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From 1992 to 1993, reported AIDS cases in the US more than doubled, from 47,572 to 106,949.1

Other News In 1993

Number of EMAs are now at 25.

The CDC revises AIDS clinical trial guidelines to require women and minorities to be included in studies.2

Researchers in France and Britain conclude that the AIDS treatment AZT has little or no benefit when taken early in the progression of the disease.3

FDA approves the female condom.4


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.

Chart of Eligible Metropolitan Areas
View as a table
Eligible Metropolitan Areas
Eligible Metropolitan Area Year Added
Atlanta, GA 1991
Boston, MA 1991
Chicago, IL 1991
Dallas, TX 1991
Fort Lauderdale, FL 1991
Houston, TX 1991
Jersey City, NJ 1991
Los Angeles, CA 1991
Miami, FL 1991
New York, NY 1991
Newark, NJ 1991
Philadelphia, PA 1991
San Diego, CA 1991
San Francisco, CA 1991
San Juan, PR 1991
Washington, DC 1991
Baltimore, MD 1992
Oakland, CA 1992
Detroit, MI 1993
Nassau-Suffolk, NY 1993
New Orleans, LA 1993
Orange County, CA 1993
Ponce, PR 1993
Seattle, WA 1993
Tampa-Saint Petersburg, FL 1993

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