HIV Grants
Info for persons with HIV | Program Income Presentation
The Ryan White Program
Overview
The Ryan White HIV/AIDS Program provides a comprehensive system of HIV primary medical care, essential support services, and medications for uninsured, underserved, and low-income people living with HIV. The program funds grants to states, cities/counties, and local community-based organizations to provide care and treatment services to people living with HIV to improve health outcomes and reduce HIV transmission among hard-to-reach populations.
More than half of people living with diagnosed HIV in the United States receive services through the Ryan White HIV/AIDS Program each year. That means more than half a million people received services through the program.
First authorized in 1990, the program is funded at $2.3 billion (about $7 per person in the US) for U.S. states and territories in the fiscal year 2022. The program is administered by the U.S. Department of Health and Human Services (HHS), the Health Resources and Services Administration (HRSA), and the HIV/AIDS Bureau (HAB).
The Health Resources and Services Administration (HRSA) funds the Texas Department of State Health Services (DSHS) to administer the Ryan White Program across the state of Texas. The funding subcontracts to seven administrative agencies (AAs) to carry out the program's local functions. The seven AAs subcontract with 56 second-tier sub-recipients, and at least 132 third-tier sub-recipients. These contracts total approximately $36,647,000.00 in Ryan White Part B funding and the required "state match" known as State Services funding.
About The Ryan White HIV/AIDS Program Parts
HRSA’s Ryan White HIV/AIDS Program is divided into five Parts which include:
The Texas Department of State Health Services (DSHS) focuses primarily on Part B which administers funds for states and territories to improve the quality, availability, and organization of HIV health care and support services. Recipients include all 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and the six U.S. Pacific territories/associated jurisdictions. Part B also includes grants for the AIDS Drug Assistance Program (ADAP), Minority AIDS Initiative (MAI), and dental/oral health programs.
AIDS Drug Assistance Program (ADAP)
The AIDS Drug Assistance Program (ADAP) is a state and territory-administered program authorized under Part B that provides FDA-approved medications to low-income people living with HIV who have limited or no health coverage from private insurance, Medicaid, or Medicare. ADAP funds may also be used to purchase health insurance for eligible clients and services that enhance access to, adherence to, and monitoring of drug treatments.
Minority AIDS Initiative
The Minority AIDS initiative improves access to HIV care and health outcomes for disproportionately affected minority populations, including Black/African American populations. In Texas, there are four contractors funded through the MAI program to provide services to recently incarcerated HIV-positive individuals. These contracts total approximately $1,037,748.
Dental Programs
Dental Programs provide funding for oral health care for people with HIV through the HIV/AIDS Dental Reimbursement Program and the Community-Based Dental Partnership Program.
List of Administrative Agencies (AA) and subs of AAs
Brazos Valley Council of Governments
- Big Country AIDS Resources, Abilene, Texas
- Community Action, Inc., San Marcos, Texas
- David Powell Health Center/ CommUnity Center, Austin, Texas
- Maverick County Hospital District, Eagle Pass, Texas
- Nortex Regional Planning Commission, Wichita Falls, Texas
- Project Unity, Bryan, Texas
- Shannon Support Health Services (SSHS), San Angelo, Texas
- Texas Health Action (Kind Clinic), Austin, Texas
- Thomas Kaspar - Crossroads Virology, Victoria, Texas
- United Medical Centers, Eagle Pass, Texas
- United Way of the Greater Fort Hood Area (UWGFHA), Killeen, Texas
- Victoria County Public Health Department, Victoria, Texas
- Waterloo Counseling Center, Austin, Texas
- Vivant Health (AIDS Services of Austin), Austin, Texas
- Waco-McLennan County Public Health District, Waco, Texas
Bexar County Hospital District dba University Health System
- Alamo Area Resource Center (AARC), San Antonio, Texas
- B.E.A.T. AIDS, San Antonio, Texas
- Centro Med, San Antonio, Texas
- San Antonio AIDS Foundation (SAAF), San Antonio, Texas
- University Health (UH) FFACTS, San Antonio, Texas
Dallas County Health and Human Services
- AIDS Arms (Prism Health), Dallas, Texas
- AIDS Healthcare Foundation, Dallas, Texas
- AIDS Interfaith Network/Access Information Network, Dallas, Texas
- AIDS Services of Dallas, Dallas, Texas
- Dallas County Hospital District (Parkland Amelia Court), Dallas, Texas
- Health Services of North Texas, Denton, Texas
- Legacy Counseling Center, Dallas, Texas
- Resource Center, Dallas, Texas
- Your Health Clinic (Callie Clinic), Sherman, Texas
- Bryan’s House, Dallas, Texas
- Dental Health Program, Dallas, Texas
- Legal Hospice of Dallas, Dallas, Texas
Houston Resource Group
Address: 500 Lovett Blvd, Suite 100
Houston, TX 77006
- AIDS Coalition of Coastal Texas, Galveston, Texas
- AIDS Foundation Houston, Houston, Texas
- AIDS Healthcare Foundation, Houston, Texas
- Association for the Advancement of Mexican Americans (AAMA), Houston, Texas
- Baptist Hospitals of Southeast Texas, Beaumont, Texas
- East Texas CARES Resource Center, Tyler, Texas
- Fort Bend Family Health Center (Access Health), Richmond, Texas
- Harris County Sherriff's Office, Houston, Texas
- Harris Health System / Thomas Street, Houston, Texas
- Houston Area Community Services (HACS)/AVE 360, Houston, Texas
- Brown Family Clinic (Health Horizons of East Texas), Nacogdoches, Texas
- Legacy Community Health Center, Houston and Beaumont, Texas
- The Montrose Counseling Center, Inc., Houston, Texas
- Special Health Resources Texas Inc., Texarkana and Tyler, Texas
- St. Hope Foundation, Houston, Texas
- UTMB Galveston, Galveston, Texas
South Texas Development Council
- City of Laredo Health Department, Laredo, Texas
- Coastal Bend Wellness Foundation, Corpus Christi, Texas
- Valley AIDS Council (VAC), Harlingen, Texas
Tarrant County
- AIDS Healthcare Foundation, Fort Worth, Texas
- AIDS Outreach Center (AOC), Fort Worth, Texas
- Samaritan House, Fort Worth, Texas
- Tarrant County Hospital District (JPS), Fort Worth, Texas
- Tarrant County Preventive Medicine Clinic (PMC), Fort Worth, Texas
HOPWA (Housing Opportunities for Persons With AIDS)
The Texas Department of State Health Services (DSHS) Housing Opportunities for Persons with AIDS (HOPWA) program provides housing help and support services to assist low-income persons living with HIV and their households establish or maintain affordable and stable housing, reduce their risk of homelessness, and improve their access to health care and supportive services. The HIV/STD Prevention and Care Branch administers the program, through annual formula grants from the U.S. Department of Housing and Urban Development (HUD). This funding provides housing and supportive services for approximately 943 households across Texas. The HOPWA contracts currently total approximately $3,300,000.00.
DSHS authorizes the following program activities:
- Tenant- Based Rental Assistance (TBRA)
- Short-Term Rent, Mortgage, and Utility Assistance (STRMU)
- Facility-Based Housing Assistance (FBHA)
- Permanent Housing Assistance (PHP)
- Housing Case Management
- Housing Information Services
- Resource Identification
HIV Prevention
Texas will become a state where HIV is rare. Every person will have access to high-quality prevention, care, and treatment regardless of age, race, ethnicity, sexual orientation, gender identity, and socioeconomic status. Ending HIV as an epidemic is about supporting people who are living with HIV and preventing others from getting it.
The Plan
In Texas, HIV prevention and treatment services are provided according to the Texas HIV Plan. The Plan is a public health blueprint for preventing new HIV infections in Texas and ensuring that individuals living with HIV have access to systems of care.
There are five funding opportunities in three of the Plan domains (Focused Prevention, Full Diagnosis, and Successful Linkage):
- Routine HIV Screening in Healthcare Settings
- Core HIV Prevention Programs
- Pre-Exposure Prophylaxis and Non-Occupational Post Exposure Prophylaxis Programs
- Client Level Interventions
- Structural Interventions
The Focused Prevention domain includes strategies and actions to prevent the acquisition of HIV in populations with the greatest vulnerability to HIV. The Full Diagnosis and Successful Linkage domains call for actions to reduce the number of Texans with undiagnosed HIV infections and to shorten the time between diagnosis and treatment for people with HIV infections, respectively.
Ending the HIV Epidemic (EHE)
The U.S. Department of Health and Human Services’ initiative aims to reduce the number of new HIV infections in the United States by at least 90 percent by 2030 with the goal of decreasing the number of new HIV infections to fewer than 3,000 per year. Reducing new infections to this level would essentially mean that HIV transmissions would be rare and meet the definition of ending the epidemic.
In August 2022, HRSA awarded over $20 million in funding to expand HIV prevention, testing, and treatment services nationwide. The funding builds on the previously awarded EHE funding of over $100 million to more than 300 health centers and will fund additional health centers in the counties, territories, and states identified as a part of the EHE initiative.