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TREATMENT AND CARE PROGRAMS
FEDERAL PROGRAMS FOR THE CARE AND
TREATMENT OF PEOPLE WITH HIV
Today, with proper HIV treatment with antiretroviral
therapy (ART), people with HIV can stay healthy,
live longer, and significantly reduce the risk of
transmitting HIV to others. Many Federal programs
help make care and treatment available to people
living with HIV. Use the HIV Testing and Care
Services Locator at the right to locate federally–
supported care and treatment services near you.
Read descriptions of various federal HIV care and
treatment programs and activities below.
RYAN WHITE HIV/AIDS PROGRAM
The Ryan White HIV/AIDS Program provides HIV-
related health services for those who do not have
sufficient healthcare coverage or financial
resources to cover their HIV care needs. The
program works with cities, states, and local
community-based organizations to supply services
to more than half a million people each year.
The majority of Ryan White funds sustain primary
medical care and essential support services. A
smaller (but equally critical) portion is used to fund
technical assistance, clinical training, and research
on innovative models of care.
The Ryan White Program is administered by the
U.S. Department of Health and Human Services
(HHS), Health Resources and Services
Administration (HRSA), HIV/AIDS Bureau (HAB). The
Ryan White legislation created a number of
programs, called Parts, to meet needs of different
communities and populations affected by HIV/AIDS.
Each is described below.
Part A: Eligible Metropolitan Areas and
Transitional Grant Areas
Provides emergency assistance to Eligible
Metropolitan Areas (EMAs) and Transitional Grant
Areas (TGAs) that are most severely affected by
the HIV/AIDS epidemic.
Part B: States and Territories
Provides grants to all 50 states, the District of
Columbia, Puerto Rico, Guam, the U.S. Virgin
Islands, and 5 U.S. Pacific Territories or
associated jurisdictions.
Part C: Early Intervention Services
Provides comprehensive primary healthcare in an
outpatient setting for people living with HIV
disease.
Part D: Services for Women, Infants, Youth,
Children, and their Families
Provides family-centered care involving
outpatient or ambulatory care (directly or through
contracts) for women, infants, children, and youth
with HIV/AIDS.
Part F : Provides funds for a variety of programs:
The Special Projects of National Significance
(SPNS)
Program: Funds innovative models of care
and supports the development of effective
delivery systems for HIV care.
AIDS Education and Training Centers (AETC) :
Supports a network of 11 regional centers
and several national centers that conduct
targeted, multidisciplinary education and
training programs for healthcare providers
treating people living with HIV/AIDS.
Dental Programs: provide additional funding
for oral health care for people with HIV.
Minority AIDS Initiative (MAI) : Provides
funding to evaluate and address the
disproportionate impact of HIV/AIDS on
African Americans and other minorities.
For more information, see HRSA’s Ryan White
HIV/AIDS Program and History of the Ryan White
HIV/AIDS Program. Follow these links for specific
information:
Grants Opportunities
List of HIV/AIDS treatment and care related
grants from HRSA.
Education and Training
Provides information on the training and
education opportunities for healthcare
providers available from the Ryan White HIV/
AIDS Program.
Publications
A listing of publications directly related to the
treatment and care of persons living with
HIV/AIDS.
Through the Affordable Care Act, many people
living with HIV can access health care coverage
they need to support their care and treatment. Read
more about the ACA and people living with HIV .
FEDERAL HIV/AIDS TREATMENT GUIDELINES
The U.S. Department of Health and Human Services
(HHS) also publishes guidelines to assist providers
in offering HIV treatment. These guidelines are
developed in collaboration with agencies across the
Federal government, and in conjunction with
clinicians and care providers across the country:
Guidelines for the Use of Antiretroviral Agents in
HIV-1-Infected Adults and Adolescents
Developed by the HHS Panel on Antiretroviral
Guidelines for Adults and Adolescents—a working
group of the Office of AIDS Research’s Advisory
Council (OARAC).
Public Health Service Task Force Recommendations
for Use of Antiretroviral Drugs in Pregnant HIV-
Infected Women for Maternal Health and
Interventions to Reduce Perinatal HIV Transmission
in the United States
Guidelines for treating pregnant women who are
living with HIV and for preventing HIV transmission
to their unborn babies.
Guidelines for the Use of Antiretroviral Agents in
Pediatric HIV Infection
Guidelines for clinicians who treat HIV infection in
young children, typically aged 0-12 years old.
These guidelines contain specific and supplemental
information on antiretroviral use in children and
infants, including adverse drug reactions.
Guidelines for Prevention and Treatment of
Opportunistic Infections in HIV-Infected Adults and
Adolescents
General treatment guidelines for preventing and
treating opportunistic infections in adults and
adolescents with HIV, including specific information
on prophylaxis and treatment options for advanced
illness.
Guidelines for Prevention and Treatment of
Opportunistic Infections among HIV-Exposed and
HIV-Infected Children
Guidelines similar to those for adults, but with
specific information on opportunistic infections
more commonly seen in pediatric patients, as well
as pediatric guidelines for pharmacological
treatments.
For a comprehensive list of these guidelines, as
well as options to download PDF versions, slide
sets, and other related documents, see AIDSinfo’s
Clinical Guidelines Portal .
SUBSTANCE ABUSE & MENTAL HEALTH PROGRAMS
Behavioral Health Services (SAMHSA Programs)
The Substance Abuse and Mental Health
Administration (SAMHSA), part of the U.S.
Department of Health and Human Services,
administers grants and other efforts that provide
behavioral health support to those with HIV, AIDS,
and viral hepatitis. SAMHSA addresses the issues
of HIV, AIDS, and viral hepatitis by providing grant
opportunities to support:
Coordinated mental health and addiction
treatment services
HIV testing with pre- and post-test counseling
Referrals for treatment
Testing for other infectious diseases
National Mental Health Information Center – HIV/
AIDS (SAMHSA)
HIV and AIDS often can be accompanied by
depression, an illness that can affect mind, body
and behavior. SAMHSA’s Center for Mental Health
Service (CMHS) develops program models that
provide mental health services to individuals,
families, and others living with or affected by HIV/
AIDS.
Safe Community Needle Disposal Program (CDC)
The treatment of medical conditions and the
injection of illegal drugs result in billions of used
syringes every year. Safe disposal of used syringes
is a public health priority. This resource provides
information about what communities can do to
manage used syringes safely.
Substance Abuse (National Library of Medicine,
NIH)
This list of resources covers both the abuse of
specific substances in additional to alcohol and
how substance abuse relates to HIV/AIDS.
HOUSING PROGRAMS & RESOURCES
Housing Opportunities for Persons With HIV/AIDS
(HOPWA)
The U.S. Department of Housing and Urban
Development (HUD) administers the Housing
Opportunities for Persons with AIDS (HOPWA)
program, the only Federal program dedicated to the
housing needs of people living with HIV. Under the
HOPWA program, HUD makes grants to local
communities, States, and nonprofit organizations
for projects that benefit low-income people living
with HIV/AIDS and their families.
Community Planning and Development (CPD)
HUD’s Office of Community Planning and
Development (CPD) seeks to develop viable
communities by promoting integrated approaches
that provide decent housing, a suitable living
environment, and expand economic opportunities
for low and moderate income persons. The primary
means towards this end is the development of
partnerships among all levels of government and
the private sector, including for-profit and non-
profit organizations.
Affordable Housing Programs
HUD’S Office of Affordable Housing Programs
(OAHP) administers grant programs designed to
increase the stock of housing affordable to low-
income households. The lack of affordable housing
is a significant hardship for low-income
households preventing them from meeting their
other basic needs, such as nutrition and health
care, or saving for their future and that of their
families.
Fair Housing and Equal Opportunities
HUD’s Office of Fair Housing and Equal Opportunity
(FHEO) administers and enforces federal laws and
establishes national policies that m