Ryan White Care Act of 1990: Opportunities Are Available to Improve
Funding Equity (Testimony, 02/22/95, GAO/T-HEHS-95-91).

The Ryan White Comprehensive AIDS Resources Emergency Act of 1990 makes
federal funding available to cities that have been especially hard hit
by the AIDS epidemic.  In fiscal year 1994, $326 million in act funds
were distributed to 34 eligible metropolitan areas in 17 states, the
District of Columbia, and Puerto Rico.  GAO testified that the act's
funding formulas have resulted in per case funding disparities that are,
to a great extent, unrelated to service costs or to the ability of
states and cities to pay for services from local sources.  These funding
disparities result from the fact that (1) eligible metropolitan area
cases are inappropriately double counted under the act's formulas, (2)
there is no indicator that reflects differences in the costs of
providing services in both states and eligible metropolitan areas, and
(3) formula factors inappropriately measure caseloads and funding
capacity.  Greater funding equity could be achieved by eliminating the
inappropriate double counting of AIDS cases and by using more
appropriate measures of state and city needs.

--------------------------- Indexing Terms -----------------------------

 REPORTNUM:  T-HEHS-95-91
     TITLE:  Ryan White Care Act of 1990: Opportunities Are Available to 
             Improve Funding Equity
      DATE:  02/22/95
   SUBJECT:  Health care services
             Health care costs
             Acquired immunodeficiency syndrome
             Infectious diseases
             Public health legislation
             Federal funds
             Federal aid to states
             Federal/state relations
             Health care programs
             Formula grants
IDENTIFIER:  AIDS
             Medicare Hospital Wage Cost Index
             New York
             San Francisco (CA)
             Delaware
             Hawaii
             Vermont
             Oakland (CA)
             Alaska
             Alabama
             Arkansas
             Mississippi
             
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