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Grants / Department of Health and Human Services / Health Resources and Services Administration

HRSA-22-035: AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF)

Closed Closed October 25, 2021 Opportunity HRSA-22-035

This grant is closed. A newer notice from the same program is forecast: AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF) (HRSA-27-077). Status: Expected deadline November 2, 2026. It is in our archive of Health Resources and Services Administration notices from 2021.

Health Resources and Services Administration offered grants to state and local governments. It expected to make about 25 awards worth $75.0 million in total. Applications closed on October 25, 2021.

From the official notice on Grants.gov, last changed July 26, 2021. Checked November 7, 2026.

Other notices with this title

Health Resources and Services Administration has posted this title under other numbers: earlier or later rounds, or the same competition for another area. Each has its own dates and may change its rules.

NoticePostedDeadlineStatus
HRSA-27-077July 13, 2026Expected deadline November 2, 2026Forecast
HRSA-25-046September 3, 2024Closed November 4, 2024Closed
HRSA-24-064July 20, 2023Closed October 24, 2023Closed
HRSA-23-056July 13, 2022Closed October 11, 2022Closed

Key dates

PostedJuly 26, 2021
DeadlineOctober 25, 2021
Archived by Grants.govDecember 24, 2021

Who can apply

This opportunity was open to state and local governments.

All 50 States, the District of Columbia, the Commonwealth of Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, the Commonwealth of the Northern Mariana Islands, the Republic of Palau, the Federated States of Micronesia, and the Republic of the Marshall Islands are eligible to apply for funding if they meet the following requirements: Eligible applicants are limited to RWHAP Part B states/territories that: • have reported to HRSA an existing ADAP waiting list, • have used the ADAP ERF to prevent, reduce, or eliminate an ADAP waiting list between January 2011 and July 2021, • need additional funding for a projected increase in treatment needs aligned with ending the HIV epidemic in the U.S., or • need additional funding for other unanticipated increases in the number of clients in the program due to new diagnosis, re-engagement in care, loss of income, and/or loss of health care coverage. States/territories that did not: 1. report a new ADAP waiting list to HRSA, or 2. use the ADAP ERF to prevent, reduce, or eliminate an ADAP waiting list between January 2011 and July 2021, or 3. that do not have a projected increase in treatment needs aligned with ending the HIV epidemic in the U.S., or other unanticipated increases in the number of clients in the program due to new diagnosis, re-engagement in care, loss of income, and/or loss of health care coverage, are not eligible to apply.

More grants for state and local governments.

Is this a realistic fit?

What the grant funds

This notice announces the opportunity to apply for funding under the Ryan White HIV/AIDS Program (RWHAP) Part B AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF). The Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB), Division of State HIV/AIDS Programs (DSHAP) administers this program. ADAP ERF awards are intended for states/territories that demonstrate the need for additional resources to prevent, reduce, or eliminate ADAP waiting lists, including through cost-containment measures (for example, the provision of health care coverage assistance). HRSA will base ADAP ERF awards upon your ability to successfully demonstrate need for additional funding. An external objective review committee (ORC) will evaluate this need based on criteria published in this notice of funding opportunity (NOFO), with priority given to addressing existing waiting lists. HRSA first funded the ERF initiative in August 2010, when numerous states/territories were experiencing ADAP waiting lists. At the time of this NOFO publication, there are no ADAP waiting lists. States/territories that establish a waiting list after the publication of this NOFO must report the waiting list to HRSA immediately and use funding awarded under this NOFO to remove clients from the waiting list. Previously, eligibility for this funding was limited to states/territories that had historically imposed waiting lists. HRSA continues to anticipate an increase in potential clients in need of ADAP services due to loss of income and/or loss of health care coverage among people with HIV resulting from the economic downturn within states/territories. States/territories may use ERF funds to address current or projected increases in treatment needs aligned with ending the HIV epidemic in the U.S. or other unanticipated increases in the number of clients in their ADAP.

Category: Health.

Who has won HIV Care Formula Grants grants before

From fiscal 2021 to 2025, HIV Care Formula Grants (93.917) awarded $6.3 billion across 133 grant awards, an average of $47.6 million per award.

Largest recipients, fiscal 2021 to 2025
RecipientStateAwardsAmount
California Department of Public HealthCalifornia3$742 million
Health Research, Inc.New York2$663 million
Florida Department of HealthFlorida3$643 million
Department of State Health ServicesTexas3$636 million
State of Georgia Department of Public HealthGeorgia3$369 million

Top states: California ($742 million), New York ($667 million), Florida ($643 million), Texas ($636 million), Georgia ($369 million).

Applying now

This notice no longer takes applications. Apply under the newer notice, HRSA-27-077, which is forecast.

The notice on Grants.gov keeps its full text and attachments, which is useful for planning a resubmission.

Questions people ask

Is HRSA-22-035 still open?

No. It closed on October 25, 2021. A newer notice is forecast: HRSA-27-077, expected deadline November 2, 2026.

Who can apply for AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF)?

Health Resources and Services Administration accepted applications from state and local governments. The notice adds further conditions, so read its eligibility section.

What is the deadline for AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF)?

Closed October 25, 2021. Applications are no longer accepted; the program's newer notices are on this page when there are any.

How much funding is available?

About $75.0 million in total across about 25 awards.

Who has won HIV Care Formula Grants grants before?

The largest recipients over five fiscal years were California Department of Public Health, Health Research, Inc., Florida Department of Health. The program made 133 awards worth $6.3 billion in that time.

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