Skip Navigation HRSA - Health Resources and Service Administration U.S. Department of Health & Human Services
Order Publications
Grants Find Help Service Delivery Data Health System Concerns About HRSA





The HRSA SON Index development effort achieved the following from 2005-2007:

  • Development of a SON collaborative framework to guide the development process and assure internal and external opportunities for input.
  • Engagement of national experts, federal staff, grantees, consumers and other key stakeholders in both the development and the vetting process.
  • Utilization of existing research and analyses to identify, evaluate and apply similar efforts toward a defensible SON Index.
  • Development of the draft SON Index.
  • Engaged an objective, independent contractor with broadly acknowledged impartiality and expertise to conduct future investigations into a new SON Index.
  • Assured that the proposed SON Index has not provided incentives for jurisdictions to reduce local resource contributions to HIV/AIDS care.
  • Collected and applied current epidemiologic data from jurisdictions, for the purposes of testing the allocation impact of the index.
  • Included time for community input, so as to allow sufficient time for analysis and commentary by interested parties.


1996 – 2000

  • Ryan White CARE Act as reauthorized provides framework for defining severity of need, guiding ongoing efforts by HRSA to refine methods for defining severity of need.


  • Language in Ryan White 2000 Amendments calls for IOM study of better measures of severe need.


  • IOM Report Measuring What Matters published.


  • HRSA/HAB begins severity of need recommendations from IOM report, forms HAB SON Workgroup.


  • SON Framework developed and contractor retained to guide SON development process.
  • Contractor convenes SON panels and Collaborative meeting held.


  • SON Specialists’ Panels Final Meeting
  • Key National Stakeholders Meeting and 2nd Collaborative Council Meeting
  • Contractor conducted supplemental studies to strengthen SON Index


  • HRSA convened 3rd Collaborative Council Meeting (August)
  • SON Specialists’ Panels Webcast (October)
  • Activated SON Background Materials on HRSA/HAB Website (October)

See also: Current and Future Activities