X0855257

RYAN WHITE PART B SUPPLEMENTAL - IN 2025, THE US CENSUS BUREAU REPORTED A POPULATION OF 4.66 MILLION PEOPLE IN LOUISIANA, OF WHICH 63% WERE CAUCASIAN, 33% AFRICAN AMERICAN AND 7% OF HISPANIC DESCENT. LOUISIANA IS A POOR STATE, WITH THE 2023 HOUSEHOLD MEDIAN INCOME WAS $60,023 AND 19% OF THE POPULATION LIVING IN POVERTY (2ND HIGHEST). THE AFFORDABLE CARE ACT AND MEDICAID EXPANSION, MADE HEALTHCARE ACCESSIBLE TO AN INCREDIBLE NUMBER OF IMPOVERISHED LOUISIANA RESIDENTS. FOR MEDICAID ALONE, MORE THAN 540,000 PERSONS HAVE ENROLLED INTO THIS COVERAGE TO DATE. THE LOUISIANA ADAP SERVICE DELIVERY INFRASTRUCTURE IS PRIMARILY BASED ON THAT OF AN INSURANCE PROCUREMENT MODEL, WITH THE PAYMENT OF MONTHLY PREMIUMS AND ALL ELIGIBLE RELATED COST SHARES. THIS IS THE MOST COST EFFECTIVE MECHANISM BY WHICH TO ASSURE THAT PROGRAM PARTICIPANTS WILL HAVE THE MOST COMPREHENSIVE ACCESS TO HIV MEDICATIONS, AND PROVIDES THE GREATEST DEGREE OF CLIENT CHOICE IS SELECTING PROVIDERS AND PHARMACIES THAT BEST MEET THEIR CARE NEEDS. UTILIZING AVAILABLE NUMBERS, AS OF FEBRUARY 2025, 5,010 (95%) OF INDIVIDUALS RECEIVING ADAP ASSISTANCE WERE INSURED, AND AS OF FEBRUARY 2025, 13,694 INDIVIDUALS WERE ON MEDICAID. THE 2023 STATEWIDE NEEDS ASSESSMENT SURVEY OF PEOPLE WITH HIV SHOWED 87% REPORTED HAVING INSURANCE COVERAGE. LOUISIANA’S HIV PREVALENCE RATE IN 2022 WAS 568 PER 100,000 POPULATION COMPARED TO 466 IN THE SOUTH, AND 388 ACROSS THE UNITED STATES. THE STATE’S HIV DIAGNOSIS RATE IN 2022 WAS 22 PER 100,000 POPULATION, COMPARED TO 18 IN THE SOUTH, AND 13 ACROSS THE UNITED STATES. IN 2022, 857 PERSONS WERE NEWLY DIAGNOSED WITH HIV IN LOUISIANA, AND THREE PARISHES IN RURAL AREAS OF THE STATE WERE IN THE TOP FIVE PARISHES FOR NEW DIAGNOSES RATES: ASSUMPTION PARISH (REGION 3), EVANGELINE PARISH (REGION 4), AND CADDO PARISH (REGION 7). AS OF DECEMBER 31, 2023, 22,978 PERSONS WITH HIV WERE KNOWN TO BE LIVING IN LOUISIANA. THIS REPRESENTS AND A 4% INCREASE OVER TWO YEARS. WHILE NEW HIV DIAGNOSES RATES HAVE IMPROVED IN NEW ORLEANS AND BATON ROUGE METRO AREAS, THE SAME IMPROVEMENTS HAVE NOT BEEN OBSERVED IN RURAL AREAS OF THE STATE. THIS IS SIGNIFICANT BECAUSE 44.7% (10,273) PERSONS WITH HIV LIVE IN THE BALANCE OF STATE CONSISTING OF REGIONS 3-9, THE MOST RURAL AREAS OF LOUISIANA. THE LOUISIANA LDH OPH STI/HIV/HEPATITIS PROGRAM HAS ALLOCATED MORE THAN 89% OF THE PROPOSAL REQUEST TO CORE SERVICES, WITH THE REMAINING RESOURCES ALLOCATED TO CRITICAL NON-CORE SERVICE CATEGORIES SUCH AS FOOD BANK/HOME DELIVERED MEALS, MEDICAL TRANSPORTATION, HOUSING ASSISTANCE, PSYCHOSOCIAL SUPPORT, AND REHABILITATIVE SERVICES. SUPPORTIVE SERVICES FUNDED THROUGH PART B PROVIDE THE NECESSARY ASSISTANCE TO CLIENTS TO HELP THEM BECOME LINKED TO, AND MAINTAINED IN, MEDICAL CARE AND ON HIV RELATED MEDICATIONS.

Louisiana Department Of 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]

Louisiana United States

State-Wide

Ryan White HIV/AIDS Program Part B States/Territories Supplemental Grant Program (HRSA-25-048)