Opportunity Information: Apply for HRSA 23 056
The AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF) opportunity is a discretionary grant program from the U.S. Department of Health and Human Services (HHS), administered through the Health Resources and Services Administration (HRSA). It is designed to help states and U.S. territories respond quickly when their ADAP programs face financial pressure that could lead to people being placed on waiting lists for HIV medications. The core goal is straightforward: prevent, reduce, or eliminate ADAP waiting lists so that eligible individuals can maintain timely access to life-saving HIV treatment and related drug coverage without interruption.
This funding is grounded in federal public health authority. Specifically, it draws on Section 311 of Title III of the Public Health Service (PHS) Act, which authorizes the Secretary of HHS to use resources to control epidemics of any disease. In practice, HRSA is using that authority to reinforce the HIV care safety net by providing emergency relief funding when ADAP demand, drug costs, or other budget impacts threaten continuous coverage. The program is explicitly tied to and meant to operate alongside the Ryan White HIV/AIDS Program (RWHAP) Part B ADAP, which is overseen by HRSA's HIV/AIDS Bureau (HAB), within the Division of State HIV/AIDS Programs (DSHAP). In other words, these emergency relief dollars are not a stand-alone system; they are intended to supplement and stabilize existing Part B ADAP operations.
Eligible applicants are primarily state governments, with territories also included, and the listing notes that additional eligibility clarification may be provided in the full announcement text. The program sits in the health funding activity category and is associated with CFDA number 93.917, which aligns with HIV care and treatment support under the Ryan White framework. The funding instrument type is a grant, meaning awardees receive federal financial assistance to carry out the program purpose under specified terms and conditions, rather than a procurement contract.
The announcement (Funding Opportunity Number HRSA-23-056) anticipated making around 25 awards, with an award ceiling of up to $10,000,000 per award. While actual award sizes can vary depending on need and available appropriations, the ceiling indicates the program is built to address significant shortfalls that could otherwise translate into enrollment caps, waiting lists, or reductions in covered medications. The emphasis on "cost-containment measures" signals that funds may be used not only to directly cover medication access gaps, but also to support strategies that help programs manage rising costs and stretch resources, as long as those strategies align with ADAP requirements and the goal of maintaining access.
Key timing details in the source data show the opportunity was created on July 13, 2022, with an original closing date of October 11, 2022. Those dates indicate the application window for that specific cycle and help situate it as a time-limited competitive (or otherwise structured) funding opportunity rather than an open-ended entitlement. Overall, the ADAP ERF opportunity is best understood as an emergency backstop: targeted federal support to keep ADAP coverage stable and prevent disruptions in HIV medication access when state or territorial ADAP programs are at risk of implementing or expanding waiting lists.Apply for HRSA 23 056
- The Department of Health and Human Services, 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 Jul 13, 2022.
- Applicants must submit their applications by Oct 11, 2022. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $10,000,000.00 in funding.
- The number of recipients for this funding is limited to 25 candidate(s).
- Eligible applicants include: State governments, Others (see text field entitled Additional Information on Eligibility for clarification).
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ADAP Emergency Relief Funds (ERF) 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 program from the U.S. Department of Health and Human Services (HHS). It is administered by the Health Resources and Services Administration (HRSA) and is intended to provide rapid financial support when state or territorial ADAP programs face budget pressure that could lead to HIV medication waiting lists.
What problem is this funding meant to address?
This funding is designed to prevent, reduce, or eliminate ADAP waiting lists so eligible individuals can maintain timely access to life-saving HIV medications and related drug coverage without interruption.
Who administers this program?
HRSA administers the program. Within HRSA, the program is connected to the HIV/AIDS Bureau (HAB), specifically within the Division of State HIV/AIDS Programs (DSHAP), which oversees the Ryan White HIV/AIDS Program (RWHAP) Part B ADAP.
Is this a stand-alone program or connected to Ryan White Part B ADAP?
It is not a stand-alone system. The ERF funds are explicitly tied to, and meant to operate alongside, HRSA's Ryan White HIV/AIDS Program (RWHAP) Part B ADAP. The purpose is to supplement and stabilize existing Part B ADAP operations during periods of financial stress.
What is the main goal of ADAP ERF funding?
The core goal is to keep ADAP coverage stable by preventing interruptions in access to HIV medications, especially in situations where demand, drug costs, or other budget impacts threaten continuous coverage and could result in people being placed on waiting lists.
What legal authority is cited for this funding?
The funding is grounded in Section 311 of Title III of the Public Health Service (PHS) Act. That section authorizes the Secretary of HHS to use resources to control epidemics of any disease, and HRSA is using that authority to reinforce the HIV care safety net through emergency relief support for ADAP.
What type of funding instrument is used for this opportunity?
The funding instrument type is a grant. That means awardees receive federal financial assistance to carry out the program purpose under specified terms and conditions, rather than receiving a procurement contract for goods or services.
Who is eligible to apply?
Eligible applicants are primarily state governments, with U.S. territories also included. The listing notes that additional eligibility clarification may be provided in the full announcement text.
What is the Funding Opportunity Number (FON)?
The Funding Opportunity Number is HRSA-23-056.
What CFDA number is associated with this opportunity?
The opportunity is associated with CFDA number 93.917, which aligns with HIV care and treatment support under the Ryan White framework.
How many awards were anticipated?
The announcement anticipated making around 25 awards.
What is the maximum award amount?
The award ceiling was up to $10,000,000 per award. Actual award sizes can vary based on need and available appropriations, but the ceiling indicates the program is designed to address significant shortfalls that could otherwise lead to waiting lists or reductions in covered medications.
What kinds of situations might make an applicant seek ERF support?
The opportunity is intended for situations where ADAP programs face financial pressure that could cause or expand waiting lists for HIV medications. Examples of pressures described include increased demand for services, rising drug costs, and other budget impacts that threaten continuous coverage.
Can funds be used for cost-containment measures?
The description emphasizes "cost-containment measures," indicating funds may support strategies to help programs manage rising costs and stretch resources, as long as those strategies align with ADAP requirements and support the goal of maintaining access and preventing waiting lists.
What is the broader purpose of ERF in the HIV care system?
ERF functions as an emergency backstop to reinforce the HIV care safety net. It provides targeted federal support to keep ADAP coverage stable and prevent disruptions in access to HIV medication when state or territorial ADAP programs are at risk of implementing or expanding waiting lists.
When was this opportunity created, and what was the closing date?
The opportunity was created on July 13, 2022, and the original closing date was October 11, 2022. These dates reflect the application window for that specific cycle.
Is this an open-ended program or a time-limited funding opportunity?
Based on the provided dates (creation and closing), this appears to have been a time-limited funding opportunity for that cycle, rather than an open-ended entitlement.
What funding category does this opportunity fall under?
The program sits in the health funding activity category.
How does this opportunity relate to ADAP waiting lists specifically?
The opportunity is directly focused on waiting lists: it is designed to help prevent people from being placed on waiting lists, reduce existing waiting lists, or eliminate waiting lists altogether so eligible individuals can access HIV medications without delays or interruptions.
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