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Ryan White HIV/AIDS Program AIDS Drug Assistance Program (ADAP) Emergency Relief Fund (ERF) 

ID: HRSA-26-012 • Type: Posted
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Description

The Ryan White HIV/AIDS Program (RWHAP) AIDS Drug Assistance Programs (ADAP) assist low income people with HIV access HIV related medications and/or health care coverage. ADAP Emergency Relief Fund (ERF) awards are intended for states/territories that demonstrate the need for additional resources to prevent, reduce, or eliminate ADAP waiting lists or to address ADAP shortfalls. These funds are to be used in conjunction with the RWHAP Part B ADAP and can be used for the provision of medications through direct purchase or health care coverage assistance.
Background
The Ryan White HIV/AIDS Program (RWHAP) AIDS Drug Assistance Programs (ADAP) assist low-income individuals with HIV in accessing necessary medications and health care coverage. The ADAP Emergency Relief Fund (ERF) awards are specifically designed for states and territories that demonstrate a need for additional resources to prevent, reduce, or eliminate waiting lists for ADAP services or to address funding shortfalls. The goal of these funds is to enhance the provision of medications and health care coverage assistance in conjunction with the RWHAP Part B ADAP.

Grant Details
The ADAP ERF awards are intended for states/territories needing additional resources to prevent, reduce, or eliminate ADAP waiting lists or address funding shortfalls. Funds can be used for direct purchase of medications or health care coverage assistance. States with existing waiting lists may apply for up to $10 million; those without may apply for up to $7 million. The minimum award amount is $100,000. The total available funding for FY 2026 is expected to be $75 million, with up to 25 grants awarded. The period of performance is from April 1, 2026, to March 31, 2027.

Eligibility Requirements
Eligible applicants include state governments and territories that receive RWHAP Part B funding and need additional resources to reduce or eliminate an existing ADAP waiting list, actively prevent a waiting list, address reductions in available resources for ADAP, or manage increases in treatment needs due to new diagnoses or loss of income/health care coverage. Tribes and tribal organizations are not eligible.

Period of Performance
The period of performance for the grant will run from April 1, 2026, through March 31, 2027.

Grant Value
The total value of the grant opportunity is $75 million with individual grant awards ranging from $100,000 to $10 million depending on the presence of an existing waiting list.

Place of Performance
The grant will be performed in various states and territories across the United States that qualify under the eligibility criteria.
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Overview

Agency
Health Resources and Services Administration (HRSA) [HHS]
Category of Funding
Health
Funding Instruments
Grant
Grant Program (CFDA)
93.917 - HIV Care Formula Grants
Grant Category
Discretionary
Cost Sharing / Matching Requirement
False
Source
Grants.gov
On 10/2/25 Health Resources and Services Administration posted grant opportunity HRSA-26-012 for Ryan White HIV/AIDS Program AIDS Drug Assistance Program (ADAP) Emergency Relief Fund (ERF)  with funding of $75.0 million. The grant will be issued under grant program 93.917 HIV Care Formula Grants. It is expected that 25 total grants will be made worth between $100,000 and $10.0 million.

Timing

Posted Date
Oct. 2, 2025, 12:00 a.m. EDT
Closing Date
Nov. 3, 2025, 12:00 a.m. EST Past Due
Closing Date Explanation
Electronically submitted applications must be submitted no later than 11:59 p.m., ET, on the listed application due date.
Last Updated
Oct. 2, 2025, 4:46 p.m. EDT
Version
1
Archive Date
Dec. 3, 2025

Eligibility

Eligible Applicants
Others (see text field entitled "Additional Information on Eligibility" for clarification)
Additional Info
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 need additional funding:to reduce or eliminate an existing ADAP waiting list,to actively prevent the implementation of an ADAP waiting list,to address a projected increase in treatment needs aligned with Ending the HIV Epidemic in the U.S., and/orto address other unanticipated increases in the number of clients in the program due to new diagnosis, re-engagement in care, loss of income, and loss of health care coverage.States/territories that do not currently meet one or more of the above criteria are not eligible to apply. Tribes and tribal organizations are not eligible for this funding.

Award Sizing

Ceiling
$10,000,000
Floor
$100,000
Estimated Program Funding
$75,000,000
Estimated Number of Grants
25

Contacts

Contact
Health Resources and Services Administration
Contact Email
glclark@hrsa.gov
Contact Phone
(301) 443-7432
Additional Information Site
http://

Documents

Posted documents for HRSA-26-012

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