The Ryan White HIV/AIDS Program
The Ryan White
HIV/AIDS Program (RWHAP) is the largest federal program that provides care to people living with HIV.
The purpose of the RWHAP is to provide care and treatment services to people living with HIV who are uninsured
First authorized in 1990 as the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, the RWHAP provides
both primary care and essential support services to HIV-positive individuals by working with cities, states, and
community-based organizations. The program is administered by the Health
Resources and Services Administration.
Funding from the RWHAP goes to primary care and essential support services, but it also supports technical
assistance, clinical training, the development of innovative models of care, and access to HIV
The RWHAP provides a significant portion of funding for many rural programs, including community organizations
and health departments. All states
territories receive funds through Part B (Grants to States & Territories). In addition, supplementary
Part B grants and Part C (Early Intervention Services and Capacity Development) grants are frequently
awarded to rural states and communities. However, other parts of the program can also provide meaningful support
for people living with HIV in rural areas. The RWHAP includes:
A: Grants to Emerging Metropolitan & Transitional Grant Areas
Part A provides grant funding for medical and support services to population centers and some surrounding rural
areas most impacted by the HIV/AIDS epidemic. These funds can be used to provide a variety of services, some of
Drug assistance programs
Cost-sharing and health insurance assistance
Mental health services, including substance abuse care
Support services (including medical transportation, translation services, respite care for caregivers, and
B: Grants to States & Territories
Part B provides grant funding to states and territories to improve the quality, availability, and organization
of HIV healthcare and support services, as well as grant funding for the AIDS Drug
Assistance Program (ADAP). ADAP funds can be used to buy health insurance for eligible people and for
activities that enhance access to, adherence to, and monitoring of HIV treatments.
C: Early Intervention Services and Capacity Development
Early intervention service grants provide funding to local community-based organizations to support their
provision of Early Intervention Services, core medical services, support services, quality management, and
administration. Capacity development grants provide funding to support the infrastructure of public and
nonprofit organizations and improve their ability to develop, enhance, or expand access to high-quality HIV
primary care services for HIV-positive people in rural or underserved communities.
D: Services for Women, Infants, Children, and
Part D provides funding to private or nonprofit entities that provide primary medical care for HIV-positive
women, infants, children, and youth. Funding supports provision of family-centered primary and specialty medical
care as well as support services.
Part F: Other Research, Technical Assistance, and Access-to-Care Programs
Part F provides funding to four different sub-programs:
Projects of National Significance
Special Projects of National Significance (SPNS) provide funding to support innovative models of HIV
treatment that address the needs of people with HIV who are served by RWHAP grantees.
Education and Training Centers
AIDS Education and Training Centers (AETCs) include 11 regional centers that provide education and
training for health providers that treat people living with HIV/AIDS.
Though funds from all Ryan White grants can be used to fund oral health services, two programs focus solely
on dental health the Dental Reimbursement Program and the Community-Based Dental Partnership Program. These
programs fund both oral health services for HIV-positive people and education and training for oral health
The Minority AIDS Initiative (MAI), which exists under each part of Ryan White, addresses the needs of
African Americans and other communities disproportionally impacted by HIV/AIDS. Collectively, MAI funds are
used to improve access and reduce disparities in HIV/AIDS health outcomes, conduct outreach and education
services for minorities, provide technical assistance to organizations looking to expand access for
minorities, and provide training to minority providers in underserved communities.
For access to webinars, tools, training materials, manuals, and guidelines that focus on RWHAP service delivery
and agency operations, visit the TargetHIV website.