Opportunity Information: Apply for HRSA 15 003
Apply for HRSA 15 003
- 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 Aug 28, 2014 and posted on Jul 7, 2014.
- Applicants must submit their applications by Sep 19, 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 $618,492,359.00 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).
- Part A Grantees who are classified as an EMA or as a TGA, and continue to meet the statutory requirements are eligible to apply for these funds. For an EMA, this is more than 2,000 cases of AIDS reported and confirmed during the most recent 5 calendar years, and for a TGA, this is at least 1,000, but fewer than 2,000 cases of AIDS reported and confirmed during the most recent period of 5 calendar years for which such data are available. Additionally, for three consecutive years, grantees must not have fallen below 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 CDC, as of December 31 of the most recent calendar year for which such data are available) for an EMA, this is 3,000 living cases of AIDS, and for a TGA, this is 1,500 living cases of AIDS, or at least 1,400 (and fewer than 1,500) living cases, as long as the area did not have more than 5 percent of the total amount from grants awarded to the area under this part unobligated, as of the end of the most recent fiscal year.
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Opportunity Summary:
The Ryan White Part A HIV Emergency Relief Grant Program is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA), specifically aimed at helping metropolitan areas that have been hit hardest by the HIV epidemic maintain and strengthen a full system of HIV care. The program provides direct financial assistance to qualifying jurisdictions so they can develop, expand, or improve access to a comprehensive, community-based continuum of high-quality HIV services for low-income people living with HIV (and their families). Funding is intended to support both the medical care people need to manage HIV effectively and the practical supports that help them get into care and stay there over time.
A central focus of Part A is ensuring that services are aligned with current Department of Health and Human Services (HHS) HIV treatment guidelines. The announcement emphasizes that a complete continuum of care includes the 13 core medical services required in federal law, along with related support services when they are necessary to help clients access and remain in primary medical care. In other words, the program is not just about offering isolated services; it is about building and maintaining an organized local system where people can move from diagnosis and linkage to care into consistent treatment and long-term health management, with the goal of improving clinical outcomes and reducing HIV transmission through sustained viral suppression.
The opportunity also highlights how Part A funding is structured: jurisdictions may receive formula funding, supplemental funding, and Minority AIDS Initiative (MAI) funding. Together, these streams are meant to give eligible metropolitan areas and transitional grant areas the capacity to address local need, fill gaps in care, and strengthen strategies that better reach and serve minority populations who are often disproportionately affected by HIV. HRSA's HIV/AIDS Bureau (HAB) makes clear that Part A recipients are expected to use funds not only to deliver services, but also to support and further develop systems of care across their geographic area, coordinating providers and resources so care is accessible and consistent.
A major expectation in the program is data-driven planning. HRSA/HAB requires eligible metropolitan areas (EMAs) and transitional grant areas (TGAs) to collect and use data to identify unmet needs, guide priority setting, validate how Ryan White funds are being used, and demonstrate that the system of care is being expanded or improved based on evidence. Applicants are encouraged to incorporate and reference needs assessments and planning information from other HIV-related federal efforts, including HRSA's Bureau of Primary Health Care, the Centers for Disease Control and Prevention (CDC), the Substance Abuse and Mental Health Services Administration (SAMHSA), and the Department of Housing and Urban Development (HUD). The intent is to avoid planning in a silo and to ensure Ryan White Part A investments align with other public health, behavioral health, and housing resources that affect HIV outcomes.
The announcement connects Part A planning requirements to broader national HIV goals, especially identifying people who are living with HIV but are not yet in care. It cites CDC estimates from 2014 indicating that more than 1.1 million people were living with HIV and that about 1 in 5 did not know their HIV status at the time. The program notes that ongoing CDC initiatives and HAB efforts to estimate and address unmet need, including newer expectations to identify and bring into care individuals who are unaware of their HIV-positive status, will likely increase the number of people entering local HIV care systems. Because of that, EMA/TGA planning processes must ensure that essential core medical services are adequately funded not just for existing clients, but also for those newly diagnosed or newly linked to care.
Eligibility is limited to current Part A jurisdictions that meet statutory thresholds and continue to meet them over time. EMAs generally qualify based on having more than 2,000 reported and confirmed AIDS cases during the most recent five calendar years, while TGAs qualify with at least 1,000 but fewer than 2,000 reported and confirmed AIDS cases over the same period. In addition to incidence thresholds, applicants must meet prevalence-related requirements based on the cumulative number of living AIDS cases reported and confirmed by CDC as of the most recent year available. The announcement also includes continuity requirements, such as not falling below required incidence levels for three consecutive years, and it outlines specific conditions under which a TGA close to the prevalence threshold may still qualify if unobligated balances stay within limits.
From an administrative and funding standpoint, this was posted as HRSA-15-003 under CFDA 93.914 (HIV Emergency Relief Project Grants). The opportunity anticipated around 52 awards, with an estimated total funding amount of about $618.5 million. There was no cost sharing or matching requirement. The posted date was July 7, 2014, with a closing date of September 19, 2014, and an archive date of November 11, 2014, indicating this specific notice is historical, though the Ryan White Part A program continues through subsequent funding announcements.
The overall purpose of the grant, as described in the notice, is to help severely affected metropolitan areas build and sustain comprehensive HIV care systems that improve health outcomes, prolong life, and support public health goals by increasing diagnosis, linkage, and retention in care. In practice, a strong application under this opportunity is expected to show a clear understanding of local epidemic trends, document unmet need using credible data, demonstrate coordination with other agencies and assessments, prioritize core medical services appropriately, and explain how formula, supplemental, and MAI resources will be used to strengthen the continuum of care, particularly for communities experiencing disproportionate impact.
Frequently Asked Questions (FAQs): Ryan White Part A HIV Emergency Relief Grant Program (HRSA-15-003)
1) What is the Ryan White Part A HIV Emergency Relief Grant Program?
The Ryan White Part A HIV Emergency Relief Grant Program is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA). It is designed to help metropolitan areas that have been hit hardest by the HIV epidemic maintain and strengthen a full system of HIV care.
2) What is the main purpose of this grant opportunity?
The purpose is to provide direct financial assistance to qualifying jurisdictions so they can develop, expand, or improve access to a comprehensive, community-based continuum of high-quality HIV services for low-income people living with HIV (and their families). The program supports both medical care and practical support services that help people enter care and remain in care over time.
3) Who is this funding intended to benefit?
Funding is intended to benefit low-income people living with HIV and their families, particularly in eligible metropolitan areas and transitional grant areas that are most severely affected by the HIV epidemic.
4) What types of services does Part A emphasize?
Part A emphasizes a complete continuum of care that includes the 13 core medical services required in federal law, along with related support services when those supports are necessary to help clients access and remain in primary medical care.
5) Is the program focused only on providing individual services?
No. The program is described as supporting an organized local system of care, not isolated services. The intent is to ensure people can move from diagnosis and linkage to care into consistent treatment and long-term health management, with the goal of improving clinical outcomes and reducing HIV transmission through sustained viral suppression.
6) What clinical standards or guidelines should services align with?
A central focus is ensuring services are aligned with current Department of Health and Human Services (HHS) HIV treatment guidelines.
7) How is Part A funding structured?
The opportunity describes three funding streams: formula funding, supplemental funding, and Minority AIDS Initiative (MAI) funding. Together, these streams are intended to help eligible jurisdictions address local need, fill gaps in care, and strengthen strategies that better reach and serve minority populations disproportionately affected by HIV.
8) What is the Minority AIDS Initiative (MAI) funding meant to support?
MAI funding is highlighted as a resource to strengthen strategies and services that better reach and serve minority populations who are often disproportionately affected by HIV.
9) What are the expectations for recipients beyond service delivery?
HRSA's HIV/AIDS Bureau (HAB) indicates Part A recipients are expected to use funds to deliver services and to support and further develop systems of care across their geographic area. This includes coordinating providers and resources so care is accessible and consistent.
10) What does HRSA/HAB expect regarding planning and use of data?
A major expectation is data-driven planning. Eligible metropolitan areas (EMAs) and transitional grant areas (TGAs) are required to collect and use data to identify unmet needs, guide priority setting, validate how Ryan White funds are being used, and demonstrate that the system of care is being expanded or improved based on evidence.
11) What other federal sources of HIV-related planning information are applicants encouraged to use?
Applicants are encouraged to incorporate and reference needs assessments and planning information from other HIV-related federal efforts, including HRSA's Bureau of Primary Health Care, the Centers for Disease Control and Prevention (CDC), the Substance Abuse and Mental Health Services Administration (SAMHSA), and the Department of Housing and Urban Development (HUD).
12) Why does the announcement encourage coordination with CDC, SAMHSA, HUD, and other efforts?
The intent is to avoid planning in a silo and to help ensure Ryan White Part A investments align with other public health, behavioral health, and housing resources that affect HIV outcomes.
13) How does this opportunity connect to broader national HIV goals?
The announcement ties Part A planning requirements to national goals, especially identifying people living with HIV who are not yet in care. It notes that newer expectations to identify and bring into care individuals who are unaware of their HIV-positive status may increase the number of people entering local HIV care systems.
14) What CDC estimate does the announcement cite about people living with HIV and undiagnosed status?
The notice cites CDC estimates from 2014 indicating that more than 1.1 million people were living with HIV and that about 1 in 5 did not know their HIV status at the time.
15) How should EMA/TGA planning account for people newly diagnosed or newly linked to care?
Planning processes must ensure that essential core medical services are adequately funded not only for existing clients, but also for people who are newly diagnosed or newly linked to care, as local care systems may see increased demand.
16) Who is eligible to apply for this Part A opportunity?
Eligibility is limited to current Part A jurisdictions that meet statutory thresholds and continue to meet them over time. The notice describes eligibility specifically for eligible metropolitan areas (EMAs) and transitional grant areas (TGAs).
17) What are the incidence thresholds for eligibility as an EMA?
EMAs generally qualify based on having more than 2,000 reported and confirmed AIDS cases during the most recent five calendar years.
18) What are the incidence thresholds for eligibility as a TGA?
TGAs qualify with at least 1,000 but fewer than 2,000 reported and confirmed AIDS cases during the most recent five calendar years.
19) Are there additional prevalence-related eligibility requirements?
Yes. In addition to incidence thresholds, applicants must meet prevalence-related requirements based on the cumulative number of living AIDS cases reported and confirmed by CDC as of the most recent year available.
20) Are there continuity requirements to remain eligible over time?
Yes. The notice includes continuity requirements such as not falling below required incidence levels for three consecutive years. It also outlines specific conditions under which a TGA close to the prevalence threshold may still qualify if unobligated balances stay within limits.
21) What is the opportunity number and CFDA listing mentioned in the notice?
The notice was posted as HRSA-15-003 under CFDA 93.914 (HIV Emergency Relief Project Grants).
22) How many awards and how much total funding were anticipated?
The opportunity anticipated around 52 awards, with an estimated total funding amount of about $618.5 million.
23) Is cost sharing or matching required?
No. The notice states there was no cost sharing or matching requirement.
24) What were the key dates for this specific notice?
The posted date was July 7, 2014, the closing date was September 19, 2014, and the archive date was November 11, 2014.
25) Is this specific funding notice current?
The notice indicates this specific posting is historical (it has an archive date). However, the Ryan White Part A program continues through subsequent funding announcements.
26) What would a strong application be expected to demonstrate, based on the notice?
The notice suggests a strong application would show a clear understanding of local epidemic trends, document unmet need using credible data, demonstrate coordination with other agencies and assessments, prioritize core medical services appropriately, and explain how formula, supplemental, and MAI resources will be used to strengthen the continuum of care, particularly for communities experiencing disproportionate impact.
27) What outcomes is the program trying to achieve?
The program aims to help build and sustain comprehensive HIV care systems that improve health outcomes, prolong life, and support public health goals by increasing diagnosis, linkage, and retention in care, with sustained viral suppression as an important objective connected to reducing HIV transmission.
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