29:
398:
426:
332:
increased 10-fold. The Act was reauthorized in 1996, 2000, 2006, and 2009. The program provides some level of care for around 500,000 people a year and, in 2004, provided funds to 2,567 organizations. The Ryan White programs also fund local and state primary medical care providers, support services, healthcare provider training programs, and provide technical assistance to such organizations.
412:
The Ryan White Care Act was due to be reauthorized at the end of 2005, but
Congress could not reach agreement on changes, and the act was extended for one year under the old terms. Then, in 2006, the act was reauthorized for three more years, ending on September 30, 2009 with a funding level of $ 2.1
362:
on waiting lists to receive financial assistance to afford medications to treat HIV. These waiting lists were largely the result of insufficient funding to keep up with the demand for ADAP services by new potential patients through the congressional appropriations process through which state ADAP
377:
During the 2000s, states and territories across the United States were forced to develop waiting lists that ranged from as few as 1 person to as many as hundreds of people. Other states closed registration to new applicants or instituted state-level eligibility guidelines beyond those required by
331:
Ryan White programs are "payer of last resort" which fund treatment when no other resources are available. As AIDS has spread, the funding of the program has increased. In 1991, the first year funds were appropriated, around US$ 220 million were spent; by the early 2000s, this number had almost
347:. The Ryan White CARE Act mandates that EMS personnel can find out whether they were exposed to life-threatening diseases while providing care. (This notification provision was included in the original 1990 act, dropped in the 2006 reauthorization, and reinstated in the 2008 reauthorization).
413:
billion. Prior to the reauthorization, the act allocated money based on the proportion of patients with AIDS in each region. The 2006 reauthorization changed this allocation mechanism to also consider the number of people living with HIV who do not have a clinical diagnosis of AIDS
416:
A significant portion of funding from the act is emergency relief for
Eligible Metropolitan Areas. The 2006 reauthorization redefined EMAs as cities with a population greater than 50,000, instead of previous versions which required 500,000.
304:. In exchange for States adopting harsh criminal laws regulating the conduct of HIV-positive individuals and providing for their public felony prosecution, the act made federal funding available through contingency grants to states for
370:, the state ADAP programs are funded as discretionary grant programs. This means that Congress chooses a portion of the RWHAP Part B appropriation for the ADAP base. The amount that each state receives is determined by the
1600:
436:
In 2009, Congress passed the Ryan White HIV/AIDS Treatment
Extension Act, which was signed by President Obama on October 30, 2009. This bill extends the Ryan White Care Act for an additional four years.
388:
By 2017, ADAP waiting lists were all but been eliminated as a result of reprogrammed funding from other parts of the RWHAP and separate
Congressional emergency funding allocations between 2010 and 2013.
1040:
204:
1586:
1475:
324:
through a tainted blood transfusion. He was diagnosed with AIDS in 1984 at age 13 and was subsequently expelled from school because of the disease. White became a well-known advocate for
1238:
1173:
708:
1424:
1732:
1468:
385:'s ADAP waiting list, the announcement of which led to nationwide calls for the appropriation of emergency funds and increased overall appropriations to end waiting lists.
1265:
1136:
378:
HRSA. PLWHA who were financially eligible to receive assistance from state ADAP programs found themselves unable to receive them, forcing delays in care and treatment.
1231:
1067:
927:
1431:
1482:
1309:
1194:
462:
1410:
1215:
213:
1129:
1122:
1115:
649:"Announcements: Reinstatement of Notification Requirements for Emergency Response Employees Potentially Exposed to Life-Threatening Infectious Diseases"
1737:
1556:
1579:
1023:
951:
1318:
1224:
350:
By one estimate, the Ryan White CARE Act saved the lives of 57,000 people through 2018. The cost of each avoided HIV/AIDS death was $ 334,000.
1549:
1060:
374:
through the use of a funding formula that takes into account the number of PLWHA in the state or territory in the most recent calendar year.
469:
infection." The current SPNS effort began in 1991 with several federal grants; portfolio of 72 grants currently address issues in HIV care.
358:
Throughout most of the 2000s, state Ryan White HIV/AIDS Program (RWHAP) Part B programs — ADAPs — were forced to place financially eligible
335:
In fiscal year 2005, federal funding for the Ryan White CARE Act was $ 2.1 billion. As of 2005, roughly one-third of this money went to the
1166:
1108:
1094:
1085:
542:
371:
1665:
1572:
1208:
43:
to provide grants to improve the quality and availability of care for individuals and families affected by HIV, and for other purposes.
1635:
1621:
1201:
1053:
1035:
610:
1679:
1672:
1417:
1247:
465:
program that helps to "advance knowledge and skills in the health and support services to underserved populations diagnosed with
1187:
1727:
1607:
585:
1540:
1392:
1152:
1145:
880:
1526:
1496:
154:
139:
126:
1101:
445:
In 2013, the Ryan White CARE Act expired; however the
Program remains as Congress continues to appropriate funding.
1651:
1341:
619:
190:
1287:
1280:
1273:
1076:
958:
277:
107:
99:
339:(ADAP) which provides drugs for 30 percent of people living with HIV. The primary activity of ADAP is providing
1503:
1445:
538:
336:
1348:
340:
69:
1695:
1533:
655:
158:
818:
143:
1704:
1369:
962:
264:
92:
1628:
1461:
1362:
1159:
671:"Evidence and Lessons on the Health Impacts of Public Health Funding from the Fight against HIV/AIDS"
40:
848:"The Ryan White CARE Act: A Side-by-Side Comparison of Prior Law to the Newly Reauthorized CARE Act"
1517:
1438:
854:
822:
796:
715:
568:
Johnson, Dirk (April 9, 1990). "Ryan White Dies of AIDS at 18; His
Struggle Helped Pierce Myths".
1565:
952:"Statement of Administration Policy: S.1793: Ryan White HIV/AIDS Treatment Extension Act of 2009"
381:
These treatment delays likely contributed to the 2006 deaths of at least three PLWHA who were on
928:"Remarks by the President at Signing of the Ryan White HIV/AIDS Treatment Extension Act of 2009"
488:"HIV Positive Persons' Awareness and Understanding of their States Criminal HIV Disclosure Laws"
182:
1614:
1510:
1332:
793:"HIV/AIDS Advocacy Group Calls for Emergency ADAP Funds To End Waiting Lists in South Carolina"
344:
293:
1045:
1489:
167:
28:
1642:
1593:
909:
670:
8:
1294:
792:
648:
359:
993:
623:
1383:
570:
512:
487:
133:
709:"Waiting for AIDS Medications in the United States: An Analysis of ADAP Waiting Lists"
586:"AIDS Drug Assistance Programs (ADAPs) - Henry J. Kaiser Family Foundation Fact Sheet"
485:
397:
1452:
690:
517:
243:
979:
273:
1376:
888:
750:
682:
507:
499:
425:
308:, uninsured, and under-insured people to be treated with the chemotherapeutic drug
1018:
289:
847:
592:
932:
486:
Carol L. Galletly; Wayne DiFranceisco; Steven D. Pinkerton (October 31, 2008).
401:
382:
770:
503:
1721:
1030:
694:
325:
297:
194:
1325:
521:
429:
404:
signs the Ryan White HIV/AIDS Treatment
Modernization Act of 2006, in the
1180:
686:
405:
186:
281:
111:
313:
305:
612:
Caring for 'Ryan White': The
Fundamentals of HIV/AIDS Treatment Policy
980:"NACCHO Commemorates the 25th Anniversary of the Ryan White CARE Act"
16:
U.S. Act to improve care for individuals and families affected by HIV
1355:
913:
755:
738:
546:
367:
301:
317:
1425:
Cable
Television Consumer Protection and Competition Act of 1992
1075:
432:
signs the Ryan White HIV/AIDS Treatment
Extension Act of 2009.
910:"S.1793: Ryan White HIV/AIDS Treatment Extension Act of 2009"
22:
Ryan White Comprehensive AIDS Resources Emergency Act of 1990
448:
937:
739:"Which Policy to ADAP-T: Waiting Lists or Waiting Lines?"
466:
321:
309:
285:
773:. National AIDS Treatment Advocacy Project. October 2002
1483:
Food, Agriculture, Conservation, and Trade Act of 1990
1028:
232:
on August 4, 1990 (passed voice vote) and by the
1733:
United States Department of Health and Human Services
257:
Ryan White Comprehensive AIDS Resources Emergency Act
1411:
Alien Species Prevention and Enforcement Act of 1992
296:
and is the largest federally funded program in the
591:. Henry J. Kaiser Family Foundation. Archived from
265:
1557:Residential Lead-Based Paint Hazard Reduction Act
328:and awareness until his death in 1990 at age 18.
1719:
1580:Intermodal Surface Transportation Efficiency Act
736:
1550:Housing and Community Development Act of 1992
1061:
651:. Center for Disease Control and Prevention.
543:Health Resources and Services Administration
372:Health Resources and Services Administration
1573:Individuals with Disabilities Education Act
994:"Special Projects of National Significance"
127:42 U.S.C.: Public Health and Social Welfare
1068:
1054:
236:on August 4, 1990 (passed voice vote)
226:Reported by the joint conference committee
1636:Omnibus Budget Reconciliation Act of 1990
1024:Special projects of national significance
878:
842:
840:
754:
668:
511:
455:Special Projects of National Significance
449:Special Projects of National Significance
222:on June 13, 1990 (passed voice vote)
1738:United States federal health legislation
1622:North American Wetlands Conservation Act
1039:) is being considered for deletion. See
881:"Bush Signs 3 Health Care-Related Bills"
424:
396:
1680:Water Resources Development Act of 1992
1673:Water Resources Development Act of 1990
1601:Matsunaga Hydrogen RD&D Act of 1990
1418:Americans with Disabilities Act of 1990
1257:
819:"AIDS Drug Assistance Programs (ADAPs)"
567:
561:
420:
392:
1720:
837:
608:
533:
531:
1049:
874:
872:
737:Michael S. Saag (November 15, 2006).
1608:National Environmental Education Act
879:Reichmann, Deb (December 19, 2006).
366:Unlike entitlement programs such as
360:Persons Living with HIV/AIDS (PLWHA)
1541:U.S. Global Change Research Program
609:Taylor, Jessamy (August 22, 2005).
528:
13:
1527:Global Change Research Act of 1990
1497:Integrated Farm Management Program
869:
602:
463:United States Department of Health
440:
270:Tooltip Public Law (United States)
14:
1749:
1043:to help reach a consensus. ›
1012:
771:"ADAP Waiting Lists in 12 States"
539:"The Ryan White HIV/AIDS Program"
1652:Pollution Prevention Act of 1990
1446:Clean Air Act Amendments of 1990
620:The George Washington University
353:
205:Senate Labor and Human Resources
27:
1077:Presidency of George H. W. Bush
1036:Presidency of George H. W. Bush
1019:The Ryan White HIV/AIDS Program
986:
972:
959:Office of Management and Budget
944:
936:. October 30, 2009 – via
920:
902:
811:
785:
763:
312:. The act is named in honor of
1504:Stewardship Incentives Program
730:
701:
662:
656:"Occupational Exposure to HIV"
641:
578:
479:
1:
1728:HIV/AIDS in the United States
472:
337:AIDS Drug Assistance Programs
743:Clinical Infectious Diseases
70:101st United States Congress
7:
1534:National Climate Assessment
54:AIDS Prevention Act of 1990
10:
1754:
1239:Presidential proclamations
669:Dillender, Marcus (2023).
1689:
1629:Oil Pollution Act of 1990
1462:Energy Policy Act of 1992
1402:
1308:
1266:Joint session of Congress
1160:White House horseshoe pit
1084:
504:10.1007/s10461-008-9477-y
174:
165:
150:
132:
122:
117:
98:
88:
83:
75:
64:
47:
41:Public Health Service Act
35:
26:
1705:Clinton administration →
1518:Wetlands Reserve Program
1439:Civil Rights Act of 1991
1209:Supreme Court candidates
1041:templates for discussion
855:Kaiser Family Foundation
823:Kaiser Family Foundation
797:Kaiser Family Foundation
716:Kaiser Family Foundation
675:American Economic Review
320:teenager who contracted
159:ch. 6A, subch. XXIII
1696:← Reagan administration
1566:Immigration Act of 1990
1349:Chemical Weapons Accord
345:prescription medication
300:for people living with
201:Committee consideration
151:U.S.C. sections amended
144:ch. 6A, subch. XXIV
1615:National Space Council
1511:USDA Rural Development
1363:1991 Madrid Conference
457:(often abbreviated to
433:
409:
294:United States Congress
230:agreed to by the House
212:on May 16, 1990 (
1490:Forest Legacy Program
1195:Judicial appointments
428:
400:
363:programs are funded.
1643:Truth in Savings Act
1594:Lead and Copper Rule
1469:FDIC Improvement Act
1319:Soviet Union summits
1167:Presidential pardons
968:on November 1, 2009.
687:10.1257/aer.20220089
629:on December 18, 2008
598:on October 29, 2008.
549:on November 27, 2001
421:2009 reauthorization
408:, December 19, 2006.
393:2006 reauthorization
39:An Act to amend the
1666:1992 VRA Amendments
1659:Ryan White CARE Act
1174:International trips
885:The Washington Post
261:Ryan White CARE Act
168:Legislative history
57:Ryan White Care Act
23:
1393:NAFTA negotiations
1384:Unified Task Force
1342:Invasion of Panama
1248:Clinton transition
799:. November 9, 2006
571:The New York Times
434:
410:
246:on August 18, 1990
228:on July 31, 1990;
197:) on March 6, 1990
21:
1715:
1714:
1453:Acid Rain Program
1304:
1303:
1288:1992 SOTU Address
1281:1991 SOTU Address
1274:1990 SOTU Address
1225:Executive actions
1153:Broccoli comments
1146:Vomiting incident
996:. HIV/AIDS bureau
938:National Archives
825:. August 16, 2017
492:AIDS and Behavior
253:
252:
244:George H. W. Bush
210:Passed the Senate
181:in the Senate as
101:Statutes at Large
1745:
1708:
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1379:
1377:Somali Civil War
1372:
1365:
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1232:Executive orders
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1211:
1204:
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1190:
1183:
1181:Oval Office desk
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1155:
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1125:
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990:
984:
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961:. Archived from
956:
948:
942:
941:
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918:
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906:
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895:
889:Associated Press
876:
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749:(10): 1356–167.
734:
728:
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713:
705:
699:
698:
681:(7): 1825–1887.
666:
660:
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652:
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628:
622:. Archived from
617:
606:
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576:
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559:
558:
556:
554:
545:. Archived from
535:
526:
525:
515:
498:(6): 1262–1269.
483:
287:
271:
267:
220:Passed the House
170:
136:sections created
102:
31:
24:
20:
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1592:
1587:JFK Records Act
1585:
1578:
1571:
1564:
1555:
1548:
1539:
1532:
1525:
1516:
1509:
1502:
1495:
1488:
1481:
1474:
1467:
1460:
1451:
1444:
1437:
1432:Cannabis policy
1430:
1423:
1416:
1409:
1403:Domestic policy
1398:
1391:
1382:
1375:
1370:New world order
1368:
1361:
1354:
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870:
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858:
857:. December 2006
850:
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828:
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802:
800:
791:
790:
786:
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718:. December 2004
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461:) program is a
451:
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441:2013 expiration
430:President Obama
423:
395:
356:
286:August 18, 1990
269:
249:
240:Signed into law
166:
161:§ 300ee et seq.
146:§ 300ff et seq.
100:
79:August 18, 1990
65:Enacted by
60:
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1310:Foreign policy
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1013:External links
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933:whitehouse.gov
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756:10.1086/508664
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402:President Bush
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383:South Carolina
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