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NASTAD Publishes 2020 RWHAP Part B and ADAP Report

In 2017, NASTAD’s National ADAP Monitoring Project evolved to include data not only for the National Ryan White HIV/AIDS Program (RWHAP) AIDS Drug Assistance Program (ADAP), but also for RWHAP Part B – the program under which ADAP falls. The newly published 2020 National RWHAP Part B and ADAP Monitoring Project Annual ReportADAP Monitoring Project Annual Report features comprehensive, longitudinal data spanning several domains of the RWHAP Part B program and ADAP, including budget, expenditures, service utilization, and client demographics. The report is divided into three sections described below and includes more than 40 tables and charts that summarize key data and trends.

  • Section 1, “RWHAP Part B Program Funding and Structure,” provides an overview of Part B – the RWHAP component that ensures state and territorial health departments are funded to provide core medical and support services to eligible clients equitably across urban and rural regions – as well as extensive information on the Part B budget. The report’s Tables 1 through 5 provide extensive state-specific data on budgets.
  • Section 2, “Effective and Comprehensive Care in Achieving an End to the HIV Epidemic,” describes jurisdictional and federal efforts under the Ending the HIV Epidemic (EHE) initiative launched by the Trump Administration in 2019. The data indicated that RWHAP clients served by Part B and ADAP have much higher retention in care and viral suppression rates than the overall population of people with HIV in the U.S.
  • Section 3, “Expanding and Adapting Service Delivery in a Changing Healthcare Landscape,” describes opportunities to expand the reach and breadth of RWHAP Part B services, as well as the impact of policy changes on RWHAP Part B and ADAP. The data indicate that payments for client insurance premiums have grown significantly. In addition, viral suppression rates are highest among clients in states that expanded their Medicaid programs under the Affordable Care Act.

HRSA Funding Opportunity for RWHAP Emergency Relief Grant Program

HRSA’s HIV/AIDS Bureau recently published a Notice of Funding Opportunity (HRSA-21-055) for the RWHAP Part A HIV Emergency Relief Grant Program (ERGP). The ERGP provides direct financial assistance to eligible metropolitan areas (EMAs) or transitional grant areas (TGAs) that have been severely affected by the HIV epidemic. Eligible jurisdictions may use the grant funds to develop or enhance access to a continuum of high quality, community-based care for people with HIV. The goal is to provide optimal HIV care and treatment that will improve the health outcomes of people with HIV who are low-income, uninsured, and underserved. Applications for the grants are due by October 7, and awards are expected to be made by March 1, 2021. HRSA will hold a pre-application webinar on July 30 from 2 to 4 p.m. EDT. For additional information, contact: Chrissy Abrahms-Woodland, cabrahms@hrsa.gov; phone: (301) 443-1373.