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

States/territories use RWHAP Part B Supplemental Grant Program funding in conjunction with RWHAP Part B HIV Care Grant Program funding to develop and/or enhance 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 that 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 the provision of core medical and/or support services, as defined in 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 in the U.S. (EHE) initiative should consider if there is a demonstrated need for RWHAP Part B supplemental funding due to the EHE initiative efforts using criteria below. As required in section 2620(b) of the Public Health Service (PHS) Act, states/territories must demonstrate the severity of the need for RWHAP Part B supplemental funding using quantifiable data in one or more of the following areas: • The unmet need for such services, as determined under section 2617(b) of the PHS Act. • An increasing need for HIV/AIDS-related services, including relative rates of increase in the number of cases of HIV/AIDS. • The relative rates of increase in the number of cases of HIV/AIDS within new or emerging subpopulations. • The current prevalence of HIV/AIDS. • Relevant factors related to the cost and complexity of delivering health care to individuals with HIV/AIDS in the eligible area. • The impact of co-morbid factors, including co-occurring conditions, determined relevant by the Secretary. • The prevalence of homelessness. • 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. • The relevant factors that limit access to health care, including geographic variation, adequacy of health insurance coverage, and language barriers. • The 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 under this title. Pursuant to 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. If you are a state/territory with current or potential shortfalls in AIDS Drug Assistance Program (ADAP) resources, we strongly encourage you to prioritize use of RWHAP Part B supplemental funds to augment ADAP resources.