The Ryan White
Part A 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 Norfolk Ryan White TGA 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).
- Norfolk is a TGA, 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, which is the Chair of the Clark County Commission.
- 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.
FORMULA FUNDS
Awarded based on the number of persons living with HIV and AIDS in the EMA or TGA.
MAI FUNDS
Awarded using a formula based on the distribution of living HIV/AIDS cases among racial and ethnic minorities.
SUPPLEMENTAL FUNDS
These are competitive awards based on demonstrated need and other factors.
Executive
Membership & Nominations
PAP Committee
Planning Council
Community Access
QISP Committee
Who's Who in the Part A Program and What They Do
- Is in charge of the major city or county in the EMA or TGA, such as a mayor, chair of the county board of supervisors, county executive, or county judge.
- The person who officially receives the Ryan White Part A funds.
- Responsible for making sure that all the rules about using Ryan White Part A funds are followed.
- Usually picks an agency to manage the Part A grant.
- Establishes the planning council and appoints its members.
- The word “grantee” means the person or organization that actually carries out Ryan White Part A tasks.
- The grantee can be a local government agency.
- The CEO appoints a planning council.
- The planning council (and its staff) must carry out many complex planning tasks.
- Planning Councils consist of members from various groups and organizations and at least one third (33 percent) of the planning council members must be PLWHA who receive Part A services and do not have a conflict of interest.
- The HRSA HIV/AIDS Bureau's (HAB) Division of Service Systems (DSS) is responsible for administering Part A and Part B throughout the country.
- HRSA is an agency within the U.S. Department of Health and Human Services.
- Each EMA or TGA is assigned a Project Officer who works in DSS. Project Officers help the grantee and planning council do their jobs and make sure that they are running the local Part A program as the Ryan White legislation says they should.
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
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.
- Part F includes Special Programs of National Significance (SPNS) models of care
- AIDS Education and Training Centers (AETC) training for health care providers
- 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
Program Funding Opportunities
The Greater Hampton Roads Planning Council
HRSA
RYAN WHITE PART A MANUAL
MANAGING YOUR RW GRANT
TARGET CARE CENTER WEBSITE
CAREWARE PORTAL
Greater Hampton Roads
HIV Health Services Planning Council
741 Monticello Ave. Rm 201 Norfolk, VA 23510
757-823-4410