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Ryan White CARE Act: Changes Needed to Improve the Distribution of Funding

GAO-06-703T Published: Apr 27, 2006. Publicly Released: Apr 27, 2006.
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Highlights

The CARE Act, a federal effort to address the HIV/AIDS epidemic, is administered by HHS. The Act uses formulas based upon a grantee's number of AIDS cases to distribute funds to eligible metropolitan areas (EMA), states, and territories. The use of AIDS cases was prescribed because most jurisdictions tracked and reported only AIDS cases when the grant programs were established. HIV cases must be incorporated with AIDS cases in CARE Act formulas no later than fiscal year 2007. GAO was asked to discuss factors that affect the distribution of CARE Act funding. This testimony is based on HIV/AIDS: Changes Needed to Improve the Distribution of Ryan White CARE Act and Housing Funds, GAO-06-332 (Feb. 28, 2006). GAO discusses how specific funding-formula provisions contribute to funding differences among CARE Act grantees and what distribution differences could result from using HIV cases in CARE Act funding formulas.

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AIDSAllocation (Government accounting)Data collectionData integrityEligibility determinationsEpidemicsFederal fundsFederal grantsFormula grantsFunds managementHealth care servicesInfectious diseasesGrants to statesGrants to local governments