Ryan White HIV/AIDS Treatment Extension Act of 2009*

The Ryan White Program was enacted by Congress in 1990 and is reauthorized every 5 years. The Ryan White Program is divided into five parts. Each part, along with specialized programs, is designed to address a specific aspect of the HIV/AIDS epidemic. The federal government administers the act and distributes the funding to the Department of Health & Human Services (HHS). The Health Resources and Services Administration’s (part of HHS), HIV/AIDS Bureau administers the Ryan White Program.

Part A: Provides emergency relief funding for health care & support services to the 56 metropolitan areas, Puerto Rico & the District of Columbia disproportionately affected by HIV/AIDS. Part A in Denver is managed by the Denver’s Office of HIV Resources.

Part B: Assists states & territories in improving the quality, availability & organization of health care & support services for individuals & families with HIV disease and provides access to pharmaceuticals through the AIDS Drug Assistance Program (ADAP). Part B in Colorado is managed by the Colorado Department of Public Health & Environment.

Part C: Provides support directly to community-based providers for early intervention & primary care services for people living with HIV/AIDS.

Part D: Provides family-centered care involving outpatient or ambulatory care for women, infants, children, and youth with HIV/AIDS through primary medical care, treatment, and support services to improve access to health care. Additionally, it educates clients about research and research opportunities. In Colorado, Part D is managed by The Children’s Hospital.

Part F: Includes the Colorado AIDS Education and Training Center, which provides education and training for health care providers treating people living with HIV/AIDS.

Part F also includes two dental programs administered by the UC Denver School of Dental Medicine. The Dental Reimbursement Program provides support to dental schools and dental hygiene programs for non-reimbursed care provided to persons with HIV. The Community-Based Dental Partnership Program (CBDPP) builds dental capacity by pairing and training community providers and dental students. CBDPP sites are:

Special Projects of National Significance: Supports the development of innovative HIV/AIDS service delivery models that have the potential for replication in other areas.

Minority AIDS Initiative (MAI): Was created in 1999 to provide funding and services for African American communities as a result of an emergency declared by the Congressional Black Caucus for the alarming rates of HIV/AIDS in this community.

In 2000, support for the program was given by the Congressional Hispanic and Asian American Caucuses to include all communities of color. MAI goals are to expand the infrastructure of community-based organizations and HIV service delivery to people of color living with HIV/AIDS, expand services in historically underserved minority communities and ensure sustainability in an effort to reduce persistent health disparities.

Each Title/Part of the Ryan White Program has a MAI component.

Ryan White Program funded services are for uninsured/underinsured individuals. Funds are “the payor of last resort” for services for which an individual has no other means, such as Medicaid or private or employer provided insurance, to pay for their services.

*The current program expired on September 30, 2013. The Congress has continued funding the program. However, especially with the implementation of the Affordable Care Act, significant changes to the program are anticipated. Please check back on the ACE Resource Directory for updates as they are made.