress “earmarks” funds under Part B for ADAPs which provide medications and insurance coverage to people with HIV. ADAP supplemental grants are available to states with “severe need” (5% of earmark reserved for this purpose).
Part C $205.1
Number of grantees: 347.
Funds public and private organizations directly for:
- Early Intervention Services (EIS): To provide comprehensive primary health care to people with HIV, including services to those newly diagnosed, such as HIV testing, case management, and risk reduction counseling.
- Capacity Development & Planning Grants: To support organizations in planning for service delivery and building capacity to provide services.
Part D $75.1
Number of grantees: 115.
Funds public and private organizations to provide family-centered and community-based services to children, youth, and women living with HIV and their families, including outreach, prevention, primary and specialty medical care, and psychosocial services. Supports activities to improve access to clinical trials and research for these populations. In recent years, the President’s budget has proposed to eliminate Part D and consolidate its funding with Part C, but this proposal has not been implemented by Congress.
Part F $33.6 (AETCs)/$13.1
(Dental) Includes the following components:
- AIDS Education and Training Centers (AETCs): National and regional centers proving education and training for health care providers who treat people with HIV. Number of grantees: 16.
- Dental Programs: The “Dental Reimbursement Program,” reimburses dental schools/providers for unreimbursed oral health services; the “Community-Based Dental Partnership Program” funds dental provider education and increases access to dental care for people with HIV. Number of grantees: 56 Reimbursement, 12 Community Partnership.
- Minority AIDS Initiative (MAI): MAI, created in 1998, aims to address impact of HIV on racial/ethnic minorities. Provides funding across DHHS agencies/programs, including the Ryan White HIV/AIDS Program, to strengthen organizational capacity and expand HIV services in minority communities. The Ryan White HIV/AIDS Program’s component of the MAI was codified in the 2006 reauthorization.14,15
- Special Projects of National Significance (SPNS): Funded through “set-asides” of general federal Public Health Service evaluation funding, separately from the amount appropriated by Congress for the Ryan White HIV/AIDS Program, SPNS projects address emerging needs of clients and assist in developing a standard electronic client information data system.
New Haven/Fairfield Counties
Ryan White HIV Planning Council
54 Meadow Street, 9th Floor
New Haven, CT 06519
888-243-0464
Join the planning council. Applications available
ATTEND a COMMITTEE Meeting. Find out how, when & where
GET TESTED!
Find an HIV testing site near you.
HRSA DISCLAIMER
This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under the Ryan White HIV/AIDS Treatment Extension Act of 2009 (Public Law 111-87) via grant H89HA00007.
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