Part A of the Ryan White HIV/AIDS Treatment Extension Act of 2009 provides assistance to Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs)-locations that are most severely affected by the HIV/AIDS epidemic.
Grants are awarded to the chief elected official (CEO) of the city or county that provides health care services to the greatest number of people living with AIDS in the EMA or TGA.
Ryan White HIV/AIDS Program EMAs
Ryan White HIV/AIDS Program TGAs
EMAs and TGAs range in size from one city or county to more than 26 different political entities; some span more than one state. The boundaries of EMAs and TGAs are based on the U.S. Census designation of Metropolitan Statistical Areas.
Part A grants to EMAs and TGAs include formula and supplemental components as well as Minority AIDS Initiative (MAI) funds, which support services targeting minority populations.
Part A funds must be used to provide medical and support services for people living with HIV. Core medical services are limited to the following:
Support services must be linked to medical outcomes and may include outreach, medical transportation, linguistic services, respite care for caregivers of people living with HIV, referrals for health care and other support services, case management, and substance abuse residential services. Grant recipients are required to spend at least 75 percent of their Part A grant funds allocated for services on core medical services and no more than 25 percent on support services, unless they receive an approved waiver to this requirement.
Each EMA Planning Council sets HIV-related service priorities and allocates Part A funds on the basis of the size, demographics, and needs of people living with HIV, with particular focus of individuals who know their HIV status but are not in care.
Planning Council membership must reflect the local epidemic demographically and include members with specific expertise in health care planning, housing for the homeless, health care for incarcerated populations, and substance abuse and mental health treatment or members who represent other Ryan White HIV/AIDS Program Parts and other federal programs. At least 33 percent of members must be Ryan White HIV/AIDS Program service consumers.
TGAs are required to use a community planning process, but Planning Council use is optional.