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1994.01.05 : Ryan White Grants

Date: Wednesday, Jan. 5, 1994 
Contact:   Patricia Campbell, PHS (HRSA) (301) 443-3376

                   Ryan White Grants

HHS Secretary Donna E. Shalala today announced the award of $159.9
million in fiscal year 1994 formula grants for HIV/AIDS care under
Title I of the Ryan White Comprehensive AIDS Resources Emergency
CARE Act.

In this fourth year of Ryan White CARE Act awards, grants went to
34 cities or metropolitan areas in 17 states, the District of
Columbia and Puerto Rico, with nine cities receiving CARE grants
for the first time.  The 34 cities reported 71 percent of the
cumulative total of AIDS cases in the United States, and had 81
percent of cases reported during the year April 1, 1992, to March
31, 1993.

The nine new grantees were Bergen-Passaic, N.J.; Denver, Colo.;
Kansas City, Mo.; New Haven, Conn.; Orlando, Fla.; Phoenix, Ariz.;
Riverside-San Bernadino, Calif.; St. Louis, Mo.; and West Palm
Beach, Fla.

The CARE Act program is administered by the Health Resources and
Services Administration, a Public Health Service agency within
HHS.

Secretary Shalala said, "As the number of those living with HIV
and AIDS continues to climb, CARE Act funds are more critical than
ever.  With today's grants, more than $547 million in Title I
funds has been awarded since 1991 to assist those battling AIDS."

The grants are called formula awards because all cities are
automatically eligible for grants if they reported more than 2,000
AIDS cases, or a per capita incidence higher than .0025, to the
U.S. Centers for Disease Control and Prevention by March 31, 1993.

In determining grant amounts, both the number of reported cases
and the city's population are taken into account.  The FY 1994
grants ranged from $45.8 million for New York City, with 48,259
reported AIDS cases, to $976,793 for Ponce, Puerto Rico, which
reported 892 cases.

Grants are used for community-based outpatient health and support
services for people with HIV and AIDS.  Services may include home-
delivered meals, prescription drugs, transportation of patients to
care sites, counseling, home health care and comprehensive medical
care.

In FY 1992, one-third of Title I funds supported primary care for
low-income AIDS patients, 13 percent went to case management and
12 percent were used for pharmaceuticals.

Title I grants are made to the city's chief elected official, who
must establish an HIV services planning council to identify local
service needs, assign priorities to those needs, award grants to
subcontractors who provide the care, and monitor how efficiently
funds are being used.  Planning councils must by law include both
those who provide and receive services.  The councils range in
size from 20 to 67.

William Robinson, M.D., M.P.H., acting administrator of the Health
Resources and Services Administration, said, "Since 1991, the
number of cities eligible for Title I formula grants has more than
doubled, with 16 cities receiving grants that first year, 18 in FY
1992, and 24 in FY 1993.  Experience has shown us that the city
planning council model is providing effective community-based
planning and service delivery at the local level."

G. Stephen Bowen, M.D., HRSA's associate administrator for AIDS
and assistant surgeon general, said, "All 34 cities that received
FY 1994 Title I grants are eligible to submit applications and
compete for Title I supplemental grants to help fill gaps in
services.  An additional $159.9 million will be awarded later in
the fiscal year for supplemental grants."

Attached is a list of all FY 1994 CARE Act grantees, the grant
amount and the number of AIDS cases each city reported to the CDC.

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