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Grants to USA State Governments to Improve Access
to Healthcare for Low-Income Residents with HIV

Ryan White HIV/AIDS Program HIV Care Grant Program – Part B States/Territories Formula and AIDS Drug Assistance Program Formula and ADAP Supplemental Awards

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United States Department of Health and Human Services - Health Resources and Services Administration (HRSA)- HIV/AIDS Bureau - Division of State HIV/AIDS Programs

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Grants to USA state governments and territories to improve access to high quality healthcare and treatment for low-income residents diagnosed with human immunodeficiency virus (HIV). Interested applicants are advised that required registrations may take up to one month to complete. The purpose of the program is to prevent new HIV infections, improve health outcomes, reduce health inequities, and integrate efforts that address the HIV epidemic.

The Health Resources and Services Administration (HRSA) is accepting applications for the Ryan White HIV/AIDS Program Part B Base, AIDS Drug Assistance Program (ADAP) Base, ADAP Supplemental, Minority AIDS Initiative (MAI), and Emerging Communities (EC) program. The purpose of this program is to assist states and territories in developing and/or enhancing access to a comprehensive continuum of high quality HIV care and treatment for low-income people with HIV. 

A comprehensive system of HIV care includes the 13 core medical services specified in the Public Health Service (PHS) Act, Section 2612(b)(3) [42 U.S.C. 300ff-21(b)(3)]. Comprehensive HIV care beyond these core services may include supportive services that meet the criteria of enabling individuals and families living with HIV to access and remain in primary medical care to improve their medical outcomes. These core and support services assist people with HIV in accessing treatment for HIV infection that is consistent with the Department of Health and Human Services (HHS) Treatment Guidelines (see

The RWHAP Part B/ADAP recipients must use grant funds to support, develop and expand systems of care to meet the needs of people with HIV. States/territories must use ADAP Supplemental funds to provide HIV-related medications, health care coverage assistance, or the devices needed to administer the medications.

For allowable uses of funds, see the Service  Category document listed in Supporting Documents below.


The Ryan White HIV/AIDS Program (RWHAP) provides a comprehensive system of HIV primary medical care, essential support services, and medications for low-income people with HIV. The program funds grants to states, cities, counties, and local community-based organizations to provide care and treatment services to people with HIV to improve health outcomes and reduce HIV transmission among hard-to-reach populations. The RWHAP has five statutorily defined Parts (Parts A, B, C, D and F) that provide funding for core medical, support services, and medications; technical assistance; clinical training; and the development of innovative models of care to meet the needs of different communities and populations affected by HIV.

GrantWatch ID#:

GrantWatch ID#: 197742

Estimated Total Program Funding:


Number of Grants:

Up to 59

Term of Contract:

You may request funding for a budget period of up to one (1) year.

Period of Performance: April 1, 2022 through March 31, 2027 (five years). In this five-year period of performance, eligible applicants will submit an application in the first year (FY 2022), and non-competing continuation (NCC) progress reports will be submitted for years 2 through 5 (FY 2023 through FY 2026, respectively).

Additional Eligibility Criteria:

Eligible Applicants: State governments

This program awards funding to assist states and territories. For the purposes of this program, “states/territories” include the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

In addition to the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau are eligible to apply for RWHAP Part B Base, ADAP Base, and MAI funding.

States and territories are eligible to apply for ADAP Supplemental funding if they meet at least one of the following criteria, as reported by the
state or territory on the most recent ADAP Data Report (ADR):
a) Financial requirement of Federal Poverty Level (FPL) = or less than 200percent;
b) Limited formulary compositions for all core classes of antiretroviral medications;
c) Waiting list, capped enrollment, or capped expenditures;
d) An unanticipated increase of eligible individuals with HIV.

A state/territory will be deemed ineligible for ADAP Supplemental funds if the state/territory did not obligate 75 percent of
its previous FY RWHAP Part B/ADAP award within 120 days of the budget period start date, as reported on the previous FY Interim Federal Financial Report (FFR) within 150 days of the budget period start date.

Eligibility for EC formula awards depends in part on the number of confirmed AIDS cases within a statutorily specified “metropolitan area.” In addition, an EC must have between 500-999 cumulative AIDS cases during the most recent five years. For further details on eligibility and for a list of eligible states for EC awards, see pp. 12-13 of the Attached File below.

For funding restrictions, see p. 55 of the Attached File below

Pre-proposal Conference:

HRSA has scheduled the following technical assistance webinar: Wednesday, August 25, 2021 at 02:30 - 04:00 pm

Join ZoomGov Meeting:

Meeting ID: 160 4148 3625
Passcode: FY22X07TA
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Pre-Application Information:

The due date for applications under this NOFO is November 8, 2021 at 11:59 p.m. ET. HRSA suggests submitting applications to at least 3 calendar days before the deadline to allow for any unforeseen circumstances.

HRSA will issue the Notice of Awards (NOA) prior to the start date of April 1, 2022.

HRSA requires you to apply electronically. HRSA encourages you to apply through using the SF-424 workspace application package associated with this notice of funding opportunity (NOFO).

Currently, the registration process requires information in three separate systems:
• Dun and Bradstreet (
• System for Award Management (SAM) (
• (

Ensure your and registrations and passwords are current immediately! HRSA will not approve deadline extensions for lack of registration. Registration in all systems, including and, may take up to 1 month to complete.

The instructions for completing the Part B Base grant application are divided into two sections. Each applicant should only complete the applicable section. The sections are specific to the following two groups:
- The 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the U.S. Virgin Islands and Guam.
- The Republic of the Marshall Islands, Federated States of Micronesia, Republic of Palau, American Samoa and Commonwealth of the Northern Mariana Islands.

Cost Sharing/Match is required for Part B Formula/Base, Emerging Communities and ADAP Supplemental when applicable to specific states.

Matching funds are required from states with more than one percent of the total HIV cases reported to the CDC during the previous two FYs (i.e., 2020 and 2021).
- The ADAP Supplemental Grants require a state match of 25 percent.
- The RWHAP Part B MAI awards are exempt from the matching requirements.
- EC funds are not exempt from matching requirements.
For details on matching funds, see pp. 13-14 of the Attached File below.

In general, Section 2618(c)(1)(B): Not less than 75 percent of the amounts received under a grant awarded to a state under Section 2611 shall be obligated to specific programs and projects and made available for expenditure not later than -
a) in the case of the first FY for which amounts are received, 150 days after the receipt of such amounts by the State; and
b) in the case of succeeding FYs, 120 days after receipt of such amounts by the State.

For application instructions, see the Application Guide listed in Supporting Documents below.

View the Grant Opportunity on
For related documents, press the Package tab (click Preview) on the page above.

Contact Information:

Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.

For program issues or technical assistance, please contact:
Susan Robilotto, D.O.
Director, Division of State HIV/AIDS Programs
Attn: HIV/AIDS Bureau
Health Resources and Services Administration
5600 Fishers Lane, Room 09W52
Rockville, Maryland 20857
Telephone: (301) 443-6554
Fax: (301) 443-8143

For technical assistance regarding business, administrative, or fiscal issues, contact:
Marie Mehaffey
Grants Management Specialist
Division of Grants Management Operations
OFAM Health Resources and Services Administration
5600 Fishers Lane, Mailstop 10SWH03
Rockville, Maryland 20857
Telephone: (301) 945-3934

For assistance with submitting the application in, contact: Contact Center
Telephone: 1-800-518-4726 (International Callers, please dial 606-545-5035)

CFDA Number:


Funding or Pin Number:


URL for Full Text (RFP):

Geographic Focus:

USA: Alabama;   Alaska;   Arizona;   Arkansas;   California;   Colorado;   Connecticut;   Delaware;   Florida;   Georgia;   Hawaii;   Idaho;   Illinois;   Indiana;   Iowa;   Kansas;   Kentucky;   Louisiana;   Maine;   Maryland;   Massachusetts;   Michigan;   Minnesota;   Mississippi;   Missouri;   Montana;   Nebraska;   Nevada;   New Hampshire;   New Jersey;   New Mexico;   New York City;   New York;   North Carolina;   North Dakota;   Ohio;   Oklahoma;   Oregon;   Pennsylvania;   Rhode Island;   South Carolina;   South Dakota;   Tennessee;   Texas;   Utah;   Vermont;   Virginia;   Washington, DC;   Washington;   West Virginia;   Wisconsin;   Wyoming

USA Territories: American Samoa (USA)   Guam (USA)   Puerto Rico (USA)   Virgin Islands (USA)   Northern Mariana Islands (USA)

USA Compact Free Associations: The Federated States of Micronesia (USA)   Marshall Islands (USA)   Republic of Palau (USA)

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