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HEHS-95-79R 1 (1995-02-14)

handle is hein.gao/gaobacktb0001 and id is 1 raw text is: (3 O United States GAf General Accounting Office Washington, D.C. 20548 Health, Education and Human Services Division B-256214 February 14, 1995 The Honorable Nancy Kassebaum Chairman, Committee on Labor and Human Resources United States Senate The Honorable Hank Brown United States Senate The human immunodeficiency virus (HIV) epidemic has become one of the most serious health threats to the American public. The HIV infection rate is estimated to be as high as 1 in every 250 persons nationwide. Metropolitan areas are especially affected by HIV with rates as high as 1 in 25. By June 1994, over 400,000 people with HIV had been reported to have progressed to acquired immunodeficiency syndrome (AIDS), and more than 240,000 had been reported to have died of the disease. Recognizing the need for additional resources for medical and support services for people with AIDS and HIV, the Congress enacted the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990. In fiscal year 1994, a total of over $500 million in title I and title II funds were distributed to eligible metropolitan areas (EMAs) and states. Citing examples of disparities in per case funding, you expressed concerns that the existing funding formulas for titles I and II of the CARE Act may not result in the most equitable distribution of funds to states and EMAs. At your request, we are finalizing our analysis of which factors, if any, inhibit the title I and II funding formulas from achieving greater equity. To accomplish this task, we relied upon equity criteria that we have developed over time and that have been recognized as reasonable standards of equity. These equity criteria reflect comparative needs among states and EMAs, as measured by the size of their caseloads, their per case cost of providing health care services, and their capacity to fund services from their own resources. We also identified formula changes that could improve equity. GAO/HEHS-95-79R Ryan White Funding Formulas

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