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Part A - Grants To Emerging Metropolitan
& Transitional Grant Areas
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 more than 2,000 AIDS
cases in the most recent 5 years
and have a population of at least
50,000. To be eligible as a TGA,
an area must have reported at least
1,000 but fewer than 2,000 new AIDS
cases in the most recent 5 years.
When the first Part A grants were
awarded in FY 1991, there were 16
EMAs. Today, 22 EMAs and 34 TGAs
are receiving funding.
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Funding |
In FY 2008, $627.149 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 non-AIDS and
AIDS cases as of December 31 in
the most recent calendar year
for which data are available.
- Supplemental grants are awarded
competitively on the basis of
demonstrated need and other criteria.
- Minority
AIDS Initiative 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 |
- Part A funds may be used to
provide a continuum of care for
persons living with HIV disease.
Seventy-five percent of the award
must be used for core medical
services and 25 percent must be
used for support services.
- Core services are limited to
outpatient and ambulatory services;
AIDS Drug Assistance Program (ADAP)
treatment in accordance with section
2616; AIDS pharmaceutical assistance;
oral health; early intervention;
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 people caring for HIV/AIDS
patients, referrals for health
care and other support services,
case management, and substance
abuse residential services.
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Grantess |
EMAs/TGAs
range in size from 1 city or county
to more than 26 different political
entities, and some span more than
one State. EMA/TGA 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/TGA.
Ryan
White Program EMAs |
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Ryan
White TGAs |
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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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 the
Ryan White HIV/AIDS Program or other
Federal programs. At least 33 percent
of the members must be people living
with HIV who are consumers of Ryan
White HIV/AIDS Program 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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2008 Part A Planning Council Primer
View the complete Primer This primer explains what the Ryan White HIV/AIDS program does. It also describes what planning councils do in helping make decisions about which Ryan White HIV/AIDS services to fund and deliver in their geographic areas. Most Ryan White funds are grants awarded to local and State areas to address the needs of persons living with HIV/AIDS (PLWHA). Many decisions about how to use the money are made by local planning councils and State planning groups, who work as partners with their governments. |
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