HIV/AIDS Surveillance Supplemental Report. Volume 13, Number 3. HIV/AIDS Data through December 2005. Provided for the Ryan White HIV/AIDS Treatment Modernization Act of 2006, for Fiscal Year 2007

摘要

The Ryan White HIV/AIDS Treatment Program (formerly the Comprehensive AIDS Resources Emergency Act) was first enacted into law in 1990, and amended in 1996, 2000, and 2006. The 2006 amendments, referred to as the Ryan White HIV/AIDS Treatment Modernization Act of 2006, established new criteria for eligibility determination for Eligible Met-ropolitan Areas (EMA) and Emerging Communities (EC), and introduced a new funding category under Part A (formerly Title I) of the law. The new category of grantees is termed Transitional Grant Areas (TGA). The 2006 amendments also changed the data requirements used for the formula award allocations. In fiscal year (FY) 2007, with the passage of the new Act, the Health Resources and Services Administration (HRSA), for the very first time, used counts of persons living with HIV in the Parts A and B (formerly Titles I and II) allocation formulae. In previous years, only AIDS cases, adjusted by a survival rate (esti-mated persons living with AIDS), were used in the formulae. Now, persons living with HIV (non-AIDS) as well as persons living with AIDS, as reported to and confirmed by the Director of the Centers for Disease Control and Prevention (CDC), are used to calculate funding allocation amounts. Currently there are 22 EMAs. The new category of Part A grantees, TGAs, are defined as those jurisdictions with at least 1,000 but fewer than 2,000 AIDS cases reported to and confirmed by the Director of CDC over the most recent 5 calendar years and with a minimum population of 50,000 persons. An area will remain a TGA unless it fails to meet both of the following requirements for three consecutive fiscal years: (a) A cumulative total of at least 1,000 but fewer than 2,000 cases of AIDS reported during the most recent period of 5 calendar years, and (b) A cumulative total of 1,500 or more per-sons living with AIDS as of December 31 for the most recent calendar year for which such data are available.There were also minor changes to the eligibility determination criteria.