Opportunity Information: Apply for HRSA 15 005

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.917 HIV Care Formula Grants.
  • This funding opportunity was created on Aug 11, 2014 and posted on Aug 11, 2014.
  • Applicants must submit their applications by Oct 24, 2014. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $75,000,000.00 to eligible and selected applicants.
  • The number of recipients for this funding is limited to 59 candidate(s).
  • Eligible applicants include: State governments.
Apply for HRSA 15 005

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Opportunity Summary:

The AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF) opportunity (HRSA-15-005) is a discretionary grant program run by the Health Resources and Services Administration (HRSA) through its HIV/AIDS Bureau (HAB), specifically the Division of State HIV/AIDS Programs (DSHAP). It sits under the Ryan White HIV/AIDS Program (RWHAP) Part B framework and is designed as an emergency funding source for state and territorial ADAP programs that are under financial pressure. The central purpose is to help jurisdictions maintain access to HIV medications by addressing the conditions that typically lead to restricted enrollment, especially ADAP waiting lists, and by supporting strategies that control or reduce program costs.

Funding through this announcement is described as "limited" and "new competing," meaning jurisdictions must apply and compete based on documented need rather than receive funds automatically. Awards are intended for states and territories that can clearly show they need extra resources to prevent, reduce, or eliminate ADAP waiting lists and to deal with cost containment pressures. Cost containment is broadly framed to include both cost-cutting actions (reducing expenses directly) and cost-saving measures (changes that lower costs over time). While the program can support multiple financial stabilization goals, the announcement makes it clear that waiting lists are the top priority in funding decisions.

A key operational rule is how grantees must use the money depending on their waiting list status. If a state has a current ADAP waiting list that has been reported to HRSA, then all funds awarded under this opportunity must be used specifically to remove clients from that waiting list. If a state does not have a current waiting list reported to HRSA, the funds must be used to keep current ADAP ERF clients supported so a waiting list does not develop, and/or to implement or support cost-cutting and cost-saving measures during the project period that help prevent a future waiting list. In other words, jurisdictions already facing restricted access must use the award to restore access, while jurisdictions not yet in crisis must use the award to maintain stability and reduce the risk of future access barriers.

Applications are reviewed and scored by an external Objective Review Committee (ORC). The ORC bases its decisions on the criteria published in the funding opportunity announcement, with explicit preference given to proposals that address waiting lists. This setup emphasizes documentation and justification: applicants need to demonstrate need convincingly and explain how the funds will be deployed to achieve the program goals (especially rapid, measurable reductions in waiting lists where they exist, or concrete prevention/cost strategies where they do not).

From the opportunity details provided, the program was posted on August 11, 2014, with an application deadline of October 24, 2014, and an estimated total funding amount of $75,000,000. HRSA anticipated up to 59 awards. The CFDA listing connected to the program is 93.917 (HIV Care Formula Grants). There is no cost sharing or matching requirement, and eligible applicants are limited to state governments (which, in this context, includes U.S. states and territories administering ADAP under RWHAP Part B). The listing does not specify an award floor or ceiling, suggesting award sizes were likely determined by documented need and available appropriations rather than a fixed per-award range.

For access and administrative help, HRSA provided a grants application contact at the HRSA Grants Application Center in Gaithersburg, Maryland, with Heather Hauck listed as the point of contact (hhauck@hrsa.gov).

ADAP Emergency Relief Funds (ERF) (HRSA-15-005) - Frequently Asked Questions

What is the ADAP Emergency Relief Funds (ERF) opportunity (HRSA-15-005)?

The AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF) opportunity (HRSA-15-005) is a discretionary grant program administered by the Health Resources and Services Administration (HRSA). It is run through HRSA's HIV/AIDS Bureau (HAB), specifically the Division of State HIV/AIDS Programs (DSHAP), under the Ryan White HIV/AIDS Program (RWHAP) Part B framework. It is designed to provide emergency funding to state and territorial ADAP programs experiencing financial pressure.

Which federal agency runs this program?

HRSA (Health Resources and Services Administration) runs the program through its HIV/AIDS Bureau (HAB), within the Division of State HIV/AIDS Programs (DSHAP).

What is the main purpose of this funding?

The central purpose is to help states and territories maintain access to HIV medications by addressing conditions that commonly lead to restricted enrollment in ADAP, especially ADAP waiting lists, and by supporting strategies that control or reduce program costs.

Is the top priority eliminating ADAP waiting lists?

Yes. The announcement makes clear that ADAP waiting lists are the top priority in funding decisions. Proposals that address waiting lists receive explicit preference in review.

What does "limited" and "new competing" mean in this announcement?

"Limited" indicates the funding is not open-ended and is constrained by available funds. "New competing" means jurisdictions must apply and compete based on documented need; funds are not provided automatically.

Who is eligible to apply?

Eligible applicants are limited to state governments, which in this context includes U.S. states and U.S. territories that administer ADAP under RWHAP Part B.

Is there a cost sharing or matching requirement?

No. The opportunity states there is no cost sharing or matching requirement.

How must funds be used if a state or territory has a current ADAP waiting list?

If a state has a current ADAP waiting list that has been reported to HRSA, then all funds awarded under this opportunity must be used specifically to remove clients from that waiting list.

How must funds be used if a state or territory does not have a current waiting list reported to HRSA?

If there is no current waiting list reported to HRSA, funds must be used to keep current ADAP ERF clients supported so a waiting list does not develop, and/or to implement or support cost-cutting and cost-saving measures during the project period that help prevent a future waiting list.

What kinds of activities count as cost containment under this opportunity?

Cost containment is broadly framed and includes both cost-cutting actions (steps that directly reduce expenses) and cost-saving measures (changes that lower costs over time). The intent is to stabilize ADAP financing and reduce the risk of access restrictions.

Does the opportunity describe how applications are reviewed?

Yes. Applications are reviewed and scored by an external Objective Review Committee (ORC). The ORC uses the criteria published in the funding opportunity announcement and gives explicit preference to proposals that address waiting lists.

What does the review approach imply applicants need to provide in their application?

The review approach emphasizes documentation and justification. Applicants are expected to convincingly demonstrate need and clearly explain how awarded funds will be used to meet program goals, particularly rapid and measurable waiting list reductions where waiting lists exist, or concrete prevention and cost strategies where they do not.

When was this opportunity posted and when was the application deadline?

The opportunity was posted on August 11, 2014, and the application deadline was October 24, 2014.

How much total funding was estimated to be available?

The estimated total funding amount listed is $75,000,000.

How many awards did HRSA anticipate making?

HRSA anticipated up to 59 awards.

Is there an award minimum (floor) or maximum (ceiling) specified?

No award floor or ceiling is specified in the details provided. Based on the listing, award sizes were likely determined by documented need and available appropriations rather than a fixed per-award range.

What CFDA number is associated with this opportunity?

The CFDA listing connected to the program is 93.917 (HIV Care Formula Grants).

What program framework does this funding sit under?

The ERF opportunity sits under the Ryan White HIV/AIDS Program (RWHAP) Part B framework and is intended to support state and territorial ADAP programs.

Who can be contacted for grants application help?

HRSA listed the HRSA Grants Application Center in Gaithersburg, Maryland for access and administrative help. The point of contact provided is Heather Hauck at hhauck@hrsa.gov.

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