Ryan White HIV/AIDS Program Part A
Supporting Medical Care, Treatment, and Support Services in
Communities Hardest Hit by HIV/AIDS
The CAEAR Coalition FY2017 request for Part A is $686.7 million.
Part A Basics
Part A of the Ryan White Program funds medical care, treatment access and support
services in the 51 U.S. urban areas most adversely affected by HIV/AIDS. The Affordable
Care Act (ACA) provides an opportunity for more people living with HIV to receive highquality medical care and treatment access through public and private insurance—
modifying the kinds of services many consumers need from Ryan White.
Today more than ever, Ryan White must fill the gaps between comprehensive HIV care
and the more limited services covered by public and private insurance. ACA
implementation and Ryan White coordination allows Part A jurisdictions to marry the
best of insurance coverage and community-driven service planning that addresses the
HIV epidemic as it presents in each locality. Additionally, many Part A consumers live in
states that have not fully implemented the ACA, so they do not have access to expanded
Medicaid for low-income, persons living with HIV. Over 70 percent of all people living
with HIV/AIDS in the U.S. reside in a metropolitan area served by Part A.
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Part A serves an estimated 300,000 people living with HIV/AIDS each year.
Part A provides 2.6 million healthcare-related visits annually.
More than 80 percent of Part A clients are people of color.
Twenty-nine percent of Part A clients are women and more women receive
medical care through Part A than any other Part.
There are two types of Part A entities: Eligible Metropolitan Area (EMA) jurisdictions
with over 2,000 living AIDS cases over the last five years, and Transitional Grant Area
(TGA) jurisdictions with between 1,000 and 2,000 living AIDS cases over the last five
years. Support for EMAs and TGAs is structured the same way, but there are a few key
differences in the provisions that apply to these entities.
Core Services Requirement
The Ryan White Program requires that 75 percent of spending for Part A services be
used on the following core medical services:
• Outpatient/ambulatory health services
• ADAP treatments
• AIDS pharmaceutical assistance
• Oral health care
• Early intervention services
• Health insurance premium & cost sharing assistance
• Home health care
• Home and community-based health services
• Hospice services
• Mental health services
• Medical nutrition therapy
• Medical case management
• Outpatient substance abuse services.
Responding to Local Needs
Part A communities coordinate and integrate existing service systems with the
Affordable Care Act, the unique nature of each community and the different service
needs and gaps-in-care become more evident. Congress structured Part A of the Ryan
White Program so that local communities play a central role in determining how funds
should be used to meet the needs of people living with HIV/AIDS in their areas. EMAs
are required to have a local planning council with membership reflective of the local
epidemic and comprised of local public health officials, community-based service
providers, people living with HIV/AIDS, community leaders, and others. At least onethird of planning council membership must be consumers of Ryan White Program
services. Part A planning councils develop needs assessments with the ACA in mind,
keeping careful track of the number of clients who are transitioning to other payers for
HIV care, and determining funding priorities based on the unmet service needs of the
insured and those still ineligible for ACA.
Distribution of Part A Funds
The HIV/AIDS Bureau of the Health Resources and Services Administration (HRSA)
distributes Part A funds to the chief executive of the lead city or county in each
jurisdiction. The grantee then distributes funds to local service providers based on the
priorities developed by the planning council or other community input. There are 52
Part A jurisdictions in 26 states, Puerto Rico, and the District of Columbia that receive
Part A funding. There are 25 EMAs and 27 TGAs. Part A funding includes formula and
supplemental components, as well as Minority AIDS Initiative (MAI) funds. Two-thirds
of the base Part A award is used for formula grants and one-third for supplemental
CAEAR Coalition · P.O. Box 21361 · Washington, DC, 20009 · Tel: 202-486-8757 · www.CAEAR.org
awards. Formula grants are based on the estimated number of living cases of HIV and
AIDS. HRSA awards supplemental and MAI grants competitively.
A Continuum of Care
Communities use Part A funds to support community-based care systems that provide
outpatient health care and a range of critical support services. The guiding philosophy
behind this integrated, comprehensive system of care is that people living with
HIV/AIDS can best manage their illness and reap the benefits of treatment when their
full set of care and related needs are met
52 Part A Grant Recipients
Atlanta/Fulton County EMA
Austin/Travis County TGA
Baltimore EMA
Baton Rouge EMA
Boston EMA
Charlotte/Gastonia TGA
Chicago EMA
City & County of San Francisco
Cleveland/Cuyahoga/Lorain/Elyria TGA
Columbus Public Health
Dallas EMA
Denver EMA
Detroit EMA
District of Columbia EMA
Ft. Lauderdale/Broward County EMA
Ft. Worth/Tarrant County TGA
Hartford TGA
Health and Hospital Corp. of Marion County
Houston/Harris County EMA
Jacksonville TGA
Kansas City TGA
Las Vegas/Clark County TGA
Los Angeles EMA
Memphis/Shelby County TGA
Miami/Dade County EMA
Mineola/Nassau/Suffolk EMA
Minneapolis/St. Paul TGA
Multnomah County Health Department
Nashville/Davidson County TGA
New Brunswick/Middlesex-SomersetHunterton TGA
New Haven EMA
New Orleans EMA
New York City EMA
Newark EMA
Norfolk TGA
Oakland/Alameda County TGA
Orange County Health Department
Palm Beach County EMA
Paterson-Bergen-Passaic TGA
Philadelphia EMA
Phoenix/Maricopa County EMA
Ponce TGA
Sacramento TGA
San Antonio/Bexar County TGA
San Bernardino/Riverside TGA
San Diego EMA
San Jose/Santa Clara County EMA
San Juan EMA
Santa Ana/Orange County TGA
Seattle-King County TGA
Secaucus/Jersey City/Hudson County TGA
St. Louis TGA
Tampa/St. Petersburg EMA
CAEAR Coalition · P.O. Box 21361 · Washington, DC, 20009 · Tel: 202-486-8757 · www.CAEAR.org