The Ryan White HIV/AIDS Program (RWHAP) provides a comprehensive system of care that includes primary medical care and essential support services for people living with HIV who are uninsured or underinsured. The Program works with cities, states and local community-based organizations to provide HIV care and treatment services to more than half a million people each year, reaching approximately 52% of all those diagnosed with HIV in the United States.
The majority of Ryan White HIV/AIDS Program funds support primary medical care and essential support services. A smaller but equally critical portion is used to fund technical assistance, clinical training, and the development of innovative models of care. 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.
August 18, 2015, marked the 25th anniversary of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, the legislation which created the Ryan White HIV/AIDS Program. First authorized in 1990, the Program is funded at $2.32 billion in fiscal year 2016. 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).
The Ryan White HIV/AIDS Program is divided into several Parts, following from the authorizing legislation. Below is a description of each Program Part.
Part A provides grant funding for medical and support services to Eligible Metropolitan Ares (EMAs) and Transitional Grant Areas (TGAs) - population centers that are the most severely affected by the HIV/AIDS epidemic.
Part B provides grant funding to states and territories to improve the quality, availability and organization of HIV health care and support services. Grant recipients include all 50 states, the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, and the 5 U.S. Pacific Territories. In addition, Part B also includes grants for the AIDS Drug Assistance Program (ADAP).
Part C provides grant funding to local community-based organizations to support outpatient HIV early intervention services and ambulatory care. Part C also funds planning grants, which help organizations more effectively deliver HIV care and services.
Part D provides grant funding to support family-centered, comprehensive care to women, infants, children and youth living with HIV.
Part F grant funding supports several research, technical assistance, and access-to-care programs, which include:
The Special Projects of National Significance Program supports the demonstration and evaluation of innovative models of care delivery for hard-to-reach populations.
The AIDS Education and Training Centers Program supports the education and training of health care providers treating people living with HIV through a network of eight regional centers and three national centers.
The Dental Programs provide additional funding for oral health care for people with HIV through the HIV/AIDS Dental Reimbursement Program and the Community-Based Dental Partnership Program.
The Minority AIDS Initiative provides funding to evaluate and address the impact of HIV/AIDS on disproportionately affected minority populations.