HRSA: Ryan White States/Territories Part B Supplemental Grant

Based on the criteria listed above, the following entities are not eligible to apply to this Funding Opportunity Announcement:
• American Samoa
• Marshall Islands

States must designate a lead State/Territory agency that will be responsible for administering all assistance received; conducting a needs assessment and preparing a State/Territory plan; preparing all applications; receiving notices regarding programs; and collecting and submitting to the Secretary every two years all audits from grantees within the State, including an audit regarding funds expended.

The Part B Supplemental Grant award is intended to supplement the services otherwise provided by the State and is determined by the applicant’s ability to demonstrate the need in the State based on an objective and quantified basis. The State/Territory must demonstrate the severity of the HIV/AIDS epidemic in the State/Territory, using quantifiable data on HIV epidemiology, co-morbidities, cost of care, the service needs of emerging populations, unmet need for core medical services, and unique service delivery challenges. Applicants should explain why supplemental funding for health services is needed to provide necessary services for people living with HIV and AIDS in the State/Territory.

Factors to be considered in assessing demonstrated need for the FY 2012 application include the following:
1) The unmet need for HIV-related services as determined by section 2617(b) of the PHS Act;
2) An increasing need for HIV/AIDS-related services, including relative rates of increase in the number of living cases of HIV/AIDS;
3) The relative rates of increase in the number of living cases of HIV/AIDS within new or emerging subpopulations;
4) The current prevalence of HIV/AIDS;
5) Relevant factors related to the cost and complexity of delivering health care to individuals with HIV/AIDS in the eligible area;
6) The impact of co-morbid factors, including co-occurring conditions, identified relevant by the Secretary, including high rates of sexually transmitted infections (STIs), Hepatitis, Tuberculosis, substance use, severe mental illness, and other co-morbid factors;
7) The prevalence of homelessness;
8) The prevalence of individuals who were released from federal, state or local prisons during the preceding three years, and had HIV/AIDS on the date of their release;
9) Relevant factors that limit access to health care including geographic variation, adequacy of health insurance coverage and language barriers; and
10) Impact of a decline in the amount received in formula funding on services available to all individuals with HIV/AIDS identified and eligible under the title.

When describing demonstrated need, applicants should document the use of multiple data sets, such as HIV/AIDS epidemiologic data, co-morbidity data, poverty and insurance status data, current utilization data, 2010 Ryan White Data Report (RDR), and assessments of emerging populations with special needs.