HIV/AIDS Epidemic Remains A Public Health Emergency in the U.S.
More People Then Ever are Living with HIV and AIDS
- 1.2 million Americans living with HIV and AIDS.1
- 437,000 people living with AIDS.2
Half a Million People with HIV in the U.S. Receive No HIV Care
- An estimated 42% to 59% of people living with HIV/AIDS in the U.S. do not receive regular HIVrelated
medical treatment.3
Almost Half of All People with HIV Who Need Anti-HIV Therapies Are Not
Receiving Them
- 45% of HIV‐infected people in the U.S. for whom antiretroviral therapy would likely be
recommended are not receiving it.4
HIV/AIDS in the U.S. Increasingly Affects Communities of Color, as Well as
Economically-Depressed and Other Underserved Communities
- African Americans account for up to 50% of new HIV infections and Latinos account for 19% of new infections, though they account for only approximately 12% and 14% of the U.S. population, respectively.5
- Latina and African American women account for 82% of new infections among females in the U.S.
The rate of AIDS diagnoses for black women was nearly 23 times the rate for white women. The
rate of AIDS diagnoses for black men was 8 times the rate for white men.6,7
CDC Initiative Aims to Bring Thousands of New HIV+ Patients into Care
According to CDC Director Dr. Julie Gerberding, CDC’s “Advancing HIV Prevention” initiative aims “to open
up the door to [HIV] testing so that people can learn their status and get the appropriate treatment and
prevention services that they deserve and need.” Many, if not most, of the estimated 200,000 people living
with HIV in the U.S. who are unaware of their HIV status that are diagnosed under the new CDC initiative
will turn to health care providers funded through the Ryan White Program for their HIV-related care.
Public Programs are Key to Health Care Access
20 percent of people living with HIV receiving HIV-related care are uninsured and 68 to 83 percent either
rely on public-sector insurance programs or are uninsured.8
1 Kaiser Family Foundation, The HIV/AIDS Epidemic in the United States; July 2007.
2 CDC, HIV/AIDS Surveillance Report. Vol. 17, Revised Edition; June 2007.
3 Fleming PL, et al., “HIV Prevalence in the United States, 2000,” 9th Conference on Retroviruses and Opportunistic Infections, Abstract #11, Oral Abstract Session 5; 2002.
4 Teshale EH, et al., “Estimated Number of HIV-infected Persons Eligible for and Receiving HIV Antiretroviral Therapy, 2003—United States,”, 12th Conference on
Retroviruses and Opportunistic Infections, Abstract #167; 2005.
5 Kaiser Family Foundation, The HIV/AIDS Epidemic in the United States; July 2007.
6 Kaiser Family Foundation, Black Americans and HIV/AIDS; July 2007.
7 CDC, HIV/AIDS Surveillance Report. Vol. 17, Revised Edition; June 2007.
8 Kaiser Family Foundation, Financing HIV/AIDS Care, A Quilt with Many Holes; May 2004.
OMB: The Ryan White Program Works
The White House Office of Management and Budget’s
assessment of the Ryan White Program found it to be in
the top 1% of all federal programs in the area of “Program Results and Accountability.”
Ryan White Program
PART Assessment Scores |
| Purpose & Design |
100% |
| Strategic Planning |
86% |
| Program Management |
91% |
| Program Results/Accountability |
100% |
 In its 2007 Program Assessment Rating
Tool (PART), OMB gave the Ryan White
Program its highest possible rating of“effective”—a distinction shared by only
18% of all programs rated. According to
OMB, effective programs “set ambitious
goals, achieve results, are well-managed
and improve efficiency.”
Half of the OMB ranking is based on the category of “program results and
accountability.” Out of the 1,016 federal programs rated––98 percent of all
federal programs––the Ryan White Program was one of seven that received a
score of 100% in “Program Results and Accountability.”
OMB’s Summary Assessment of the Ryan White Program
- The program has had a positive impact. It has contributed to the decline in the number of
AIDS cases and deaths due to HIV/AIDS. From 1999 to 2003 deaths due to HIV/AIDS went
from 5.3 to 4.7 per 100,000. A cause of the decrease is increased use of antiretroviral
medications. In 2000 the program's AIDS Drug Assistance Program (ADAP) served 128,078
clients. In 2005 ADAP served 143,339 clients.
- The program has exhibited strong and effective collaborations with similar programs. The
program collaborates with Federal, State and local partners, as well as with private and nonprofit HIV/AIDS care, treatment and advocacy groups. By working with this wide range of
partners, persons infected with and affected by HIV/AIDS receive coordinated comprehensive
care and support services.
- The program has demonstrated improved management and oversight of the use of Federal
funds. The previous PART review and other assessments indicated deficiencies in the oversight of grantees' use of Ryan White funds. The program has taken corrective action by expanding grantee technical assistance and monitoring grantee financial accountability and performance.
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Growing HIV/AIDS Funding Gaps, 2001–2008
CAEAR Coalition
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