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1994.03.24 : Ryan White CARE Grants

Contact:  Public Health Service/HRSA
Thursday, March 24, 1994                     Patricia Campbell
                                             (301) 443-3376

     SHALALA ANNOUNCES MAJOR INCREASES IN RYAN WHITE GRANTS

     HHS Secretary Donna E. Shalala today announced the award of
$322.6 million in FY 1994 grants to cities and states under the
Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of
1990.

     The total includes $160 million in Title I supplemental grants
to 34 hard-hit cities, up 76 percent from last year, and $162.7
million in Title II formula grants, up 60 percent.  The Title II
grants were awarded to all 50 states, the District of Columbia,
Puerto Rico and the U.S. territories.

     "These grants are named after Ryan White, a brave young man
whose struggle against AIDS helped transform fear and intolerance
into compassion and support for those afflicted," Shalala said.

     "It is therefore fitting that these funds will be used to
provide health services for people who desperately need them --
people with AIDS who have nowhere else to turn.  Ryan White funds
will also provide relief to hard-pressed city and state governments
across the country.

     "Total Ryan White funding for 1994, including the grants
announced today, will be $579.4 million, up 66 percent from last
year, and President Clinton's budget calls for another 16 percent
increase in 1995," Shalala added.       

       The Title I supplemental grants were awarded to the 34
cities with the highest reported cases of AIDS. 

     The Title II formula grants were given to states based on the
number of AIDS cases reported to the Centers for Disease Control 
and Prevention for the two-year period Oct. 1, 1991, to Sept. 30,
1993. 

      California, which reported the largest number of cases,
received the largest Title II award, $28 million, followed by New
York with $26 million.  Six states that reported the fewest AIDS
cases received the minimum grant of $100,000 each.

     The CARE Act requires that states with more than 1 percent of
all reported AIDS cases contribute a proportionate amount of
matching funds. As a result, 22 states will provide an additional
$67 million for HIV treatment and services as a condition of
receiving their Title II grants.

    The law also requires these 22 states and Puerto Rico to use at
least 50 percent of their grant to support consortia that plan,
develop and deliver comprehensive health and support systems for
people with HIV.

     Philip R. Lee, M.D., assistant secretary for health and
director of the Public Health Service, said, "Since 1991, $438
million in Title II funds have been awarded to states to respond to
the AIDS crisis, allowing thousands of Americans with HIV to live
longer and more productive lives."

     The $160 million awarded today to 34 cities is the result of
the competitive phase of the Title I grant process.  These same
cities had received $160 million earlier in the year under the 
formula cycle.  In FY 1994, cities were automatically eligible for
formula grants if they reported 2,000 or more cumulative AIDS
cases, or a per capita incidence of .0025, to the Centers for
Disease Control and Prevention by March 1993.

     Supplemental grants, which are competitive, are awarded based
on documentation of additional critical needs by the cities. 

     The Title I supplemental grants in this year's cycle range
from $54.2 million for New York City to $200,000 for Ponce, Puerto
Rico, bringing to $707.8 million the total awarded to cities under
Title I since 
1991.

     HRSA Administrator Ciro V. Sumaya, M.D., M.P.H.T.M., said,
"Both Titles I and II of the CARE Act involve patients and their
health providers in identifying local needs and in planning
resources to meet those needs.  The result is targeted systems of
care that helps the underserved effectively and compassionately."

     A list of all states and cities receiving these Ryan White
grants is available from the Health Resources and Services
Administration, tele: 301/443-3376.