Public health / HHS / HRSA
Ending the HIV Epidemic
Multi-agency. Congress appropriates EHE funds annually, split across HRSA, CDC, IHS, and NIH. HRSA delivers its EHE share as Ryan White Parts A and B cooperative agreements (supplemental EHE awards) to the same recipients that already receive base Ryan White formula funding: Part A goes to Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs) covering the 48 high-burden counties plus Washington DC and San Juan PR; Part B goes to seven high-rural-burden states plus Ohio (for Hamilton County). HRSA also funds Health Centers for testing/PrEP. CDC sends its EHE share as a cooperative agreement (PS20-2010) directly to state and local health departments in the 57 priority jurisdictions. Subrecipients (clinics, CBOs) are paid by the EMA/TGA/state recipient or health department, not by the federal agency directly.
- $9.7Bobligated
- $6.0Breceived
- 159active awards
- 100recipients
- 45states
- 70counties
- Federal award record (USAspending)
- Authorizing statute
- Agency allocation table
- 3 primary documents, sealed
Authority
Ending the HIV Epidemic is authorized by Public Health Service Act, Title XXVI (HIV Health Care Services Program); HRSA EHE Parts A and B cooperative agreement also cites PHS Act Section 311(c), administered by HHS / HRSA, as a mixed program. Statute.
EHE focuses resources on the 57 geographic priority jurisdictions identified by HIV incidence/burden: 48 counties, Washington DC, San Juan PR, and 7 high-rural-burden states. HRSA EHE Parts A/B supplemental awards are allocated to the existing Ryan White Part A (EMA/TGA) and Part B (state) recipients covering those jurisdictions; base Ryan White Parts A and B awards themselves are formula-driven (FY 2026 methodology updated to count living HIV cases by a person's most recent address). No applicant cost-match is the gating factor for EHE supplemental funds; awards are cooperative agreements tied to EHE implementation plans and the four pillars (Diagnose, Treat, Prevent, Respond).
Allocations by jurisdiction
48 jurisdictions, from the published allocation table.
| Jurisdiction | Amount | Note |
|---|---|---|
| Atlanta, GA EMA | $4.0M | Cobb; DeKalb; Fulton; Gwinnett counties |
| Baltimore, MD EMA | $2.3M | Baltimore City |
| Boston, MA EMA | $2.2M | Suffolk County |
| Chicago, IL EMA | $3.6M | Cook County |
| Dallas, TX EMA | $2.7M | Dallas County |
| Detroit, MI EMA | $1.9M | Wayne County |
| Ft. Lauderdale, FL EMA | $2.5M | Broward County |
| Houston, TX EMA | $3.6M | Harris County |
| Los Angeles, CA EMA | $6.2M | Los Angeles County |
| Miami, FL EMA | $3.5M | Miami-Dade County |
| New Orleans, LA EMA | $1.5M | Orleans Parish |
| New York, NY EMA | $13.1M | Bronx; Kings; New York; Queens counties |
| Newark, NJ EMA | $2.0M | Essex County |
| Orlando, FL EMA | $2.0M | Orange County |
| Philadelphia, PA EMA | $2.5M | Philadelphia County |
| Phoenix, AZ EMA | $2.0M | Maricopa County |
| San Diego, CA EMA | $2.0M | San Diego County |
| San Francisco, CA EMA | $2.0M | San Francisco County |
| San Juan, PR EMA | $1.5M | San Juan Municipio |
| Tampa-St. Petersburg, FL EMA | $2.0M | Hillsborough; Pinellas counties |
| Washington, DC EMA | $2.9M | District of Columbia; Montgomery County MD; Prince George's County MD |
| West Palm Beach, FL EMA | $1.5M | Palm Beach County |
| Austin, TX TGA | $1.2M | Travis County |
| Baton Rouge, LA TGA | $1.2M | East Baton Rouge Parish |
| Charlotte-Gastonia, NC/SC TGA | $1.4M | Mecklenburg County NC |
| Cleveland-Lorain-Elyria, OH TGA | $1.2M | Cuyahoga County |
| Columbus, OH TGA | $1.2M | Franklin County |
| Ft. Worth, TX TGA | $1.2M | Tarrant County |
| Indianapolis, IN TGA | $1.2M | Marion County |
| Jacksonville, FL TGA | $1.2M | Duval County |
| Jersey City, NJ TGA | $1.2M | Hudson County |
| Las Vegas, NV TGA | $1.6M | Clark County |
| Memphis, TN TGA | $1.3M | Shelby County |
| Oakland, CA TGA | $1.5M | Alameda County |
| Orange County, CA TGA | $1.2M | Orange County |
| Riverside-San Bernardino, CA TGA | $2.0M | Riverside; San Bernardino counties |
| Sacramento, CA TGA | $1.2M | Sacramento County |
| San Antonio, TX TGA | $1.2M | Bexar County |
| Seattle, WA TGA | $1.5M | King County |
| Alabama | $2.0M | RWHAP Part B state (rural burden) |
| Arkansas | $1.2M | RWHAP Part B state (rural burden) |
| Kentucky | $1.3M | RWHAP Part B state (rural burden) |
| Mississippi | $1.7M | RWHAP Part B state (rural burden) |
| Missouri | $2.0M | RWHAP Part B state (rural burden) |
| Ohio | $1.2M | RWHAP Part B, on behalf of Hamilton County |
| Oklahoma | $1.2M | RWHAP Part B state (rural burden) |
| South Carolina | $2.2M | RWHAP Part B state (rural burden) |
| TOTAL (RWHAP Parts A and B EHE recipients) | $102.8M | Sum of all Part A EMA/TGA and Part B state EHE awards; excludes separate EHE TA/Systems Coordination (8,000,000) and AETC (4,000,000) awards |
Where the money lands
Place-of-performance obligations by state, with per-capita, sealed in the location chain.
| State | Obligated | Per capita |
|---|---|---|
| New York | $554.2M | $27.43 |
| California | $538.8M | $13.63 |
| Florida | $429.2M | $19.93 |
| Texas | $319.4M | $10.96 |
| District Of Columbia | $160.6M | $232.84 |
| Georgia | $152.4M | $14.23 |
| New Jersey | $127.1M | $13.68 |
| Illinois | $124.3M | $9.70 |
| Pennsylvania | $107.3M | $8.26 |
| Maryland | $81.6M | $13.21 |
| Tennessee | $67.8M | $9.81 |
| Massachusetts | $67.4M | $9.59 |
| Louisiana | $66.2M | $14.21 |
| Ohio | $53.3M | $4.52 |
| Puerto Rico | $52.7M | $16.03 |
| Michigan | $49.0M | $4.87 |
| Arizona | $45.6M | $6.38 |
| Connecticut | $41.9M | $11.62 |
| Missouri | $38.9M | $6.31 |
| Washington | $37.8M | $4.90 |
| Colorado | $37.5M | $6.50 |
| Nevada | $35.3M | $11.38 |
| North Carolina | $32.0M | $3.06 |
| Virginia | $28.0M | $3.25 |
| Indiana | $27.7M | $4.08 |
| Minnesota | $26.3M | $4.61 |
| Oregon | $17.6M | $4.16 |
| South Carolina | $8.6M | $1.69 |
| Alabama | $7.2M | $1.43 |
| Arkansas | $5.7M | $1.91 |
| Kentucky | $5.4M | $1.21 |
| New Mexico | $1.7M | $0.80 |
| Oklahoma | $273K | $0.07 |
| Alaska | $0 | $0.00 |
| Utah | $0 | $0.00 |
| Hawaii | $0 | $0.00 |
| Northern Mariana Islands | $0 | $0.00 |
| Delaware | $0 | $0.00 |
| Iowa | $0 | $0.00 |
| Wisconsin | $0 | $0.00 |
| American Samoa | $-1536 | $-0.03 |
| West Virginia | $-21319 | $-0.01 |
| U.S. Virgin Islands | $-22091 | $-0.25 |
| North Dakota | $-657454 | $-0.84 |
| Mississippi | $-7430485 | $-2.51 |
Top recipients
| Recipient | Awards | Obligated | Received |
|---|---|---|---|
| HEALTH RESEARCH, INC. | 3 | $989.8M | $610.3M |
| FLORIDA DEPARTMENT OF HEALTH | 1 | $867.4M | $543.4M |
| CITY OF NEW YORK | 2 | $830.4M | $512.4M |
| COUNTY OF LOS ANGELES | 2 | $407.6M | $264.3M |
| DISTRICT OF COLUMBIA, GOVERNMENT OF | 3 | $361.5M | $222.7M |
| COUNTY OF FULTON | 2 | $274.9M | $164.3M |
| PENNSYLVANIA DEPARTMENT OF HEALTH | 1 | $254.5M | $173.0M |
| HARRIS COUNTY | 2 | $236.0M | $144.6M |
| MARYLAND DEPARTMENT OF HEALTH | 1 | $235.1M | $147.7M |
| CHICAGO DEPARTMENT OF PUBLIC HEALTH | 2 | $231.3M | $139.9M |
Source documents
3 primary documents, parsed and sealed by content hash.
Questions
- How does Ending the HIV Epidemic money reach recipients?
- Multi-agency. Congress appropriates EHE funds annually, split across HRSA, CDC, IHS, and NIH. HRSA delivers its EHE share as Ryan White Parts A and B cooperative agreements (supplemental EHE awards) to the same recipients that already receive base Ryan White formula funding: Part A goes to Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs) covering the 48 high-burden counties plus Washington DC and San Juan PR; Part B goes to seven high-rural-burden states plus Ohio (for Hamilton County). HRSA also funds Health Centers for testing/PrEP. CDC sends its EHE share as a cooperative agreement (PS20-2010) directly to state and local health departments in the 57 priority jurisdictions. Subrecipients (clinics, CBOs) are paid by the EMA/TGA/state recipient or health department, not by the federal agency directly.
- How much federal funding does Ending the HIV Epidemic represent?
- As of 2026-06-05, $9.7B was obligated across 159 active awards to 100 recipients in 45 states and 70 counties. This is a sealed point-in-time figure from USAspending, the federal system of record.
- What law authorizes Ending the HIV Epidemic?
- Ending the HIV Epidemic is authorized by Public Health Service Act, Title XXVI (HIV Health Care Services Program); HRSA EHE Parts A and B cooperative agreement also cites PHS Act Section 311(c), administered by HHS / HRSA.