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

This notice announces the opportunity to apply for funding under the Ryan White HIV/AIDS Program (RWHAP) States/Territories Part B Supplemental Grant Program. The purpose of this program is to supplement formula-based funding provided through the HIV Care Grant Program – RWHAP Part B States/Territories Formula and AIDS Drug Assistance Program (ADAP) Formula and ADAP Supplemental Awards (Notice of Funding Opportunity (NOFO) HRSA-17-036). 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 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 Initiative should consider if there is an increased need for Part B supplemental funding due to the Ending the HIV Epidemic 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: 1. The unmet need for such services, as determined under section 2617(b) of the PHS Act. 2. An increasing need for HIV/AIDS-related services, including relative rates of increase in the number of cases of HIV/AIDS. 3. The relative rates of increase in the number of cases of HIV/AIDS within new or emerging subpopulations. 4. The current prevalence of HIV/AIDS. 5. Relevant factors related to the cost and complexity of delivering health care to individuals with HIV/AIDS in the eligible area. 6. The impact of co-morbid factors, including co-occurring conditions, determined relevant by the Secretary. 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. The relevant factors that limit access to health care, including geographic variation, adequacy of health insurance coverage, and language barriers. 10. The impact of a decline in the amount of 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 ADAP resources, HRSA strongly encourages you to prioritize use of RWHAP Part B supplemental funds to augment ADAP resources when the following conditions exist: a. Existing or anticipated ADAP waiting list, b. Capped enrollment, c. Reductions in ADAP formulary, d. Reduction in the percentage of federal poverty level (FPL) eligibility requirement, and/or e. Other ADAP restrictions within the state/territory.

Under Sections 2620 and 2689(11) of the PHS Act, all “States” – defined as all 50 States, the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, Guam, American Samoa, the Commonwealth of the Northern Mariana Islands, the Republic of Palau, the Federated States of Micronesia, and the Republic of the Marshall Islands – are eligible for RWHAP Part B supplemental funding. However, any state/territory that had an unobligated balance of more than five percent of their FY 2019 formula funds is not eligible to apply for the FY 2021 RWHAP State/Territories Part B Supplemental Grant Program. Based on the criteria listed above, the following entity is not eligible to apply to this NOFO: o Federated States of Micronesia

Susan Robilotto, D.O.

(301)443-6554