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The HIV/AIDS Program: Caring for the Underserved

 

TITLE III: EARLY INTERVENTION SERVICES

T

he Title III Early Intervention Services of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act funds comprehensive primary health care for people living with HIV disease. Title III grants reached 212,532 patients in 2004; 61 percent were people of color.

ELIGIBILITY

The following organizations may receive Title III grants:

  • Community Health Centers, Migrant Health Centers, and Health Care for the Homeless sites funded under Section 330 of the Public Health Service (PHS) Act
  • Family planning grantees (other than States) funded under Section 1001 of the PHS Act
  • Comprehensive Hemophilia Diagnostic and Treatment Centers
  • Federally qualified health centers funded under Section 1905(1)(2)(b) of the Social Security Act
  • Current public or private not-for-profit providers of comprehensive primary care for populations at risk for HIV
  • Faith-based and community-based organizations.

SERVICES

Title III services include the following activities:

  • Risk-reduction counseling on prevention, antibody testing, medical evaluation, and clinical care
  • Antiretroviral therapies; protection against opportunistic infections; and ongoing medical, oral health, nutritional, psychosocial, and other care services for HIV-infected clients
  • Case management to ensure access to services and continuity of care for HIV-infected clients
  • Attention to other health problems that occur frequently with HIV infection, including tuberculosis and substance abuse.

HIV PLANNING GRANT PROGRAM

Most Title III dollars fund services, but planning grants of two types are also awarded:

  • Grants that prepare organizations to plan for the development of HIV early intervention services. These 1-year grants are for $50,000.
  • Grants to provide capacity building for organizations to develop, enhance, or expand their capability to provide HIV primary care services. These grants may total up to $150,000 over a 3-year period.*

FUNDING

Since FY 1991, approximately $1.85 billion has been appropriated for Title III programs; the FY 2006 appropriation was $196.05 million. In FY 2006, 360 Title III EIS programs were funded.

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CARE Act programs work with cities, States, and local community-based organizations to provide services to more than 500,000 individuals each year who do not have sufficient health care coverage or financial resources for coping with HIV disease. The majority of CARE Act funds support primary medical care and essential support services. A smaller but equally critical portion is used to fund technical assistance, clinical training, and research on innovative models of care. The CARE Act, which was first authorized in 1990, is currently funded at  $2.06 billion.  

Title III Care Act Providers by Type of Organization, 2004 (N-453): NOn-Federal Health Centers-Clinics 20 percent, City-County Health Departments 14 percent, University-Hospital Medical Centers 27 percent, Federal-Community Migrant Health Centers 34 percent

Ryan White CARE Act Title III Expenditures by Service Category, 2004: Primary Healty Care 80 percent, Pharmaceuticals 4 percent, Other Services 16 percent. Other services include case management and eligibilty assistance, outreach, social work, prevention education and counseling and other Title III eligibile services.

Ryan White CARE Act Title III Appropriateions, FY 2003-06 (in millions of dollars): FY03 - 200.9, FY04 - 199.7, FY05 - 198.0, FY06 - 196.1