A Guide to Fiscal Year 1991 Federal Funding for HIV Disease: How Dollars are Spent How to Access Them

drug abuse treatment and HIV health care, support
and respite care within family-based networks in the
minority community, or HIV health and support services targeting special and underserved populations.
In addition to CARE Act funding, BHRD conducts
a program of project grants for renovation or construction of non-acute care, intermediate, and longterm care facilities for patients with AIDS. Eligible
applicants must be public or private non-profit agencies, have sources of funding to meet the non-federal
portion of costs, and be in a high-incidence area
(defined by the RFP). In FY '91, $4,029,000 is
available for this program, of which Congress
designated $1,000,000 be targeted to tertiary
perinatal facilities with higher than average infant
mortality rates.
For more information on BHRD extramural HIV
funding for FY '91 contact:
Steve Bowen, M.D.
Division of HIV Services
301/443-6745, or
June Horner, AIDS Coordinator
301/443-0652
All extramural programs administered by HRSA
are managed by regional offices. Appendix D contains names of HRSA regional program and grant
personnel who may be contacted for specific information related to either programs or extramural funding applications.
Bureau of Health Care
Delivery and Assistance
The Bureau of Health Care Delivery and
Assistance (BHCDA) helps assure that health care
services are provided to medically underserved
populations and to persons with special health care
needs. BHCDA oversees development of primary
health care delivery capacity, and placement of
health-care professionals in Health Care Professional
Shortage Areas (HPSAs) to promote ongoing health
services. BHCDA also identifies and designates
HPSAs, Medically Underserved Areas (MUAs), and
Medically Underserved Populations (MUPs).
Primary health care is largely provided through
four programs: Community Health Centers (CHCs);
Migrant Health Centers (MHCs); Services for Special
Populations; and the National Health Service Corps

(NHSC). These programs benefit approximately

6,000,000 medically underserved persons and provide health care to those who would otherwise lack
access to it.
Approximately 64% of CHC users are minorities;
about 60% have incomes under the poverty level and
another 25% are between 100 and 200% of poverty.
MHCs deliver care-coordinated services to an
estimated 500,000 migrant and seasonal farm
workers and their families annually through 105
MHCs with 400 service delivery sites.
Services for Special Populations target high-risk
groups within the overall medically underserved
populations. The Perinatal Care Program provides
coordinated services to pregnant women and to their
infants during their first year of life. The Health Care
for the Homeless Program provides primary healthcare, alcohol and substance abuse, and mental health
services to more than 400,000 of the nation's homeless. In addition, special initiatives integrate service
needs of chemically dependent individuals through
substance abuse programs, provide AIDS prevention
and treatment for HIV infected persons, and improve
health-care systems serving the elderly. The Health
Care in the Home Demonstration project is underway in several states to improve the ability of existing
home-care systems to help low-income and at-risk
individuals avoid lengthy stays in hospitals and other
institutions.
NHSC provides physicians and other health professionals to areas with shortages. Through supportfor-service programs (scholarships and loan repayment programs), BHCDA helps health professionals
finance their educations in return for an agreement
to practice for a specified time in a HPSA, and to
serve in the NASC. The NHSC also serves as PHS
liaison and advocacy for extramural Federal programs and the assigned PHS commissioned officers,
and coordinates and manages PHS reserve affairs
and readiness activities.
The BHCDA FY '91 HIV Funding is $44,891,000
which covers administration of the HRSA portion of
CARE Act Title III money, authorized at
$75,000,000 and appropriated at $44,891,000 for FY
'91.
Title III. Title III monies are available to provide
comprehensive AIDS and HIV prevention services
under two programs: formula grants for states, the
District of Columbia, Puerto Rico, and the territories;
and categorical grants for public and private non
profit clinics. CDC administers the first program of

~1991 ASAP

Reproduction By Permission Only

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~1991 ASAP Reproduction By Permission Only 61