Hawaii Department of Health receives $487K Hiv Care Formula Grants from the Health Resources and Services Administration

Ryan white part b supplemental - hawai‘i requests a ryan white part b supplemental award of $750,000 under funding opportunity HRSA-26-074 for the period september 30, 2026 to september 29, 2027 to address a shortfall in resources needed to ensure continued operation of the hawai‘i adap. This additional funding will prevent the need of access-limited restrictions such as an adap waiting list. Hawai‘i adap is experiencing a significant shortfall due to an increase in the proportion of adap clients who lack insurance, in conjunction with a significant decrease in adap-generated 304B rebates due to changes in medicare. In the beginning of the current ryan white year, as a short-term response to this resource shortfall, hawai‘i redirected ryan white formula funds and rebates to adap by making dramatic reductions to funding for all non-adap ryan white part b services. These reductions to ryan white services undermine the system of high-quality hiv care in hawai‘i and jeopardize the progress made improving health outcomes across the hiv care continuum, particularly rapid linkage to care, engagement in hiv medical care, and viral suppression. Even with this redirection of ryan white formula funds and rebates to adap, without additional funding, hawai‘i adap anticipates an adap waiting list in the second half of the 2026 ryan white budget year. This request prioritizes the use of supplemental funds to meet the current and projected need for adap services. Supplemental funds awarded to hawai‘i under this project would be used to provide access to hiv treatments for eligible individuals through the existing mechanism used by hawai‘i adap: • purchasing medications for uninsured adap-enrolled clients; • purchasing insurance that provides adequate access to medications; and • paying pharmacy costs for insured individuals to access medications. Supplemental funding to meet the current and projected need for adap services will allow ryan white formula funds and rebates to be returned to non-adap services, and to restore those services to funding levels in the 2025 ryan white budget period. This supplemental funding will improve viral suppression and improve client health outcomes across the hiv care continuum by avoiding an adap waiting list and restoring the non-adap ryan white core medical and supportive services that are critical in supporting clients to engage and remain in hiv care and on treatment.