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HEHS-96-116R 1 (1996-03-26)

handle is hein.gao/gaobaclda0001 and id is 1 raw text is: United States GAO General Accounting Office Washington, D.C. 20548 Health, Education and Human Services Division B-271517 March 26, 1996 The Honorable Nancy Kassebaum Chairman, Committee on Labor and Human Resources United States Senate Dear Chairman Kassebaum: The Ryan White CARE Act provides medical and support services to individuals with the human immunodeficiency virus (HIV). In fiscal year 1995 the program provided $554 million to eligible metropolitan areas (EMA) through title I of the act and to states through title II. Bills reauthorizing the program have been passed by both the Senate (S. 641) and the House (H.R. 1872). Both bills revise the process for allocating federal funding among the states and territories. This letter is in response to your request that we assess the extent to which each bill improves the equity of federal funding under the act. We examined whether the bills adopted recommendations we made' to improve equity and measured the change in funding per acquired immunodeficiency syndrome (AIDS) case among states that would occur under each bill. In our report on the current funding formulas, we concluded that federal funding could be made more equitable. To improve equity we recommended that the Congress modify the funding formulas to eliminate the extent to which AIDS cases in EMAs and states are double counted in the funding formulas, adopt a new caseload indicator that better reflects the number of people living with AIDS, and include an indicator that reflects relative differences across states and EMAs in the cost of serving people with AIDS. 'Ryan White Care Act of 1990: Opportunities to Enhance Funding Eauity (GAO/HEHS-96-26, Nov. 13, 1995). CARE stands for Comprehensive AIDS Resources Emergency. GAO/HEHS-96-116R Revising Ryan White Funding Formulas f 65 q59

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