FY_2025_AGREEMENTS_AND_COMPLIANCE_ASSURANCES_RWHAP_PART_A.PDF

FY 2025 AGREEMENTS AND COMPLIANCE ASSURANCES 
Ryan White HIV/AIDS Program 
Part A HIV Emergency Relief Grant Program 
 
I, the Chief Elected Official of the Eligible Metropolitan Area or Transitional Grant Area 
  
, (hereinafter referred to as the EMA/TGA) assure that: 
 
Pursuant to Section 2602(a)(2)1, 2 
The EMA/TGA will establish a mechanism to allocate funds and a Planning Council that 
comports with section 2602(b). 
 
Pursuant to Section 2602(a)(2)(B) 
The EMA/TGA has entered into intergovernmental agreements with the Chief Elected 
Officials of the political subdivisions in the EMA/TGA that provide HIV-related health 
services and for which the number of AIDS cases in the last 5 years constitutes not less 
than 10 percent of the cases reported for the EMA/TGA. 
 
Pursuant to Section 2602(b)(4) 
The EMA/TGA Planning Council will determine the size and demographics of the 
population of people with HIV, as well as the size and demographics of the estimated 
population of people with HIV who are unaware of their HIV status; determine the needs 
of such population, and develop a comprehensive plan for the organization and delivery 
of health and support services. The plan must include a strategy with discrete goals, a 
timetable, and appropriate funding, for identifying people with HIV who do not know their 
HIV status, making such individuals aware of their HIV status, and enabling such 
individuals to use the health and support services. The strategy should particularly 
address disparities in access and services among affected subpopulations and 
historically underserved communities. 
 
Pursuant to Section 2603(c) 
The EMA/TGA will comply with statutory requirements regarding the timeframe for obligation 
and expenditure of funds, and will comply with any cancellation of unobligated funds. 
 
Pursuant to Section 2603(d) 
The EMA/TGA will make expenditures in compliance with priorities established by the 
Planning Council/Planning Body. 
 
Pursuant to Section 2604(a) 
 
1 All statutory references are to the Public Health Service Act, unless otherwise specified.  
2 TGAs are exempted from the requirement related to Planning Councils, but must provide a process for obtaining community input as 
described in section 2609(d)(1)(A) of the PHS Act. TGAs that have currently operating Planning Councils are strongly encouraged to 
maintain that structure.

The EMA/TGA will expend funds according to priorities established by the Planning 
Council/Planning Body, and for core medical services, support services, and 
administrative expenses only. 
 
Pursuant to Section 2604(c) 
The EMA/TGA will expend not less than 75 percent of service dollars for core medical 
services, unless waived by the Secretary. 
 
Pursuant to Section 2604(f) 
The EMA/TGA will, for each of such populations in the eligible area expend, from the 
grants made for the area under Section 2601(a) for a FY, not less than the percentage 
constituted by the ratio of the population involved (infants, children, youth, or women in 
such area) with HIV/AIDS to the general population in such area of people with HIV, 
unless a waiver from this provision is obtained. 
 
Pursuant to Section 2604(g) 
The EMA/TGA has complied with requirements regarding the Medicaid status of 
providers, unless waived by the Secretary. 
 
Pursuant to Section 2604(h)(2), Section 2604(h)(3), Section 2604(h)(4) 
The EMA/TGA will expend no more than 10 percent of the grant on administrative costs 
(including Planning Council or planning body expenses), and in accordance with the 
legislative definition of administrative activities, and the allocation of funds to 
subrecipients will not exceed an aggregate amount of 10 percent of such funds for 
administrative purposes. 
 
Pursuant to Section 2604(h)(5) 
The EMA/TGA will establish a CQM Program that meets HRSA requirements, and that 
funding for this program shall not exceed the lesser of five percent of program funds or 
$3 million. 
 
Pursuant to Section 2604(i) 
The EMA/TGA will not use grant funds for construction or to make cash payments to 
recipients. 
 
Pursuant to Section 2605(a) 
With regard to the use of funds, 
a. funds received under Part A of Title XXVI of the Act will be used to supplement, 
not supplant, state funds made available in the year for which the grant is 
awarded to provide HIV related services to individuals with HIV disease; 
b. during the period of performance, political subdivisions within the EMA/TGA will 
maintain at least their prior FY’s level of expenditures for HIV related services for 
individuals with HIV disease; 
c. political subdivisions within the EMA/TGA will not use funds received under Part 
A in maintaining the level of expenditures for HIV related services as required in 
the above paragraph; and

d. documentation of this MOE will be retained. 
 
Pursuant to Section 2605(a)(3) 
The EMA/TGA will maintain appropriate referral relationships with entities considered 
key points of access to the health care system for the purpose of facilitating EIS for 
individuals diagnosed with HIV infection. 
 
Pursuant to Section 2605(a)(5) 
The EMA/TGA will participate in an established HIV community based continuum of 
care, if such continuum exists within the EMA/TGA. 
 
Pursuant to Section 2605(a)(6) 
Part A funds will not be used to pay for any item or service that can reasonably be 
expected to be paid under any state compensation program, insurance policy, or any 
Federal or state health benefits program (except for programs related to the Indian 
Health Service) or by an entity that provides health services on a prepaid basis. 
 
Pursuant to Section 2605(a)(7)(A) 
Part A funded HIV primary medical care and support services will be provided, to the 
maximum extent possible, without regard to a) the ability of the individual to pay for such 
services or b) the current or past health conditions of the individuals to be served. 
 
Pursuant to Section 2605(a)(7)(B) 
Part A funded HIV primary medical care and support will be provided in settings that are 
accessible to low-income individuals with HIV disease. 
 
 
Pursuant to Section 2605(a)(7)(C) 
A program of outreach services will be provided to low-income individuals with HIV 
disease to inform them of the HIV primary medical care and support services. 
 
Pursuant to Section 2605(a)(8) 
The EMA/TGA has participated in the Statewide Coordinated Statement of Need 
(SCSN) process initiated by the state, and the services provided under the EMA/TGA 
comprehensive plan are consistent with the SCSN. 
 
Pursuant to Section 2605(a)(9) 
The EMA/TGA has procedures in place to ensure that services are provided by 
appropriate entities. 
 
Pursuant to Section 2605(a)(10) 
The EMA/TGA will submit audits every 2 years to the lead state agency under Part B of 
Title XXVI of the PHS Act. 
 
Pursuant to Section 2605(e)

The EMA/TGA will comply with the statutory requirements regarding imposition of 
charges for services. 
Pursuant to Section 2681(d) 
Services funded will be integrated with other such services, programs will be 
coordinated with other available programs (including Medicaid), and that the continuity 
of care and prevention services of individuals with HIV is enhanced. 
Pursuant to Section 2684 
No funds shall be used to fund AIDS programs, or to develop materials, designed to 
directly promote or encourage intravenous drug use or sexual activity, whether 
homosexual or heterosexual. 
Signature  
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