Opportunity Information: Apply for HRSA 25 046

The AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF) opportunity is a discretionary grant run by the U.S. Department of Health and Human Services through the Health Resources and Services Administration (HRSA). It sits within the Ryan White HIV/AIDS Program (RWHAP) Part B framework and is administered by HRSA's HIV/AIDS Bureau (HAB), specifically the Division of State HIV/AIDS Programs (DSHAP). The core purpose of the program is to provide time-sensitive, targeted funding to help states and territories maintain access to HIV medications and related treatment support when their ADAP programs face a financial shortfall or a sudden increase in demand that could otherwise disrupt services.

The central idea behind ADAP ERF is emergency stabilization. These awards are meant for states and territories that can clearly show they need additional resources because available ADAP funding has dropped or because the number of people needing services has grown beyond what current resources can support. HRSA bases funding decisions on the applicant's ability to demonstrate that need in a convincing, data-supported way. Applications are reviewed by an external Merit Review Panel (MRP), which scores the need using criteria spelled out in the Notice of Funding Opportunity (NOFO). Historically, the most urgent scenario has been an ADAP waiting list, meaning eligible clients are delayed or unable to receive medications due to insufficient funds. For that reason, the program gives priority to addressing existing waiting lists.

A key detail in this NOFO is that, at the time it was published, there were no ADAP waiting lists nationally. Even so, HRSA is signaling that conditions can change quickly, and the ERF mechanism is meant to prevent backsliding. If a state or territory establishes a waiting list after the NOFO is published, it must notify HRSA immediately and is expected to use any awarded ERF funds to remove clients from the waiting list. This reflects the program's emphasis on continuity of HIV treatment and the public health importance of keeping people on effective antiretroviral therapy without interruption.

Compared with earlier years, HRSA has also broadened the practical framing of why ERF may be needed. When the initiative first launched in August 2010, many jurisdictions were experiencing waiting lists. Previously, eligibility was more closely tied to states and territories with a history of imposing waiting lists. Under this NOFO, HRSA continues to anticipate new financial and programmatic pressures that could drive demand upward or shrink available revenue. Examples mentioned include reductions in program income or manufacturer rebates, loss of health coverage among people with HIV, and increased case finding (more people diagnosed and linked to care). ERF funds can also support jurisdictions dealing with current or projected increases in treatment needs that align with national goals like Ending the HIV Epidemic in the U.S., as well as increases in enrollment driven by new diagnoses, re-engagement in care, loss of income, or loss of insurance coverage.

Eligibility is limited and specific. Only states and territories that receive RWHAP Part B funding can apply, and they must currently meet at least one of the need-based conditions described in the NOFO. Those conditions include needing funds to reduce or eliminate an existing ADAP waiting list, actively prevent a waiting list from being implemented, address a reduction in available resources to fund ADAP, respond to a current or projected increase in treatment needs tied to Ending the HIV Epidemic efforts, or manage other increases in ADAP clients due to factors like new diagnosis, re-engagement, or coverage loss. Individuals cannot apply, and states or territories that do not meet one or more of the eligibility conditions are not allowed to submit an application.

From the funding listing details, the opportunity is titled "AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF)" with Funding Opportunity Number HRSA-25-046. It uses the grant funding instrument and falls under the health activity category, with CFDA number 93.917. The eligible applicant type is state governments (and territories operating as Part B recipients). The agency expects to make around 25 awards. The notice was created on 2024-09-03, and the original application closing date is 2024-11-04. The award ceiling is listed as 0, which typically indicates the maximum award amount is not pre-set in the public listing and will be determined based on need, available funds, and HRSA's award decisions rather than a fixed cap.

Overall, this grant opportunity is best understood as a backstop for ADAP stability: it is designed to prevent interruptions in access to HIV medications by helping Part B jurisdictions quickly address sudden financial gaps or demand spikes, with particular urgency given to preventing or eliminating waiting lists and supporting broader efforts to reduce HIV transmission and improve health outcomes through sustained treatment access.

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.917.
  • This funding opportunity was created on 2024-09-03.
  • Applicants must submit their applications by 2024-11-04. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The number of recipients for this funding is limited to 25 candidate(s).
  • Eligible applicants include: State governments, Others.
Apply for HRSA 25 046

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Frequently Asked Questions (FAQs)

What is the ADAP Emergency Relief Funds (ERF) opportunity?

The AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF) opportunity is a discretionary grant run by the U.S. Department of Health and Human Services (HHS) through the Health Resources and Services Administration (HRSA). It operates within the Ryan White HIV/AIDS Program (RWHAP) Part B framework and is administered by HRSA's HIV/AIDS Bureau (HAB), specifically the Division of State HIV/AIDS Programs (DSHAP).

What is the purpose of ADAP ERF funding?

The purpose of ADAP ERF is emergency stabilization: providing time-sensitive, targeted funding to help states and territories maintain access to HIV medications and related treatment support when an ADAP program faces a financial shortfall or a sudden increase in demand that could disrupt services.

Who administers and oversees this funding opportunity?

The program is administered by HRSA (within HHS), through HRSA's HIV/AIDS Bureau (HAB). The specific administering division noted is the Division of State HIV/AIDS Programs (DSHAP).

What is the funding opportunity number (FON) for this grant?

The Funding Opportunity Number is HRSA-25-046.

What is the official title of this funding opportunity?

The official title is "AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF)."

What type of funding instrument is used?

The opportunity uses a grant funding instrument.

What is the CFDA number associated with this opportunity?

The CFDA number is 93.917.

What activity category does this opportunity fall under?

The activity category listed for this opportunity is health.

Who is eligible to apply?

Eligibility is limited to states and territories that receive RWHAP Part B funding (that is, jurisdictions operating as Part B recipients). In addition, applicants must currently meet at least one of the need-based conditions described in the Notice of Funding Opportunity (NOFO).

Can individuals apply for ADAP ERF funding?

No. Individuals cannot apply for this opportunity.

Can a state or territory apply if it does not meet the need-based conditions?

No. States or territories that do not meet one or more of the eligibility conditions described in the NOFO are not allowed to submit an application.

What kinds of "need" make a state or territory eligible under this NOFO?

Based on the information provided, eligibility depends on meeting at least one of these need-based conditions:

  • Needing funds to reduce or eliminate an existing ADAP waiting list
  • Needing funds to actively prevent an ADAP waiting list from being implemented
  • Needing funds to address a reduction in available resources to fund ADAP
  • Needing funds to respond to a current or projected increase in treatment needs tied to Ending the HIV Epidemic efforts
  • Needing funds to manage other increases in ADAP clients due to factors such as new diagnosis, re-engagement in care, loss of income, or loss of insurance/coverage loss

What does HRSA prioritize when deciding which applications to fund?

HRSA emphasizes continuity of HIV treatment and gives particular priority to addressing existing ADAP waiting lists, because waiting lists are historically among the most urgent scenarios (eligible clients are delayed or unable to receive medications due to insufficient funds).

How are applications reviewed and scored?

Applications are reviewed by an external Merit Review Panel (MRP). The panel scores the applicant's demonstrated need using criteria specified in the NOFO. HRSA bases funding decisions on whether the applicant can show a convincing, data-supported need.

What is an ADAP waiting list in the context of this program?

An ADAP waiting list refers to a situation where eligible clients are delayed or unable to receive HIV medications due to insufficient program funds. The ERF program is designed to prevent or eliminate such disruptions.

Were there ADAP waiting lists nationally at the time this NOFO was published?

No. A key detail noted is that, at the time the NOFO was published, there were no ADAP waiting lists nationally.

If a waiting list starts after the NOFO is published, what is the expectation?

If a state or territory establishes a waiting list after the NOFO is published, it must notify HRSA immediately. It is also expected to use any awarded ERF funds to remove clients from the waiting list.

What kinds of circumstances can trigger the need for ERF support besides a waiting list?

The NOFO framing recognizes that conditions can change quickly and highlights several examples of pressures that can increase need, including reductions in program income or manufacturer rebates, loss of health coverage among people with HIV, and increased case finding (more people diagnosed and linked to care). It also includes current or projected increases in treatment needs aligned with national goals such as Ending the HIV Epidemic in the U.S.

How does this opportunity relate to Ending the HIV Epidemic in the U.S.?

ERF funds may support jurisdictions experiencing current or projected increases in treatment needs that align with Ending the HIV Epidemic efforts, including increased enrollment driven by new diagnoses, re-engagement in care, or coverage loss.

How many awards does HRSA expect to make?

The agency expects to make around 25 awards.

What are the key dates listed for this opportunity?

The notice was created on 2024-09-03, and the original application closing date is 2024-11-04.

Is there a maximum (ceiling) award amount?

The award ceiling is listed as 0. This typically indicates that the maximum award amount is not pre-set in the public listing and will instead be determined based on demonstrated need, available funds, and HRSA's award decisions (rather than a fixed cap).

What is the overall role of ADAP ERF within the Ryan White Part B system?

ADAP ERF functions as a backstop for ADAP stability within RWHAP Part B. It is intended to help Part B jurisdictions quickly address sudden financial gaps or demand spikes so that access to HIV medications and related treatment support is not interrupted.

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