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

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This announcement solicits applications for the Ryan White HIV/AIDS Program States/Territories Part B Supplemental Grant Program.  The purpose of this program is to supplement the HIV care and treatment services provided by the States/Territories.  The amount of funding is determined by the applicant¿s ability to demonstrate the need in the State/Territory based on an objective and quantified basis.  Ryan White HIV/AIDS Program (RWHAP) Part B Supplemental funding is used to assist States and Territories in developing and/or enhancing access to a comprehensive continuum of high quality care and treatment services for low-income individuals and families living with HIV.  As such, it supports the National HIV/AIDS Strategy (NHAS) goals of:  reducing HIV incidence, increasing access to care and optimizing health outcomes, and reducing HIV-related health disparities.  In July 2013, the President issued an Executive Order ¿HIV Care Continuum Initiative¿ which is intended to accelerate improvements in HIV prevention and care in the United States through this initiative.  Additional information about this initiative may be found at this link:(http://www.whitehouse.gov/the-press-office/2013/07/15/executive-order-hiv-care-continuum-initiative). Applicants must demonstrate the severity of the HIV/AIDS epidemic in the State/Territory, using quantifiable data on HIV epidemiology, co-morbidities, cost of care, the service needs of emerging populations, unmet need for core medical services, and unique service delivery challenges.  Applicants must explain why supplemental funding is necessary to provide HIV care and treatment services for people living with HIV and AIDS in the State/Territory. As required in the Ryan White HIV/AIDS Program Legislation, Section 2620(b) of the Public Health Service Act, information to be used to demonstrate need for the FY 2014 application includes the following: The current prevalence of HIV/AIDS; The unmet need for HIV-related services as determined by section 2617(b) of the PHS Act; An increasing need for HIV/AIDS-related services based on increases in the number of living cases of HIV/AIDS; Increases in the number of living cases of HIV/AIDS within new or emerging subpopulations; 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 including high rates of sexually transmitted infections (STIs), Hepatitis, Tuberculosis, substance use, severe mental illness, and other co-morbid factors; The prevalence of homelessness; The prevalence of individuals who were released from federal, state or local prisons during the preceding three years, and had HIV/AIDS on the date of their release; Relevant factors that limit access to health care including geographic variation, adequacy of health insurance coverage and language barriers; and Impact of a decline in the amount of Ryan White HIV/AIDS Program Part B funding received on services available to all individuals with HIV/AIDS identified and eligible for RWHAP services. A comprehensive HIV/AIDS continuum of care includes the following core medical services: outpatient and ambulatory health services, AIDS Drug Assistance Program (ADAP) medications, AIDS pharmaceutical assistance (local), oral health care, early intervention services, health insurance premium and cost sharing assistance, home health care, medical nutrition therapy, hospice services, home and community-based health services, mental health services, medical case management, treatment adherence services, and substance abuse outpatient care as well as appropriate supportive services that assist PLWH in accessing treatment of HIV infection that is consistent with HHS Treatment Guidelines.  The guidelines provide standards of care recommendations for antiretroviral treatment, including prophylaxis and treatment of opportunistic infections.  The current HHS Treatment Guidelines are available at www.aidsinfo.nih.gov. Comprehensive HIV/AIDS care also includes access to the following support services: case management (non-medical), child care services, emergency financial assistance, food bank/home delivered meals, health education/risk reduction, housing services, legal services, linguistic services, medical transportation services, outreach services, psychosocial support services, referral for health care/supportive services, rehabilitation services, respite care, residential substance abuse services and treatment adherence counseling.

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