Children, Youth, Women and Families - Part D

Authorizing Legislation: Title XXVI, Section 2671 of the Public Health Service Act, as amended.

Program Description and Accomplishments
The Part D program focuses on providing coordinated access to primary medical care and support services for HIV-infected women, infants, children, and youth which are culturally competent and family-centered. It also funds other services, like case management and childcare that help clients get the care they need. Currently, there are Part D programs in 34 states, the District of Columbia, Puerto Rico, and the Virgin Islands. In 2006, Part D provided services to 84,950 clients, 71 percent of whom were HIV infected. Of the clients with known race, the majority (86 percent) were members of racial minority groups. Sixty-nine percent of all clients with known gender served were females.

Eligible organizations are public or private nonprofit entities that provide or arrange for primary care for HIV-positive women, infants, children, and youth. Organizations include State and local governments, their agencies, and Indian Tribes or tribal organizations. Faith-based and community-based organizations are eligible to apply. Part D programs started in 1988 as the Pediatric AIDS Demonstration Projects. The 13 original projects served infected infants and children, infected pregnant women and their families. The projects provided supportive care to families to help infected children receive medical care. In 1994 Congress funded these projects under Part D of the Ryan White HIV/AIDS Treatment Modernization Act of 2006 (formerly known as the Ryan White Comprehensive AIDS Resource Emergency Act).

Part D served 52,306 female clients in 2005 and 48,800 female clients in 2004. In FY 2006, Part D provided 49,701 females with comprehensive services, including appropriate services before and during pregnancy, to reduce perinatal transmission. This number exceeds the FY 2006 target by 16,929 clients.

Program Assessment Rating Tool: Part D was included in the combined PART reassessment conducted in 2007 for the Ryan White HIV/AIDS Program. The Program received an Effective rating. 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

Excludes comparable amounts for SPNS

Budget Request
The FY 2009 Request of $73,690,000 is equal to the FY 2008 Enacted level. The request will help to sustain primary health care and social support services available to over 60,000 women, infants, children and youth living with HIV and AIDS and their affected families at programs in 34 States, D.C., Puerto Rico and Virgin Islands.

The FY 2009 target for the number of female clients provided comprehensive services through Part D, including appropriate services before or during pregnancy, to reduce perinatal transmission, is 52,306. Part D 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, HIV-positive women who receive anti-retroviral medications, 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.)

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