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| Part
A of the Ryan
White HIV/AIDS Treatment Modernization
Act of 2006 provides emergency assistance
to Eligible Metropolitan Areas (EMAs)
and Transitional Grant Areas (TGAs)
that are most severely affected by the
HIV/AIDS epidemic. |
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| ELIGIBILITY |
| To
be an eligible EMA, an area must have
reported at least 2,000 AIDS cases in
the most recent 5 years and have a population
of at least 50,000. In order to be eligibile
for a TGA, an area must have reported
at least 1,000 - 1,999 new AIDS cases
in the most rcent five years. When the
first Part A grants were awarded in
FY 1991, there were 16 EMAs. Today,
22 EMAs and 34 TGAs receive funding.
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| FUNDING |
In
FY 2007, $603,993 million was appropriated
for Part A spending. Part A funding
to EMAs/TGAs includes formula and supplemental
components, as well as Minority AIDS
Initiative funds targeted for services
to minority populations.
- Formula
grants are based on reported living
HIV/AIDS cases as of December 31
for the most recent calendar year
that data is available.
- Supplemental
grants are awarded competitively
based on demonstrated need and other
criteria.
- Minority
AIDS Intitative funding is competitive
and based on demonstrated need and
the distribution of living minority
HIV non-AIDs and AIDS cases.
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| SERVICES |
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Part A funds may be used to provide
a continuum of care for persons living
with HIV disease with a requirement
to provide 75 percent of the award for
core medical services and 25 percent
for support services. Core services
are limited to: outpatient
and ambulatory services; AIDS pharmaceutical
assistance; oral health; early intervention
services; health insurance premium and
cost sharing assistance for low-income
individuals; home health care; medical
nutrition therapy; hospice services;
home and community-based health services;
mental health services; substance abuse
outpatient care; and medical case management,
including treatment adherence services.
Support
services must be linked to medical
outcomes and may include: outreach;
medical transportation, linguistic
services; respite care for person
caring for individuals with HIV/AIDS;
referrals for health care and other
support services; case management;
and substance abuse residential services.
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| GRANTEES |
| EMAs/TGAs
range in size from one city/county to
more than 26 different political entities,
and some span more than one State. EMA/TGAs
geographic boundaries are based on the
U.S. Census. Grants are awarded to the
chief elected official (CEO) of the
city or county that provides health
care services to the greatest number
of people living with AIDS in the EMA.
| Ryan
White Program EMAs |
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Ryan
White TGAs |
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Atlanta,
Georgia
Baltimore, Maryland
Boston, Massachusetts
Chicago, Illinois
Dallas, Texas
Detroit, Michigan
Ft. Lauderdale, Florida
Houston, Texas
Los
Angeles, California
Miami, Florida
New Orleans, Louisiana
New York, New York
Newark, New Jersey
Orlando, Florida
Philadelphia, Pennsylvania
Phoenix, Arizona
San Diego, California
San Francisco, California
San Juan, Puerto Rico
Tampa-St. Petersburg, Florida
Washington, DC
West Palm Beach, Florida
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Austin,
Texas
Baton Rouge, Louisiana
Bergen-Passaic, New Jersey
Caguas, Puerto Rico
Charlotte-Gastonia, North Carolina/South
Carolina
Cleveland-Lorain-Elyria, Ohio
Denver, Colorado
Dutchess Co., New York
Ft. Worth, Texas
Hartford, Connecticut
Indianapolis, Indiana
Jacksonville, Florida
Jersey City, New Jersey
Kansas City, Missouri
Las Vega, Nevada
Memphis, Tennessee
Middlesex-Somerset-Hunterdon,New
Jersey
Minneapolis-St. Paul, Minnesota
Nashville, Tennessee
Nassau-Suffolk, New York
New Haven, Connecticut
Norfolk, Virginia
Oakland, California
Orange County, California
Ponce, Puerto Rico
Portland, Oregon
Riverside-San Bernardino, California
Sacramento, California
St. Louis, Missouri
San Antonio, Texas
San Jose, California
Santa Rosa-Petaluma, California
Seattle, Washington
Vineland-Millville-Bridgeton,
New Jersey |
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| PART
A HIV HEALTH SERVICES PLANNING COUNCILS |
| Planning
Council duties include setting priorities
and allocating funds for services
on the basis of the size and demographics
of the HIV population and the needs
of the population. Particular attention
is given to those who know their HIV
status but are not in care. Planning
Councils are required to develop a
comprehensive plan for the provision
of services that includes strategies
for identifying HIV-positive persons
not in care and strategies for coordinating
services to be funded with existing
prevention and substance abuse treatment
services. Planning
Council membership must reflect
the local epidemic and include members
who have specific expertise, such
as health care planning, housing
for the homeless, incarcerated populations,
substance abuse and mental health
treatment, or who represent other
Ryan White CARE Act and Federal
programs. At least 33 percent of
the members must be people living
with HIV who are consumers of CARE
Act services. TGAs are required
to use a community planning process,
however Planning Councils are optional
for the five new TGAs that were
formed in 2007.
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