Persons Living with HIV/AIDS or AIDS, by Geographic Area and Ryan White CARE Act Eligible Metropolitan Area of Residence, December 2004. HIV/AIDS Surveillance Supplemental Report, Volume 12, Number 3

摘要

The Ryan White Comprehensive AIDS Resources Emergency (CARE) Act was enacted by Congress in 1990 and reauthorized with amendments in 1996 and 2000. The CARE Act of 2000 expired in September 2005, and reauthorization is under discussion by Congress. The CARE Act of 2000 specified the use of AIDS case counts for the distribution of funds under the CARE Act. However, concerns have been raised that such allocations are not equitable because the epidemic is not adequately reflected by data on AIDS cases alone and that areas with emerging HIV epidemics are underfunded because not all cases of HIV disease are included in calculating the funding formula. A related concern about basing allocations on AIDS cases alone is that jurisdictions are not compensated for providing early access to care and treatment. Therefore, interest is growing in using HIV as well as AIDS data to guide these funding decisions.