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

The United StatesState Overview

Estimated population of The United States in 2011: 311,587,8161

Percentage of The United States Population Living in Poverty in 20112

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Percentage of The United States Population Living in Poverty in 20112
Poverty Level Percent
Percentage living in poverty (below 100% of Federal Poverty Level) 15.0
Percentage living below 200% of Federal Poverty Level 34.4
Percentage living below 300% of Federal Poverty Level 51.4

Percent of The United States Population With Health Insurance in 20113

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Percent of The United States Population With Health Insurance in 20113
Type of Health Insurance Percent
Private 63.9
Medicaid 16.5
Medicare 15.2
Military Health 4.4
Uninsured 15.7

NOTE: People can be covered by more than one type of health insurance during the year.

The United StatesHIV/AIDS Epidemic 4

The United States adult and adolescent population living with HIV Infection, including those ever classified as AIDS: 888,921

Diagnosis of HIV/AIDS Infection in The United States in 2011

In 2011, there were 50,199 persons diagnosed with HIV infection in The United States. The term diagnosis of HIV infection is defined as a diagnosis of HIV infection regardless of the stage of disease.

The United StatesProgram Grantees and Funding

The United States Ryan White Program Grantees by Part, FY 2011

Program Number
Part A 52
Part B 54
Part C 348
Part D 91
SPNS 30
AETC 16
Oral Health 68

Note: Oral Health includes the Dental Reimbursement Program and the Community Dental Partnership Grant Program. Minority AIDS Initiative funding from Parts C and D is included in Part C and D totals. States with no direct AIDS Education and Training Center (AETC) funding are covered by an AETC local performance site. ADAP funding includes ADAP Formula, Supplemental, and Emergency Relief funds.

Ryan White Program Funding Received by The United States Grantees, FY 2011

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Ryan White Program Funding Received by The United States Grantees, FY 2011
Program Fiscal Year 2011
EMAs/TGAs: Part A $595,663,526
States and Territories: Part B $342,450,579
ADAP (Part B) and ADAP Supplemental $895,569,425
Emerging Communities: Part B $5,000,000
Early Intervention: Part C $190,180,616
Capacity Building: Part C $2,909,664
Women, Infants, Youth, Families: Part D $77,949,177
Oral Health Programs: Part F $12,800,230
AETC: Part F $23,707,528
MAI Part A $50,311,367
MAI Part B $10,014,038
MAI AETCs $8,579,240
SPNS: Part F $21,659,315
Total $2,236,794,705

Note: Oral Health includes the Dental Reimbursement Program and the Community Dental Partnership Grant Program. Minority AIDS Initiative funding from Parts C and D is included in Part C and D totals. States with no direct AIDS Education and Training Center (AETC) funding are covered by an AETC local performance site. ADAP funding includes ADAP Formula, Supplemental, and Emergency Relief funds.

Visit the HIV/AIDS Bureau's Web site for a list of grantees by program.

The United StatesProvider Characteristics

In The United States, provider organizations received funding from one or more Ryan White programs to provide services in 2011.

The United States Organizations Providing Ryan White Services by Type, 20115

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
The United States Organizations Providing Ryan White Services by Type, 20115
Types of Organizations Number Percentage
Hospitals 358 18.6
Community & Mental Health Centers 224 11.7
Community-Based Organizations 812 42.3
Health Departments 274 14.3
Other 253 13.2
Total Number 1,921

The United States Organizations Receiving Ryan White Funding by Part, 20115

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
The United States Organizations Receiving Ryan White Funding by Part, 20115
Program Number of Provider Organizations
Part A 1101
Part B 990
Part C 445
Part D 307

Note: 691 provider organizations received funding from two or more Ryan White programs.

The United StatesClient Characteristics

In 2011, Ryan White programs served an estimated 553,999 clients in The United States.

Gender of Clients Served in The United States, 2011 (N= 553,766)

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Gender of Clients Served in The United States, 2011
Gender Number Percent
Male 382,549 69.0
Female 166,507 30.0
Transgender 4,710 1.0
Total 553,766

Note: Gender was missing/unknown for 233 clients.

2,957 clients were seen in more than one State.

Race/Ethnicity of Clients Served in The United States, 2011 (N= 540,192)

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Race/Ethnicity of Clients Served in The United States, 2011
Race/Ethnicity Number Percent
White (not Hispanic) 28.0
Black/African American (not Hispanic) 255,465 47.0
Hispanic 118,466 22.0
Asian 5,336 1.0
Native Hawaiian/Pacific Islander 1,137 0.0
American Indian/Alaska Native 2,782 1.0
Multi-racial 6,650 1.0
Total 540,192

Note: Race was missing/unknown for 13,807 clients.

2,950 clients were seen in more than one State.

Age of Clients Served in The United States, 2011 (N= 553,986)5

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Age of Clients Served in The United States, 20115
Age Number Percent
Under 2 years 4,247 < 1
2 - 12 years 6,572 1.2
13 - 24 years 35,460 6.4
25 - 29 years 37,498 6.8
30 - 39 years 101,654 18.3
40 - 49 years 182,354 32.9
50 - 59 years 141,424 25.5
60 years and older 44,777 8.1
Total 553,986

Note: Age was missing/unknown for 13 clients.

2,957 clients were seen in more than one State.

Insurance Status of Clients Served in The United States, 2011 (N= 405,398)5

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Insurance Status of Clients Served in The United States, 2011 5
INSURANCE STATUS Number Percent
Private Insurance 62,204 13.3
Medicaid 126,123 27.0
Medicare 42,860 9.2
Other Public 31,865 6.8
Other Insurance 12,772 2.7
No Insurance 129,574 27.8
Multiple Sources 61,421 13.2
Total 405,398

Note: Insurance status was missing/unknown for 45,918 clients.

Clients who were reported as “Not Required” were not included in these data.

2,850 clients were seen in more than one State.

HIV Status of Clients Served in The United States, 2011 (N= 461,477)

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
HIV Status of Clients Served in The United States, 2011
HIV Status Number Percentage
HIV-positive not AIDS 202,951 44.0
HIV positive, AIDS status unknown 40,019 8.7
CDC defined AIDS 209,113 45.3
HIV Indeterminant (infants only) 2,886 < 1
HIV negative 6,508 1.4
Total 461,477

Note: HIV status was missing/unknown for 4,919 clients.

Clients who were reported as “Not Required” were not included in these data.

2,823 clients were seen in more than one State.

Household Income of Clients Served in The United States, 2011 (N= 416,653)5

In 2011, 277,686 (66.6%) of the clients served had household incomes equal to or below the Federal Poverty Level (FPL). An additional 90,588 (21.7%) were between 101% and 200% of the FPL.

Note: Household income was unknown or unreported for 49,743 clients.

Clients who were reported as “Not Required” were not included in these data.

2,440 clients were seen in more than one State.

Housing Status for Clients Served in The United States, 2011 (N= 426,069)

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Number of Clients Served, by Housing Status, 2011
Housing Status Number Percentage
Unstable Housing 14,483 3.4
Stable/Permanent Housing 358,880 84.2
Temporary Housing 52,706 12.4
Total 426,069

Note: Housing status was missing/unknown for 43,441 clients.

Clients who were reported as “Not Required” were not included in these data.

2,370 clients were seen in more than one State.

The United StatesServices

Number of Clients Served and Visits for Core Medical Services in The United States, 2011 5

Core Medical Services Clients Served Total Visits
Outpatient Ambulatory Medical Care 319,649 1,776,340
Oral Health Care 89,183 304,541
Early Intervention Services 18,027 77,698
Home Health Care 1,493 20,928
Home & Community-Based Health Care 1,504 32,848
Hospice 160 7,643
Mental Health 76,320 503,474
Medical Nutrition Care 46,012 180,013
Medical Case Management 300,455 3,135,945
Substance Abuse-Outpatient 24,131 303,183

Percentage of Clients Receiving Core Medical Services in The United States, 2011

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Percentage of Clients Receiving Core Medical Services in The United States, 2011 5
Core MedicalServices Number Percent
Outpatient Ambulatory 319,649 57.7
Oral Health Care 89,183 16.1
Early Intervention Services 18,027 3.3
Home Health Care 1,493 < 1
Home & Community-Based Services 1,504 < 1
Hospice 160 0.0
Mental Health 76,320 13.8
Medical Nutrition Care 46,012 8.3
Medical Case Management 300,455 54.2
Substance Abuse - Outpatient 24,131 4.4

6,973 clients were seen in more than one State.

Percentage of Clients Receiving Support Services in The United States, 2011

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Percentage of Clients Receiving Support Services in The United States, 2011 5
Support Services Number Percent
Case Management - Non-Medical 149,507 27.0
Child Care 1,481 < 1
Development Assessment 2,143 < 1
Emergency Financial Sssistance 27,344 4.9
Food Bank/Home Delivered Meals 59,172 10.7
Health Education/Risk Reduction 66,615 12.0
Housing 17,841 3.2
Legal Services 13,745 2.5
Linguistics 2,563 < 1
Transportation 77,476 14.0
Outreach 31,681 5.7
Permanency Planning 411 < 1
Psychosocial Support 58,611 10.6
Referral to Health Care Support 33,611 6.1
Rehabilitation 191 0.0
Respite Care 267 0.0
Substance Abuse - residential 1,650 < 1
Treatment Adherence 57,082 10.3

4,660 clients were seen in more than one State.

The United StatesClinical Data

Number of Medical Visits Per Client in The United States, 2011 (N= 302,466)

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Number of Medical Visits Per Client in The United States, 2011
Visits Number Percent
1 37,869 12.5
2 42,855 14.2
3 45,276 15.0
4 39,977 13.2
5 - 9 99,254 32.8
10 or more 37,235 12.3
Total 302,466

Note: Medical care visit dates were missing/unknown for 14,941 clients.

2,245 clients were seen in more than one State.

Number of CD4 Lab Tests Per Client in The United States, 2011 (N= 277,399)

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Number of CD4 Lab Tests Per Client in The United States, 2011
CD4 Lab Tests Number Percent
1 62,974 22.7
2 80,492 29.0
3 75,563 27.2
4 40,241 14.5
5 or more 18,129 6.5
Total 277,399

Note: CD4 Lab tests were missing/unknown for 40,008 clients.

2,142 clients were seen in more than one State.

Number of Viral Load Lab Tests Per Client in The United States, 2011 (N= 265,642)

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Number of Viral Load Lab Tests Per Client in The United States, 2011
Viral Load Lab Tests Number Percent
1 63,361 23.9
2 76,257 28.7
3 69,691 26.2
4 38,009 14.3
5 or more 18,324 6.9
Total 265,642

Note: Viral load lab tests were missing/unknown for 51,765 clients.

2,120 clients were seen in more than one State.

Clients Who Received Risk, Mental Health and Substance Abuse Screenings in The United States, 2011

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Clients Who Received Risk, Mental Health and Substance Abuse Screenings in The United States, 2011
Screening Yes Total
Number Percent Number
Risk 187,775 66.8 281,295
Mental Health 166,823 59.6 280,052
Substance Abuse 166,434 59.2 280,937

Note: Risk screenings were missing/unknown for 36,112 clients. Not medically indicated is not an option.

Mental health screenings were missing/unknown for 32,297 clients. Not medically indicated was reported for 5,058 clients.

Substance abuse screenings were missing/unknown for 30,299 clients. Not medically indicated was reported for 6,171 clients.

2,171 Risk screening clients were seen in more than one State.

2,115 Mental health screening clients were seen in more than one State.

2,148 Substance abuse screening clients were seen in more than one State.

Clients Who Received HAART in The United States, 2011 (N= 270,084)

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Clients Who Received HAART in The United States, 2011
Received HAART Number Percent
Yes 225,557 83.5
No 44,527 16.5
Total 270,084

Note: HAART data were missing/unknown for 33,814 clients. Not medically indicated was reported for 13,509 clients.

2,134 clients were seen in more than one State.

Clients Screened for Syphilis in The United States, 2011 (N= 288,654)

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Clients Screened for Syphilis in The United States, 2011
Received Syphilis Number Percent
Yes 202,206 70.1
No 86,448 29.9
Total 288,654

Note: Syphilis screenings were missing/unknown for 22,842 clients. Not medically indicated was reported for 5,911 clients.

2,180 clients were seen in more than one State.

Female Clients Who Received Cervical Pap Smear in The United States, 2011 (N= 79,568)

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Female Clients Who Received Cervical Pap Smear in The United States, 2011
Received Cervical Pap SMear Number Percent
Yes 36,325 45.7
No 43,243 54.3
Total 79,568

Note: Cervical Pap Smear data were missing/unknown for 10,372 clients. Not medically indicated was reported for 2,599 clients.

567 clients were seen in more than one State.

Pregnancy Status Among Female Clients in The United States, 2011 (N= 80,165)

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Pregnancy Status Among Female Clients in The United States, 2011
Pregnancy Status Number Percent
Yes 3,687 4.6
No 76,478 95.4
Total 80,165

Note: Pregnancy status were missing/unknown for 12,374 clients.

510 clients were seen in more than one State.

Female Pregnant Clients Prescribed ARVs in The United States, 2011 (N = 2692)

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Female Pregnant Clients Prescribed ARVs in The United States, 2011
Prescribed ARV's Number Percent
Yes 2,486 92.3
No 206 7.7
Total 2,692

Note: ARV prescription data were missing/unknown for 995 clients.

20 clients were seen in more than one State.

The United StatesAIDS Drug Assistance Program

In 2011, the Ryan White AIDS Drug Assistance Program (ADAP) served 211,037 clients in The United States. A total of 30,442 new clients were served.

ADAP Clients Served by Gender in The United States, 20115 (N= 210,726)

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
ADAP Clients Served by Gender in The United States, 20115
Gender Number Percentage
Male 164,942 78.2
Female 45,244 21.4
Transgender 540 < 1
Total 210,726

Note: Gender was missing/unknown for 311 clients.

ADAP Clients Served by Race / Ethnicity in The United States, 20115 (N= 205,981)

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
ADAP Clients Served by Race / Ethnicity in The United States, 20115
Race/Ethnicity Number Percentage
White (not Hispanic) 77,407 36.7
African American (not Hispanic) 68,656 32.5
Hispanic 53,165 25.2
Asian 3,280 1.6
Native Hawaiian/Pacific Islander 436 < 1
American Indian/Alaska Native 905 < 1
Multiracial 2,132 1.0
Total 205,981

Note: Race/ethnicity was missing/unknown for 5,056 clients

ADAP Clients Served by Age in The United States, 20115 (N = 210,849)

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
ADAP Clients Served by Age in The United States, 20115
Age Number Percentage
Under 2 years 100 < 1
2 - 12 years 172 < 1
13 - 24 years 8,914 4.2
25 - 44 years 92,231 43.7
45 - 64 years 102,973 48.8
65 + years 6,459 3.1
Total 210,849

Note: Age was missing/unknown for 188 clients

The United StatesOral Health Programs

Number of Dental Reimbursement (DRP) and Community-Based Dental Partnership Program (CBDPP) Clients Served by Gender in The United States, 2011 (N= 43,060)

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Number of Dental Reimbursement (DRP) and Community-Based Dental Partnership Program (CBDPP) Clients Served by Gender in The United States, 2011
Gender Number Percent
Male 29,097 5.3
Female 13,767 2.5
Transgender 196 < 1
Total 43,060

Note: Gender was missing/unknown for 22 clients.

Number of DRP and CBDPP Clients Served by Age in The United States, 2011 (N= 41,778 )

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Number of DRP and CBDPP Clients Served by Age in The United States, 2011
Age Number Percent
< 13 119 < 1
13 - 24 1,594 3.8
25 - 44 19,750 47.3
45 - 65 18,580 44.5
65 and older 1,735 4.2
Total 41,778

Note: Age was missing/unknown for 1,304 clients.

The United StatesHHS Indicators

The United States, 2011 HHS Indicators

HHS INDICATORS HAB MEASURE RESULT
HIV Positivity Percentage of HIV tests that were HIV positive. Percentage of tests 1.2%
Late HIV Diagnosis Percentage of clients diagnosed with AIDS within 3 months of a diagnosis of HIV. Data not available at this time. --
Linkage to HIV Medical Care Percentage of clients who attended a routine HIV medical care visit within 3 months of HIV diagnosis.1 Data not available at this time. --
Retention in HIV Medical Care Percentage of clients with an HIV diagnosis who had at least one HIV medical care visit in each 6 month period of the 24 month measurement period, with a minimum of 60 days between the first medical visit in the period 6 month period and the last medical visit in the subsequent 6 month period. Data not available at this time. --
Antiretroviral Therapy (ART) Among Persons in HIV Medical Care Percentage of clients with an HIV diagnosis who were prescribed ART. Percentage of HIV positive clients who had at least one OAMC visit and were prescribed ART 79.5%
Viral Load Suppression Among Persons in HIV Medical Care Percentage of clients with an HIV diagnosis with a viral load <200 copies/mL at last test. Percentage of HIV positive clients who had at least one OAMC visit, had at least one viral load reported and the most recent viral load was <200 copies. 72.6%
Housing Status Percentage of clients with an HIV diagnosis and receiving HIV services who were homeless or unstably housed. Percentage of clients with a known status whose status was HIV positive non-AIDS, AIDS status unknown or AIDS who were unstably housed. Please note that we cannot account for homeless clients. 3.4%

ART prescription data was missing/unknown for 33,814 clients.

Viral load was missing/unknown for 52,132 clients.

Housing data was missing/unknown for 43,441 clients.

1Initial HIV diagnosis dates are not collected. Denominator used is date of entry into Ryan White care.

The United StatesNHAS

The United States, 2011 NHAS

  NATIONAL TARGET1 HAB MEASURE RESULT
Increasing Access to Care and Improving Health Outcomes for People Living with HIV/AIDS By 2015, increase the proportion of newly diagnosed patients linked to clinical care within three months of their HIV diagnosis from 65% to 85% Data not available at this time. --
By 2015, increase the proportion of clients who are in continuous care (at least 2 visits for routine HIV medical care in 12 months at least 3 months apart) from 73% to 80% Percentage of HIV positive clients who had at least one funded visit and one visit date reported. 76.0%
Increase the percentage of Ryan White recipients with permanent housing from 82% to 86% Percentage of Ryan White clients who were stably housed. 84.0%
Reducing HIV-Related Health Disparities By 2015, increase the proportion of HIV diagnosed gay and bisexual men with undetectable viral load by 20% Data not available at this time. --
By 2015, increase the proportion of HIV diagnosed Blacks with undetectable viral load by 20% Percentage of HIV positive clients who had at least one funded OAMC visit, had at least one viral load reported and the most recent viral load was <200 copies. 67.0%
By 2015, increase the proportion of HIV diagnosed Latinos with undetectable viral load by 20% Percentage of HIV positive clients who had at least one funded OAMC visit, had at least one viral load reported and the most recent viral load was <200 copies. 76.0%

Retention data was missing/unknown for 14,941 clients.

Housing data was missing/unknown for 43,441 clients.

Viral load data was missing/unknown for 23,834 Black clients and 11,990 Latino clients.

1 Note that the NHAS goals are National targets and a compilation for work across The Federal government. The result shown applies only to the Ryan White HIV/AIDS Program in support of these goals.