HEALTH RESOURCES AND SERVICES ADMINISTRATION

II. METHODOLOGY

Approximately six percent of the amounts appropriated for Titles I, II, and III of the Ryan White Comprehensive AIDS Resources Emergency Act (Title XXVI of the PHS Act) is used to support the provision of health care services for persons with AIDS, who are also drug addicted, in substance abuse treatment settings. Funding estimates for anti-drug abuse activities reflect this assumption. Excluded from this estimate are set asides for state AIDS Drug (pharmaceuticals) Assistance Programs (ADAP).

III. PROGRAM SUMMARY

• HRSA's Ryan White Funds support state and locally administered programs which provide a network of health care and support services in cities and states for persons living with HIV infection and AIDS, especially the uninsured who would otherwise be without care.



• Title I (Title XXVI, Part A) funds provide substantial emergency resources to cities facing high HIV/AIDS caseloads, to sustain and develop systems of care that emphasize a continuum of services and reduce inpatient burdens. Grant awards are for outpatient and ambulatory health and support services to eligible metropolitan areas. These support services are intended for low income/under insured people living with HIV/AIDS but are available for people of all means. The resources provide access to community-based outpatient medical care for people with HIV/AIDS who do not currently receive adequate care in the 49 metropolitan areas eligible for FY 1998 funds.



• Title II (Title XXVI, Part B) funds enable states to improve the quality, availability and organization of health and support services for individuals with HIV disease and their families more broadly throughout each state. It authorizes formula grants to states and territories for the operation of HIV service delivery consortia in the localities most affected by the epidemic, provision of home and community-based care services for individuals with HIV/AIDS, continuation of health insurance coverage for low-income persons with HIV/AIDS, and treatments that have been determined to prolong life or prevent serious deterioration of health for low-income individuals with AIDS.



• Title III (Title XXVI, Part C) funds provide early intervention primary medical care and other services through health centers in under-served areas which face an increasing demand for HIV care. It provides for grant support to local and community based organizations (principally community and migrant health centers) which provide outreach, counseling and testing, prevention and early intervention services in a primary care setting for populations with or at risk of HIV/AIDS.

IV. BUDGET SUMMARY

1997 Base Program

• FY 1997 drug-related resources for HRSA of $46.2 million represents an estimated 6 percent of the total amount appropriated for Titles I, II and III of the Ryan White programs ($769.5 million) excluding funds appropriated for state ADAP. This increase is associated with the direct health care of persons with HIV/AIDS in substance abuse treatment settings.

1998 Request

• The FY 1998 drug-related resources for HRSA of $48.3 million represents an estimated 6 percent of the total amount appropriated for Titles I, II and III of the Ryan White programs ($779.5 million) excluding funds appropriated for State ADAP. This amount is expected to be used for direct health care of persons with HIV/AIDS in substance abuse treatment settings. 

V. PROGRAM STATISTICS

• As of June 30, 1996, 30.1% (21,795) of the total adult, adolescent, and mothers with/at risk for HIV infection AIDS cases reported to CDC between July 1995 and June 1996 (72,416) were in the exposure category of injecting drug users. The cumulative total reported in this category, 175,685, is 32.0% of the total cumulative reported AIDS cases (548,102).

VI. PROGRAM ACCOMPLISHMENTS

• For the period covering January to December 31, 1995, primary medical care providers in Title I funded eligible metropolitan areas reported approximated 54,900 (21%) of 265,300 clients were in the primary HIV exposure categories related to injecting drug use. The range of office-based health care services would include: medical care, dental care, mental health care, substance abuse treatment (including alcohol) or counseling and rehabilitation services.