25 Metro Areas Are Now Eligible for CARE Act Funding
With AIDS incidence and mortality skyrocketing, seven more metropolitan regions became eligible for Title I (Part A) funding as Eligible Metropolitan Areas (EMAs), bringing the total number of EMAs to 25. A year earlier, in 1992, 2 regions had been added to the 16 funded in 1991.
Areas eligible for funding under Title I statutes are those with
- more than 2,000 reported AIDS cases in the most recent 5-year period, and
- populations of at least 500,000.
Many elements made the Title I program unique among other Ryan White HIV/AIDS Program Initiatives. For example, as adopted, a local Planning Council, with at least 25 percent of members being people living with HIV/AIDS (PLWHA), established spending priorities for the jurisdiction. (That proportion has since been raised to 33 percent.) Priorities were based on needs assessments among the local HIV-positive population.
The grantee's administrative agency (typically, the local health department) enters into contracts with local providers of services to PLWHA.
With the Ryan White HIV/AIDS Treatment Modernization Act of 2006, several changes were made in the Part A Program and continued through the Ryan White HIV/AIDS Treatment Extension Act of 2009.
In 1991, when the CARE Act was first funded, Titles I and II were funded evenly, at approximately $87.8 million. In the years immediately following, however, Title I funding grew more significantly than did funding for Title II. Title I funding remained higher than that for Title II until 1998, by which time appropriations to ADAP were growing more rapidly than for any other program.
|In 1991||Added in 1992||Added in 1993|
|Atlanta, GA||Baltimore, MD||Detroit, MI|
|Boston, MA||Oakland, CA||Nassau-Suffolk, NY|
|Chicago, IL||New Orleans, LA|
|Dallas, TX||Orange County, CA|
|Fort Lauderdale, FL||Ponce, PR|
|Houston, TX||Seattle, WA|
|Jersey City, NJ||Tampa-Saint Petersburg, FL|
|Los Angeles, CA|
|New York, NY|
|San Diego, CA|
|San Francisco, CA|
|San Juan, PR|