Opportunity Information: Apply for HRSA 12 128
Apply for HRSA 12 128
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Ryan White Part A HIV Emergency Relief Grant Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.914 HIV Emergency Relief Project Grants.
- This funding opportunity was created on Sep 30, 2011 and posted on Aug 22, 2011.
- Applicants must submit their applications by Nov 1, 2011. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $751,877,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 52 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification) City or township governments County governments.
- Grantees that were classified as an EMA or as a TGA in 2011 and meet statutory requirements are eligible to apply for these funds. EMAs and TGAs continue their eligibility for these funds as long as they meet the statutory requirements. Areas must meet the statutory incidence requirements (cumulative AIDS cases reported to and confirmed by the Director of the Centers for Disease Control and Prevention during the most recent period of calendar years for which such data are available). For an EMA, this is more than 2,000 AIDS cases, and for a TGA, this is at least 5000 but fewer than 2000 AIDS cases. In the alternative, areas can retain their eligibilty by meeting the savings provisions of the Ryan White Program legislation. That is, they must nothave fallend below for three consecutive years, the required incidence levels already specified AND required prevalence levels (cumulative total of living cases of AIDS reported to and confirmed by the Director of the Centers for Disease Control and Prevention as of December 31 of the most recent calendar year for which such data are available). For an EMA, this is 3000 living cases of AIDS and for a TGA, this is 1,500 living cases of AIDS. Areas are notified by letter when they fall within the savings provisions of the Ryan White legislation.
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Opportunity Summary:
The Ryan White Part A HIV Emergency Relief Grant Program (Funding Opportunity Number HRSA-12-128, CFDA 93.914) is a federal grant opportunity administered by the Health Resources and Services Administration (HRSA) to support local systems of HIV care in large metropolitan areas with significant HIV burden. The program is authorized under Part A of the Ryan White HIV/AIDS Treatment Modernization Act and is designed to help Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs) deliver a coordinated continuum of services for people living with HIV. The primary focus is ensuring access to primary medical care and antiretroviral therapy, along with a defined set of core medical services and additional support services that help clients stay engaged in care. The program’s target population is people living with HIV who are primarily low income, underserved, uninsured, or underinsured, meaning the grant is intended to fill gaps where private insurance or other public coverage is inadequate or unavailable.
Funding under Part A is used to maintain and strengthen comprehensive local systems of care. Grantees use these dollars to support delivery of 13 core medical services (as required under Ryan White Part A) and, as permitted, other support services that reduce barriers to treatment and improve health outcomes. In practical terms, the program is meant to help jurisdictions organize HIV service networks, ensure medical and medication access, and coordinate service delivery across providers so that clients can move through testing-to-care linkages, ongoing clinical management, and supportive services without falling out of care.
The award structure combines formula funding with a competitive supplemental component. More than 66 percent of available funds are distributed by formula, based on the estimated number of living HIV cases (non-AIDS) and AIDS cases within the EMA or TGA. The remainder of funds, after accounting for statutory adjustments such as “hold harmless” provisions and Minority AIDS Initiative (MAI) amounts, is awarded as discretionary supplemental grants through a separate competitive process. Those discretionary awards are based on a jurisdiction’s demonstration of additional need beyond what the formula allocation covers, which encourages applicants to document unmet need, service gaps, and local epidemic conditions that justify additional resources.
Eligibility is limited to city or township governments and county governments that were classified as an EMA or TGA in 2011 and that continue to meet statutory requirements. Jurisdictions must meet incidence and/or prevalence thresholds tied to CDC-confirmed AIDS case reporting, or alternatively qualify under “savings provisions” in the Ryan White legislation that allow some areas to retain eligibility under specific multi-year conditions even if case counts dip below standard thresholds. For EMAs, the incidence threshold referenced is more than 2,000 cumulative AIDS cases in the most recent period of calendar years for which CDC data are available, and the prevalence threshold referenced under savings provisions is 3,000 living AIDS cases as of December 31 of the most recent calendar year with available data. For TGAs, the thresholds described include at least 500 but fewer than 2,000 cumulative AIDS cases for incidence, and 1,500 living AIDS cases for prevalence under savings provisions. Areas that fall into the savings provisions are notified by letter, and continued eligibility depends on meeting the statutory conditions over time.
This particular funding announcement was posted August 22, 2011, with an estimated total funding level of $751,877,000 and an expectation of 52 awards. The opportunity category is discretionary, the funding instrument is a grant, the activity category is health, and there is no cost sharing or matching requirement. The original closing date was October 18, 2011, later extended to November 1, 2011, and the opportunity archive date is December 16, 2011. Applicants needing assistance accessing the announcement were directed to the HRSA Call Center (CallCenter@HRSA.GOV, 877-464-4772; TTY 301-998-7373).
Frequently Asked Questions (FAQs)
What is the Ryan White Part A HIV Emergency Relief Grant Program?
The Ryan White Part A HIV Emergency Relief Grant Program is a federal grant administered by the Health Resources and Services Administration (HRSA) to support local systems of HIV care in large metropolitan areas with a significant HIV burden. It is authorized under Part A of the Ryan White HIV/AIDS Treatment Modernization Act.
What is the funding opportunity number and CFDA listing for this program?
The Funding Opportunity Number (FON) is HRSA-12-128, and the CFDA number is 93.914.
What is the main purpose of this grant?
The main purpose is to help Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs) deliver a coordinated continuum of services for people living with HIV, with a primary focus on access to primary medical care and antiretroviral therapy, along with required core medical services and additional support services that help clients stay engaged in care.
Who is the target population for services supported by Part A funding?
The program is intended to serve people living with HIV who are primarily low income, underserved, uninsured, or underinsured. The grant is designed to fill gaps when private insurance or other public coverage is inadequate or unavailable.
What kinds of services can be supported with Ryan White Part A funds?
Part A funds are used to maintain and strengthen comprehensive local systems of care by supporting delivery of 13 core medical services (as required under Ryan White Part A) and, as permitted, other support services that reduce barriers to treatment and improve health outcomes.
What does the program mean by a "coordinated continuum of services"?
It refers to organizing HIV service networks so clients can move through linkage to care, ongoing clinical management, and supportive services without falling out of care. In practical terms, it emphasizes medical and medication access and coordination across providers.
How is funding awarded under this program?
The award structure combines formula funding with a competitive supplemental component. More than 66 percent of available funds are distributed by formula, and the remaining funds (after statutory adjustments) are awarded as discretionary supplemental grants through a separate competitive process.
How is the formula portion of Part A funding calculated?
Formula funding is based on the estimated number of living HIV cases (non-AIDS) and AIDS cases within the EMA or TGA.
What are "discretionary supplemental" awards?
Discretionary supplemental awards are competitive grants made from the remaining funds after statutory adjustments (such as hold harmless provisions and Minority AIDS Initiative amounts). These awards are based on a jurisdiction demonstrating additional need beyond what the formula allocation covers.
What should applicants show to compete for discretionary supplemental funding?
Applicants are expected to document unmet need, service gaps, and local epidemic conditions that justify additional resources beyond the formula award.
Who is eligible to apply for this funding opportunity?
Eligibility is limited to city or township governments and county governments that were classified as an Eligible Metropolitan Area (EMA) or Transitional Grant Area (TGA) in 2011 and that continue to meet statutory requirements.
What is an Eligible Metropolitan Area (EMA) in this context?
An EMA is a large metropolitan area recognized under the Ryan White Part A statute as meeting specified HIV/AIDS burden thresholds and other statutory requirements. Under this opportunity, eligible jurisdictions must have been classified as an EMA in 2011 and continue to meet the requirements.
What is a Transitional Grant Area (TGA) in this context?
A TGA is an area that meets Ryan White Part A statutory criteria but at a lower threshold than EMAs. Under this opportunity, eligible jurisdictions must have been classified as a TGA in 2011 and continue to meet the requirements.
What incidence threshold is referenced for EMAs?
For EMAs, the incidence threshold referenced is more than 2,000 cumulative AIDS cases in the most recent period of calendar years for which CDC data are available.
What prevalence threshold is referenced for EMAs under the savings provisions?
For EMAs under savings provisions, the prevalence threshold referenced is 3,000 living AIDS cases as of December 31 of the most recent calendar year with available CDC data.
What incidence threshold is referenced for TGAs?
For TGAs, the incidence threshold described includes at least 500 but fewer than 2,000 cumulative AIDS cases for incidence.
What prevalence threshold is referenced for TGAs under the savings provisions?
For TGAs under savings provisions, the prevalence threshold described is 1,500 living AIDS cases for prevalence.
What are the "savings provisions" mentioned in the eligibility description?
The savings provisions are provisions in Ryan White legislation that allow some areas to retain eligibility under specific multi-year conditions even if case counts dip below the standard thresholds.
How do jurisdictions learn they qualify under the savings provisions?
Areas that fall into the savings provisions are notified by letter, and continued eligibility depends on meeting the statutory conditions over time.
When was this funding opportunity posted?
This funding announcement was posted on August 22, 2011.
What was the estimated total funding level for this opportunity?
The estimated total funding level was $751,877,000.
How many awards were expected?
The opportunity indicated an expectation of 52 awards.
What is the opportunity category and funding instrument?
The opportunity category is discretionary, and the funding instrument is a grant.
What is the activity category for this opportunity?
The activity category is health.
Is cost sharing or matching required?
No. The opportunity states there is no cost sharing or matching requirement.
What was the application closing date?
The original closing date was October 18, 2011, and it was later extended to November 1, 2011.
When was the opportunity archived?
The opportunity archive date is December 16, 2011.
Where could applicants get help accessing the announcement?
Applicants needing assistance were directed to the HRSA Call Center at CallCenter@HRSA.GOV or 877-464-4772. TTY support was available at 301-998-7373.
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