Federal grant programs / Department of Health and Human Services

HIV Emergency Relief Project Grants (93.914)

Also known as Ryan White HIV/AIDs Program

• Awarded, FY 2021 to 2025$3.5 billion
• Grant awards140
• Typical award$7.0 million
• Awarded in FY 2025$771 million
• Size rank115 of 1824
• Type of assistanceProject grants

Key findings

• Annual funding rose from $618 million in fiscal 2021 to $771 million in fiscal 2025.
• It is the 115th largest of 1,824 federal grant programs by five-year awards.
• The 20 largest recipients received 71% of the money.
• Awards went to recipients in 32 states and territories.

What the program funds

The purpose of this program is to provide direct financial assistance to an eligible metropolitan area (EMA) or a transitional grant area (TGA) that has been severely affected by the HIV epidemic. Grant funds assist eligible jurisdictions to develop or enhance access to a comprehensive, high quality, community-based care for people with HIV through the provision of grant funds. The goal is to provide optimal HIV care and treatment for people with HIV and improve their medical outcomes.

From the federal Assistance Listing. Read the full listing on SAM.gov.

Open opportunities

No opportunity under this program is open or forecast on Grants.gov right now. Programs often post once a year, so the funding history below shows what to expect.

Rules from the program listing

Who can apply

Eligible applicants are: State (includes District of Columbia, public institutions of higher education and hospitals), Local (includes State-designated lndian Tribes, excludes institutions of higher education and hospitals, Public nonprofit institution/organization (includes institutions of higher education and hospitals), Other public institution/organization, Federally Recognized lndian Tribal Governments, U.S. Territories and possessions (includes institutions of higher education and hospitals), Private nonprofit institution/organization (includes institutions of higher education and hospitals) RWHAP Part A recipients that were classified as an EMA or as a TGA in fiscal year (FY) 2007 and continue to meet the statutory requirements are eligible to apply for these funds; new areas that meet the threshold requirements are also eligible. For an EMA, this is more than 2,000 cases of AIDS reported and confirmed during the most recent five 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 five calendar years for which such data are available.

Continue reading on SAM.gov

What the money can and cannot pay for

Not less than 75 percent of grant funds remaining after reserving funds for administration and clinical quality management must be used to provide core medical services. Core medical services include: AIDS Drug Assistance Program Treatments, AIDS Pharmaceutical Assistance, Early Intervention Services, Health Insurance Premium and Cost Sharing Assistance for Low-Income Individuals, Home and Community-Based Health Services, Home Health Care, Hospice, Medical Case Management (including treatment adherence services), Medical nutritional Therapy, Mental Health Services, Oral Health Care, Outpatient/Ambulatory Health Services, Substance Abuse Outpatient Care. The remaining 25 percent may be used for support services, including: Child Care Services, Emergency Financial Assistance, Food Bank/Home Delivered Meals, Health Education/Risk Reduction, Housing, Legal Services, Linguistic Services, Medical Transportation, Non-Medical Case Management Services, Outreach Services, Permanency Planning, Psychosocial Support Services, Referral for Health Care and Support Services, Rehabilitation Services, Respite Care, and Substance Abuse Services (residential) that support a person with HIV to achieve better health outcomes. An EMA/TGA shall use a percentage of the grant, determined by the percentage of women, infants, children, and youth with HIV/AIDS in the jurisdiction, to provide core medical and support services to infants, children, youth, and women with HIV.

Continue reading on SAM.gov

Matching requirements

This program has no statutory formula. Matching requirements are not applicable to this assistance listing. This program has MOE requirements, see funding agency for further details. The RWHAP legislation requires Part A recipients to maintain, as a Condition of Award, political subdivision expenditures within the eligible area for HIV-related core medical services and support services at a level equal to the 1-year period preceding the fiscal year for which the recipient is applying to receive a Part A grant. MAI formula funds are based on the number of reported and confirmed living minority cases of HIV/AIDS for the most recent calendar year.

Award range and average, in the agency's words

FY23: $2,862,396 to $93,371,588 | Average: $12,588,838 FY24: $2,845,413 to $92,080,526 | Average: $12,570,729 FY25 (estimated): $2,845,413 to $92,080,526 | Average: $12,570,729

Quoted from the program's federal Assistance Listing. The notice of funding opportunity is the official source for each competition's rules.

Who usually wins

Colleges and universities received less than 0.1% of the money, nonprofits less than 0.1%.

By state

Each state below has its own page for this program, with its recipients and yearly totals.

Award amounts are federal obligations reported to USAspending.gov for fiscal 2021 to 2025; see how our data works.