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2007 Ryan White News Updates

Changes in Ryan White Distribution Cause 'Hardship,' 'Anxiety,' New York Times Reports [Kaiser Daily HIV/AIDS Report, Aug 02, 2007]

San Francisco Public Health Department, HIV/AIDS Advocates Begin Meetings To Revamp City's HIV/AIDS Care System [Kaiser Daily HIV/AIDS Report, Jul 27, 2007]

House Votes To Remove Amendment From Labor-HHS Appropriations Bill That Would Have Reduced Ryan White Funding in Some Areas [Kaiser Daily HIV/AIDS Report, Jul 20, 2007]

California Counties Facing Federal HIV/AIDS Funding Cuts; Pelosi Sends Letter to HHS Secretary [Kaiser Daily HIV/AIDS Report, May 24, 2007]

Revisions to Ryan White Program Result in Loss of HIV/AIDS Funding for Minority Services in Austin, Texas, Region [Kaiser Daily HIV/AIDS Report, Mar 19, 2007]

New York Counties Granted Waiver to Ryan White Program Provision [Kaiser Daily HIV/AIDS Report, Mar 16, 2007]

New York Counties File Lawsuit Against HHS To Prevent Funding Cuts Under Ryan White CARE Act Reauthorization Bill [Kaiser Daily HIV/AIDS Report, Mar 01, 2007]

President Bush Signs Ryan White CARE Act Reauthorization Bill [Kaiser Daily HIV/AIDS Report, Dec 20, 2006]

2006 Ryan White CARE Act Reauthorization Models

The UCSF AIDS Policy Research Center (APRC) has produced an Excel spreadsheet that is designed to model initial year allocations under different policy options proposed in 2006 for the CARE Act reauthorization. This project is funded by the Universitywide AIDS Research Program (UARP) of the University of California.

The spreadsheet allows a user to select various options and to examine how funding would shift in states and eligible metropolitan areas (EMAs). Our different allocation options have been based on existing and proposed variations of the reauthorization bill.

Our intended purpose with the spreadsheet is not to provide an exact prediction of any single state's or locality's funding. Rather, it is designed to model changes in funding using 2006 appropriation levels, and based on the most recently available case data. These numbers can give a user an idea of how proposed changes to the law would redistribute funds around the country.

If you are interested in using the spreadsheet, you may download a copy. We also provide a document that explains in detail the options in the spreadsheet and our data collection and modeling procedures.

We also have depicted visually using a map of the United States how funding would shift under a few of the possible variations of the Reauthorization bill. These shifts include changes to Title I and Title II formula funding.

(1) Our first map shows the funding redistributions that would occur using the version of the bill circulating in early May. This scenario uses living HIV/AIDS cases for allocations and assumes that use of an HIV proxy count is limited only to states with immature HIV names reporting systems and that have HIV names reporting laws in place.

(2) In our second map, we open up the proxy so that it can be used by any state. In this scenario, a state is assigned the proxy whenever it results in the highest possible living HIV/AIDS case count.

(3) Recent discussion have opened up the possibility of using living AIDS case counts for the next several years while HIV names reporting systems mature. In our third map, we provide a depiction of funding reallocations if the bill were changed to use a living AIDS case count, and if reallocations were capped at 110% of the 2006 awards and subject to a hold harmless provision set at 95% of the 2006 awards. We based these assumptions off of information that we had received from collaborators and key informants involved in recent policy discussions.

(4) The fourth map depicts what would happen if allocations used living AIDS case counts but were not limited by a funding cap or a hold harmless provision.

In mid-May of 2006, the Government Accountability Office (GAO) released a set of allocations for 2007 that were based off of the bill as it existed at that time. We provide here a spreadsheet that displays the similarities between the numbers the GAO released and the numbers that we calculate when setting the assumptions in the spreadsheet to match the language in the bill at that time.

Please check back for future updates regarding the Ryan White HIV/AIDS Treatment Modernization Act of 2006, which was signed into law in December 2006.

 

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The AIDS Policy Research Center is partially supported by generous funds from the Until There's a Cure Foundation.

 

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