Ryan White Care Act Reauthorization Hearing of the Committee On Labor And Huma

Cover Ryan White Care Act Reauthorization Hearing of the Committee On Labor And Huma
Ryan White Care Act Reauthorization Hearing of the Committee On Labor And Huma
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Similarly, there was wide variation in Title II funds distributed to the States. Again, for fiscal year 1994, Title II per case funding ranged from $960 in Hawaii to $2, 600 in New York, a difference of about 270 percent.
Such differences in per case funding would not be a problem from an equity perspective if they reflected differences in the cost of de- livering services, or in State and local funding capacity. However, when we examined the difference in combined Title I and Title II funds ac
...ross States, we found that cost differences and funding ca- pacity could explain only 36 percent of the variation. Approxi- mately 64 percent of the differences in State funding per AIDS case appears to be unrelated to State funding needs.
As to why the existing Title I and Title II formulas result in the observed funding inequities, we identified four contributory factors. First, AIDS cases in eligible metropolitan areas are counted in both the Title I and Title II formulas. Our analysis indicates that this double counting of EMA cases accounts for about half of the dif- ferences in States' total per case funding.


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