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FY 2009 Budget Justification
 

Ryan White HIV/AIDS Program, Part C Early Intervention Services

FY 2007
Actual
FY 2008
Enacted
FY 2009
Request
FY 2009 +/-
FY 2008
BA $193,721,000 $198,754,000 $198,754,000 ---
FTE 28 30 30 ---

Authorizing Legislation: Title XXVI, Sections 2651-2667 of the Public Health Service Act, as amended.

FY 2009 Authorization $235,100,000
Allocation Method Competitive Grants, Cooperative Agreements and Contracts

Program Description and Accomplishments
Part C of the Ryan White Program provides direct grants to over 357 community-based primary health clinics and public health providers in 49 states, Puerto Rico, the District of Columbia, and the US Virgin Islands. Part C is the primary means for targeting HIV medical services to underserved and uninsured people living with HIV/AIDS in the nation’s rural and frontier communities. Part C programs target the most vulnerable communities, including people of color, women, and low-income populations. The program also funds capacity building grants to help organizations strengthen their ability to deliver care to people living with HIV/AIDS. Seventy-one percent of those served are people of color and 30 percent are female. In addition, Part C providers are central to the nation’s HIV testing initiatives, providing HIV counseling and testing to more than 500,000 people each year.

The 2004 results showed 212,471 persons were served by the Early Intervention Services program. In 2005, the Part C program provided primary care services under Early Intervention Services (EIS) to 216,591 clients, exceeding the target by 37 percent and representing an increase of 2% in new clients served compared to FY 2004.

Program Assessment Rating Tool: Part C was included in the combined PART reassessment conducted in 2007 for the Ryan White HIV/AIDS Program. The Program received a rating of Effective. See Summary of Request for more details.

Funding includes costs associated with grant reviews, processing of grants through the Grants Administration Tracking and Evaluation System (GATES) and HRSA’s electronic handbook, and follow-up performance reviews.

Funding History

FY Amount
FY 1999 $ 94,270,000
FY 2000 $138,372,000
FY 2001 $185,879,000
FY 2002 $185,879,000
FY 2003 $198,374,000
FY 2004 $197,170,000
FY 2005 $195,578,000
FY 2006 $193,488,000
FY 2007 $193,721,000
FY 2008 $198,754,000

Excludes comparable amounts for SPNS

Budget Request
The FY 2009 Request of $198,754,000 is equal to the FY 2008 Enacted level. At this level, the program will continue to fund existing Part C (EIS) Programs and will sustain primary health care and social support services to people living with HIV and AIDS at 357 EIS grantee sites in 49 States, D.C., Puerto Rico and the U.S. Virgin Islands.

The FY 2009 target for the number of people receiving primary care services under Early Intervention Services programs is 216,591. Part C funding will also contribute to achieving the FY 2009 targets for the Ryan White Program’s over-arching performance measures including, proportion of racial/ethnic minorities and women served, persons learning of their serostatus from Ryan White programs, persons tested for CD4 count and viral load, and providers implementing a quality management program. (See Summary of Request for targets and for strategies and challenges.)

# Key Outputs FY 2004 Actual FY 2005 Actual FY 2006 FY 2007 FY 2008 Enacted FY 2009 Target/ Est.
Target/ Est. Actual Target/ Est. Actual
Long – Term Objective: Expand the Availability of Health Care, Particularly to Underserved, Vulnerable, and Special Needs Populations
19.II.A.1 Number of people receiving primary care services under Early Intervention Services programs. 212,471 216,591 158,346a Mar-08 158,346a Mar-09 216,591 a 216,591
  EIS Grants 363 363   361   357 357 357
  Capacity Building Grants 12 12   12   8 8 15
  Appropriated Amount ($ Million) $197.17 $195.58   $193.49   $193.72 $198.75 $198.75

Notes:

a The FY 2006 and FY 2007 targets were set prior to the availability of FY 2004 and FY 2005 results. The FY 2008 target was changed from that shown in the FY 2008 Congressional Justification to be consistent with recent performance.