ADAP Manual - 2003 Version
I. General Information
4. HIV/AIDS Bureau Organizational Chart and Overview
- HIV/AIDS Bureau (HAB)
- Division of Service Systems (DSS)
- Division of Community Based Programs (DCBP)
- Division of Training and Technical Assistance (DTTA)
- Office of Science and Epidemiology (OSE)
- The Office of Program Support (OPS)
- Office of Policy and Program Development (OPPD)
Chapter Summary TOP
This chapter includes an organizational chart of the Health Resources and Services Administration’s (HRSA) HIV/AIDS Bureau (HAB) and its divisions. Structures, roles, and responsibilities are described for the following programs: HAB, Title I, Title II, AIDS Drug Assistance Program (ADAP), Title III, Title IV, the Special Projects of National Significance (SPNS), the AIDS Education and Training Centers (AETC) Program, and the HIV/AIDS Dental Reimbursement Program. Also, instructions for downloading HAB fact sheets from the HRSA Internet web page are included.
HIV/AIDS Bureau (HAB) TOP
HIV/AIDS Bureau Organizational Chart
The Health Resources and Services Administration’s (HRSA) HIV/AIDS Bureau (HAB) administers the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act. The CARE Act, enacted to improve the quality and availability of care for people with HIV/AIDS and their families, was signed into law on August 18, 1990, and amended and reauthorized in May 1996 and again in October 2000. The CARE Act supports programs designed to increase access to care and treatment for underserved populations, reduce the need for costly inpatient care, reduce perinatal transmission, improve the health status of people living with HIV disease (PLWH), and improve the quality of life for those affected by the epidemic.
In August 1997, all HIV programs within HRSA were consolidated into the HIV/AIDS Bureau. This reorganization was designed to help HRSA respond to a changing AIDS epidemic and new treatment options.
HAB programs are administered as follows:
- The Office of the Associate Administrator for HIV/AIDS (OAA) provides the overall leadership and direction for the HIV/AIDS Bureau through the administration and management of its operations and policies.
- The Division of Service Systems (DSS) administers Title I and Title II, including the AIDS Drug Assistance Program (ADAP).
- The Division of Community Based Programs (DCBP) administers Title III, Title IV, and the HIV/AIDS Dental Reimbursement Program.
- The Division of Training and Technical Assistance (DTTA) coordinates, designs, and administers HAB planning, training, and technical assistance activities; coordinates most HAB meetings; administers the AIDS Education and Training Centers (AETC) Program; provides technical assistance to grantees; and manages the HRSA HIV/AIDS Advisory Council (HAAC).
- The Office of Science and Epidemiology (OSE) administers the Special Projects of National Significance (SPNS) Program; designs, conducts, and coordinates research and evaluation studies; collects and analyzes program data submitted through the Care Act Data Report (CADR) and assesses the success of the Bureau’s programs in achieving their goals and objectives.
- The Office of Program Support (OPS) directs, coordinates, and evaluates Bureau-wide administrative management support activities and policies, and serves as the Associate Administrator’s principal source of management advice.
- The Office of Policy and Program Development (OPPD) serves as the HAB’s focal point for planning, legislative activities, the dissemination of program objectives, program coordination, and the production of policy statements and subsequent interpretation.
Division of Service Systems (DSS) TOP
The Division of Service Systems (DSS) administers Title I and Title II of the Ryan White CARE Act. DSS is responsible for administering the following:
- Title I grants are awarded to eligible metropolitan areas (EMAs) with the highest rates of AIDS cases. Currently there are 51 EMAs in 21 States, Puerto Rico, and the District of Columbia.
- Title II grants are awarded to the 50 States, the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands and other U.S. Territories. Title II grants include funding for medical and support services to people living with HIV disease and their families, as well as the AIDS Drug Assistance Program (ADAP) that provides access to pharmaceuticals approved by the Food and Drug Administration (FDA). The CARE Act Amendments of 2000 added funding for Emerging Communities, and the Minority AIDS Initiative (MAI).
- Each Title I and Title II grantee has a HRSA/HAB Project Officer.
For additional information about DSS, see Section I, Chapter 5 of this manual.
Division of Community Based Programs (DCBP) TOP
The Division of Community Based Programs (DCBP) administers Title III, Title IV, and the HIV/ AIDS Dental Reimbursement Program:
- HIV Early Intervention Services Program (Title III). The Primary Care Services Branch administers Title III, which provides funding for comprehensive health, early intervention services to persons infected with HIV in medically underserved areas, and early intervention planning grants.
- Grants for Coordinated Services and Access to Research for Women, Infants, Children, and Youth Program (Title IV). The Family Comprehensive Services Branch administers Title IV, which funds programs designed to demonstrate strategies and innovative models for organizing and coordinating community-based services linked to research for children, youth, and women of childbearing age with HIV infection, as well as an adolescent initiative.
- HIV/AIDS Dental Reimbursement Program. Administered by DCBP’s Program Development staff, the Dental Reimbursement Program provides assistance to dental schools and graduate dental programs to support oral health care for patients with HIV.
Division of Training and Technical Assistance (DTTA) TOP
The Division of Training and Technical Assistance (DTTA) coordinates, designs, and administers HIV/AIDS-related planning, training, and technical assistance activities within the HAB. DTTA also advises HAB’s Associate Administrator on training and educational activities pertaining to the administration of HRSA’s HIV/AIDS program. Major responsibilities are undertaken by the three discrete entities of DTTA: the HIV Education Branch has program responsibilities related to the AIDS Education and Training Centers (AETCs); the Technical Assistance Branch coordinates all HAB technical assistance and training activities; and the Community Support Services staff serve as a conduit for the exchange of information with internal and external stakeholders, including other divisions within the HAB, the Agency, and other U.S. Department of Health and Human Services (DHHS) components.
DTTA’s major responsibilities include:
- directing and managing the implementation of the AETC program of the CARE Act, Title XXVI, Part F of the Public Health Service Act, including developing Program Application and Guidance documents for the AETC program;
- identifying technical assistance needs and developing technical assistance packages; conducting programs, meetings, and activities to meet such needs; developing and managing mechanisms and resources to address technical assistance needs and support Division/Bureau technical assistance plans and programs;
- convening consultation meetings with grantees, providers, representatives of professional and political organizations, and advocacy groups;
- providing logistical support to the objective review process;
- serving as the Bureau’s focal point for advising, coordinating, and consulting with advisory committees, State and local health departments, other components of the Department, other Federal agencies, and/or other external organizations regarding health care delivery and HIV/ AIDS prevention, treatment, education, and technical assistance; and
- developing outreach activities to assure that target populations are aware of the benefi ts and availability of HRSA’s HIV/AIDS programs.
Office of Science and Epidemiology (OSE) TOP
The Office of Science and Epidemiology (OSE) supports program-related research and evaluation to improve the delivery of HAB programs. OSE administers these activities through four branches:
- The Service Evaluation and Research Branch coordinates the development, implementation, and dissemination of evaluation projects.
- The Demonstration Program Development and Evaluation Branch administers the Special Projects of National Significance (SPNS) Program, which supports the development, assessment, and dissemination of innovative models of HIV care.
- The Epidemiology and Data Analysis Branch administers epidemiological and other scientific studies analyzing the effects of health care utilization on PLWH.
- The Service Data Systems Branch administers the CARE Act Data Report (CADR) submitted by all Ryan White grantees.
The Office of Program Support (OPS) TOP
The Office of Program Support (OPS) is responsible for administrative and management support activities for both the HAB and the OPS. It is a principal source for management and administrative advice and assistance. This includes guidance on fi nancial management activities; personnel activities; the review, negotiation, award, and administration of grants and cooperative agreements; organization and management analysis; employee performance appraisal systems; and support services such as supply and space management. OPS and the Resources Management and Services Branch (RMSB) were consolidated on February 13, 1998. The consolidated Office includes two branches with the following responsibilities:
- The Resources Management and Services Branch (RMSB) combines the two broad areas of Financial Management and Management Policy and Services into a single unit, providing Bureau-wide advice, analysis, assistance, and guidance in all aspects of resource management. This includes the preparation and justification of Bureau budget submissions to DHHS, the Office of Management and Budget (OMB), and Congress, as well as the Bureau’s annual operating budget activities, including fund allocations, distribution, and necessary budget controls. The Branch is also responsible for human resources management and support services for all Bureau staff. RMSB also provides advice, assistance, and support for contract and procurement activities; the maintenance of supplies and equipment; the administration of travel regulations; and activities concerned with the establishment or modification of organizational structures, functions, and delegations of authority.
- The Grants Management Branch (GMB) provides assistance and technical consultation to headquarters and regional office staff in the development and interpretation of laws, regulations, policies, and guidelines relative to the Bureau’s grant programs; and provides Bureau staff with grant reports, data, and analyses as necessary for budget planning, hearings, and operational planning. The GMB provides a range of grants management services including pre-application management, application receipt, and the monitoring of the objective review process, negotiation of fi nal budgets, and preparation of grant award statements and funding obligations for national and multi-regional project reviews. The GMB also provides for the resolution of audit fi ndings and grant appeals, maintains surveillance of the business aspects of awarded grants for institutional compliance with grant policies, and reviews HAB programs for proper interpretation and timely implementation and application of grants management policies.
Office of Policy and Program Development (OPPD) TOP
The Office of Policy and Program Development (OPPD) provides policy guidance and program development support for the activities of two entities: HAB’s and HRSA’s Office of Special Programs (OSP). OPPD supports the work of all programs of the Bureau and OSP, including HIV/AIDS programs funded under the Ryan White CARE Act, organ and bone marrow transplantation, and health care facilities.
OPPD plays a critical role in implementing program initiatives, as well as coordinating crosscutting activities and tracking legislative developments related to the mission of the Bureau and OSP. OPPD has lead responsibility for the development and implementation of CARE Act policies, such as the development of policy guidance and options for management consideration, public notices, Federal Register documents, performance measures for each program, Office of Management and Budget clearance packages, Freedom of Information Act requests, legislative proposals, regulatory changes, grant announcements, and responses to information requests from Congress and the general public.
OPPD provides background information and analysis to the Associate Administrator for policy decisions and tracks emerging public health policy concerns. OPPD monitors and interprets legislative proposals and pending legislation as they affect Bureau/Office programs, and serves as a central point of reference for legislation on issues as varied as the Federal budget and reauthorization of major programs such as the CARE Act.
OPPD works with other units within HRSA, such as the Offices of Women’s Health; Planning and Evaluation; Management and Program Support; and Minority Health, to assure consistent policy and program development across the agency. Collaborative efforts include specific initiatives on disparities in access to health care for individuals with HIV, strategic planning, and goals for the coming fi scal year. At the Associate Administrator’s request, OPPD carries out special initiatives that might involve Historically Black Colleges and Universities, the Hispanic Agenda for Action, Asian-American and Pacific Islander initiatives, Tribal initiatives, quality of care, and services integration.
Sources Used for This Chapter
HRSA, HAB, Division of Service Systems. Ryan White CARE Act Title II Manual. Rockville, MD: U.S. Department of Health and Human Services, 1999, revised 2002.
HRSA. HAB, Division of Training and Technical Assistance. HIV/AIDS Bureau Handbook. Rockville, MD: U.S. Department of Health and Human Services, 1999.
Congressional Black Caucus/ Minority AIDS Initiative: Frequently Asked Questions and Answers. April 2001.