Ending the HIV Epidemic: A Plan for America — Ryan White HIV/AIDS Program Parts A and B
Program Funding
Annual program obligations reported to SAM.gov.
Funded Projects
Examples of what this program has supported.
•Nearly 602,000 people with HIV in the U.S. received life-saving care, medication, and essential support services through the Ryan White HIV/AIDS Program, representing over half of those with diagnosed HIV in the U.S. This is an increase of nearly 26,000 clients.
•More than 91% of Ryan White HIV/AIDS Program patients receiving HIV medical care were virally suppressed in 2024. This is up from 69.5% of patients virally suppressed in 2010 and significantly higher than the 67.2% virally suppressed nationally among all people with diagnosed HIV.
•More than 47% of Ryan White HIV/AIDS Program clients are aged 50 years and older, demonstrating the program’s success in supporting older clients.
Program Objective
The purpose of this initiative is to focus resources in 48 counties, Washington, D.C., San
Juan, Puerto Rico (PR), and seven states with the highest incidence or burden of HIV
to implement effective and innovative strategies, interventions, approaches, and services to reduce new HIV infections in the United States. To reduce the new HIV infections in the U.S., the Ending the HIV Epidemic in the U.S. focuses on four key strategies:
• Diagnose all people with HIV as early as possible;
• Treat people with HIV rapidly and effectively to reach sustained viral suppression;
• Prevent new HIV transmissions by using proven interventions; and
• Respond quickly to potential HIV outbreaks to get needed prevention and
treatment services to people who need them.
Eligibility
Eligible Applicants
- U.S. State Government
- U.S. Territory Government
- Federally Recognized Tribal Government
U.S. Territories and possessions, State, Local (includes State-designated lndian Tribes, excludes institutions of higher education and hospitals
Eligible applicants are: RWHAP Part A funded Eligible Metropolitan Areas (EMAs) or Transitional Grant Areas (TGAs) whose service area includes one or more of the identified 48 HIV high burden counties; and the EMAs of Washington, D.C. and San Juan, PR. RWHAP Part B funded States/Territories identified as having a substantial rural HIV burden: Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina and the RWHAP Part B Program of the State of Ohio on behalf of Hamilton County.
Beneficiaries
- U.S. State Government
- U.S. Territory Government
- Federally Recognized Tribal Government
Individuals with HIV.
How to Apply
Award Procedure
Notification is made in writing (electronic) by a Notice of Award.
Decision Timeline
- Approval: From 120 to 180 days
Program details & compliance
Description
Ending the HIV Epidemic in the U.S. is the first federal initiative to focus on ending the HIV epidemic in the U.S. This program focuses resources in 48 counties, Washington, D.C., San Juan, Puerto Rico (PR), and seven states with substantial rural HIV burden to implement strategies, interventions, approaches, and provide core medical and support services to people with HIV to achieve the goals of the initiative.
Mission Categories
Primary: General Health and Medical
Use of Funds
Allowed Uses
Funded recipients will use these initiative resources in conjunction with the RWHAP Parts A and B systems of HIV care and treatment to develop, implement, and/or enhance innovative approaches to engaging people with HIV in the focus jurisdictions who are newly diagnosed, not in care and/or not virally suppressed, as well as provide rapid access to a comprehensive continuum of high quality care. All funds under this notice are subject to the following conditions: Funds from this announcement may not pay for any item or service to the extent that payment has been made (or reasonably can be expected to be made), with respect to that item or service, under any state compensation program, insurance policy, federal or state benefits program, or any entity that provides health services on a prepaid basis (except for a program administered by or providing the services of the Indian Health Service). All providers of care will have a participation agreement under the State plan approved under title XIX of the Social Security Act, or, if not qualified to receive payments under such state plan, the provider does not, in providing health care services, impose a charge or accept reimbursement available from any third-party payor, including reimbursement under any insurance policy or under any Federal or State health benefits program. Prohibited uses of funds: o Cash payment to intended recipients of services. Clinical research. o International travel. o Construction (minor alterations and renovations to an existing facility to make it more suitable for the purposes of the award program are allowable with prior HRSA approval). o Syringe Services Programs (SSPs). o Pre Exposure Prophylaxis (PrEP) medications and related medical services or Post-Exposure Prophylaxis (PEP), as the person using PrEP or PEP is not living with HIV and therefore not eligible for HRSA HAB initiative funded medication, as outlined in the June 22, 2016 Program Letter . o Supplantation of funds for any other federal award or state funds.
Required Documentation
Applicants should review the individual HRSA Notice of Funding Opportunity (NOFO) issued under this program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. All HRSA awards are subject to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements at 2 CFR 200 and modifications at 2 CFR 300. Subpart E - Cost Principles applies to this program.
Reporting & Compliance
Applicable 2 CFR 200 Subparts
- Subpart B — General Provisions
- Subpart C — Pre-Federal Award Requirements
- Subpart D — Post-Federal Award Requirements
- Subpart E — Cost Principles
- Subpart F — Audit Requirements