HHS Awards Almost $1.7 Billion for HIV/AIDS Care

Date: March 2, 2005
Source: Department of Health and Human Services (DHHS)

HHS Secretary Mike Leavitt today announced 174 grants worth nearly $1.7 billion to help all 50 states, nine U.S. territories, 51 cities hit hard by HIV/AIDS, and 64 community-based organizations provide essential services to low-income residents living with HIV/AIDS. The Fiscal Year 2005 grants support the delivery of primary medical care, prescription drugs and support services.
"These grants continue our domestic commitment to caring for Americans who are living with HIV/AIDS," Secretary Leavitt said. "The states, territories and cities will use these funds to provide people living with HIV/AIDS the health care services, medications and counseling they need to live longer, healthier lives."
Today's grants are awarded under three Ryan White Comprehensive AIDS Resources Emergency (CARE) Act programs. HHS' Health Resources and Services Administration oversees CARE Act programs.
Title I grants
The 51 grants to Eligible Metropolitan Areas (EMAs) totaling $587 million include both formula and supplemental funds and are awarded under Title I of the CARE Act. Formula funds are awarded based on the estimated number of people living with AIDS in the city, and supplemental funds are awarded competitively among EMAs based on demonstration of severe need and other criteria. A portion of the grant awards will fund the Minority AIDS Initiative to bolster care and services among minority populations.
Title I grants provide essential HIV/AIDS health care and a wide range of support services to those who lack or are only partially protected by health insurance. Covered services include physician visits, case management, assistance in obtaining medications, home-based and hospice care, substance abuse and mental health services, and other related services.
Title II grants
The 59 grants to states and territories totaling $1.06 billion are funded under Title II of the CARE Act. The awards include $275.7 million in basic awards based on the number of people living with AIDS in each state or territory and $767.3 million for the purchase of medications through state-run AIDS Drug Assistance Programs (ADAPs).
In addition, the award includes $6.8 million under the Minority AIDS Initiative and $10 million for states with "emerging communities" -- metropolitan areas with significant populations of people living with AIDS.
Basic Title II grants are awarded based on the estimated number of people living with AIDS in a state or territory. Since FY 1996, separate funds have been earmarked under Title II to help state ADAPs buy pharmaceuticals for people living with HIV/AIDS. States also may designate a portion of their Title II basic allotment to support ADAPs. The Minority AIDS Initiative award is based on the number of minorities living with HIV/AIDS in the area over a two-year period. Emerging communities' funds go to metropolitan areas that report between 500 and 1,999 cases of AIDS but did not receive Title I grants.
Title III grants
Sixty-four grants totaling $25.7 million are awarded to community-based organizations and funded under Title III of the CARE Act. Title III grants help recipients provide a comprehensive continuum of outpatient HIV primary care services, including HIV counseling, testing, and referral; medical evaluation and clinical care; other primary care services; and referrals to other health services.
Since FY 2001, the Bush administration has spent more than $9.85 billion in CARE Act funding to help some 571,000 individuals access life-sustaining care and services each year. President Bush has requested nearly $2.1 billion in FY 2006 for the CARE Act, an increase of more than $285 million over the FY 2001 appropriation.
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