Opportunity Information: Apply for HRSA 14 034
Apply for HRSA 14 034
- 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 14, 2013 and posted on Aug 13, 2013.
- Applicants must submit their applications by Oct 9, 2013. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- 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 that 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, grantees must not have fallen below, for three consecutive years, the required incidence levels already specifiedrequired 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 so long as the area did not have more than 5 percent of the total from grants awarded to such 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 (HRSA-14-034) is a federal grant opportunity from the Health Resources and Services Administration (HRSA), under CFDA 93.914, designed to support metropolitan areas that have been hit hardest by the HIV epidemic. The program provides direct financial assistance to jurisdictions that qualify as either an Eligible Metropolitan Area (EMA) or a Transitional Grant Area (TGA). Funding is intended to strengthen and expand community-based systems of care so low-income people living with HIV (PLWH) can access a comprehensive continuum of high-quality medical care and related support. The overarching focus is helping PLWH get into care, stay in care, and receive treatment aligned with Department of Health and Human Services (HHS) HIV treatment guidelines.
The grant supports both formula and supplemental awards. These funds are used to develop or enhance a full continuum of HIV services that includes the 13 legislatively defined core medical services, plus support services that directly enable clients to access and remain engaged in primary medical care. While the program is grounded in providing core medical services, it also recognizes that non-medical supports can be essential when they clearly help clients achieve better health outcomes (for example, services that remove barriers to attending medical visits or adhering to treatment). HRSA emphasizes that funded systems of care should address local needs, improve clinical outcomes, and deliberately strengthen strategies to reach disproportionately impacted groups, including racial and ethnic minority populations.
A major expectation in this funding opportunity is data-driven planning and accountability. Applicants are expected to use local and program data to demonstrate need, guide priority setting, and justify how Ryan White funds will be used to build and expand the local HIV care system. HRSA encourages applicants to align their planning with needs assessments and findings from other HIV-related efforts, including HRSA Bureau of Primary Health Care programs, CDC initiatives, SAMHSA-related behavioral health work, and HUD housing-related programs. This is particularly important because intensified testing and linkage efforts are expected to bring more people into care, including individuals who know their status but are not in care (unmet need) and people who are newly diagnosed through expanded identification efforts.
The announcement ties the program to national public health goals around HIV diagnosis, linkage, and retention in care. It notes CDC estimates at the time (March 2013) that more than 1.1 million people in the U.S. were living with HIV and that about 1 in 5 did not know their status. In that context, Part A planning must account for both current clients and an anticipated increase in clients entering care due to expanded testing and linkage strategies. The local planning process must ensure that essential core medical services are adequately funded to serve everyone who is already engaged in care as well as those newly linked.
Several compliance and policy requirements are highlighted. Part A programs must implement the Part A National Monitoring Standards at both the recipient (grantee) level and the provider/subrecipient level, reflecting HRSA expectations for oversight, contract monitoring, and performance accountability. The opportunity also references updated and streamlined requirements for Early Identification of Individuals with HIV/AIDS (EIIHA), meaning applicants should pay close attention to how their jurisdiction approaches early identification, testing-related linkages, and getting people into medical care. The funding announcement also points applicants to National HIV/AIDS Strategy (NHAS) information in the SF-424 application materials and to HRSA policy resources related to the Affordable Care Act and Ryan White policy clarification notices.
Spending rules are a central feature of this program. Part A funds are subject to the statutory requirement that at least 75 percent of award funds be used for core medical services, reflecting the program’s emphasis on direct health care. Any applicant seeking to waive this 75 percent core medical services requirement must submit a formal waiver request following HRSA’s published criteria and timelines (either with the application, up to submission, or up to four months after award). A key detail in this announcement is that any FY 2014 core medical services waiver request must include Minority AIDS Initiative (MAI) funds; requests that do not include MAI would not be considered. In addition, applicants must submit Women, Infants, Children and Youth (WICY) waiver requests and assurances when applicable, including joint Part A/Part B WICY waiver requests, with required signatures from the Chief Elected Official (CEO) or a formally delegated authority.
The opportunity also flags an important funding-policy change: the Ryan White Part A “hold harmless” provision applied only for fiscal years 2010 through 2013, and therefore was not expected to factor into FY 2014 award calculations absent new statutory or appropriations direction. Applicants are expected to submit required agreements and compliance assurances for the EMA/TGA, signed by the CEO (or designee), as part of the application package.
Eligibility is limited to existing Part A jurisdictions that meet statutory thresholds and continue to qualify as an EMA or TGA based on AIDS case counts and prevalence levels over specified periods. In general terms, an EMA is tied to higher cumulative reported AIDS case counts (more than 2,000 reported and confirmed during the most recent five calendar years) and higher prevalence (3,000 living AIDS cases as of the end of the most recent year with available data), while a TGA is for areas with smaller but still significant burden (at least 1,000 but fewer than 2,000 reported and confirmed during the most recent five-year period, and generally 1,500 living AIDS cases, with a limited exception near 1,400 tied to unobligated balance conditions). The announcement indicates there was no cost sharing or matching requirement, and anticipated roughly 52 awards. Key dates listed include a posted date of August 13, 2013 and an application deadline of October 9, 2013, with the opportunity later archived.
In practical terms, this grant opportunity is about maintaining and improving large urban and near-urban HIV care systems so they can deliver medically appropriate, guideline-consistent HIV treatment and the wraparound supports that make care reachable for low-income residents. Applications are expected to show a clear, evidence-based plan for how funds will be used to meet local needs, expand capacity as more people are identified and linked to care, meet strict spending and monitoring requirements, and document compliance through required attachments and signed assurances.
Frequently Asked Questions (FAQs)
1) What is the Ryan White Part A HIV Emergency Relief Grant Program (HRSA-14-034)?
The Ryan White Part A HIV Emergency Relief Grant Program (HRSA-14-034) is a federal grant opportunity administered by the Health Resources and Services Administration (HRSA) under CFDA 93.914. It is intended to support metropolitan areas that have been hit hardest by the HIV epidemic by strengthening and expanding community-based systems of care so low-income people living with HIV (PLWH) can access high-quality medical care and related support services.
2) Who is this program designed to help?
The program is focused on low-income people living with HIV (PLWH). The overarching goal is to help PLWH get into care, stay in care, and receive treatment aligned with Department of Health and Human Services (HHS) HIV treatment guidelines.
3) What types of jurisdictions can receive Part A funding?
Funding is provided to jurisdictions that qualify as either an Eligible Metropolitan Area (EMA) or a Transitional Grant Area (TGA), based on statutory thresholds tied to AIDS case counts and prevalence over specified periods.
4) How does an area generally qualify as an Eligible Metropolitan Area (EMA)?
In general terms described in the announcement, an EMA is tied to higher HIV/AIDS burden, including: (1) more than 2,000 reported and confirmed AIDS cases during the most recent five calendar years, and (2) 3,000 living AIDS cases as of the end of the most recent year with available data.
5) How does an area generally qualify as a Transitional Grant Area (TGA)?
In general terms described in the announcement, a TGA is for areas with smaller but still significant burden, including: (1) at least 1,000 but fewer than 2,000 reported and confirmed AIDS cases during the most recent five-year period, and (2) generally 1,500 living AIDS cases, with a limited exception near 1,400 tied to unobligated balance conditions.
6) Is this opportunity open to any city or county, or only to existing Part A jurisdictions?
Eligibility is limited to existing Part A jurisdictions that meet statutory thresholds and continue to qualify as an EMA or TGA based on AIDS case counts and prevalence levels over specified periods.
7) What is the overall purpose of the funding?
The funding is intended to develop, strengthen, and expand local HIV systems of care. A major emphasis is building a comprehensive continuum of high-quality medical care and related supports so clients can access care, remain engaged in care, and receive guideline-consistent treatment.
8) What kinds of awards are available under this program?
The announcement indicates the program supports both formula awards and supplemental awards.
9) What services can Ryan White Part A funds support?
Funds are used to develop or enhance a full continuum of HIV services that includes the 13 legislatively defined core medical services, plus support services that directly enable clients to access and remain engaged in primary medical care.
10) Are non-medical support services allowed under Part A?
Yes. While the program is grounded in providing core medical services, it recognizes that non-medical supports can be essential when they clearly help clients achieve better health outcomes, such as services that remove barriers to attending medical visits or adhering to treatment.
11) What populations does HRSA expect jurisdictions to focus on?
HRSA emphasizes that funded systems of care should address local needs, improve clinical outcomes, and deliberately strengthen strategies to reach disproportionately impacted groups, including racial and ethnic minority populations.
12) What is the role of data in the application and planning process?
Data-driven planning and accountability are major expectations. Applicants are expected to use local and program data to demonstrate need, guide priority setting, and justify how Part A funds will be used to build and expand the local HIV care system.
13) Does HRSA expect applicants to coordinate with other HIV-related initiatives?
Yes. HRSA encourages alignment with needs assessments and findings from other HIV-related efforts, including HRSA Bureau of Primary Health Care programs, CDC initiatives, SAMHSA-related behavioral health work, and HUD housing-related programs.
14) Why does the announcement mention expanded testing and linkage to care?
The announcement expects intensified testing and linkage efforts to bring more people into care, including individuals who know their status but are not in care (unmet need) and people who are newly diagnosed through expanded identification efforts. Part A planning is expected to account for both current clients and an anticipated increase in clients entering care.
15) What national public health goals are referenced in the opportunity?
The opportunity ties the program to national public health goals around HIV diagnosis, linkage, and retention in care, and points applicants to National HIV/AIDS Strategy (NHAS) information in the SF-424 application materials.
16) What HIV burden estimates are cited in the announcement?
The announcement references CDC estimates (as of March 2013) that more than 1.1 million people in the U.S. were living with HIV and that about 1 in 5 did not know their status.
17) What are the Part A National Monitoring Standards, and who must implement them?
Part A programs must implement the Part A National Monitoring Standards at both the recipient (grantee) level and the provider/subrecipient level. The standards reflect HRSA expectations for oversight, contract monitoring, and performance accountability.
18) What is EIIHA and what changed in this announcement?
The opportunity references updated and streamlined requirements for Early Identification of Individuals with HIV/AIDS (EIIHA). Applicants are expected to pay close attention to how their jurisdiction approaches early identification, testing-related linkages, and getting people into medical care.
19) Is there a required spending split between core medical services and other services?
Yes. Part A funds are subject to a statutory requirement that at least 75 percent of award funds be used for core medical services.
20) Can a jurisdiction request a waiver of the 75 percent core medical services requirement?
Yes. An applicant seeking to waive the 75 percent core medical services requirement must submit a formal waiver request following HRSA published criteria and timelines. The announcement states this can be submitted with the application, up to submission, or up to four months after award.
21) What special condition applied to FY 2014 core medical services waiver requests?
The announcement states that any FY 2014 core medical services waiver request must include Minority AIDS Initiative (MAI) funds. Waiver requests that did not include MAI would not be considered.
22) What are WICY waiver requests and when are they required?
The announcement indicates applicants must submit Women, Infants, Children and Youth (WICY) waiver requests and assurances when applicable, including joint Part A/Part B WICY waiver requests, and these require signatures from the Chief Elected Official (CEO) or a formally delegated authority.
23) Who must sign required agreements and compliance assurances?
Required agreements and compliance assurances for the EMA/TGA must be signed by the Chief Elected Official (CEO) or a formally delegated authority, as part of the application package.
24) Was there a cost sharing or matching requirement?
No. The announcement indicates there was no cost sharing or matching requirement.
25) What change did the announcement note about the Part A "hold harmless" provision?
The announcement flags that the Ryan White Part A "hold harmless" provision applied only for fiscal years 2010 through 2013, and therefore was not expected to factor into FY 2014 award calculations absent new statutory or appropriations direction.
26) Approximately how many awards were anticipated?
The announcement anticipated roughly 52 awards.
27) What were the key dates for this opportunity?
The posted date was August 13, 2013, and the application deadline was October 9, 2013. The opportunity was later archived.
28) What should a strong application demonstrate, based on the announcement?
Applications are expected to present a clear, evidence-based plan showing how funds will meet local needs, expand capacity as more people are identified and linked to care, ensure essential core medical services are adequately funded, meet monitoring and accountability requirements, and document compliance through required attachments and signed assurances.
29) How does the program define success at a high level?
At a high level, success is tied to improving access and engagement in HIV primary medical care, strengthening retention in care, improving clinical outcomes, and ensuring treatment is aligned with HHS HIV treatment guidelines, supported by a system of core medical services and enabling support services.
30) What policy resources does the announcement point applicants toward?
The announcement points applicants to NHAS information in the SF-424 application materials and to HRSA policy resources related to the Affordable Care Act and Ryan White policy clarification notices.
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