Healthcare / HHS / HRSA
Ryan White HIV/AIDS Program
Funds reach recipients through several distinct routes by Part. Part A is awarded by statutory formula plus competitive supplemental and Minority AIDS Initiative (MAI) awards directly to the chief elected official (mayor/county executive) of Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs), who then subaward to local HIV care providers. Part B is awarded by statutory formula plus competitive supplemental and MAI awards directly to the 50 states, DC, Puerto Rico, the U.S. Virgin Islands, Guam, and the Pacific jurisdictions, which administer services and the AIDS Drug Assistance Program (ADAP) and subaward to local providers. Parts C, D, and F are awarded competitively through HRSA Notices of Funding Opportunity directly to clinics, community-based organizations, and training centers.
- $9.1Bobligated
- $5.7Breceived
- 125active awards
- 61recipients
- 56states
- 11counties
- Federal award record (USAspending)
- Authorizing statute
- Agency allocation table
- 4 primary documents, sealed
Authority
Ryan White HIV/AIDS Program is authorized by Public Health Service Act, Title XXVI (originally the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990), Sections 2601 et seq. (PHS Act Title XXVI), administered by HHS / HRSA, as a mixed program. Statute.
Part A and Part B base/formula awards are calculated under a statutory formula defined in the PHS Act using the number of living HIV/AIDS cases reported to and confirmed by the CDC. For Part A, over 66% of available funds are awarded by formula based on estimated living HIV (non-AIDS) and AIDS cases in the EMA/TGA, with the remainder (less hold-harmless amounts) awarded as discretionary supplemental grants based on demonstrated additional need through separate competition. Part B base grants depend on the number of people living with HIV in the jurisdiction; the Minority AIDS Initiative (MAI) component is formula-distributed to areas with high HIV/AIDS rates. Part A recipients must spend at least 75% on core medical services and no more than 25% on support services. Effective FY 2026, HRSA is transitioning the Part A and B formulas from counting cases by address at HIV diagnosis to counting living HIV/AIDS cases by a person's MOST RECENT address, phased in over five years (FY 2026 through FY 2030); this change was set out in a Federal Register Notice published November 10, 2025 (90 FR 50747).
Allocations by jurisdiction
113 jurisdictions, from the published allocation table.
| Jurisdiction | Amount | Note |
|---|---|---|
| Alabama | $20.1M | Part B total (Base 8998610, ADAP 10644138, Emerging Communities 320322, MAI 163340) |
| Alaska | $1.9M | Part B total incl X08 supplemental 858441 |
| Arizona | $23.3M | Part B total incl X08 3612174, X09 emergency relief 2082283 |
| Arkansas | $8.5M | Part B total |
| California | $149.2M | Part B total (ADAP 102403026) |
| Colorado | $16.5M | Part B total |
| Connecticut | $18.4M | Part B total |
| Delaware | $6.2M | Part B total |
| District of Columbia | $17.7M | Part B total (ADAP Supplemental 1992064) |
| Florida | $126.3M | Part B total (ADAP 83961054) |
| Georgia | $74.3M | Part B total (ADAP Supplemental 7777404) |
| Hawaii | $3.4M | Part B total |
| Idaho | $4.4M | Part B total |
| Illinois | $43.6M | Part B total (ADAP Supplemental 5366463) |
| Indiana | $23.1M | Part B total |
| Iowa | $3.7M | Part B total |
| Kansas | $5.4M | Part B total |
| Kentucky | $10.9M | Part B total |
| Louisiana | $27.7M | Part B total |
| Maine | $1.8M | Part B total |
| Maryland | $34.4M | Part B total |
| Massachusetts | $24.0M | Part B total |
| Michigan | $23.7M | Part B total |
| Minnesota | $15.4M | Part B total |
| Mississippi | $472K | Part B total (low base award 1 dollar; reflects formula/hold-harmless mechanics for FY2025) |
| Missouri | $15.9M | Part B total |
| Montana | $1.2M | Part B total |
| Nebraska | $6.7M | Part B total |
| Nevada | $12.8M | Part B total |
| New Hampshire | $1.4M | Part B total |
| New Jersey | $45.4M | Part B total |
| New Mexico | $4.5M | Part B total |
| New York | $133.8M | Part B total (ADAP 87940403) |
| North Carolina | $45.0M | Part B total |
| North Dakota | $865K | Part B total |
| Ohio | $25.3M | Part B total |
| Oklahoma | $8.9M | Part B total |
| Oregon | $6.6M | Part B total |
| Pennsylvania | $41.6M | Part B total (ADAP Supplemental 4850402) |
| Puerto Rico | $20.8M | Part B total (ADAP Supplemental 2441624) |
| Rhode Island | $5.2M | Part B total |
| South Carolina | $25.1M | Part B total |
| South Dakota | $2.0M | Part B total (X09 emergency relief 962983) |
| Tennessee | $27.8M | Part B total |
| Texas | $126.5M | Part B total (ADAP 74029195, ADAP Supplemental 14244787) |
| Utah | $6.7M | Part B total |
| Vermont | $2.0M | Part B total |
| Virginia | $29.7M | Part B total |
| Washington | $24.3M | Part B total (ADAP Supplemental 1902990) |
| West Virginia | $5.0M | Part B total |
| Wisconsin | $16.0M | Part B total |
| Wyoming | $759K | Part B total |
| Guam | $281K | Part B total (territory) |
| Virgin Islands | $967K | Part B total (territory) |
| American Samoa | $50K | Part B total (Pacific jurisdiction) |
| Marshall Islands | $51K | Part B total (Pacific jurisdiction) |
| Northern Mariana Islands | $60K | Part B total (listed as Mariana Island) |
| Republic of Palau | $2 | Part B total (Pacific jurisdiction; nominal formula amount) |
| Federated States of Micronesia | $51K | Part B total (listed as F. States Micronesia) |
| ALL JURISDICTIONS TOTAL (Part B) | $1.3B | Sum of FY2025 Total Part B Funding across all rows. Component totals: Base 332821231; ADAP 776010672; ADAP Supplemental 41240650; Emerging Communities 5000000; MAI 10631582; Part B X07 award 1165704135; X08 supplemental 87044467; X09 emergency relief 75000000. |
| Atlanta, GA (EMA) | $32.3M | Part A total (Formula 19692749, Supplemental 9764008, MAI 2882736) |
| Austin, TX (TGA) | $5.7M | Part A total |
| Baltimore, MD (EMA) | $15.7M | Part A total |
| Baton Rouge, LA (TGA) | $4.6M | Part A total |
| Boston, MA (EMA) | $15.2M | Part A total |
| Charlotte, NC (TGA) | $6.9M | Part A total |
| Chicago, IL (EMA) | $27.7M | Part A total |
| Cleveland, OH (TGA) | $4.8M | Part A total |
| Columbus, OH (TGA) | $5.0M | Part A total |
| Dallas, TX (EMA) | $21.2M | Part A total |
| Denver, CO (TGA) | $7.3M | Part A total |
| Detroit, MI (EMA) | $10.1M | Part A total |
| Fort Lauderdale, FL (EMA) | $16.0M | Part A total |
| Fort Worth, TX (TGA) | $5.5M | Part A total |
| Hartford, CT (TGA) | $2.9M | Part A total |
| Houston, TX (EMA) | $27.6M | Part A total |
| Indianapolis, IN (TGA) | $4.9M | Part A total |
| Jacksonville, FL (TGA) | $6.1M | Part A total |
| Kansas City, MO (TGA) | $4.5M | Part A total |
| Las Vegas, NV (TGA) | $7.6M | Part A total |
| Los Angeles, CA (EMA) | $46.3M | Part A total (Formula 28479160, Supplemental 14094193, MAI 3722387) |
| Memphis, TN (TGA) | $6.9M | Part A total |
| Miami, FL (EMA) | $26.8M | Part A total |
| Mineola, NY (Nassau-Suffolk TGA) | $5.7M | Part A total |
| Minneapolis, MN (TGA) | $6.1M | Part A total |
| Nashville, TN (TGA) | $4.4M | Part A total |
| New Brunswick, NJ (TGA) | $2.8M | Part A total |
| New Haven, CT (TGA) | $5.3M | Part A total |
| New Orleans, LA (EMA) | $8.1M | Part A total |
| New York, NY (EMA) | $89.7M | Part A total (Formula 52163140, Supplemental 29762447, MAI 7736644); largest Part A award |
| Newark, NJ (EMA) | $12.3M | Part A total |
| Norfolk, VA (TGA) | $6.0M | Part A total |
| Oakland, CA (TGA) | $7.4M | Part A total |
| Orlando, FL (TGA) | $10.9M | Part A total |
| Paterson, NJ (TGA) | $3.9M | Part A total |
| Philadelphia, PA (EMA) | $22.8M | Part A total |
| Phoenix, AZ (TGA) | $11.0M | Part A total |
| Portland, OR (TGA) | $4.1M | Part A total |
| Sacramento, CA (TGA) | $3.8M | Part A total |
| Saint Louis, MO (TGA) | $6.4M | Part A total |
| San Antonio, TX (TGA) | $6.2M | Part A total |
| San Bernardino, CA (Riverside-San Bernardino TGA) | $9.3M | Part A total |
| San Diego, CA (EMA) | $12.3M | Part A total |
| San Francisco, CA (EMA) | $14.8M | Part A total |
| San Jose, CA (TGA) | $3.5M | Part A total |
| San Juan, PR (EMA) | $10.4M | Part A total |
| Santa Ana, CA (Orange County TGA) | $6.7M | Part A total |
| Seattle, WA (TGA) | $7.2M | Part A total |
| Secaucus, NJ (Bergen-Passaic TGA) | $4.8M | Part A total |
| Tampa, FL (TGA) | $10.7M | Part A total |
| Washington, DC (EMA) | $32.0M | Part A total (Formula 18968275, Supplemental 10305108, MAI 2771099) |
| West Palm Beach, FL (EMA) | $7.4M | Part A total |
| ALL RECIPIENTS TOTAL (Part A) | $647.5M | Sum of Total FY2025 Part A Award across 51 EMA/TGA recipients. Component totals: Formula 390273661; Supplemental 204939195; MAI 52283517. |
Where the money lands
Place-of-performance obligations by state, with per-capita, sealed in the location chain.
| State | Obligated | Per capita |
|---|---|---|
| California | $644.6M | $16.30 |
| New York | $574.1M | $28.42 |
| Florida | $558.0M | $25.91 |
| Texas | $551.9M | $18.94 |
| Georgia | $318.2M | $29.70 |
| North Carolina | $199.7M | $19.13 |
| Illinois | $187.6M | $14.64 |
| New Jersey | $184.7M | $19.88 |
| Maryland | $144.9M | $23.46 |
| Pennsylvania | $142.1M | $10.93 |
| Tennessee | $124.7M | $18.05 |
| Virginia | $118.2M | $13.70 |
| Indiana | $106.3M | $15.67 |
| Puerto Rico | $105.6M | $32.14 |
| Louisiana | $104.0M | $22.32 |
| South Carolina | $93.9M | $18.35 |
| Ohio | $93.7M | $7.94 |
| Michigan | $88.8M | $8.81 |
| Massachusetts | $85.3M | $12.13 |
| Arizona | $82.8M | $11.58 |
| Washington | $79.4M | $10.30 |
| Connecticut | $76.9M | $21.33 |
| Colorado | $68.2M | $11.81 |
| Alabama | $65.6M | $13.06 |
| District Of Columbia | $63.7M | $92.35 |
| Wisconsin | $55.4M | $9.41 |
| Nevada | $55.2M | $17.78 |
| Minnesota | $49.2M | $8.63 |
| Iowa | $45.7M | $14.34 |
| Arkansas | $36.1M | $12.00 |
| Nebraska | $35.1M | $17.87 |
| Missouri | $33.2M | $5.39 |
| Kentucky | $31.8M | $7.05 |
| Oregon | $28.8M | $6.79 |
| Kansas | $28.7M | $9.77 |
| Utah | $28.2M | $8.62 |
| Delaware | $25.5M | $25.73 |
| Rhode Island | $24.3M | $22.13 |
| Idaho | $22.6M | $12.28 |
| New Mexico | $19.7M | $9.31 |
| West Virginia | $18.9M | $10.52 |
| Mississippi | $13.4M | $4.52 |
| South Dakota | $7.9M | $8.90 |
| Maine | $7.7M | $5.65 |
| Oklahoma | $7.6M | $1.92 |
| Vermont | $7.1M | $11.08 |
| Hawaii | $7.0M | $4.79 |
| Alaska | $6.8M | $9.28 |
| Montana | $5.3M | $4.87 |
| New Hampshire | $5.1M | $3.73 |
| U.S. Virgin Islands | $4.1M | $46.62 |
| Wyoming | $3.3M | $5.65 |
| North Dakota | $1.8M | $2.32 |
| Guam | $1.3M | $8.30 |
| Northern Mariana Islands | $284K | $6.00 |
| American Samoa | $117K | $2.36 |
Top recipients
| Recipient | Awards | Obligated | Received |
|---|---|---|---|
| PUBLIC HEALTH, CALIFORNIA DEPARTMENT OF | 3 | $1.1B | $697.6M |
| HEALTH RESEARCH, INC. | 3 | $992.0M | $611.7M |
| FLORIDA DEPARTMENT OF HEALTH | 3 | $946.0M | $594.8M |
| DEPARTMENT OF STATE HEALTH SERVICES | 3 | $900.9M | $594.2M |
| STATE OF GEORGIA DEPARTMENT OF PUBLIC HEALTH | 3 | $584.3M | $336.3M |
| DEPARTMENT OF PUBLIC HEALTH ILLINOIS | 2 | $326.2M | $196.5M |
| HEALTH, NEW JERSEY DEPARTMENT OF | 2 | $285.8M | $183.0M |
| NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | 2 | $284.1M | $158.5M |
| PENNSYLVANIA DEPARTMENT OF HEALTH | 2 | $255.8M | $173.0M |
| MARYLAND DEPARTMENT OF HEALTH | 2 | $255.7M | $158.7M |
Source documents
4 primary documents, parsed and sealed by content hash.
- 42 U.S.C. Chapter 6A, Subchapter XXIV - HIV Health Care Services Program (U.S. Code, prelim) statute
- Public Law 101-381 - Ryan White Comprehensive AIDS Resources Emergency Act of 1990 statute, 53 pages
- Improving Ryan White HIV/AIDS Program Part A and B Formula Awards Using Most Recent Address Data (Federal Register Notice, 90 FR 50747) regulation
- Ryan White HIV/AIDS Program opportunities (Simpler.Grants.gov) grants-portal
Questions
- How does Ryan White HIV/AIDS Program money reach recipients?
- Funds reach recipients through several distinct routes by Part. Part A is awarded by statutory formula plus competitive supplemental and Minority AIDS Initiative (MAI) awards directly to the chief elected official (mayor/county executive) of Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs), who then subaward to local HIV care providers. Part B is awarded by statutory formula plus competitive supplemental and MAI awards directly to the 50 states, DC, Puerto Rico, the U.S. Virgin Islands, Guam, and the Pacific jurisdictions, which administer services and the AIDS Drug Assistance Program (ADAP) and subaward to local providers. Parts C, D, and F are awarded competitively through HRSA Notices of Funding Opportunity directly to clinics, community-based organizations, and training centers.
- How much federal funding does Ryan White HIV/AIDS Program represent?
- As of 2026-06-05, $9.1B was obligated across 125 active awards to 61 recipients in 56 states and 11 counties. This is a sealed point-in-time figure from USAspending, the federal system of record.
- What law authorizes Ryan White HIV/AIDS Program?
- Ryan White HIV/AIDS Program is authorized by Public Health Service Act, Title XXVI (originally the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990), Sections 2601 et seq. (PHS Act Title XXVI), administered by HHS / HRSA.