Ending the HIV Epidemic: A Plan for America — Ryan White HIV/AIDS Program Parts A and B

 

In February 2019, the Administration announced a new initiative, Ending the HIV Epidemic in the U.S. (EHE). This initiative, which began in FY 2020, seeks to achieve the important goal of reducing new HIV infections in the United States to less than 3,000 per year by 2030. The first phase of this initiative focuses resources in 48 counties, Washington, D.C., San Juan, Puerto Rico (PR), and seven states with substantial rural HIV burden (hereafter referred to as jurisdictions) to implement effective and innovative strategies, interventions, approaches, and services to achieve the goals of the initiative.

Active 93.686 Health Resources and Services Administration, Department of Health and Human Services B - Project Grants Fiscal Year 2020 Among clients served during March through August 2020 by the EHE-funded providers, nearly 6,300 were new to HIV care and an additional 3,600 were re-engaged in RWHAP services. Despite the challenges presented by coronavirus disease 2019 (COVID-19), EHE recipients made significant progress towards implementing EHE activities, including developing administrative and service delivery infrastructure, engaging with community members and new partners, and delivering services to clients.
Fiscal Year 2021 EHE-funded providers served over 19,000 new and re-engaged clients. Despite the challenges presented by coronavirus disease 2019 (COVID-19), EHE recipients continued to implement FY21 EHE activities, received technical assistance to enhance services, expanded marketing strategies to increase access to HIV care within their service area, and prioritized engaging community members. During FY2021 and FY2022, HAB conducted 47 virtual programmatic site reviews to each program. Between FY2022-2023, HAB plans to conduct and in depth comprehensive review of each award recipient
Fiscal Year 2022 HRSA-funded EHE jurisdictions made significant progress toward implementing the EHE workplans despite the COVID-19 pandemic, and in FY 2021, HRSA EHE-funded service providers served 22,413 clients who were new to HIV care and treatment. Nearly seventy-nine percent of those clients were virally suppressed. XXVI of the Public Health Service Act, 42 U.S.C. § 243(c) Eligible applicants are: RWHAP Part A funded Eligible Metropolitan Areas (EMAs) or Transitional Grant Areas (TGAs) whose service area includes one or more of the identified 48 HIV high burden counties; and the EMAs of Washington, D.C. and San Juan, PR. RWHAP Part B funded States/Territories identified as having a substantial rural HIV burden: Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina and the RWHAP Part B Program of the State of Ohio on behalf of Hamilton County. Individuals with HIV. All HRSA awards are subject to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements at 45 CFR part 75. Preapplication coordination is required. Applicants are encouraged to participate in the pre-application technical assistance call. Details will be provided in the Notice of Funding Opportunity (NOFO). 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. 45 CFR 75, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through Grants.gov. All eligible, qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions. Notification is made in writing (electronic) by a Notice of Award. Contact the headquarters or regional location, as appropriate for application deadlines From 120 to 180 days. Not applicable. Awards will be made for up to 5 years, subject to the availability of funds. After initial awards, annual noncompetitive awards may be made contingent upon the submission of noncompetitive applications/progress reports, availability of funds, and the continued best interest of the federal government. Procedures for assessing the technical merit of grant applications have been instituted to provide an objective review of applications and to assist the applicant in understanding the standards against which each application will be judged. Critical indicators have been developed for each review criterion to assist the applicant in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation. Competing applications are reviewed by nonfederal reviewers for technical merit recommendations. Applications will be reviewed and evaluated against the following criteria: (1) Purpose and Need; (2) Response to Program Purpose; (3) Impact; (4) Organizational Information, Resources and Capabilities; and (5) Support Requested. See the most recent NOFO for detailed review criteria. Funded recipients will use these initiative resources in conjunction with the RWHAP Parts A and B systems of HIV care and treatment to develop, implement, and/or enhance innovative approaches to engaging people with HIV in the focus jurisdictions who are newly diagnosed, not in care and/or not virally suppressed, as well as provide rapid access to a comprehensive continuum of high quality care. All funds under this notice are subject to the following conditions: Funds from this announcement may not pay for any item or service to the extent that payment has been made (or reasonably can be expected to be made), with respect to that item or service, under any state compensation program, insurance policy, federal or state benefits program, or any entity that provides health services on a prepaid basis (except for a program administered by or providing the services of the Indian Health Service). All providers of care will have a participation agreement under the State plan approved under title XIX of the Social Security Act, or, if not qualified to receive payments under such state plan, the provider does not, in providing health care services, impose a charge or accept reimbursement available from any third-party payor, including reimbursement under any insurance policy or under any Federal or State health benefits program. Not applicable. In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, nonfederal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503 Recipients are required to maintain financial records for 3 years after the date they submit the final FFR. If any litigation, claim, negotiation, audit, or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later. Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing. The EHE initiative began in FY 2020. Recipients draw down funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards. Method of awarding/releasing assistance: lump sum. None/Not specified. Deputy Associate Administrator Heather Hauck
5600 Fishers Lane
Rockville, MD 20857 USA
hhauck@hrsa.gov
Phone: (301) 443-1993 http://www.ryanwhite.hrsa.gov 73-0350-0-1-550 (Cooperative Agreements) FY 22$102,752,258.00; FY 23 est $139,098,668.00; FY 24 est $140,000,000.00; FY 21$87,521,834.00; FY 20$55,070,000.00; FY 19$0.00; FY 18$0.00; - Cooperative Agreement For FY23, awards range from $2,000,000 to $16,750,409 (average award $2,959,546) All HRSA awards are subject to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements at 45 CFR part 75 See Credentials and Documentation on page 3 and Applications Procedures on page 6. Fiscal Year 2020 Fiscal Year 2020: This funding was awarded to select existing Ryan White HIV/AIDS Program (RWHAP) Part A & B recipients to provide HIV care and treatment services and systems enhancements to meet the goals of the initiative.
Fiscal Year 2021 This funding was awarded to select existing Ryan White HIV/AIDS Program (RWHAP) Parts A & B recipients to provide HIV care and treatment services and systems enhancements to meet the goals of the initiative.
Fiscal Year 2022 This funding was awarded to select existing Ryan White HIV/AIDS Program (RWHAP) Part A & B recipients to provide HIV care and treatment services and systems enhancements to meet the goals of the initiative.