The “Ending the HIV Epidemic Initiative: A Plan for America”, is a federal effort to reduce new HIV infections in the United States by 75% in five years and 90% in ten years. It was launched by the Trump Administration in 2019, building on efforts made by the Obama Administration and is continuing under the Biden Administration. During Phase 1, the initiative is focusing on the 48 counties in the U.S. with the highest HIV diagnoses, as well as San Juan, Puerto Rico, Washington D.C., and 7 states with a substantial share of rural HIV cases (see Figure 1). The commitment to “ending the HIV epidemic” has been accompanied by additional federal funding, including reprogrammed FY 2019 funding and new Congressional appropriations in FY 2020, FY 2021, and FY 2022. Still, this additional funding accounts for a relatively small share of overall federal HIV funding provided to state and local jurisdictions.

Figure 1: Ending the Epidemic (EHE) Phase 1 Jurisdictions: 48 high burden counties, D.C., San Juan, P.R., and 7 states with a high rural burden

This tracker provides up-to-date data on federal EHE funding, including an overview of funding mechanisms by year, agency, grant mechanism, and jurisdiction. It will be updated over time.

Funding by Year, Agency, and Grant Mechanism

Funding for EHE efforts in FY 2019 were provided through reprogramed funding from the Secretary’s Minority AIDS Initiative. Funding for subsequent years was provided through new Congressional appropriations (see Table 1). In FY21, funding totaled $404.75 million, an increase of $138 million over FY20 but below the Trump Administration’s budget request which totaled $716 million. Funding increased again in FY 2022, to $473.25, a 17% increase over FY 2021 levels, but was again below the budget request. 

Table 1: Ending the Epidemic Final Funding Levels, FY 2019 – FY 2022 (in Millions)
Department / Agency FY 2019 Allocation FY 2020 FY 2021 FY 2022
HHS (general) $6
CDC                  $14 $140 $175 $195
HRSA
  Ryan White $0.98 $70 $105 $125
  Health Centers $50 $102.25 $122.25
  Health Centers (rural health TA) $1 $1.5 NA
IHS $2.4 $0 $5 $5
NIH $11.3 $6 $16 $26
Total $34.68 $267 $404.75 $473.25
Note: FY 2019 funding was reprogramed from other accounts and does not represent a congressional appropriation.
Sources: Domestic HIV Funding in the White House FY 2021 Budget Request; FY 2021 spending bill and explanatory documents.

Prior to the funding appropriated by Congress, detailed in Table 1, the administration makes a presidential budget request for Congress to consider. A budget request lays out presidential priorities both in terms of the policy issues identified and discussed and the level of funding requested. Table 2 provides the history of presidential budget requests since the formation of EHE and shows that the funding request for EHE has increased each year since FY 2020 and has surpassed the appropriated amounts (seen in Table 1).

Table 2: Ending the HIV Epidemic Budget Requests FY20-FY23 (in Millions)
Department / Agency FY20 FY21 FY22 FY23
Request Request Request Request
CDC $140.00 $371.00 $275.00 $310.00
HRSA  
   Ryan White $70.00 $165.00 $190.00 $290.00
   Community Health Centers $50.00 $137.00 $152.00 $172.00
NIH $6.00 $16.00 $26.00 $26.00
IHS $25.00 $27.00 $27.00 $52.00
Total $291.00 $716.00 $670.00 $850.00

Table 3 provides detail on each federal EHE grant mechanism by agency. Most of this funding has been allocated to EHE jurisdictions, although a subset is for agency grantees outside of EHE jurisdictions to carry out related efforts. For example, in FY 2019, CDC provided $14 million through Strategic Partnerships & Planning to Support EHE in the U.S. funding to 32 EHE jurisdictions and one national organization for providing capacity building and technical support to EHE jurisdictions.

Table 3: EHE Funding – Federal Funding Streams and Grants Awarded
Agency/Dept. Grant Name Number of Grantees Grant Total
(in millions)
FY2019 Funding Streams
HHS/ IHS Jumpstart Pilot Funding 4 $6
CDC Strategic Partnerships & Planning to Support EHE in the U.S. 33 (32 to local jurisdictions & 1 national organization for capacity building) $14
HRSA/HAB Building Capacity for HIV Elimination in Ryan White HIV/AIDS Program Part A Jurisdiction 10 $0.981763
NIH CFAR/ARC EHE Supplement Awards 23 (17 CFARs and 6 ARCs) $11.30
IHS EHE Funding for Tribal Epidemiology Centers for diagnosis, treatment and response to HIV, hepatitis C and STIs 9 Tribal Epidemiology Centers $2.40
FY2019 Total $34.68
FY2020 Funding Streams
HRSA/

HAB

Ryan White HIV/AIDS Program Parts A and B Jurisdictions EHE Awards 47 (39 metropolitan areas and 8 states) $55.070
HRSA/

HAB

Ryan White Ending the HIV Epidemic   – Technical Assistance Provider 1 $3.750
HRSA/

HAB

Ryan White Ending the HIV Epidemic – Systems Coordination Provider 1 $1.250
HRSA/

HAB

Ryan White HIV/AIDS Program Part F AIDS Education and Training Centers (AETC) Program EHE Supplemental Awards 11 $2.800
HRSA FY 2020 Ending the HIV Epidemic-Primary Care HIV Prevention (PCHP) Awards 195 $53.705
CDC CDC Integrated HIV Programs for Health Departments to Support EHE in the US – Component A 32 $106.833
CDC CDC Integrated HIV Programs for Health Departments to Support EHE in the US – Component C 7 $3.000
FY20 TOTAL $226.008
FY2021 Funding Streams
HRSA/

HAB

Ryan White HIV/AIDS Program Parts A and B Jurisdictions EHE Awards 47 (39 metropolitan areas and 8 states) $87.522
HRSA/

HAB

Ending the HIV Epidemic Technical Assistance and Coordination Provider Awards 2 $8.000
HRSA/

HAB

Ryan White HIV/AIDS Program Part F AIDS Education and Training Centers (AETC) Program EHE Supplemental Awards 12 $3.000
HRSA FY 2021 Ending the HIV Epidemic-Primary Care HIV Prevention (PCHP) Awards 107 $37.527
HRSA FY 2021 Ending the HIV Epidemic-Primary Care HIV Prevention (PCHP) Awards + Supplemental Awards 163 $10.697
CDC Integrated HIV Program for Health Departments to Support EHE in the US – Component A 32 $106.833
CDC Integrated HIV Program for Health Departments to Support EHE in the US – Component C 19 $12.480
FY21 TOTAL $266.059
NOTES: As of 11/3/21 all EHE awarded grants appear in this table. Table does not include grants that have not yet been awarded. Table includes funding streams that do not appear elsewhere in this data note because they are not provided to EHE jurisdictions or to providers located within jurisdictions. In some cases, not all grantees awarded EHE funds in FY19 were Phase 1 EHE jurisdictions – for example, the FY19 HRSA/HAB funding went to 10 grantees, 2 of which were not EHE jurisdictions. Sources are the award announcements linked to above with hyperlinks in the grant name except in the case of the FY21 supplemental award which KFF received via a special data request to HRSA.

FY 2019 EHE Funding by Jurisdiction

Tables 4 and 5 provide FY 2019 funding (reprogrammed from the Minority AIDS Initiative) directed to Phase 1 EHE jurisdictions. Table 4 includes EHE counties, San Juan, Puerto Rico, and D.C. and Table 5 includes the seven EHE states.

Table 4: Ending the HIV Epidemic Initiative: FY 2019 Funding for Phase 1 Counties, D.C., and San Juan, Puerto Rico
Jurisdiction Total HHS “Jump-Start” CDC Strategic Partnerships & Planning HRSA/HAB Ryan White Part A
Arizona
Phoenix EMA
Maricopa County $294,016 $294,016
California $492,368 $492,368
Oakland TGA $0
Alameda County $0
Los Angeles EMA $0
Los Angeles County $436,180 $436,180
Orange Co. TGA $0
Orange County $0
Riverside-San Bernardino TGA $0
Riverside County $0
San Bernardino County $0
Sacramento TGA
Sacramento County $0
San Diego EMA $100,000 $100,000
San Diego County $0
San Francisco EMA $0
San Francisco County $375,000 $375,000
District of Columbia $375,000 $375,000
District of Columbia EMA $0
Florida $492,370 $492,370
Ft. Lauderdale EMA $0
Broward County $0
Jacksonville TGA
Duval County $0
Tampa-St. Petersburg EMA $100,000 $100,000
Hillsborough County $0
Pinellas County $0
 Miami EMA $0
Miami-Dade County $0
Orlando EMA $0
Orange County $0
West Palm Beach EMA $0
Palm Beach County $0
Georgia $492,370 $492,370
Atlanta EMA $100,000 $100,000
Cobb County $0
DeKalb County $1,500,000 $1,500,000
Fulton County $0
Gwinnett County $0
Illinois
Chicago EMA $0
Cook County $375,000 $375,000
Indiana
Indianapolis TGA
Marion County $350,000 $350,000
Louisiana $375,000 $375,000
Baton Rouge TGA
East Baton Rouge Parish $1,500,000 $1,500,000
New Orleans EMA $100,000 $100,000
Orleans Parish $0
Maryland $492,370 $492,370
Baltimore EMA $0
Baltimore City $1,875,000 $1,500,000 $375,000
Washington DC EMA (See also DC line above) $0 See DC line above See DC line above
Montgomery County $0
Prince George’s County $0
Massachusetts
Boston EMA $100,000 $100,000
Suffolk County $375,000 $375,000
Michigan
Detroit EMA $81,763 $81,763
Wayne County $238,238 $238,238
Nevada
Las Vegas TGA
Clark County $261,328 $261,328
New Jersey $375,000 $375,000
Newark EMA $0
Essex County $0
Jersey City TGA
Hudson County $100,000 $100,000
New York $0
New York EMA $0
Bronx County $0
Kings County $0
New York County $492,370 $492,370
Queens County $0
North Carolina
Charlotte-Gastonia, NC/SC TGA
Mecklenburg County $328,354 $328,354
Ohio $375,000 $375,000
Cleveland-Lorain-Elyria TGA
Cuyahoga County $0
Columbus TGA
Franklin County $0
Hamilton County $0
Pennsylvania
Philadelphia EMA $0
Philadelphia County $381,444 $381,444
Tennessee
Memphis TGA
Shelby County $348,304 $348,304
Texas $362,500 $362,500
San Antonio EMA $100,000 $100,000
Bexar County $0
Dallas EMA $0
Dallas County $0
Houston EMA $0
Harris County $375,000 $375,000
Ft. Worth TGA
Tarrant County $0
Austin TGA $0
Travis County $0
King County $375,000 $375,000
Washington
Seattle TGA
King County
Puerto Rico
San Juan EMA
San Juan $375,000 $375,000
TOTAL $14,868,975 $4,500,000 $9,587,212 $781,763
NOTES: State funding amounts represent funding directly attributed to the state and not an overall state funding level inclusive of county or other funding. Funding attributed to EHE Counties may be provided directly to counties, to EMAs/TGAs serving an EHE county, or to the state on behalf of the county/ies. When funding agencies had had a prior relationship with funded EHE counties, the counties received funding directly from the grant-making agency. In the case of the Ryan White grant, funding was distributed to the Eligible Metropolitan Area (EMA) or Transitional Grant Area (TGA) where the relevant EHE county is located due to the prior grantee relationship. In the case of CDC funding, where counties did not have a prior relationship, funding was distributed to the state on behalf of those counties. When CDC funding was directed to a state on behalf of a single county, we attributed that funding to the EHE county. However, in some cases, a state received a sum to be distributed among multiple counties and county funding levels cannot be disaggregated from the total amount provided to the state. In these circumstances, we attribute the funding to the state. For example, California received $436,180 in CDC funding on behalf of Alameda, Orange, Riverside, Sacramento, San Bernardino, and San Diego counties, while Los Angeles and San Francisco Counties were funded directly.  In the table the directly funded amounts are included for Los Angeles and San Francisco while the amount provided to CA is for the state to distribute among other EHE counties.
SOURCE: See Links to grant announcements in Table 2 in the “grant name” column.
Table 5: Ending the HIV Epidemic Initiative:
FY 2019 Funding for Phase 1 States
Jurisdiction Total HHS “Jump-Start” CDC Strategic Partnerships & Planning
Alabama $375,000 $375,000
Arkansas $199,738 $199,738
Kentucky $374,997 $374,997
Mississippi $390,981 $390,981
Missouri $322,072 $322,072
Oklahoma $1,875,000 $1,500,000 $375,000
South Carolina $375,000 $375,000
TOTAL $3,912,788 $2,412,788
NOTE: “Jump Start” funding in Oklahoma is directed to the Cherokee Nation in Oklahoma.
SOURCE: See Links to grant announcements in Table 2 in the “grant name” column.

FY 2020 EHE Funding by Jurisdiction

Tables 6 and 7 provide FY 2020 funding directed to Phase 1 EHE jurisdictions and providers located within these jurisdictions. Table 6 includes EHE counties, San Juan, Puerto Rico, and D.C. and Table 7 includes EHE states. FY 2020 marks the first year in which EHE funding allocations resulted from new Congressional appropriations.

Table 6: Ending the HIV Epidemic Initiative:
FY 2020 Funding for Phase 1 Counties, D.C., and San Juan, Puerto Rico
Jurisdiction Total Ryan White Program Parts A & B EHE Awards EHE – Primary Care HIV Prevention Awards (to Health Centers) EHE – CDC Integrated HIV Programs for Health Depts. – Component A EHE – CDC Integrated HIV Programs for Health Depts. – Component C
Arizona        
Phoenix EMA $1,000,000 $1,000,000
Maricopa County $3,471,310 $834,667 $2,636,643 $400,000
California $8,421,484 $8,421,484
Oakland TGA $850,000 $850,000
Alameda County $1,883,450 $1,883,450
Los Angeles EMA $3,083,808 $3,083,808
Los Angeles County $7,540,213 $4,179,555 $3,360,658
Orange Co. TGA $850,000 $850,000
Orange County
Riverside-San Bernardino TGA $1,000,000 $1,000,000
Riverside County $605,204 $605,204
San Bernardino County $255,743 $255,743
Sacramento TGA $750,000 $750,000
Sacramento County $865,834 $865,834
San Diego EMA $1,000,000 $1,000,000
San Diego County $1,623,649 $1,623,649
San Francisco EMA $1,000,000 $1,000,000
San Francisco County $3,299,398 $559,110 $2,290,288 $450,000
District of Columbia $3,786,757 $1,436,904 $2,349,853
District of Columbia EMA $1,869,597 $1,469,597 $400,000
Florida $10,610,419 $10,610,419
Ft. Lauderdale EMA $1,245,311 $1,245,311
Broward County $540,147 $540,147
Jacksonville TGA $850,000 $850,000
Duval County $539,590 $539,590
Tampa-St. Petersburg EMA $1,000,000 $1,000,000
Hillsborough County $266,341 $266,341
Pinellas County $468,017 $468,017
Miami EMA $1,732,084 $1,732,084
Miami-Dade County $1,904,998 $1,904,998
Orlando EMA $1,000,000 $1,000,000
Orange County $284,758 $284,758
West Palm Beach EMA $850,000 $850,000
Palm Beach County $560,605 $560,605
Georgia $5,884,364 $5,884,364
Atlanta EMA $1,987,476 $1,987,476
Cobb County $251,899 $251,899
DeKalb County
Fulton County $824,742 $824,742
Gwinnett County $507,200 $507,200
Illinois
Chicago EMA $1,818,306 $1,818,306
Cook County $5,077,743 $2,393,970 $2,683,773
Indiana
Indianapolis TGA $750,000 $750,000
Marion County $2,610,538 $561,576 $2,048,962
Louisiana $3,232,231 $3,232,231
Baton Rouge TGA $750,000 $750,000
East Baton Rouge Parish $520,821 $520,821
New Orleans EMA $850,000 $850,000
Orleans Parish $835,373 $835,373
Maryland $3,281,428 $3,281,428
Baltimore EMA $1,126,346 $1,126,346
Baltimore City $4,018,869 $1,318,221 $2,250,648 $450,000
Washington DC EMA (See also DC line above)
Montgomery County $527,712 $527,712
Prince George’s County
Massachusetts
Boston EMA $1,117,069 $1,117,069
Suffolk County $3,995,110 $1,907,710 $2,087,400
Michigan
Detroit EMA $1,000,000 $1,000,000
Wayne County $2,635,493 $524,352 $2,111,141
Nevada
Las Vegas TGA $850,000 $850,000
Clark County $3,425,444 $1,281,364 $2,144,080
New Jersey $3,404,766 $3,404,766
Newark EMA $1,000,000 $1,000,000
Essex County $1,085,969 $1,085,969
Jersey City TGA $750,000 $750,000
Hudson County $265,123 $265,123
New York
New York EMA $14,542,268 $6,553,979 $7,988,289
Bronx County $1,686,621 $1,686,621
Kings County $1,307,408 $1,307,408
New York County $2,879,111 $2,879,111
Queens County $279,476 $279,476
North Carolina
Charlotte-Gastonia, NC/SC TGA    $850,000 $850,000
Mecklenburg County $2,335,041 $254,313 $2,080,728
Ohio $5,142,029 $750,000 $4,392,029
Cleveland-Lorain-Elyria TGA $750,000 $750,000
Cuyahoga County $782,865 $782,865
Columbus TGA $750,000 $750,000
Franklin County $1,555,853 $1,555,853
Hamilton County $257,383 $257,383
Pennsylvania
Philadelphia EMA $1,234,942 $1,234,942
Philadelphia County $5,065,376 $2,172,899 $2,442,477 $450,000
Tennessee
Memphis TGA $850,000 $850,000
Shelby County $2,946,071 $851,338 $2,094,733
Texas $6,069,792 $6,069,792
San Antonio EMA $850,000 $850,000
Bexar County $305,965 $305,965
Dallas EMA $1,357,181 $1,357,181
Dallas County $256,790 $256,790
Houston EMA $1,794,295 $1,794,295
Harris County $4,017,366 $1,375,037 $2,642,329
Ft. Worth TGA $750,000 $750,000
Tarrant County $260,647 $260,647
Austin TGA $750,000 $750,000
Travis County $595,078 $595,078
King County
Washington
Seattle TGA $850,000 $850,000
King County $2,643,636 $525,522 $2,118,114
Puerto Rico
San Juan EMA $850,000 $850,000
San Juan $2,011,005 $2,011,005
TOTAL $186,368,938 $48,620,394 $44,960,910 $90,637,634 $2,150,000
NOTES: State funding amounts represent funding directly attributed to the state and not an overall state funding level inclusive of county or other funding. Funding directed to EHE Counties may be provided directly to counties, to EMAs/TGAs serving an EHE county, to the state on behalf of the county, or to Health Centers located within EHE jurisdictions. In the case of the Ryan White grant, funding was distributed to the Eligible Metropolitan Area (EMA) or Transitional Grant Area (TGA) where the relevant EHE county is located due to the prior grantee relationship, except in the case of Hamilton Co., Ohio. Funding for Hamilton Co., Ohio was provided to the state on behalf of the county due to preexisting funding relationships. In most cases, Health Center funding was attributed to the EHE county identified in the list of eligible health centers released as part of the funding opportunity announcement. This methodology was used for 172 of the health centers funded when a single EHE county was identified. When more than one EHE county was listed as eligible, funding was attributed to the county of the city listed in the grant announcement, provided it is an EHE county. This methodology was used for 20 of the funded health centers. When the county of the city listed in the EHE grant announcement was not an EHE county and when multiple EHE counties were identified in the list of eligible health centers, funding was attributed to the most populous county identified in the eligible health center list. This methodology was used for 3 of the health centers funded. In the case of CDC funding, where counties did not have a prior relationship, funding was distributed to the state on behalf of those counties. When CDC funding was directed to a state on behalf of a single county, we attributed that funding to the EHE county. However, in some cases, a state received a sum to be distributed among multiple counties and county funding levels cannot be disaggregated from the total amount provided to the state. In these circumstances, we attribute the funding to the state. For example, California received $8,421,484 in CDC (component A) funding on behalf `of Alameda, Orange, Riverside, Sacramento, San Bernardino, and San Diego counties, while Los Angeles and San Francisco Counties were funded directly.  In the table the directly funded amounts are included for Los Angeles and San Francisco while the amount provided to CA is for the state to distribute among other EHE counties.
SOURCES: See Links to grant announcements in Table 2 in the “grant name” column.

 

Table 7: Ending the HIV Epidemic Initiative:
FY 2020 Funding for Phase 1 States
Jurisdiction Total Ryan White Program Parts A & B EHE Awards EHE -Primary Care HIV Prevention (PCHP) Awards (Provided to Health Centers) EHE – CDC Integrated HIV Programs for Health Depts. – Component A EHE – CDC Integrated HIV Programs for Health Depts. – Component C
Alabama $5,281,317 $1,000,000 $1,328,321 $2,552,996 $400,000
Arkansas $3,934,403 $750,000 $1,066,435 $2,117,968
Kentucky $3,088,957 $850,000 $250,689 $1,988,268
Mississippi $4,652,814 $1,000,000 $1,569,115 $2,083,699
Missouri $4,502,079 $1,000,000 $532,149 $2,519,930 $450,000
Oklahoma $3,954,709 $750,000 $1,058,416 $2,146,293
South Carolina $6,824,266 $1,099,606 $2,938,681 $2,785,979
TOTAL $32,238,545 $6,449,606 $8,743,806 $16,195,133 $850,000
NOTE: Arkansas PCHP funding includes funding for Special Health Resources for Texas, a health center that was designated as eligible based on its Arkansas state location.
SOURCES: See Links to grant announcements in Table 2 in the “grant name” column.

FY 2021 EHE Funding by Jurisdiction

Tables 8 and 9 provide FY 2021 funding directed to Phase 1 EHE jurisdictions and providers located within these jurisdictions. Table 8 includes EHE counties, San Juan, Puerto Rico, and D.C. and Table 9 includes EHE states.

Table 8: Ending the HIV Epidemic Initiative:
FY 2021 Funding for Phase 1 Counties, D.C., and San Juan, Puerto Rico
Jurisdiction Total Ryan White Program Parts A & B EHE Awards EHE – Primary Care HIV Prevention Awards (to Health Centers)** EHE – CDC Integrated HIV Programs for Health Depts. – Component A EHE – CDC Integrated HIV Programs for Health Depts. – Component C
Arizona        
Phoenix EMA $1,667,000
Maricopa County $2,015,618 $2,636,643 $800,000
California $8,421,484 $800,000
Oakland TGA $1,417,447
Alameda County $330,000
Los Angeles EMA $5,140,708
Los Angeles County $6,806,752 $3,360,658
Orange Co. TGA $1,136,632
Orange County $1,032,813
Riverside-San Bernardino TGA $1,667,000
Riverside County $482,529
San Bernardino County $814,752
Sacramento TGA $1,000,000
Sacramento County $132,000
San Diego EMA $1,667,000
San Diego County $1,034,562
San Francisco EMA $1,667,000
San Francisco County $404,060 $2,290,288 $800,000
District of Columbia $1,018,472 $2,349,853
District of Columbia EMA $2,449,818 $800,000
Florida $10,610,419
Ft. Lauderdale EMA $2,075,933
Broward County $66,000
Jacksonville TGA $1,086,820
Duval County $132,000
Tampa-St. Petersburg EMA $1,667,000
Hillsborough County $444,388 $420,000
Pinellas County $66,000
Miami EMA $2,887,384
Miami-Dade County $805,379 $250,000*
Orlando EMA $1,667,000
Orange County $800,875
West Palm Beach EMA $1,396,646
Palm Beach County $472,385
Georgia $5,884,364
Atlanta EMA $3,313,122
Cobb County
DeKalb County $403,644
Fulton County $538,246 $420,000
Gwinnett County $435,143
Illinois
Chicago EMA $3,031,116
Cook County $2,694,149 $2,683,773 $525,000
Indiana
Indianapolis TGA $1,000,000
Marion County $132,000 $2,048,962 $525,000
Louisiana $3,232,231
Baton Rouge TGA $1,000,000
East Baton Rouge Parish $132,000 $525,000
New Orleans EMA $1,418,933
Orleans Parish $1,930,684
Maryland $3,281,428 $525,000
Baltimore EMA $1,877,619 $800,000
Baltimore City $494,872 $2,250,648
Washington DC EMA (See also DC line above)
Montgomery County $132,000
Prince George’s County
Massachusetts
Boston EMA $1,862,154
Suffolk County $1,655,656 $2,087,400
Michigan
 Detroit EMA $1,667,000
Wayne County $1,481,884 $2,111,141
Nevada
Las Vegas TGA $1,416,950
Clark County $536,918 $2,144,080
New Jersey $1,000,000 $3,404,766 $670,000*
Newark EMA $1,667,000
Essex County $198,000
Jersey City TGA
Hudson County $66,000
New York $782,929
New York EMA $10,925,485 $7,988,289
Bronx County $749,676
Kings County $950,073
New York County $1,349,949
Queens County $66,000
North Carolina
Charlotte-Gastonia, NC/SC TGA    $1,303,041
Mecklenburg County $792,251 $2,080,728
Ohio $1,000,000 $4,392,029 $420,000
Cleveland-Lorain-Elyria TGA $1,000,000
Cuyahoga County $470,737
Columbus TGA $1,000,000
Franklin County $253,990
Hamilton County $66,000
Pennsylvania
Philadelphia EMA $2,058,648
Philadelphia County $1,158,761 $2,442,477 $795,581
Tennessee
Memphis TGA $1,213,893
Shelby County $536,735 $2,094,733
Texas $6,069,792
San Antonio EMA $1,135,146
Bexar County $66,000
Dallas EMA $2,262,421
Dallas County $525,000
Houston EMA $2,991,090
Harris County $1,736,384 $2,642,329 $525,000
Ft. Worth TGA $1,000,000
Tarrant County
Austin TGA $1,000,000
Travis County $66,000
King County
Washington
Seattle TGA $1,402,589
King County $513,975 $2,118,114
Puerto Rico
San Juan EMA $1,417,447
San Juan $685,124 $2,011,005
TOTAL $215,334,622 $77,557,042 $37,151,436 $90,637,634 $9,988,510
NOTES: State funding amounts represent funding directly attributed to the state and not an overall total of state funding inclusive of county or other funding. Funding directed to EHE Counties may be provided directly to counties, to EMAs/TGAs serving an EHE county, to the state on behalf of the county, or to Health Centers located within EHE jurisdictions. In the case of the Ryan White grant, funding was distributed to the Eligible Metropolitan Area (EMA) or Transitional Grant Area (TGA) where the relevant EHE county is located due to the prior grantee relationship, except in the case of Hamilton Co., Ohio. Funding for Hamilton Co., Ohio was provided to the state on behalf of the county due to preexisting funding relationships.

** Health Center includes both the primary award (link in table 3) and also includes supplemental funding. Detailed supplemental funding provided to KFF by HRSA as a special data request.

Primary Health Center funding (main grant award): In most cases funding was attributed to the EHE county associated with the named city/state for the awardee in the award list. This methodology was used for 75 health centers. Funding for health centers in EHE states was attributed to that EHE state. This methodology was used in 26 cases. When the named city and state in the award list were not located in an EHE county, we examined alternate health center locations for the clinic on their websites and in all but one case found alternate clinc locations in a single EHE county or state. In these 5 cases funding was attributed to that single EHE county or state. In a single case the county of the named city/state was not an EHE county and did not appear to have any locations in EHE jurisdictions. In this case funding was attributed to the only EHE county in the state.

Primary Health Center funding (Supplemental): In most cases funding was attributed to the EHE county associated with the named city/state for the awardee provided to us in the special data request. This methodology was used for 133 health centers. Funding for health centers in EHE states was attributed to that EHE state. This methodology was used in 22 cases. When the named city and state in the award list were not located in an EHE county, we examined alternate health center locations for the clinic on their websites and in all but one case found locations in a single EHE county or state. In these 6 cases funding was attributed to that single EHE county or state. In a single case the county of the named city/state was not an EHE county but the health center entity had multiple locations across various EHE jurisdictions. In this case, funding was attributed to the most populous EHE county among those with an alternate clinic location.

In the case of CDC funding, where counties did not have a prior relationship with the agency, funding was distributed to the state on behalf of those counties. When CDC funding was directed to a state on behalf of a single county, we attributed that funding to the EHE county. However, in some cases, a state received a sum to be distributed among multiple counties and county funding levels cannot be disaggregated from the total amount provided to the state. In these circumstances, we attribute the funding to the state

*Indicates amount includes $250,000 in supplemental funding for CDC Component  C

SOURCES: See Links to grant announcements in Table 2 in the “grant name” column.

Table 9: Ending the HIV Epidemic Initiative:
FY 2021 Funding for Phase 1 States
Jurisdiction Total Ryan White HIV/AIDS Program Parts A & B EHE Awards EHE -Primary Care HIV Prevention (PCHP) Awards (Provided to Health Centers)** EHE – CDC Integrated HIV Programs for Health Depts. – Component A EHE – CDC Integrated HIV Programs for Health Depts. – Component C
Alabama $1,667,000 $2,073,961 $2,552,996 $800,000
Arkansas $1,000,000 $1,609,866 $2,117,968
Kentucky $1,188,635 $341,748 $1,988,268
Mississippi $1,609,114 $2,333,398 $2,083,699
Missouri $1,667,000 $2,595,918 $2,519,930 $771,490*
Oklahoma $1,000,000 $1,176,712 $2,146,293
South Carolina $1,833,043 $941,077 $2,785,979
TOTAL $38,804,095 $9,964,792 $11,072,680 $16,195,133 $1,571,490
NOTE: Arkansas PCHP funding includes funding for Special Health Resources for Texas, a health center that was designated as eligible based on its Arkansas state location. *Indicates amount includes $250,000 in supplemental funding for CDC Component  C. ** Health Center includes both the primary award (link in table 3) and also includes supplemental funding provided to KFF by HRSA as a special data request. Health Center funding for Special Health Resources For Texas, Incorporated (Gregg Co, TX) allocated to AR.
SOURCES: See Links to grant announcements in Table 2 in the “grant name” column.

This work was supported in part by the Elton John AIDS Foundation. We value our funders. KFF maintains full editorial control over all of its policy analysis, polling, and journalism activities.

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