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APHA Scientific Session and Event Listing

Recorded presentation

Harold A. Pollack, PhD¹, A. David Paltiel, PhD², and Erika Martin, MPH². (1) School of Social Service Administration, University of Chicago, 969 East 60th St, Chicago, IL 60637, 7737024414, haroldp@uchicago.edu, (2) Department of Epidemiology, Yale University School of Medicine, 60 College Street, Room 305, New Haven, CT 06520-8034

Debate over the reauthorization of the Ryan White CARE Act (RWCA) raises questions of fairness, equity, and efficiency. Critics charge that the program targets disproportionate resources to historical, urban epicenters at the expense of underserved areas of incident HIV infection. We use 1998-2004 data on Title I and Title II RWCA allocations to examine these claims. We find that states' concentration of AIDS cases within urban areas remains the dominant predictor of RWCA funding, though the impact of concentration declined after the year 2000. Other state characteristics, such as poverty rates or race/ethnic diversity, play a much smaller role. We consider policy implications of continued differences in RWCA formula allocations.

Learning Objectives: At the conclusion of the session, participants in this session will be able to

• Articulate resource allocation formulas that determine resource allocation in the Ryan White CARE Act (RWCA) to states and metropolitan areas.
• Articulate competing conceptions of equity in RWCA formula allocation.
• Describe trends in RWCA funding over the past decade.

Keywords: Ryan White, Economic Analysis

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation