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 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.

Under 42 U.S.C. §§ 300ff-29a and 300ff-88(11) (sections 2620 and 2689(11) of the PHS Act), a “State” – 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 – is eligible for RWHAP Part B supplemental funding. However, any state/territory that had an unobligated balance of more than five percent of their FY 2018 formula funds is not eligible to apply for the FY 2020 RWHAP State/Territories Part B Supplemental Grant Program. Based on the criteria listed above, the following entities are not eligible to apply to this NOFO: • American Samoa • Marshall Islands • Montana • Nevada • Oregon

Susan Robilotto, D.O.

(301) 443-6554