About the Ryan White HIV/AIDS Program

The Health Resources and Services Administration’s (HRSA) Ryan White HIV/AIDS Program provides a comprehensive system of HIV primary medical care, essential support services, and medications for low-income people living with HIV who are uninsured and underserved. The Program funds grants to states, cities/counties, and local community-based organizations to provide care and treatment services to people living with HIV to improve health outcomes and reduce HIV transmission among hard-to-reach populations.

More than half of people living with diagnosed HIV in the United States receive services through the Ryan White HIV/AIDS Program each year. That means more than half a million people received services through the Program.

Over the last 28 years, HRSA’s Ryan White HIV/AIDS Program has played a critical role in the United States’ public health response to HIV. The Program serves as an important source of ongoing access to HIV medication that can enable people living with HIV to live close to normal lifespans. In 2017, 85.9 percent of Ryan White HIV/AIDS Program clients were virally suppressed, exceeding the national average of 59.8 percent.

First authorized in 1990, the Program is funded at $2.34 billion in fiscal year 2018. The Program is administered by the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB).

About The Ryan White HIV/AIDS Program Parts

HRSA’s Ryan White HIV/AIDS Program is divided into five Parts, following from the authorizing legislation.

  • Part A funds medical and support services to Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs). EMAs and TGAs are counties/cities that are the most severely affected by the HIV/AIDS epidemic.
  • Part B administers funds for states and territories to improve the quality, availability, and organization of HIV health care and support services. Recipients include all 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and the six U.S. Pacific territories/associated jurisdictions. In addition, Part B also includes grants for the AIDS Drug Assistance Program (ADAP).
  • Part C administers funds for local community-based organizations to provide comprehensive primary health care and support services in an outpatient setting for people living with HIV through Early Intervention Services program grants. Part C also funds Capacity Development grants, which help organizations more effectively deliver HIV care and services.
  • Part D administers funds for local, community-based organizations to provide outpatient, ambulatory, family-centered primary and specialty medical care for women, infants, children and youth living with HIV. Part D funding may also be used to provide support services to people living with HIV and their affected family members.
  • Part F funds support clinician training, technical assistance, and the development of innovative models of care to improve health outcomes and reduce HIV transmission. These programs include:
    • The Special Projects of National Significance Program, which supports the development of innovative models of HIV care and treatment to quickly respond to the emerging needs of clients served by the Ryan White HIV/AIDS Program. SPNS advances knowledge and skills in the delivery of health care and support services to underserved populations living with HIV. Through its demonstration projects, SPNS evaluates the design, implementation, utilization, cost, and health-related outcomes of treatment models and promotes the dissemination and replication of successful interventions;
    • The AIDS Education and Training Centers Program, which supports a network of eight regional centers (and more than 130 local affiliated sites) and national centers that conduct targeted, multidisciplinary education and training programs for health care providers treating people living with HIV;
    • The Dental Programs, which provides additional funding for oral health care for people with HIV through the HIV/AIDS Dental Reimbursement Program and the Community-Based Dental Partnership Program; and
    • The Minority AIDS Initiative, which improves access to HIV care and health outcomes for disproportionately affected minority populations, including black/African American populations.
Date Last Reviewed:  February 2019