HIV Aid Gets Address Upgrade: Funding Follows Where Patients Live
Published Date: 11/9/2025
Notice
Summary
The Ryan White HIV/AIDS Program is updating how it decides funding for Parts A and B by using the most recent home addresses of people with HIV. This change helps make sure money goes where clients actually live and get care, not just where they were first diagnosed. People and places involved in HIV care should share their thoughts by December 10, 2025, to help shape these improvements.
Analyzed Economic Effects
3 provisions identified: 0 benefits, 0 costs, 3 mixed.
Use Most-Recent Address for Funding
HRSA proposes to calculate Ryan White HIV/AIDS Program (RWHAP) Part A and Part B formula awards using living HIV/AIDS case data based on the most recent address of a person with HIV instead of residence at diagnosis. HRSA says the methodology for determining Part A and B eligibility would remain unchanged and is seeking public comment by December 10, 2025.
Estimated Winners and Losers Listed
HRSA published tables of estimated Part A and Part B awards (based on the FY2025 appropriation) showing jurisdiction-level dollar amounts each year for FY2026–FY2030 and percent change from FY2025 to FY2030. Examples: Part A—San Bernardino, CA estimated to rise ~37% (from $9,283,666 to $12,720,488); San Francisco, CA estimated to fall ~19% (from $14,841,000 to $11,972,966); Tampa, FL estimated to rise ~15% (from $10,650,266 to $12,207,013). Part B—Maine estimated to rise ~35% (from $1,744,812 to $2,354,230); Idaho estimated to rise ~23% (from $1,567,448 to $1,929,082); Puerto Rico estimated to fall ~15% (from $20,773,717 to $17,681,166).
Five-Year Phase-In to Smooth Changes
HRSA proposes a phased approach to implement the change over five years (FY2026 through FY2030). Any funding increase or decrease that occurs in year one (FY2026) would be spread out over the five-year period to minimize disruption to RWHAP Part A and B recipients and systems of care.
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