The Health Resources and Services Administration (HRSA) today announced updates to the funding methodology used to calculate Ryan White HIV/AIDS Program Parts A and B formula awards. The change better aligns resources with jurisdictions where people with HIV currently live and receive life-saving care and treatment services.
For fiscal year (FY) 2026, Ryan White HIV/AIDS Program Parts A and B formula awards are transitioning to using the number of living HIV/AIDS cases based on a person’s most recent address, rather than residence at the time of HIV diagnosis. This change ensures funding aligns with current surveillance data and where people with HIV live today. This transition will be implemented over a five-year period beginning in FY 2026 through FY 2030 to minimize disruption and allow recipients and systems of care time to adapt.
HRSA’s HIV/AIDS Bureau, which administers the Ryan White HIV/AIDS Program, outlined this change in a Federal Register Notice titled Improving Ryan White HIV/AIDS Program Part A and B Formula Awards Using Most Recent Address Data, published on November 10, 2025.
“Advancements in HIV surveillance have strengthened our ability to understand and respond to the epidemic, leading to better HIV care strategies,” said HRSA Administrator Tom Engels. “This update ensures Ryan White HIV/AIDS Program funding for comprehensive HIV primary medical care, medications, and essential support services follows patients and reflects where they are receiving care today.”
For nearly four decades, the Ryan White HIV/AIDS Program has funded and coordinated with cities, counties, states, and community-based organizations to deliver direct health care and support services to more than 600,000 people with HIV with lower incomes each year. Part A funds Eligible Metropolitan Areas and Transitional Grant Areas that are most affected by the HIV epidemic, while Part B provides grants to states and territories.
The program tailors its approaches to meet the needs of people with HIV and their communities, addressing a range of HIV health-related needs, including medical case management, mental and behavioral health services, transportation, housing, and nutrition. These services help clients enter and stay in care, access medications, and remain virally suppressed, which improves individual health outcomes, prevents forward HIV transmission, and reduces health care costs.
Future funding will depend on annual federal appropriations and updated case counts in each jurisdiction. There are no changes to the methodology or data used to determine Part A Eligible Metropolitan Areas and Transitional Grant Areas and Part B Emerging Communities eligibility.
Read the Federal Register Notice outlining the transition.
Learn more about the Ryan White HIV/AIDS Program.