Ending the HIV Epidemic: A Plan for America — Ryan White HIV/AIDS Program Parts A and B
HRSA-20-078 | HIV/AIDS Bureau
Application Accepted: 08/13/2019 to 10/15/2019
Projected Award Date: 03/01/2020
Estimated Award Amount: N/A
This notice announces the opportunity to apply for funding for the Ending the HIV
Epidemic: A Plan for America — Ryan White HIV/AIDS Program (RWHAP) Parts A and
B as administered by the Health Resources and Services Administration (HRSA)
HIV/AIDS Bureau (HAB) in conjunction with the existing RWHAP Parts A and B funding.
The purpose of this initiative is to focus resources in 48 counties, Washington, D.C.,
San Juan, Puerto Rico (PR), and seven states (hereafter referred to as “jurisdictions”
and listed in Appendix A) to implement effective and innovative strategies, interventions,
approaches, and services to reduce new HIV infections in the United States. The
overarching goal for this initiative is to reduce new HIV infections in the United States to
less than 3,000 per year by 2030.
The Ending the HIV Epidemic: A Plan for America (hereafter referred to as the
“initiative”) has four pillars, or key strategies:
• Pillar One: Diagnose all people with HIV as early as possible;
• Pillar Two: Treat people with HIV rapidly and effectively to reach sustained viral
• Pillar Three: Prevent new HIV transmissions by using proven interventions,
including pre-exposure prophylaxis (PrEP) and syringe services programs
• Pillar Four: Respond quickly to potential HIV outbreaks to get needed
prevention and treatment services to people who need them.
HRSA and the Centers for Disease Control and Prevention (CDC), along with the
National Institutes of Health (NIH) Centers for AIDS Research (CFARs), the Indian
Health Service (IHS), and the Substance Abuse and Mental Health Services
Administration (SAMHSA) are collaborating on the implementation of each of these
Pillars. At the most general level:
• Pillar One is led by CDC and, among many activities, includes working with the
HRSA Health Center Program to increase testing among Health Center Program
• Pillar Two is led by HRSA and focuses on providing access to HIV care and
treatment through the RWHAP and the Health Center Program, including working
with CDC funded organizations and/or CDC staff to link people with HIV, newly
diagnosed or re-identified through testing programs, to care;
• Pillar Three is co-led by CDC and HRSA with the HRSA Health Center Program
focusing on providing PrEP related outreach, care coordination, medical services
and medications supported by CDC efforts to promote PrEP among populations
needing PrEP services as well as other prevention activities, such as syringe
services programs (SSPs); and
• Pillar Four is led by CDC to rapidly detect HIV clusters and networks with support
from the HRSA RWHAP and Health Center Program to provide HIV care and
treatment or PrEP services through the Health Center Program, as applicable.
This HRSA HAB initiative is authorized under Section 311(c) of the Public Health
Service Act, (42 U.S.C. § 243(c)) and title XXVI, (42 U.S.C. § 300ff-11 et seq.), with the
funding to be used in conjunction with the RWHAP. As such, there is the opportunity for
RWHAP programs funded under this announcement to have a broader approach to
addressing HIV in their communities than what exists in services authorized by the
RWHAP legislation. For example, for this initiative, the only requirement for determining
eligibility for service provision is that the individual has a documented HIV diagnosis;
there is no requirement that individuals meet RWHAP eligibility requirements. In
addition, funded recipients are not limited to using the RWHAP service categories for
this initiative. Recipients are encouraged to be innovative and creative as they design
ways to use these funds to end the HIV epidemic in their jurisdictions. (See Funding
Restrictions section on page 21 for more information).
Proposed activities may include, but are not limited to: increasing organizational
capacity; information dissemination and public outreach; community engagement;
implementation of emerging practices, evidence-informed and/or evidenced-based
interventions, particularly around linkage to care, retention in care, reengagement in
care, and adherence counseling; the provision of needed client services; and data
infrastructure development and systems linkages.
Applicants must describe how proposed activities will address Pillar Two (Treat),
• Expanding access to HIV care and treatment in the focus jurisdictions for people
with HIV, both those who are newly diagnosed and those who are not engaged
in care, and/or not virally suppressed; and
• Addressing unmet needs and improving client-level health outcomes.
Applicants must also describe how proposed activities support Pillar Four (Respond), to
respond quickly to HIV cluster detection efforts for those people with HIV needing HIV
care and treatment.
Funded recipients will use these initiative resources in conjunction with the RWHAP
Parts A and B systems of HIV care and treatment to develop, implement, and/or
enhance innovative approaches to engaging people with HIV who are newly diagnosed,
not in care, and/or not virally suppressed. In addition, the recipients will provide rapid
access to a comprehensive continuum of high quality care and treatment services. All
funded recipients will be required to collaborate with the recipients of HRSA-20-079
Ending the HIV Epidemic: A Plan for America – Technical Assistance Provider (TAP)
and HRSA-20-089 Ending the Epidemic: A Plan for America – Systems Coordination
Provider (SCP). The purpose of the TAP is to provide technical assistance to you on
implementation of work plan activities, innovative approaches, and interventions. The
purpose of the SCP is to assist you in coordinating your initiative planning, funding
sources, and programs with the existing HIV care delivery systems. In addition, the
SCP will assist in the identification of existing and new stakeholders, as well as collate
and disseminate best practices, innovative approaches, and interventions identified by
the TAP that facilitate the success of the initiative.
Eligible applicants are:
• RWHAP Part A funded Eligible Metropolitan Areas (EMAs) or Transitional Grant
Areas (TGAs) whose service area includes one or more of the identified 48 HIV high
burden counties; and the EMAs of Washington, D.C. and San Juan, PR.
• RWHAP Part B funded States/Territories identified as having a substantial rural HIV
burden: Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South
• The RWHAP Part B Program of the State of Ohio on behalf of Hamilton County.