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HIV Emergency Relief Project Grants

Program Information

Popular name

Ryan White HIV/AIDS Program (RWHAP) Part A Emergency Relief for Areas with Substantial Need for Services

Program Number

93.914

Program objective

To provide direct financial assistance to Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs) that have been the most severely affected by the Human Immunodeficiency Virus (HIV) epidemic to enhance access to a comprehensive, effective and cost efficient continuum of high quality, community-based care for low-income individuals and families with HIV and to strengthen strategies to reach minority populations. A comprehensive continuum of care includes the 13 core medical services specified in legislation and appropriate support services that assist people with HIV in accessing treatment for HIV/AIDS that is consistent with the Department of Health and Human Service (HHS) Treatment Guidelines. Comprehensive HIV/AIDS care beyond these core medical services may include support services that meet the criteria of enabling individuals and families with HIV to access and remain in primary medical care to improve their medical outcomes.

Program expenditures, by FY (2023 - 2025)

This chart shows obligations for the program by fiscal year. All data for this chart was provided by the administering agency and sourced from SAM.gov, USASpending.gov, and Treasury.gov.

For more information on each of these data sources, please see the About the data page.

Additional program information

  1. 2016

    Nearly 68 percent of all clients served by the RWHAP in 2014 were served in one of the 52 metropolitan areas funded under the RWHAP Part A. Approximately 73 percent of all people living with diagnosed HIV reside in a RWHAP Part A EMA or TGA. Part A funded sites provided 3.7 million core medical service visits for health-related care utilizing a combination of Parts A, B, C, and D funding. The number of visits for health-related services demonstrates the scope of Part A in delivering primary care and related services for PLWH by increasing the availability and accessibility of care. From 2010 to 2015, HIV viral suppression among RWHAP patients has increased from 70 percent to 83 percent, and racial/ethnic, age-based, and regional disparities have decreased. These improved outcomes mean more PLWH in the U.S. will live near normal lifespans and have a reduced risk of transmitting HIV to others.

    RWHAP Part A jurisdictions are experienced in data-driven, community-based needs assessment, responsive procurement of a variety of direct medical and supportive services, working with a set of providers to weave together a constellation of services, serving diverse populations and continuing to make improvements that positively affect the HIV care continuum. Thus, the RWHAP Part A has a significant public health impact on HIV incidence.

  2. 2020

    According to the 2019 RWHAP Services Report, RWHAP recipients and subrecipients in cities that receive Part A funding provided health care and support services for 371,667 clients (this includes services provided by Part A recipients and subrecipients who receive RWHAP Parts A, B, C and/or D funding). 87.3 percent of RWHAP clients living in Part A jurisdictions, with available data on viral load, achieved viral suppression in 2019. Viral suppression was based on data for people with HIV who had at least one outpatient ambulatory health service visit and at least one viral load test during the measurement year. Viral suppression was defined as the most recent reported HIV RNA test result of <200 copies/mL.

  3. 2021

    RWHAP recipients and subrecipients in cities that receive Part A funding provided health care and support services for 333,683 clients (this includes services provided by Part A recipients and subrecipients who receive RWHAP Parts A, B, C and/or D funding). 88.6 percent of RWHAP clients living in Part A jurisdictions, with available data on viral load, achieved viral suppression in 2020

  4. 2022

    According to the FY 2021 RWHAP Services Report, RWHAP recipients and subrecipients in cities that receive Part A funding provided health care and support services for 337,270 clients (this includes services provided by Part A recipients and subrecipients who receive RWHAP Parts A, B, C and/or D funding). Nearly 90% of outpatient ambulatory health services (OAHS) clients receiving services from RWHAP Part A-funded providers reached viral suppression in 2021.

  5. 2023

    According to the CY 2022 RWHAP Services Report, RWHAP recipients and subrecipients in the EMA/TGA jurisdictions that receive Part A funding provided health care and support services for 328,258 clients (this includes services provided by Part A recipients and subrecipients who receive RWHAP Parts A, B, C and/or D funding).

    88.7% of outpatient ambulatory health services (OAHS) clients receiving services from RWHAP Part A-funded providers reached viral suppression in 2022.

Single Audit Applies (2 CFR Part 200 Subpart F):

For additional information on single audit requirements for this program, review the current Compliance Supplement.

OMB is working with the U.S. Government Accountability Office (GAO) and agency offices of inspectors general to include links to relevant oversight reports. This section will be updated once this information is made available.

All HRSA awards are subject to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements at 45 CFR part 75. As per 45 CFR part 75.201 and 301, recipients may use a fixed-award instrument to obtain services based on a reasonable estimate of actual cost and based on performance and results related to improvement of program outcomes. HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at https://www.hhs.gov/sites/default/files/hhs-grants-policy-statement-october-2024.pdf

  1. 42 U.S.C. § §300ff-11, 300ff-20, and 300ff-121 (sections 2601–2610 and 2693 of the PHS Act).