Ryan White HIV/AIDS Program Part B States/Territories Supplemental Grant Program

access to a comprehensive continuum of high quality care and treatment services for low-income people with HIV. To obtain funding, states/territories must demonstrate RWHAP Part B supplemental funding is necessary to provide comprehensive HIV care and treatment services for people with HIV in the state/territory. Proposed activities should include provision of core medical and/or support services, as defined in HRSA HAB Policy Clarification Notice (PCN) 16-02: RWHAP Services: Eligible Individuals and Allowable Uses of Funds, and other activities to ensure responsiveness to unmet needs. States/territories must describe how proposed activities will address unmet needs and improve client-level health outcomes across the HIV care continuum, including viral suppression. Eligible RWHAP Part B states/territories that are focus areas, or have counties that are focus areas, for the Ending the HIV Epidemic: A Plan for America should consider the demonstrated need criteria below in the context of potential Ending the HIV Epidemic activities and may consider utilizing RWHAP Part B supplemental funding for these purposes. As required in 42 U.S.C. § 300ff-29a(b) (section 2620(b) of the PHS Act), states/territories must demonstrate severity of need for RWHAP Part B supplemental funding using quantifiable data in the following areas: 1) The current prevalence of HIV/AIDS; 2) The unmet need for HIV-related services as determined by 42 U.S.C. § 300ff-27(b) (section 2617(b) of the PHS Act); 3) An increasing need for HIV/AIDS-related services based on increases in the number of living cases of HIV/AIDS; 4) Increases in the number of living cases of HIV/AIDS within new or emerging subpopulations; 5) Factors related to the cost and complexity of delivering health care to people with HIV in the eligible area; 6) The impact of co-morbid factors, including co-occurring conditions inclusive of high rates of sexually transmitted infections (STIs), hepatitis, tuberculosis, substance use and mental health disorders, and other co-morbid factors; 7) The prevalence of homelessness; 8) The prevalence of individuals who were released from federal, state, or local prisons during the preceding three (3) years, and had HIV/AIDS on the date of their release; 9) Relevant factors that limit access to health care including geographic variation, adequacy of health insurance coverage, and language barriers; and/or 10) Impact of a decline in the amount of RWHAP Part B funding received on services available to all individuals with HIV/AIDS identified and eligible for RWHAP services. Pursuant to 42 U.S.C. § 300ff-29a(c) (section 2620(c) of the PHS Act), the Secretary prioritizes funds to states/territories to address the reduction or disruption of services related to a decline in the amount of formula funding. Such a decline in funding is determined by comparing the amount of formula funding received in the current fiscal year (FY) to the amount received in FY 2006. For states/territories with current or potential shortfalls in ADAP resources, HRSA strongly encourages those applicants to prioritize utilization of RWHAP Part B supplemental funds to augment ADAP resources when the following conditions exist: 1) Anticipated ADAP waiting lists, 2) Capped enrollment, 3) Reductions in ADAP formulary, 4) Reduction in the percentage of federal poverty level (FPL) eligibility requirement, and/or 5) Other ADAP restrictions within the state/territory.