HRSA Updates Ryan White HIV/AIDS Program Funding Methodology
Summary
The Health Resources and Services Administration (HRSA) has updated the funding methodology for the Ryan White HIV/AIDS Program Parts A and B formula awards. This change, effective for fiscal year 2026 through 2030, will use the number of living HIV/AIDS cases based on the most recent address to better align resources with where patients currently live and receive care.
What changed
HRSA has announced updates to the funding methodology for the Ryan White HIV/AIDS Program Parts A and B formula awards, beginning in fiscal year 2026 and continuing through FY 2030. The core change involves shifting from using residence at the time of diagnosis to the most recent address for determining the number of living HIV/AIDS cases, thereby aligning funding more closely with current patient locations and care needs. This transition is detailed in a Federal Register Notice published on November 10, 2025, titled 'Improving Ryan White HIV/AIDS Program Part A and B Formula Awards Using Most Recent Address Data'.
This methodological update aims to ensure that federal funding for HIV care services, including primary medical care, medications, and support services, accurately reflects where individuals with HIV currently reside and receive treatment. While the transition is phased over five years to minimize disruption, recipients and systems of care should prepare for adjustments in funding allocations based on updated surveillance data. No changes are made to the methodology for determining eligibility for Part A Eligible Metropolitan Areas and Transitional Grant Areas or Part B Emerging Communities.
What to do next
- Review the Federal Register Notice for detailed changes to the funding methodology.
- Assess current resource allocation based on the updated methodology for FY2026-2030.
- Adapt data collection and reporting to reflect patient's most recent address.
Source document (simplified)
HRSA Updates Ryan White HIV/AIDS Program Parts A and B Formula Funding Methodology to Ensure HIV Care Services Meet Patient Needs
U.S. Department of Health and Human Services
Health Resources and Services Administration For Immediate Release
March 16, 2026
HRSA News Room newsroom.hrsa.gov Contact: HRSA PRESS OFFICE Phone: 301-443-7070 Media Inquiries: Submit via this form The Health Resources and Services Administration (HRSA) today announced updates to the funding methodology used to calculate Ryan White HIV/AIDS Program Parts A and B formula awards. The change better aligns resources with jurisdictions where people with HIV currently live and receive life-saving care and treatment services.
For fiscal year (FY) 2026, Ryan White HIV/AIDS Program Parts A and B formula awards are transitioning to using the number of living HIV/AIDS cases based on a person’s most recent address, rather than residence at the time of HIV diagnosis. This change ensures funding aligns with current surveillance data and where people with HIV live today. This transition will be implemented over a five-year period beginning in FY 2026 through FY 2030 to minimize disruption and allow recipients and systems of care time to adapt.
HRSA’s HIV/AIDS Bureau, which administers the Ryan White HIV/AIDS Program, outlined this change in a Federal Register Notice titled Improving Ryan White HIV/AIDS Program Part A and B Formula Awards Using Most Recent Address Data, published on November 10, 2025.
“Advancements in HIV surveillance have strengthened our ability to understand and respond to the epidemic, leading to better HIV care strategies,” said HRSA Administrator Tom Engels. “This update ensures Ryan White HIV/AIDS Program funding for comprehensive HIV primary medical care, medications, and essential support services follows patients and reflects where they are receiving care today.”
For nearly four decades, the Ryan White HIV/AIDS Program has funded and coordinated with cities, counties, states, and community-based organizations to deliver direct health care and support services to more than 600,000 people with HIV with lower incomes each year. Part A funds Eligible Metropolitan Areas and Transitional Grant Areas that are most affected by the HIV epidemic, while Part B provides grants to states and territories.
The program tailors its approaches to meet the needs of people with HIV and their communities, addressing a range of HIV health-related needs, including medical case management, mental and behavioral health services, transportation, housing, and nutrition. These services help clients enter and stay in care, access medications, and remain virally suppressed, which improves individual health outcomes, prevents forward HIV transmission, and reduces health care costs.
Future funding will depend on annual federal appropriations and updated case counts in each jurisdiction. There are no changes to the methodology or data used to determine Part A Eligible Metropolitan Areas and Transitional Grant Areas and Part B Emerging Communities eligibility.
Read the Federal Register Notice outlining the transition.
Learn more about the Ryan White HIV/AIDS Program.
Date Last Reviewed:
March 2026
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