TITLE I: GRANTS TO ELIGIBLE METROPOLITAN AREAS
 itle I of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act provides emergency assistance to Eligible Metropolitan Areas (EMAs) that are most severely affected by the HIV/AIDS epidemic.
ELIGIBILITY
To be eligible, an area must have reported at least 2,000 AIDS cases during the previous 5 years and have a population of at least 500,000.
When the first Title I grants were awarded in FY 1991, there were 16 EMAs. Today, 51 EMAs receive funding in 21 States, Puerto Rico, and the District of Columbia. On March 14, 2006 a press release was issued to announce the FY 2006 Title I grant award: www.hhs.gov/news/press/2006.html.
FUNDING
In FY 2006, $611.6 million was appropriated for Title I spending. Title I funding to EMAs includes formula and supplemental components, as well as Minority AIDS Initiative funds targeted for services to minority populations.
- Formula grants are based on the estimated number of living cases of AIDS over the most recent 10-year period. Beginning in FY 2007, if accurate and reliable data are available, formula funds will be based on living HIV/AIDS cases (HIV-positive and AIDS cases).*
- Supplemental grants are awarded competitively based on demonstration of severe need and other criteria.
SERVICES
Title I funds may be used to provide a continuum of care for persons living with HIV disease. The following services may be provided:
- Outpatient and ambulatory health services, including substance abuse and mental health treatment
- Early intervention, which includes outreach, counseling and testing, and referral services designed to identify HIV-positive individuals who know their HIV status*
- Outpatient and ambulatory support services, including case management to the extent that the support services facilitate, enhance, support, or sustain delivery, continuity, or benefits of health services
- Inpatient case management services that expedite discharge and prevent unnecessary hospitalization.
GRANTEES
EMAs range in size from one city/county to more than 26 different political entities, and some span more than one State. EMA 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.
TITLE I 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.*
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