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H H S Department of Health and Human Services
Health Resources and Services Administration
HIV/AIDS Programs

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Part B - Grants to States & Territories

Part B of the Ryan White HIV/AIDS Treatment Extension Act of 2009 (Public Law 111-87) provides grants to States and U.S. territories. Part B grants include a base grant, the AIDS Drug Assistance Program (ADAP) base awards, ADAP supplemental funds, ADAP Emergency Relief grants, funding for Emerging Communities, and upon request, additional funds for Minority AIDS Initiative activities. Eligible grant recipients may also apply for Supplemental Part B funding.


Part B funds core medical services and support services. Core medical services include outpatient and ambulatory health services, ADAP, AIDS pharmaceutical assistance, 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, outpatient substance abuse care, and medical case management, including treatment-adherence services.

Support services must be linked to medical outcomes and may include outreach, medical transportation, linguistic services, respite care for caregivers of people with HIV/AIDS, referrals for health care and other support services, case management, and residential substance abuse treatment services. Grant recipients are required to spend at least 75% of their Part B grant funds on core medical services and no more than 25% on support services.

In addition, Part B grant recipients and subrecipients actively engage in assessing client eligibility for both marketplace plans and Medicaid, where applicable, and the available services and cost effectiveness of the marketplace plans for people living with HIV. The Part B ADAPs vigorously pursue enrollment in the available health coverage options for eligible clients.

Grant Recipients

Grantees are state departments of health or other state entities that implement and manage state public health programs.

FY 2015 Part B grant recipients.


All 50 states, the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, and the six U.S. Pacific Territories/Associated Jurisdictions are eligible for Part B funding. Emerging Communities are defined as those reporting between 500 and 999 cumulative reported AIDS cases over the most recent 5 years.

Funding Considerations

  • Base Part B grants are awarded using a formula based on reported living cases of HIV/AIDS in the state or territory.
  • Additional Part B funds are appropriated for state ADAPs, which primarily provide HIV-related medications. Fundable services include treatment adherence as well as health insurance coverage with acceptable prescription drug benefits. Five percent of the ADAP appropriation is reserved for additional funding to states and territories that have a severe need for medication assistance.
  • Also available is a competitive supplemental grant program authorized in 2006 and based on demonstrated need criteria.
Part B - Grants to States & Territories Resources

A Living History: Get the Back Story image.

Part B grew into the largest component of the Ryan White HIVAIDS Program primarily as a result of increases in funds to support access to drug therapies.

Part B - Grants to States & Territories Publications

Technical Assistance TARGET Center Library Exit Disclaimer

Part B: AIDS Drug Assistance Program Fact Sheet (PDF - 233 KB)