Part B of the Ryan White HIV/AIDS Treatment Extension Act of 2009 (Public Law 111-87) provides grants to States and Territories to improve the quality, availability, and organization of HIV health care and support services. Within the RWHAP Part B grant there is: a base grant for core medical and support services; the AIDS Drug Assistance Program (ADAP) award; the ADAP Supplemental award; the Part B Supplemental award for recipients with demonstrated need; Minority AIDS Initiative funding for education and outreach to improve minority access to medication assistance programs, including ADAP; and supplemental grants to States with "emerging communities."
Part B funds core medical services and support services. The specific allowable services funded by each State/Territory are determined at the State/Territory level based on needs assessment and available funding. Core medical services include outpatient and ambulatory health services, ADAP, AIDS pharmaceutical assistance, oral health care, early intervention services, health insurance premium and cost-sharing assistance, home health care, medical nutrition therapy, hospice services, home and community-based health services, mental health services, outpatient substance abuse care, and medical case management, including treatment-adherence services.
Support services must be linked to medical outcomes and may include outreach, medical transportation, linguistic services, respite care for caregivers of people with HIV/AIDS, referrals for health care and other support services, case management, and residential substance abuse treatment services. Grant recipients are required to spend at least 75% of their Part B grant funds on core medical services and no more than 25% on support services.
In addition, Part B grant recipients and subrecipients actively engage in assessing client eligibility for both marketplace plans and Medicaid, where applicable, and the available services and cost effectiveness of the marketplace plans for people living with HIV. All Part B recipients and subrecipients must vigorously pursue enrollment in available health coverage options for eligible clients.
Grant recipients are the chief elected official of a State/Territory who designates the state departments of health or other state entities to implement and manage the RWHAP Part B grant.
All 50 states, the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, and the six U.S. Pacific Territories/Associated Jurisdictions are eligible for Part B funding. Emerging Communities funding is distributed to the State/Territory for communities that report between 500 and 999 cumulative reported AIDS cases over the most recent 5 years.
More information on Part B requirements can be found in the Part B Manual.
Part B grew into the largest component of the Ryan White HIVAIDS Program primarily as a result of increases in funds to support access to drug therapies.
Part B - ADAP Publications
Part B: States and U.S. Territories Program Fact Sheet (PDF - 221 KB)
ADAP Manual (PDF)
Part B Manual (PDF)