Opportunity Information: Apply for HRSA 22 035
The AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF) opportunity is a discretionary federal grant run by the U.S. Department of Health and Human Services through the Health Resources and Services Administration (HRSA), specifically the HIV/AIDS Bureau (HAB) and its Division of State HIV/AIDS Programs (DSHAP). It sits under the Ryan White HIV/AIDS Program (RWHAP) Part B and is designed as a targeted financial backstop for state and territorial ADAP programs when they face sudden or escalating pressure that could keep people with HIV from getting timely access to lifesaving medications and related support. In plain terms, this funding is meant to help jurisdictions avoid having to place eligible clients on an ADAP waiting list, and to quickly eliminate any waiting list that does occur.
The central purpose of ADAP ERF is to provide additional resources to states and territories that can clearly show they need extra funding to prevent, reduce, or eliminate ADAP waiting lists. The notice makes it clear that HRSA is especially focused on situations where demand for ADAP outpaces available resources, since delays in access to antiretroviral therapy can lead to worse health outcomes and increased HIV transmission risk. Beyond simply paying for medications, the program also recognizes that states may need to implement cost-containment strategies to stabilize their ADAP systems. One example explicitly mentioned is the use of health care coverage assistance, which can shift eligible clients into more sustainable coverage options while keeping treatment uninterrupted.
Awards are not automatic or formula-based. HRSA plans to base ERF decisions on how well an applicant demonstrates the need for supplemental funds. That need determination is reviewed by an external objective review committee (ORC), which applies criteria laid out in the Notice of Funding Opportunity (NOFO). While the NOFO acknowledges that there were no ADAP waiting lists at the time it was published, it still prioritizes the removal of existing waiting lists if they emerge. If a state or territory establishes a waiting list after the NOFO is published, it must notify HRSA immediately and then use any ERF award to move clients off the waiting list, emphasizing that the program is meant to be responsive and rapid when access problems arise.
Historically, HRSA first launched the ERF initiative in August 2010 during a period when many jurisdictions were experiencing ADAP waiting lists. This NOFO reflects lessons from that period while acknowledging a different current landscape: even if waiting lists are not present right now, the underlying risks remain, especially when economic conditions change. HRSA specifically anticipates that states and territories may see increases in the number of people needing ADAP services due to loss of income and/or loss of health coverage among people with HIV. The program is therefore positioned as a preventive and stabilizing resource, allowing jurisdictions to address not only current shortfalls but also credible projected increases in treatment need. The notice also ties ERF use to broader national goals, noting that funds may support treatment needs aligned with ending the HIV epidemic in the United States, as well as other unanticipated increases in ADAP client volume.
Eligibility is centered on state governments and certain other entities as clarified in the NOFO, reflecting that ADAP is administered at the state or territorial level. The funding opportunity is listed under Assistance Listing (CFDA) number 93.917 and was published with Funding Opportunity Number HRSA-22-035. The opportunity was created on July 26, 2021, with an original application closing date of October 25, 2021. HRSA anticipated making about 25 awards. The listing shows an award ceiling of 0, which typically signals that the maximum amount is not set as a single fixed cap in the public summary and is instead determined based on demonstrated need, available appropriations, and HRSA’s award methodology described in the full NOFO.
Overall, ADAP ERF is best understood as an emergency pressure-release valve for ADAP programs. It is meant to keep medication access continuous, prevent the reappearance of waiting lists, and give states and territories flexibility to respond to economic shifts or sudden enrollment growth, while still requiring a clear, well-documented justification for why extra federal support is necessary at that moment.Apply for HRSA 22 035
- 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 26, 2021.
- Applicants must submit their applications by Oct 25, 2021. (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 (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?
ADAP ERF is a discretionary federal grant opportunity designed to provide targeted, supplemental funding to state and territorial AIDS Drug Assistance Program (ADAP) programs when they face sudden or escalating pressure that could disrupt timely access to HIV medications and related support.
Which federal agency runs ADAP ERF?
The opportunity is run by the U.S. Department of Health and Human Services (HHS) through the Health Resources and Services Administration (HRSA), specifically the HIV/AIDS Bureau (HAB) and its Division of State HIV/AIDS Programs (DSHAP).
How does ADAP ERF fit within the Ryan White HIV/AIDS Program?
ADAP ERF sits under the Ryan White HIV/AIDS Program (RWHAP) Part B and functions as a targeted financial backstop to help ADAP programs maintain uninterrupted access to treatment.
What is the main purpose of ADAP ERF funding?
The central purpose is to provide additional resources to states and territories that can clearly demonstrate a need for extra funding to prevent, reduce, or eliminate ADAP waiting lists and avoid interruptions in access to lifesaving HIV medications.
What problem is this grant meant to prevent or address?
This funding is meant to help jurisdictions avoid placing eligible clients on an ADAP waiting list and to quickly eliminate any waiting list that occurs, especially when demand for ADAP outpaces available resources.
Why does HRSA emphasize preventing ADAP waiting lists?
The notice highlights that delays in access to antiretroviral therapy can lead to worse health outcomes and increased HIV transmission risk, so preventing waiting lists supports continuous treatment access.
Is ADAP ERF only for situations where a waiting list already exists?
No. While removing existing waiting lists is prioritized if they emerge, the NOFO also positions ERF as a preventive and stabilizing resource when credible pressure or projected increases threaten timely access to medications.
Were there ADAP waiting lists at the time this NOFO was published?
The NOFO acknowledges there were no ADAP waiting lists at the time it was published, while still emphasizing readiness to respond rapidly if waiting lists occur after publication.
If a state or territory creates an ADAP waiting list after the NOFO is published, what must it do?
If a waiting list is established after publication, the jurisdiction must notify HRSA immediately. Any ERF award must then be used to move clients off the waiting list, reflecting the program's rapid-response intent.
Can ERF funds be used for more than just paying for medications?
Yes. In addition to paying for medications, the program recognizes that states may need cost-containment strategies to stabilize ADAP systems. One example specifically mentioned is health care coverage assistance to shift eligible clients into more sustainable coverage options while keeping treatment uninterrupted.
What is meant by "cost-containment strategies" in this opportunity?
Based on the notice, cost-containment strategies are approaches a state or territory may implement to stabilize ADAP operations under financial pressure. The NOFO explicitly references health care coverage assistance as one such strategy.
Are ADAP ERF awards automatic or based on a formula?
No. Awards are not automatic or formula-based. HRSA plans to base ERF decisions on how well an applicant demonstrates the need for supplemental funds.
How does HRSA determine whether an applicant has demonstrated need?
Need determination is reviewed by an external objective review committee (ORC), which applies criteria laid out in the Notice of Funding Opportunity (NOFO).
Who is eligible to apply for ADAP ERF?
Eligibility is centered on state governments and certain other entities as clarified in the NOFO, reflecting that ADAP is administered at the state or territorial level.
What kinds of pressures does HRSA anticipate could increase ADAP need?
HRSA anticipates that states and territories may see increases in the number of people needing ADAP services due to loss of income and/or loss of health coverage among people with HIV, especially when economic conditions change.
Does the opportunity support projected increases in need, or only current shortfalls?
It is positioned to address both. The notice frames ERF as a resource that can help address current shortfalls as well as credible projected increases in treatment need, particularly when access issues could emerge quickly.
How does this opportunity relate to broader national HIV goals?
The notice ties ERF use to broader national goals by noting that funds may support treatment needs aligned with ending the HIV epidemic in the United States, as well as other unanticipated increases in ADAP client volume.
When did HRSA first launch the ERF initiative?
HRSA first launched the ERF initiative in August 2010, during a period when many jurisdictions were experiencing ADAP waiting lists.
What is the Assistance Listing (CFDA) number for this opportunity?
The opportunity is listed under Assistance Listing (CFDA) number 93.917.
What is the Funding Opportunity Number for this grant?
The Funding Opportunity Number is HRSA-22-035.
When was this funding opportunity created?
The opportunity was created on July 26, 2021.
What was the original application closing date?
The original application closing date was October 25, 2021.
How many awards did HRSA anticipate making?
HRSA anticipated making about 25 awards.
Is there a maximum award amount (award ceiling) listed?
The public summary shows an award ceiling of 0, which typically signals that the maximum amount is not set as a single fixed cap in the summary and is instead determined based on demonstrated need, available appropriations, and HRSA's award methodology described in the full NOFO.
In simple terms, what role does ADAP ERF play for state and territorial ADAP programs?
It functions as an emergency pressure-release valve for ADAP programs, intended to keep medication access continuous, prevent the reappearance of waiting lists, and give jurisdictions flexibility to respond to sudden enrollment growth or economic shifts, while still requiring clear documentation of need.
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