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Treatment and Care Programs

Federal Funding for the Care and Treatment of HIV/AIDS

As treatment for HIV/AIDS becomes more complex and multidisciplinary, so too does the need for funding and support. Federal programs provide financial resources that make care available to people living with HIV/AIDS.

Health Resources and Services Administration

Ryan White HIV AIDS Program
The Ryan White HIV/AIDS Program provides HIV-related health services for those who do not have sufficient healthcare coverage or financial resources to cover their HIV care needs. The program works with cities, states, and local community-based organizations to supply services to more than half a million people each year.

The majority of Ryan White funds sustain primary medical care and essential support services. A smaller (but equally critical) portion is used to fund technical assistance, clinical training, and research on innovative models of care. The Ryan White Program is separated into five funding areas:

  • Part A: Eligible Metropolitan Areas and Transitional Grant Areas
    Provides emergency assistance to Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs) that are most severely affected by the HIV/AIDS epidemic.
  • Part B: States and Territories
    Provides grants to all 50 states, the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, and 5 U.S. Pacific Territories or associated jurisdictions.
  • Part C: Early Intervention Services
    Funds comprehensive primary healthcare in an outpatient setting for people living with HIV disease.
  • Part D: Services for Women, Infants, Youth, Children, and their Families
    Grantees provide family-centered care involving outpatient or ambulatory care (directly or through contracts) for women, infants, children, and youth with HIV/AIDS. Grantees are expected to provide primary medical care, treatment, and support services to improve access to healthcare.
  • Part F:
    Special Projects of National Significance (SPNS): Funds innovative models of care and supports the development of effective delivery systems for HIV care to underserved populations diagnosed with HIV infection.

    AIDS Education and Training Centers (AETC): Supports a network of 11 regional centers (and more than 130 local sites) that conduct targeted, multidisciplinary education and training programs for healthcare providers treating people living with HIV/AIDS. The AETCs serve all 50 states, the District of Columbia, the Virgin Islands, Puerto Rico, and the 6 U.S. Pacific jurisdictions.

    Dental Programs: Funds from all Ryan White grant programs can support oral health services—but two programs focus specifically on funding oral healthcare for people with HIV: the Dental Reimbursement Program (DRP) and the Community-Based Dental Partnership Program (CBDPP).

    Minority AIDS Initiative (MAI): Provides funding to evaluate and address the disproportionate impact of HIV/AIDS on women and minorities.

For more information, see HRSA’s Ryan White HIV/AIDS Program and History of the Ryan White HIV/AIDS Program.

Federal HIV/AIDS Treatment Guidelines

In addition to providing funding for the treatment and care of people living with HIV/AIDS, the U.S. Department of Health and Human Services (HHS) also publishes multiple guidelines to assist providers in offering this care. These guidelines are developed in collaboration with agencies across the Federal government, and in conjunction with clinicians and care providers across the country:

Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents, 2008
Developed by the HHS Panel on Antiretroviral Guidelines for Adults and Adolescents—a working group of the Office of AIDS Research’s Advisory Council (OARAC).

Public Health Service Task Force Recommendations for Use of Antiretroviral Drugs in Pregnant HIV-Infected Women for Maternal Health and Interventions to Reduce Perinatal HIV Transmission in the United States, 2008
Guidelines for treating pregnant women who are living with HIV and for preventing HIV transmission to their unborn babies.

Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection
Guidelines for clinicians who treat HIV infection in young children, typically aged 0-12 years old. These guidelines contain specific and supplemental information on antiretroviral use in children and infants, including adverse drug reactions.

Guidelines for Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescents, 2008
General treatment guidelines for preventing and treating opportunistic infections in adults with HIV, including specific information on prophylaxis and treatment options for advanced illness.

Guidelines for Prevention and Treatment of Opportunistic Infections among HIV-Exposed and HIV-Infected Children, 2008
Guidelines similar to those for adults, but with specific information on opportunistic infections more commonly seen in pediatric patients, as well as pediatric guidelines for pharmacological treatments.

For a comprehensive list of these guidelines, as well as options for a PDA version, see AIDSinfo’s Clinical Guidelines Portal.

Ryan White Program

Ryan White Program (HRSA)
The HIV/AIDS Bureau administers the Ryan White Program providing health care for people with HIV disease. This program fills gaps in care faced by those with low-incomes and little or no insurance directly through hundreds of grantees, who deliver care to over half a million people each year.

TARGET Center
Technical Assistance for the Ryan White Community - The TARGET Center Web site is the central source of technical assistance (TA) and training resources for the Ryan White HIV/AIDS Program. The site is the one-stop shop for tapping into the full array of TA and training resources funded by the Health Resources and Services Administration’s (HRSA) HIV/AIDS Bureau (HAB), which administers Ryan White services. HRSA is an agency of the U.S. Department of Health and Human Services.

Organizations Associated with the Ryan White Program

HIV/AIDS Bureau (HRSA)
The HIV/AIDS Bureau administers all HRSA related programs related to care and treatment of persons living with HIV/AIDS under the Ryan White Program.

AIDS Education and Training Centers National Resource Center
(Health Resources and Services Administration) Administered by the HRSA HIV/AIDS Bureau, the AIDS Education Training Center (AETC) supports a network of regional centers and local performance sites conducting targeted, multi-disciplinary education and training programs for healthcare providers treating persons with HIV/AIDS. The AETCs serve all 50 States, the District of Columbia, the Virgin Islands, Puerto Rico, and the six U.S.-affiliated Pacific Jurisdictions. The mission of the AETCs is to improve the quality of life of patients living with HIV/AIDS through the provision of high quality professional education and training.

Technical Assistance for the Ryan White Community: DATA Academy
Data Academy was created for Ryan white HIV?AIDS grantees an service providers. This resource can help you build skills and become more efficient in the ways you collect, use and share data.

Substance Abuse & Mental Health Programs

National Mental Health Information Center – HIV/AIDS (SAMHSA)
HIV and AIDS often can be accompanied by depression, an illness that can affect mind, body and behavior. SAMHSA’s Center for Mental Health Service (CMHS) develops program models that provide mental health services to individuals, families, and others living with or affected by HIV/AIDS.

  • Mental Health HIV Services
    The Mental Health HIV Services Collaborative (MHHSC) Program addresses unmet mental health treatment needs of individuals living with HIV/AIDS who are African American, Hispanic/Latino and/or from other communities of color. Twenty-one community-based organizations received five-year grants to expand their current service capacity to reach and provide coordinated mental health and other health and support services to members of these groups experiencing HIV/AIDS, and to evaluate the effectiveness of these services.

Safe Community Needle Disposal Program (CDC)
The treatment of medical conditions and the injection of illegal drugs result in billions of used syringes every year. Safe disposal of used syringes is a public health priority. This resource provides information about what communities can do to manage used syringes safely.

Substance Abuse (National Library of Medicine, NIH)
This resource provides a list of resources compiled by the National Library of Medicine’s Specialized Information Services. It covers both the abuse of specific substances in additional to alcohol and how substance abuse relates to HIV/AIDS.

Housing Programs & Resources

Housing Opportunities for Persons With HIV/AIDS (HOPWA) – (HUD)
The U.S. Department of Housing and Urban Development administers the Housing Opportunities for Persons with AIDS (HOPWA) program to provide housing support to low-income persons with HIV/AIDS and their families trough grants to eligible state and local governments. These jurisdictions undertake planning efforts in their state or metropolitan areas on the use of these housing resources and collaborate with area nonprofit organizations to deliver housing and care for consumers.

  • Statewide HOPWA Information
    Find current contacts, maps, Executive Summaries, allocation histories, and accomplishments for HOPWA grantees by state.
  • Technical Support of HOPWA Providers
    HOPWA Technical Assistance is available to all HOPWA grantees and project sponsors through the HOPWA National Technical Assistance program. Grantees interested in accessing HOPWA Technical Assistance may contact their local HUD Field Office or any HOPWA Technical Assistance provider directly for more information.
  • Housing Grants
    Ten percent of available HOPWA funds are awarded through a national annual competition. Grants are competitively selected based on published criteria for assessing housing projects proposed by States, local governments or by nonprofit organizations. To participate in the HUD competitive grants program, your organization will need to be registered with Grants.gov. To assist with the registration process, visit this resource.
  • Homeless Resource Exchange
    The Homelessness Resource Exchange is your one-stop shop for information and resources for providers who are assisting persons who are homeless or at risk of becoming homeless. The Exchange includes information about the HOPWA program as well as a range of other housing supports and homelessness prevention activities.

Community Planning and Development (CPD)
The Office of Community Planning and Development (CPD) seeks to develop viable communities by promoting integrated approaches that provide decent housing, a suitable living environment, and expand economic opportunities for low and moderate income persons. The primary means towards this end is the development of partnerships among all levels of government and the private sector, including for-profit and non-profit organizations.

Affordable Housing Programs
The lack of affordable housing is a significant hardship for low-income households preventing them from meeting their other basic needs, such as nutrition and health care, or saving for their future and that of their families. The expansion of the supply of affordable housing for low-income families is at the very core of HUD's mission.

Fair Housing and Equal Opportunities
The Office of Fair Housing and Equal Opportunity administers Federal laws and establishes national policies that make sure all Americans have equal access to the housing of their choice.

Housing Discrimination
Housing discrimination based on your race, color, national origin, religion, sex, family status, or disability is illegal by Federal law. If you have been trying to buy or rent a home or apartment and you believe your rights have been violated, you can file a fair housing complaint.

Housing for Persons with Disabilities
Housing that is available and accessible to persons with disabilities is a cornerstone of America's disability policy -- from the Fair Housing Act to the Americans with Disabilities Act. Federal regulations and state initiatives have enabled people with disabilities to have access to public housing and greater opportunities to live in the home of their choice.

Housing for Senior Citizens
The Fair Housing Act (FHAct) protects all citizens from discrimination on the basis of race, color, national origin, religion, sex, handicap or familial status (families with children under the age of 18 living with parents or legal custodians; pregnant women and people securing custody of children under 18). Although the FHAct was amended in 1988 to prohibit discrimination on the basis of disability and familial status, Congress intended to preserve housing specifically designed to meet the needs of older persons.

Last revised: 06/06/2012