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

THIS NOTICE ANNOUNCES THE OPPORTUNITY TO APPLY FOR FUNDING UNDER THE RYAN WHITE HIV/AIDS PROGRAM (RWHAP) PART B STATES/TERRITORIES SUPPLEMENTAL GRANT PROGRAM, WHICH INCLUDES THE DISTRICT OF COLUMBIA, THE COMMONWEALTH OF PUERTO RICO, THE VIRGIN ISLANDS, GUAM, AMERICAN SAMOA, THE REPUBLIC OF PALAU, AND THE FEDERATED STATES OF MICRONESIA. THE PURPOSE OF THIS PROGRAM IS TO SUPPLEMENT FORMULA-BASED FUNDING PROVIDED THROUGH THE HIV CARE GRANT PROGRAM RWHAP PART B STATES/TERRITORIES FORMULA AND AIDS DRUG ASSISTANCE PROGRAM (ADAP) FORMULA AND ADAP SUPPLEMENTAL AWARDS NOTICE OF FUNDING OPPORTUNITY (HRSA-22-033). STATES/TERRITORIES USE RWHAP PART B SUPPLEMENTAL GRANT PROGRAM FUNDING IN CONJUNCTION WITH RWHAP PART B HIV CARE GRANT PROGRAM FUNDING TO DEVELOP AND/OR ENHANCE ACCESS TO A COMPREHENSIVE CONTINUUM OF HIGH-QUALITY CARE AND TREATMENT SERVICES FOR LOW-INCOME PEOPLE WITH HIV. TO OBTAIN FUNDING, STATES/TERRITORIES MUST DEMONSTRATE THAT RWHAP PART B SUPPLEMENTAL FUNDING IS NECESSARY TO PROVIDE COMPREHENSIVE HIV CARE AND TREATMENT SERVICES FOR PEOPLE WITH HIV IN THE STATE/TERRITORY. PROPOSED ACTIVITIES SHOULD INCLUDE THE PROVISION OF CORE MEDICAL AND/OR SUPPORT SERVICES, AS DEFINED IN HAB POLICY CLARIFICATION NOTICE (PCN) 16-02: RWHAP SERVICES: ELIGIBLE INDIVIDUALS AND ALLOWABLE USES OF FUNDS, AND OTHER ACTIVITIES TO ENSURE RESPONSIVENESS TO UNMET NEEDS. STATES/TERRITORIES MUST DESCRIBE HOW PROPOSED ACTIVITIES WILL ADDRESS UNMET NEEDS AND IMPROVE CLIENT-LEVEL HEALTH OUTCOMES ACROSS THE HIV CARE CONTINUUM, INCLUDING VIRAL SUPPRESSION. ELIGIBLE RWHAP PART B STATES/TERRITORIES THAT ARE FOCUS AREAS, OR HAVE COUNTIES THAT ARE FOCUS AREAS, FOR THE ENDING THE HIV EPIDEMIC IN THE U.S. (EHE) INITIATIVE SHOULD CONSIDER IF THERE IS A DEMONSTRATED NEED FOR RWHAP PART B SUPPLEMENTAL FUNDING DUE TO THE EHE INITIATIVE EFFORTS USING CRITERIA BELOW. AS REQUIRED IN SECTION 2620(B) OF THE PUBLIC HEALTH SERVICE (PHS) ACT, STATES/TERRITORIES MUST DEMONSTRATE THE SEVERITY OF THE NEED FOR RWHAP PART B SUPPLEMENTAL FUNDING USING QUANTIFIABLE DATA IN ONE OR MORE OF THE FOLLOWING AREAS: THE UNMET NEED FOR SUCH SERVICES, AS DETERMINED UNDER SECTION 2617(B) OF THE PHS ACT. AN INCREASING NEED FOR HIV/AIDS-RELATED SERVICES, INCLUDING RELATIVE RATES OF INCREASE IN THE NUMBER OF CASES OF HIV/AIDS. THE RELATIVE RATES OF INCREASE IN THE NUMBER OF CASES OF HIV/AIDS WITHIN NEW OR EMERGING SUBPOPULATIONS. THE CURRENT PREVALENCE OF HIV/AIDS. RELEVANT FACTORS RELATED TO THE COST AND COMPLEXITY OF DELIVERING HEALTH CARE TO INDIVIDUALS WITH HIV/AIDS IN THE ELIGIBLE AREA. THE IMPACT OF CO-MORBID FACTORS, INCLUDING CO-OCCURRING CONDITIONS, DETERMINED RELEVANT BY THE SECRETARY. THE PREVALENCE OF HOMELESSNESS. THE PREVALENCE OF INDIVIDUALS WHO WERE RELEASED FROM FEDERAL, STATE, OR LOCAL PRISONS DURING THE PRECEDING THREE (3) YEARS AND HAD HIV/AIDS ON THE DATE OF THEIR RELEASE. THE RELEVANT FACTORS THAT LIMIT ACCESS TO HEALTH CARE, INCLUDING GEOGRAPHIC VARIATION, ADEQUACY OF HEALTH INSURANCE COVERAGE, AND LANGUAGE BARRIERS. THE IMPACT OF A DECLINE IN THE AMOUNT OF RWHAP PART B FUNDING RECEIVED ON SERVICES AVAILABLE TO ALL INDIVIDUALS WITH HIV/AIDS IDENTIFIED AND ELIGIBLE UNDER THIS TITLE. PURSUANT TO SECTION 2620(C) OF THE PHS ACT, THE SECRETARY PRIORITIZES FUNDS TO STATES/TERRITORIES TO ADDRESS THE REDUCTION OR DISRUPTION OF SERVICES RELATED TO A DECLINE IN THE AMOUNT OF FORMULA FUNDING. SUCH A DECLINE IN FUNDING IS DETERMINED BY COMPARING THE AMOUNT OF FORMULA FUNDING RECEIVED IN THE CURRENT FISCAL YEAR (FY) TO THE AMOUNT RECEIVED IN FY 2006. IF YOU ARE A STATE/TERRITORY WITH CURRENT OR POTENTIAL SHORTFALLS IN AIDS DRUG ASSISTANCE PROGRAM (ADAP) RESOURCES, WE STRONGLY ENCOURAGE YOU TO PRIORITIZE USE OF RWHAP PART B SUPPLEMENTAL FUNDS TO AUGMENT ADAP RESOURCES.

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-25-048)

Amendment Since initial award the End Date has been extended from 09/29/24 to 09/29/26 and the total obligations have increased 348% from $1,380,707 to $6,188,740.