Opportunity Information: Apply for HRSA 10 031
Apply for HRSA 10 031
- 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 11, 2009 and posted on Sep 11, 2009.
- Applicants must submit their applications by Oct 30, 2009. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $671,075,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 56 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Grantees that were classified as an EMA or as a TGA in FY 2007 are eligible to apply for these funds. EMA and TGA continue their eligibility for these funds so 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 1,000, but fewer than 2,000 AIDS cases. In the alternative, areas can retain their eligibility by meeting the savings provisions of the Ryan White Program legislation. That is, they must not have fallen 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 3,000 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 Program legislation.
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Opportunity Summary:
The Ryan White Part A HIV Emergency Relief Grant Program (Funding Opportunity Number HRSA-10-031; CFDA 93.914) is a federal grant program administered by the Health Resources and Services Administration (HRSA) to support organized, metropolitan-level systems of HIV care. Its core purpose is to help Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs) deliver a full continuum of services for people living with HIV who are most likely to face barriers to care, especially individuals who are low income, medically underserved, uninsured, or underinsured. In practical terms, the program is designed to strengthen local HIV service networks so they can provide primary medical care, ensure access to antiretroviral therapy, and coordinate a mix of medical and support services that keep people engaged in treatment and improve health outcomes.
A major feature of Part A is that it funds comprehensive systems of care rather than isolated projects. Recipients use funds to deliver the program’s required set of core medical services (described in the opportunity as 13 core services) along with additional support services where needed. The intent is to make sure clients can get clinical treatment and also overcome common obstacles that disrupt care, such as gaps in coverage, limited provider capacity, or challenges navigating multiple agencies. While the announcement does not list each service in the text provided, it makes clear that the grant is structured around ensuring consistent access to HIV medical care and medications, with supportive services used to reinforce retention in care and treatment adherence across the region.
Funding is distributed in two main ways. First, more than 66 percent of available funds are awarded by formula, based on the estimated number of people living with HIV (non-AIDS) and the number of AIDS cases in the EMA or TGA. This formula-driven portion is meant to align funding with the size of the HIV burden in each eligible area. Second, the remaining funds (after accounting for any “hold harmless†amounts) are awarded as discretionary supplemental grants. These discretionary dollars are competed separately and depend on an area demonstrating additional need beyond what the formula provides, which allows HRSA to direct extra resources to jurisdictions with especially acute or complex service demands.
Eligibility is limited to jurisdictions that were classified as an EMA or TGA in FY 2007 and that continue to meet statutory requirements. The opportunity uses CDC-confirmed AIDS surveillance data to define and maintain those designations. For an EMA, the jurisdiction generally must have more than 2,000 cumulative AIDS cases during the most recent period of calendar years for which data are available; for a TGA, it must have at least 1,000 but fewer than 2,000 cumulative AIDS cases. The announcement also explains “savings provisions†that can allow areas to remain eligible even if they dip below the incidence thresholds, as long as they have not fallen below required incidence levels for three consecutive years and they meet specified prevalence levels measured as living AIDS cases as of December 31 of the most recent calendar year. Under those prevalence standards, an EMA threshold is 3,000 living AIDS cases, while a TGA threshold is 1,500 living AIDS cases. HRSA notifies areas by letter when they fall within these savings provisions.
Operationally, this was a discretionary grant opportunity in the Health category with an expected 56 awards and an estimated total funding amount of $671,075,000. It did not require cost sharing or matching. The posting date was September 11, 2009, with an application closing date of October 30, 2009, and an archive date of December 28, 2009. For applicants or stakeholders needing the full announcement or encountering access issues, HRSA directed inquiries to the HRSA Call Center (CallCenter@HRSA.GOV) and provided phone contact options.
Frequently Asked Questions (FAQs)
What is the Ryan White Part A HIV Emergency Relief Grant Program (HRSA-10-031; CFDA 93.914)?
The Ryan White Part A HIV Emergency Relief Grant Program is a federal grant program administered by the Health Resources and Services Administration (HRSA). It supports organized, metropolitan-level systems of HIV care so eligible jurisdictions can deliver a full continuum of services for people living with HIV, especially those most likely to face barriers to care.
What is the main purpose of Part A funding?
The core purpose is to strengthen local HIV service networks so they can provide primary medical care, ensure access to antiretroviral therapy, and coordinate a mix of medical and support services that help people stay engaged in treatment and improve health outcomes.
Who is the program intended to help?
The program is designed to serve people living with HIV who are most likely to face barriers to care, particularly individuals who are low income, medically underserved, uninsured, or underinsured.
What kinds of activities or services does Part A support?
Part A supports comprehensive systems of care rather than isolated projects. Recipients use funds to deliver a required set of core medical services (described as 13 core services in the opportunity) and may also provide additional support services where needed to reinforce retention in care and treatment adherence across the region.
Does the opportunity list the specific core services?
Not in the information provided here. The text indicates there are 13 required core medical services but does not enumerate them in this excerpt.
Why does the program emphasize systems of care instead of standalone projects?
The intent is to ensure consistent access to HIV medical care and medications across a metropolitan area, while also addressing obstacles that can disrupt care (for example, gaps in coverage, limited provider capacity, or challenges navigating multiple agencies).
How is funding distributed under Ryan White Part A?
Funding is distributed in two main ways: (1) a formula-based portion that accounts for more than 66 percent of available funds, and (2) discretionary supplemental grants competed separately using the remaining funds (after accounting for any hold harmless amounts).
How does the formula-based funding work?
More than 66 percent of available funds are awarded by formula based on the estimated number of people living with HIV (non-AIDS) and the number of AIDS cases in the Eligible Metropolitan Area (EMA) or Transitional Grant Area (TGA).
What are discretionary supplemental grants in this program?
Discretionary supplemental grants are the remaining funds (after hold harmless amounts) that are competed separately. These funds depend on an area demonstrating additional need beyond what the formula provides, allowing HRSA to direct extra resources to jurisdictions with especially acute or complex service demands.
What does "hold harmless" mean in the context of the funding split?
The provided information notes that discretionary funds are calculated after accounting for any "hold harmless" amounts, but it does not define the hold harmless policy or mechanics in this excerpt.
Who is eligible to apply for this grant opportunity?
Eligibility is limited to jurisdictions that were classified as an EMA or TGA in FY 2007 and that continue to meet statutory requirements.
How are EMA and TGA designations defined for eligibility?
The opportunity uses CDC-confirmed AIDS surveillance data to define and maintain EMA and TGA designations.
What is the AIDS case threshold to qualify as an EMA?
For an EMA, the jurisdiction generally must have more than 2,000 cumulative AIDS cases during the most recent period of calendar years for which data are available.
What is the AIDS case threshold to qualify as a TGA?
For a TGA, the jurisdiction generally must have at least 1,000 but fewer than 2,000 cumulative AIDS cases during the most recent period of calendar years for which data are available.
What are the "savings provisions" mentioned in the opportunity?
The savings provisions can allow areas to remain eligible even if they dip below incidence thresholds, as long as they have not fallen below required incidence levels for three consecutive years and they meet specified prevalence levels measured as living AIDS cases as of December 31 of the most recent calendar year.
What are the prevalence standards (living AIDS cases) under the savings provisions?
Under the prevalence standards described, an EMA threshold is 3,000 living AIDS cases and a TGA threshold is 1,500 living AIDS cases (as of December 31 of the most recent calendar year).
How are jurisdictions notified if they fall within the savings provisions?
HRSA notifies areas by letter when they fall within these savings provisions.
How many awards were expected under this opportunity?
The opportunity expected 56 awards.
What was the estimated total funding amount?
The estimated total funding amount was $671,075,000.
What category was this funding opportunity posted under?
It was posted as a discretionary grant opportunity in the Health category.
Was cost sharing or matching required?
No. The opportunity did not require cost sharing or matching.
When was the opportunity posted and when did it close?
The posting date was September 11, 2009, and the application closing date was October 30, 2009.
When was the opportunity archived?
The archive date was December 28, 2009.
Where should applicants or stakeholders go if they need the full announcement or have access issues?
HRSA directed inquiries to the HRSA Call Center at CallCenter@HRSA.GOV and also provided phone contact options (not detailed in the information provided here).
What data source is used to determine eligibility and maintain EMA/TGA status?
The opportunity relies on CDC-confirmed AIDS surveillance data to define and maintain EMA and TGA designations.
Does this program focus only on medical care, or also on supportive services?
It is structured to ensure access to HIV medical care and medications, with supportive services used where needed to reinforce retention in care and treatment adherence across the region.
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