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Grants to USA State Agencies to Improve Services to Individuals with HIV

Ryan White HIV/AIDS Program (RWHAP) Part B State/Territories Supplemental Grant Program


GrantWatch ID#

Funding Source
U.S. Department of Health and Human Services (HHS) - Health Resources and Services Administration (HRSA)
CFDA Number: 93.917
Funding or PIN Number: HRSA-23-055
Array ( [0] => American Samoa (USA); [1] => Guam (USA); [2] => Puerto Rico (USA); [3] => Virgin Islands (USA); [4] => Northern Mariana Islands (USA); )

Geographic Focus
USA Territories: American Samoa (USA);   Guam (USA);   Puerto Rico (USA);   Virgin Islands (USA);   Northern Mariana Islands (USA);
USA Compact Free Associations:The Federated States of Micronesia (USA)   Marshall Islands (USA)   Republic of Palau (USA)

Important Dates
Deadline: 04/20/23 11:59 PM ET Save

Grant Description
Grants to USA and territories state agencies to develop and/or enhance access to services for low-income individuals living with HIV and their families. Applicants are advised that required registrations may take several weeks to complete. Funding is intended for the provision of medical and support services.

The purpose of this program is to supplement formula-based funding provided through the HIV Care Grant Program – RWHAP Part B States/Territories Formula and AIDS Drug Assistance Program (ADAP) Formula and ADAP Supplemental Awards Notice of Funding Opportunity.

States/territories use RWHAP Part B Supplemental Grant Program funding in conjunction with RWHAP Part B HIV Care Grant Program funding to develop and/or enhance access to a comprehensive continuum of high-quality care and treatment services for low-income people with HIV. To obtain funding, states/territories must demonstrate that RWHAP Part B supplemental funding is necessary to provide comprehensive HIV care and treatment services for people with HIV in the state/territory. Proposed activities should include the provision of core medical and/or support services, as defined in HRSA HAB Policy Clarification Notice (PCN) 16-02: RWHAP Services: Eligible Individuals and Allowable Uses of Funds, and other activities to ensure responsiveness to unmet needs. States/territories must describe how proposed activities will address unmet needs and improve client-level health outcomes across the HIV care continuum, including viral suppression.

Eligible RWHAP Part B states/territories that are focus areas, or have counties that are focus areas, for the Ending the HIV Epidemic (EHE) initiative should consider if there is an increased need for RWHAP Part B supplemental funding due to the EHE initiative efforts using criteria below.

As required in section 2620(b) of the Public Health Service (PHS) Act, states/territories must demonstrate the severity of the need for RWHAP Part B supplemental funding using quantifiable data in one or more of the following areas:

  1. The unmet need for such services, as determined under section 2617(b) of the PHS Act.
  2. An increasing need for HIV/AIDS-related services, including relative rates of increase in the number of cases of HIV/AIDS.
  3. The relative rates of increase in the number of cases of HIV/AIDS within new or emerging subpopulations.
  4. The current prevalence of HIV/AIDS.
  5. Relevant factors related to the cost and complexity of delivering health care to individuals with HIV/AIDS in the eligible area.
  6. The impact of co-morbid factors, including co-occurring conditions, determined relevant by the Secretary.
  7. The prevalence of homelessness.
  8. The prevalence of individuals who were released from federal, state, or local prisons during the preceding three (3) years, and had HIV/AIDS on the date of their release.
  9. The relevant factors that limit access to health care, including geographic variation, adequacy of health insurance coverage, and language barriers.
  10. The impact of a decline in the amount of RWHAP Part B funding received on services available to all individuals with HIV/AIDS identified and eligible under this title.

If you are a state/territory with current or potential shortfalls in ADAP resources, HRSA strongly encourages you to prioritize use of RWHAP Part B supplemental funds to augment ADAP resources when the following conditions exist:

  1. Existing or anticipated ADAP waiting list,
  2. Capped enrollment,
  3. Reductions in ADAP formulary,
  4. Reduction in the percentage of federal poverty level (FPL) eligibility requirement, and/or
  5. Other ADAP restrictions within the state/territory.


  • Others (see text field entitled "Additional Eligibility Criteria" for clarification)
  • State governments

Additional Eligibility Criteria
Under Sections 2620 and 2689(11) of the PHS Act, all “States” – defined as all 50 States, the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, Guam, American Samoa, the Commonwealth of the Northern Mariana Islands, the Republic of Palau, the Federated States of Micronesia, and the Republic of the Marshall Islands – are eligible for RWHAP Part B supplemental funding, unless any such state/territory had an unobligated balance of more than five percent of a prior year’s formula funds.

However, the Coronavirus Disease 2019 (COVID-19) public health emergency has posed significant challenges for RWHAP recipients, providers, and clients to provide and access care. On February 23, 2021, HRSA HAB released a letter that waived certain statutory penalties and administrative requirements for funds awarded in FY 2020 and 2021 in accordance with the Consolidated Appropriations Act, 2021, Pub. L. 116- 260, Division M, § 307. Requirements regarding the timeframe for obligation and expenditure of formula and supplemental RWHAP funds within the designated timeframe, including the requirement to submit an estimated unobligated balance and carryover request prior to the end of the grant year, and associated penalties were waived. Therefore, no states/territories will be deemed ineligible for the FY 2023 RWHAP States/Territories Part B Supplemental Grant Program.

RWHAP Part B funding cannot be used for:
- Charges that are billable to third party payers including but not limited to private health insurance, prepaid health plans, Medicaid, Medicare;
- International travel;
- Construction (however, minor alterations and renovations to an existing facility to make it more suitable for the purpose of the grant program are allowable with prior HRSA approval);
- PrEP or Post-Exposure Prophylaxis (nPEP) medications or the related medical services (see the June 22, 2016, RWHAP and PrEP program letter);
- Syringe Services Programs (SSPs). Some aspects of SSPs are allowable with HRSA's prior approval and in compliance with HHS and HRSA policy; however, the purchase of syringes and materials used to inject illicit drugs are not allowable;
- Cash payments to intended recipients of RWHAP services; or
- Development of materials designed to directly promote or encourage intravenous drug use or sexual activity, whether homosexual or heterosexual.

Pre-Proposal Conference
Technical Assistance

HRSA has scheduled the following webinar:
Topic: HRSA-23-055 (X08) Recipient TA Webinar
Thursday February 2, 2023
2 p.m. Eastern Time (US and Canada)

Attendees without computer access or computer audio can use the dial-in information

U.S. Toll-free: 833-568-8864
Meeting ID: 161 641 6046
Passcode: ELaA9QRx

HRSA will record the webinar and will post to TargetHIV when available.

Pre-Application Information
The due date for applications under this NOFO is April 20, 2023 at 11:59 p.m. ET. HRSA suggests submitting applications to at least 3 calendar days before the deadline to allow for any unforeseen circumstances.

Ensure your and registrations and passwords are current immediately. Deadline extensions are not granted for lack of registration. Registration in all systems may take up to one month to complete.

The UEI, a “new, non-proprietary identifier” assigned by the System for Award Management (, will replace the Data Universal Numbering System (DUNS) number.

HRSA requires you to apply electronically. HRSA encourages you to apply through using the SF-424 workspace application package associated with this notice of funding opportunity (NOFO) following the directions provided at

HRSA will release the Notice of Award (NOA) on or around the start date of September 30, 2023.

Determine eligibility:

How to complete registrations:

How to prepare your application:

Grants process:


View this opportunity on

For a list of application documents, see the Package tab (press Preview) on the link above.

Additional Funding Information

Estimated Total Program Funding:


Number of Grants
Up to 30

Estimated Size of Grant
Up to $9,000,000 per award

Term of Contract
Period of Performance: September 30, 2023 through September 29, 2024 (1 year)

Contact Information
You may request additional information and/or technical assistance regarding business, administrative, or fiscal issues related to this NOFO by contacting:

Marie Mehaffey Grants Management Specialist
Division of Grants Management Operations, OFAM
Health Resources and Services Administration
5600 Fishers Lane, Mailstop 10SWH03
Rockville, MD 20857
Telephone: (301) 945-3934

You may request additional information regarding the overall program issues and/or technical assistance related to this NOFO by contacting:

Kibibi Matthews-Brown
Senior Program Advisor
Division of State HIV/AIDS Programs (DSHAP)
Health Resources and Services Administration
Phone: (301) 443-1035
Email :

For assistance, contact: Contact Center Telephone: 1-800-518-4726 (International callers dial 606-545-5035) Email:
Self-Service Knowledge Base

RFP & Supporting Documents
Full Grant Text RFP

Before starting your grant application, please review the funding source's website listed below for updates / changes / addendums / conferences / LOIs.

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