San Antonio HIV Health Services Planning Council
Corporate Square, Suite 200
4801 NW Loop 410, San Antonio, Texas, 78229
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FREQUENTLY ASKED QUESTIONS
The San Antonio Ryan White Planning Council is a community planning group that oversees the prioritization and allocation of Ryan White HIV/AIDS Treatment Modernization Act (RWTMA) Part A funds. It is also called the Planning Council or Ryan White Council.
The Council has several major duties, including:
The Council has a mandate to focus on people who are not in care (i.e. not receiving medical care) by assessing their needs and developing programs to bring them into care.
The Planning Council and its Committees use parliamentary procedure or Robert’s Rules of Order to conduct meetings. If you want to learn more about this procedure, access the link on the website called Decision Process.
During the COVID-19 pandemic, all meetings will be held virtually via ZOOM Meetings. Each committee usually meets once a month. The Council can create ad hoc work groups to address short-term projects.
For a more comprehensive schedule of meetings, please see the Meeting Calendar link.
The Planning Council has a website, www.hiv210.org which includes upcoming Council meeting times, agendas, ZOOM meeting info, and minutes from full Council and committee meetings.
The Professional Staff for the Planning Council can be reached by mail or phone:
The San Antonio HIV Health Services Planning Council
Corporate Square, Suite 200
4801 NW Loop 410, San Antonio, Texas, 78229
The membership must reflect the demographics of the epidemic in the Transitional Grant Area (TGA). The members of the Council represent the broad range of people involved in the fight against HIV. More information can be found on the Planning Council Membership page.
The legislation mandates that at least 33% of Council members be unaffiliated consumers meaning they are not employed by or on the Board of Directors of any Part A funded organization in the TGA and that they reflect the demographics of the epidemic in our area. The Council has also decided that a majority of Council members should be people living with HIV/AIDS. In addition, at least one Council co-chair usually is a person living with HIV.
Membership application forms are available clicking the link at the end of this question, from Council staff or on the page, Planning Council Membership.
The Membership, Nominations & Elections (MNE) Committee reviews applications of potential applicants on an ongoing basis. The MNE Committee selects nominees and forwards names to the full Council. The Council votes on the applicants, and the names are forwarded to the Bexar County Judge for appointment. The MNE Committee strongly recommends that persons thinking about applying to the Council attend several Council or committee meetings first.
All members are appointed by the Chief Elected Official (CEO) of the largest jurisdiction in the TGA, in accordance with the legislation. The CEO for the San Antonio TGA is the Bexar County Judge.
The term of service of each Planning Council Member shall be two (2) years beginning March 1 following the date of appointment by the Bexar County Judge. A Planning Council Member shall serve no more than three (3) consecutive two-year terms. Those representing the Texas Department of State Health Services, Texas Medicaid, Local Health Department, Part C, Part D, and HOPWA representatives are exempt from these term limit restrictions since their respective agencies nominate individuals who can adequately represent them, and may have a limited pool of potential candidates.
All Council meetings and committee meetings are open to the public. Public comment is taken at the beginning of each full Council meeting and during the meeting on each agenda item. Members of the public are encouraged to participate in the discussions at committee and work group meetings.
The Ryan White HIV/AIDS Treatment Modernization Act was recently reauthorized in December of 2006. It redefined funded areas into two subsets:
Prior to 2007, the legislation had been known as the Ryan White CARE Act. This federal legislation was originally passed in 1990 and reauthorized in 1995, 2000 and 2006. It authorized spending federal dollars for HIV health services through five different titles or parts.
It was envisioned as a disaster relief bill to help cities and states overwhelmed by the costs of caring for people with HIV/AIDS. It helps support a comprehensive continuum of HIV health services for low-income people living with HIV.
Part A (previously Title I) funds go directly to the urban areas hardest hit by HIV/AIDS. Provides assistance to Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs)—locales that are most severely affected by the HIV/AIDS epidemic.
When the first Part A grants were awarded in FY 1991, there were 16 EMAs. Today, 24 EMAs and 32 TGAs receive funding.
In FY 2010, approximately $679.1 million was appropriated for Part A spending.
Part B (previously Title II) provides grants to States and U.S. Territories.
Part B grants include a base grant, the AIDS Drug Assistance Program (ADAP) award, ADAP supplemental grants, grants to States for Emerging Communities, and an award for Minority AIDS Initiative activities.
For FY 2010, $1.25 billion was appropriated for Part B programs, and $835 million was earmarked for ADAP.
For FY 2010 $8.4 million was awarded for MAI activities in 33 States, the District of Columbia , Puerto Rico, and the U.S. Virgin Islands
Part C (previously Title III) provides grants for community-based organizations, clinics, hospitals, and other health facilities that provide early intervention services to people infected with HIV/AIDS through intravenous drug use. The FY 2010 appropriation for Part C EIS was $206.8 million. Since FY 1991, approximately $1.85 billion has been appropriated for Part C programs.
In FY 2009, 253 organizations received grants totaling approximately $187.1 million.
Part D funds family-centered primary for women, infants, children, and youth with HIV/AIDS and specialty medical care and support services. Since 1994, the Part D Program has provided more than $681.6 million in funding to States and communities. The Part D Program has played a significant part in reducing mother-to-child HIV transmission.
Part F covers: the AIDS Education and Training Centers (AETC) training for health care providers.
It's responsible for the Ryan White HIV/AIDS Dental Reimbursement Program (DRP) for agencies to reimburse the uncompensated costs incurred by agencies in providing oral health treatment to PLWHA as well as funds the Community Based Dental Partnership Program (CBDPP) which provides oral health care in the community and also trains dental professionals. Finally, Part F is home to the Special Programs of National Significance (SPNS) models of care.
The Health Resources and Services Administration (HRSA) administers the programs on the federal level. They are a part of the Department of Health and Human Services (HHS). Bexar County (also known as the Grantee or Recipient) provides day-to-day administration on the local level.
Ryan White funds pay for primary medical care, dental care, substance abuse treatment, mental health care, case management, and dental health services. In addition, 25% of total funds can be used for support services that help people get into medical care or stay in care such as housing assistance. It also pays for Planning Council staff and activities such as needs assessment, evaluation, comprehensive planning and grant administration. The funds are distributed to community-based organizations, public health programs, community health clinics, and hospitals.
Yes. The Federal government has a number of restrictions on funding. The money cannot be spent on capital improvements or construction. It cannot pay for permanent housing services. It must be used as the payer of last resort, meaning that if a service can be paid for somewhere else, such as billed to Medicaid, it cannot be paid for by Ryan White Part A. Money also cannot be given directly to consumers. The ability to use funds for counseling and testing or prevention services is limited.
Ryan White Part A services are for people living with HIV/AIDS who are low income and uninsured or underinsured. Programs or agencies may have additional eligibility criteria, such as disability. Services are prioritized for those with the most severe needs, such as those who are homeless or who have multiple diagnoses.
Core and Support Services are available to HIV infected persons who meet eligibility requirements regardless of age, race, ethnicity, religion, gender, and sexual orientation.
Core medical services include outpatient and ambulatory health services, pharmaceutical assistance, oral health care, early intervention services, health insurance premium and cost-sharing assistance, home health care, medical nutrition therapy, hospice services, home and community-based health services, mental health services, outpatient substance abuse care, and medical case management, including treatment-adherence services.
Support services may include outreach, medical transportation, linguistic services, respite care for caregivers of people with HIV, referrals for health care and other support services, non-medical case management, and residential substance abuse treatment services.
For a listing of locations please go to the Services page on this website.
Over 5,000 people received services in the TGA in 2007. Compared to the demographics of all people living with HIV/AIDS, Ryan White Part A clients are disproportionately poor, people of color, and women. Of those for whom we have demographic information:
This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under the Ryan White HIV/AIDS Treatment Extension Act of 2009 (Public Law 111-87) via grant H89HA00007.
The people in the photos on this web site are models and used for illustrative purposes only unless otherwise noted – no representation regarding HIV status is made and should not be inferred.
This site contains HIV or STD that may not be appropriate for all audiences.
Since HIV and other STD's are spread primarily through sexual practices or by sharing needles, prevention messages and programs may address these topics. If you are not seeking such information or may be offended by such materials, please exit this website.