X0849670

Ryan White Part B Supplemental - Project Title: FFY23 HRSA RWHAP Part B Supplemental
Applicant Name: Massachusetts Department of Public Health
Address: Massachusetts Department of Public Health
250 Washington Street, Boston, MA, 02108-4619
Project Director: Dawn Fukuda, Director, Office of HIV/AIDS
Contact Phone Numbers: Voice: (617) 624-5303 | Fax: (617) 624-5399
Email Address: dawn.fukuda@mass.gov
Website Address: www.mass.gov/hiv

Grant Funds in Application: RWHAP Part B Supplemental

As of July 1, 2022, the United States Census Bureau estimates that the Commonwealth of Massachusetts is home to 6,981,974 individuals.1 Among those reporting only one race, over three-quarters (79.8%) of Massachusetts residents are white, 9.3% of residents are black or African American, 0.5% are American Indian or Alaska Native; 7.5% are Asian, and 2.7% are two or more races. Persons of Hispanic/Latino origin comprise 12.8% of the total population.

Seventeen percent (17.3%) of the population is foreign born, and 24.4% speak a language other than English at home. According to the 2021 American Community Survey (ACS) one-year estimates, 10.4% of the population lives under the poverty level.

As of December 31, 2020, there are 23,368 people living with HIV in the Commonwealth (reported 1/1/2022). Although there have been reductions in new cases and increased survival of individuals living with HIV infection, vulnerable populations remain disproportionately impacted by HIV. Men who have sex with men continue to represent the largest proportion of new diagnoses (39% in 2018-2020). Black (non-Hispanic) and Hispanic/Latino individuals were diagnosed with HIV infection during 2018-2020 at population rates eight and four times that of white (non-Hispanic) individuals. Persons who inject drugs accounted for 32% of all deaths among HIV+ individuals, while representing 16% of all people living with HIV infection (PLWH).

The HIV epidemic varies geographically, largely due to social and economic factors in addition to patterns of risk behavior. The location of funded services is broadly based on regional analysis of disease burden and considers availability of other federal funding sources (particularly Ryan White and CDC).

The Massachusetts system of HIV care is comprised of a broad range of medical and health-related services which assure access to care, prophylactic drugs, and anti-retroviral therapies. Medical care is provided at community health centers, health maintenance organizations, private medical practices, and hospital-based medical groups, many of which have affiliations with major academic institutions.

The Massachusetts Department of Public Health (MDPH) Bureau of Infectious Disease and Laboratory Sciences (BIDLS) Office of HIV/AIDS (OHA) is requesting Part B supplemental funding to respond to the increasing complexity of the needs of individuals living with HIV/AIDS in Massachusetts. The increased cost of addressing these needs include the ability to sustain a viable medical case management (MCM) system; the increased need associated with assisting the aging HIV+ population in the state with complicated health insurance navigation; the cost of providing access to dental healthcare for the entire state; and finally ensuring that hard to reach populations, such as young HIV+ men who have sex with men (MSM) of color, are engaging in care and treatment through the use of specialized outreach.

1) https://www.census.gov/quickfacts/fact/tablema/pst045222

Massachusetts Department Of Public Health

NOT APPLICABLE

93.917 - HIV Care Formula Grants

HRSA Office of Federal Assistance Management (OFAM) [HHS - HRSA]

Massachusetts United States

State-Wide

Ryan White HIV/AIDS Program Part B States/Territories Supplemental Grant Program (HRSA-24-065)

Amendment Since initial award the End Date has been extended from 09/29/24 to 09/29/25 and the total obligations have increased 210% from $1,380,707 to $4,277,623.