Ryan White HIV/AIDS Program - State Profiles U.S. Department of Health and Human Services: Health Resources and Services Administration Ryan White HIV/AIDS Program

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Ryan White Program Clients ADAP Clients Oral Health Program Clients

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2012 State Profiles

This website provides detailed national and state-level information on Ryan White HIV/AIDS Program grantees, providers, and clients. Reauthorized by the Ryan White HIV/AIDS Treatment Extension Act of 2009, the Ryan White HIV/AIDS Program funds primary care and support services for people living with and affected by HIV disease (HIV negative clients and partners, those with unknown HIV status, and other family members of an individual who is HIV positive) that lack health insurance or financial resources to pay for their care. In 2012, an estimated 536,219 people (commonly referred to as "clients") received at least one Ryan White HIV/AIDS Program funded service. The program also funds training, technical assistance, and demonstration projects to advance the work of funded agencies.

Every year, recipients of Ryan White HIV/AIDS Program funds are required to report, via several program Parts,* to the Health Resources and Services Administration's HIV/AIDS Bureau (HRSA/HAB) regarding how those funds have been used to provide services to low-income and underserved individuals and families living with HIV/AIDS. The Ryan White HIV/AIDS Program Services Report (RSR) is the annual reporting instrument that agencies and organizations receiving Ryan White HIV/AIDS Program funds complete to describe:

  1. grantee organizational characteristics,
  2. provider characteristics,
  3. client characteristics, including:
    • demographic information
    • Ryan White HIV/AIDS Program-funded services
    • clinical information.

These Profiles include information on each state's total population and the state's HIV/AIDS epidemic. Data from the Ryan White AIDS Drug Assistance Program (ADAP), as well as the Dental Services or Oral Health Programs, are included in this State Profiles. However, the ADAP and the Dental Services Programs (Dental Reimbursement Program and the Community-Based Dental Partnership Program) are not part of the RSR. Their data are reported separately in this State Profiles. The profiles also include HAB performance measures based on the U.S. Department of Health and Human Services' key indicators and factors for HIV/AIDS as well as each state's progress in achieving the goals of the National HIV/AIDS Strategy.

Totals in the U.S. Profile (excluding overview data) include data for all states, Puerto Rico, Guam, and the U.S. Virgin Islands. Other U.S. territories are not included. The overview section only includes data for the 50 states and Puerto Rico.

To learn more about the Ryan White HIV/AIDS Program, please visit hab.hrsa.gov.

For additional state and national HIV/AIDS information, including new AIDS cases, AIDS deaths, HIV testing statistics and policies, funding for HIV prevention, and more, please visit the Kaiser Family Foundation website.

Note: Numbers reported in the following tables and charts reflect the information submitted to HAB by Grantees and Providers. HAB does not impute missing data, nor perform any weighting or modeling to remediate missing information or null values.

Note: **Indicates suppressed data due to small cell sizes. For confidentiality, cells with <10 clients are not included in the column, row, and percentage calculations. However, for charting purposes, a value of 9 has been assigned.

*Part A provides emergency assistance to Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs) that are most severely affected by the HIV/AIDS epidemic.

Part B provides grants to all 50 states, the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, and five U.S. pacific territories or associated jurisdictions.

Part C provides comprehensive primary health care in an outpatient setting for people living with HIV disease.

Part D provides family-centered care involving outpatient or ambulatory care for women, infants, children, and youth living with or affected by HIV/AIDS.

Part F provides funds for a variety of programs:

The Special Projects of National Significance Program grants fund innovative models of care and supports the development of effective delivery systems for HIV care.

The AIDS Education and Training Centers Program supports a network of 11 regional centers and several national centers that conduct targeted, multidisciplinary education and training programs for health care providers treating people living with HIV/AIDS.

The Oral Health Programs provide additional funding for oral health care for people with HIV. Funds from all Ryan White HIV/AIDS Program grants can support the provision of oral health services. Two programs, however, specifically focus on funding oral health care for people with HIV: the Dental Reimbursement Program (DRP) and the Community-Based Dental Partnership Program (CBDPP).

The Minority AIDS Initiative provides funding to evaluate and address the disproportionate impact of HIV/AIDS on African-Americans and other racial/ethnic minorities.

Note: ***Excerpted from the 2014 RSR Instruction Manual

Stable Permanent Housing includes the following:

  • Renting and living in an unsubsidized room, house, or apartment.
  • Owning and living in an unsubsidized house or apartment.
  • Unsubsidized permanent placement with families or other self-sufficient arrangements.
  • Housing Opportunities for Persons with AIDS (HOPWA)-funded housing assistance, including Tenant-Based Rental Assistance (TBRA) or Facility-Based Housing Assistance, but not including the Short-Term Rent, Mortgage and Utility (STRMU) Assistance Program.
  • Subsidized, non-HOPWA, house or apartment, including Section 8, the HOME Investment Partnerships Program, and Public Housing.
  • Permanent housing for formerly homeless persons, including Shelter Plus Care, the Supportive Housing Program (SHP), and the Moderate Rehabilitation Program for SRO Dwellings (SRO Mod Rehab).
  • Institutional setting with greater support and continued residence expected (psychiatric hospital or other psychiatric facility, foster care home or foster care group home, or other residence or long-term care facility).

Temporary Housing includes the following:

  • Transitional housing for homeless people.
  • Temporary arrangement to stay or live with family or friends.
  • Other temporary arrangement such as a Ryan White Program housing subsidy.
  • Temporary placement in an institution (e.g., hospital, psychiatric hospital or other psychiatric facility, substance abuse treatment facility,or detoxification center).
  • Hotel or motel paid for without emergency shelter voucher.

Unstable Housing Arrangements include the following:

  • Emergency shelter, a public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings,including a vehicle, an abandoned building, a bus/train/subway station/airport, or anywhere outside.
  • Jail, prison, or a juvenile detention facility.
  • Hotel or motel paid for with emergency shelter voucher.

These definitions are based on:

  • Housing Opportunities for Persons With AIDS (HOPWA) Program, Annual Progress Report (APR), Measuring Performance Outcomes, form HUD-40110-C
  • McKinney-Vento Act, Title 42 US Code, Sec. 11302, General definition of homeless individual