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) that are most severely impacted by the HIV epidemic.
Grants are awarded to the city/county chief elected official (CEO) who designates a lead agency to administer the funds.
|Ryan White HIV/AIDS Program Part A Grant Recipients|
The boundaries of EMAs and TGAs are based on the U.S. Census designation of Metropolitan Statistical Areas and may span more than one state.
Part A grants to EMAs and TGAs include formula and supplemental components as well as Minority AIDS Initiative (MAI) funds, which support services for 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, non-medical 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.
Planning Council membership must reflect the demographics of the local epidemic 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 and 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 utilizers.
TGAs are required to implement a community planning process, but the Planning Council structure and process is optional.