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IV. Agency Budget Summaries

HEALTH RESOURCES AND SERVICES ADMINISTRATION


  1. RESOURCE SUMMARY

  2. 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.

  3. 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.

    • Specifically, funds are used as follows:

      • 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. These 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 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.

  4. BUDGET SUMMARY

    1998 Program

    • The FY 1998 drug related resources for HRSA of $47.9 million represents an estimated 6 percent of the total requested for Titles I, II and III of the Ryan White programs ($798.6 million).

    Goal 3: Reduce health and social costs to the public of illegal drug use.

    • Funding for this program is $47.9 million, which will support Goal 3 of the National Strategy. This program provides for direct health care of persons with HIV/AIDS in substance abuse treatment settings.

    1999 Request

    • The FY 1998 drug related resources for HRSA of $51.6 million represents an estimated 6 percent of the total requested for Titles I, II and III of the Ryan White programs ($860.6 million).

    Goal 3: Reduce health and social costs to the public of illegal drug use.

    • The total drug control request for Goal 3 activities for FY 1999 is $51.6 million, a net increase of $3.7 million over FY 1998. The 1999 request includes the following program:

      • Funding for this program will be used to support Goal 3 of the National Strategy for direct health care of persons with HIV/AIDS in substance abuse treatment settings.

  5. PROGRAM ACCOMPLISHMENTS

      For the period covering January to December 31, 1996, 29 percent of the total adult, adolescent and mothers with/at risk for HIV infection AIDS cases reported to CDC were in the exposure category of injecting drug users. The cumulative total reported in this category, 186,303, is 32 percent of the total cumulative reported AIDS cases, (581,429).

    • For the period covering January to December 31, 1996, primary medical care providers in Part A (Title I) funded eligible metropolitan areas reported approximated 27 percent of clients were in the primary HIV exposure categories related to injecting drug use. The range of office-based health care services provided included: medical care, dental care, mental health care, substance abuse treatment (including alcohol) or counseling and rehabilitation services.

    • For the same period, primary medical care providers in Part B (Title II) funded state programs reported approximately 27 percent of their clients were in the primary HIV exposure categories related to injecting drug use.