United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office Health, Education, and Human Services Division author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 1995-11-13 monographic deposited born digital 69 p. GA 1.13:HEHS-96-26 https://www.govinfo.gov/app/details/GAOREPORTS-HEHS-96-26 P0b002ee18039d7cc f:he96026 DGPO 2010-08-12 2011-03-28 GAOREPORTS-HEHS-96-26 machine generated eng fdlp REPORT GAOREPORTS-HEHS-96-26 HEHS-96-26 Acquired immunodeficiency syndrome Funds management Health care services Health care costs Public health legislation Formula grants Health care programs Federal aid to states Intergovernmental fiscal relations Health resources utilization Medicare Hospital Wage Cost Index Dallas (TX) Oakland (CA) New York (NY) San Francisco (CA) Miami (FL) AIDS Letter Report HEHS Pursuant to a congressional request, GAO reviewed the funding formulas established under the Ryan White Care Act, focusing on: (1) whether the existing formulas distribute funds equitably to states and eligible metropolitan areas (EMA); (2) the factors that inhibit greater funding equity; and (3) formula changes that are needed to improve funding equity.<p/>GAO found that: (1) although Ryan White Care Act funding formulas include factors used in equity-based formulas, they result in per-case funding discrepancies because EMA cases are double counted; (2) states without EMA do not benefit from double counting and receive significantly less funding than states with EMA; (3) the indicators used to target funds to needy states and EMA fail to take geographic cost differences into consideration; (4) EMA funding levels are based on the cumulative number of reported acquired immunodeficiency syndrome (AIDS) cases, resulting in the oldest EMA receiving the most funding; (5) better cost indicators could be used to target more funds to states and EMA where resources are the most strained by AIDS; and (6) funding equity could be improved by eliminating the inappropriate double counting of AIDS cases and by using more appropriate measures of EMA and state funding needs. https://www.govinfo.gov/content/pkg/GAOREPORTS-HEHS-96-26/html/GAOREPORTS-HEHS-96-26.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-HEHS-96-26/pdf/GAOREPORTS-HEHS-96-26.pdf GAO/HEHS-96-26 https://www.govinfo.gov/app/details/GAOREPORTS-HEHS-96-26 Letter Report GAO/HEHS-96-26; Ryan White Care Act of 1990: Opportunities to Enhance Funding Equity; Acquired immunodeficiency syndrome Funds management Health care services Health care costs Public health legislation Formula grants Health care programs Federal aid to states Intergovernmental fiscal relations Health resources utilization Medicare Hospital Wage Cost Index Dallas (TX) Oakland (CA) New York (NY) San Francisco (CA) Miami (FL) AIDS