.!,

Department  of Health  and Human  Services 
OFFICE  OF 
INSPECTOR  GENERAL 
THE  RYAN  WHITE  CARE  ACT:

TECHNICAL  REPORT  OF  1992  EXPENDITURES 
*.  . 
-*  +  JUNE  GIBBS BROWN 
/  Inspector  General  OFFICE  OF INSPE~OR  GENERAL 
The mission of the Office of Inspector General (OIG), as mandated by Public Law 95-452, as 
amended, is to protect the integrity of the Department  of Health and Human Services (HHS) 
programs as well as the health and welfare of beneficiaries served by those programs.  This 
statutory mission is carried out through a nationwide network of audits, investigations, and 
inspections conducted by three OIG operating components:  the Office of Audit Services, the 
Office of Investigations, and the Offke of Evaluation and Inspections.  The OIG also informs 
the Secretary of HHS of program and management problems and recommends courses to 
correct them. 
OFFICE  OF AUDIT  SERVICES 
The OIGS Office of Audit Services (OAS) provides all auditing services for HHS, either by 
conducting audits with its own audit resources or by overseeing audit work done by others. 
Audits examine the performance of HHS programs and/or its grantees and contractors in 
carrying out their respective responsibilities and are intended to provide independent 
assessments of HHS programs and operations in order to reduce waste, abuse, and 
mismanagement and to promote economy and efficiency throughout  the Department. 
OFFICE  OF INVESTIGATIONS 
The OIGS Office of Investigations (01) conducts criminal, civil, and administrative 
investigations of allegations of wrongdoing in HHS programs or to HHS beneficiaries and of 
unjust enrichment by providers.  The investigative efforts of 01 lead to criminal convictions, 
administrative sanctions, or civil money penalties.  The 01 also oversees State Medicaid fraud 
control units which investigate and prosecute fraud and patient abuse in the Medicaid program. 
OFFICE  OF EVALUATION  AND INSPECTIONS 
The OIGS Office of Evaluation and Inspections (OEI) conducts short-term management and

program evaluations (caUed inspections) that focus on issues of concern to the Department,

the Congress, and the public.  The findings and recommendations contained in these inspection

reports generate  rapid, accurate, and up-to-date information on the efficiency, vulnerability,

and effectiveness of departmental  programs.

This report was prepared under the direction of William Moran, the Regional Inspector

General, and Natalie Coen, Deputy Regional Inspector General, for the Office of Evaluation

and Inspections, Region V.  Participating in this project were the following people

Retion  V  Headquarters

Barbara Butz, Project Leader  Alan S. Levine

Ellen R. Meara, I.ead Analyst

Heather  Robertson

Joseph L.Penkrot

For a copy of this report, please call (312) 353-4124.
 Department  of Health  and Human  Services 
OFFICE  OF 
INSPECTOR  GENERAL 
THE  RYAN  WHITE  CARE  ACT:

TECHNICAL  REPORT  OF  1992  EXPENDITURES

JUNE  GIBBS BROWN 
Inspector  General 
ApRIL  1994 
05.93-00334  TABLE  OF  CONTENTS

PAGE 
1 
INIROI)umON  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
4 
TM~.....,O.O.So--      
4 
TitleITables  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
4 
FY1992Award  Amomtsand  ~enditures  . . . . . . . . . . . . . . . . . . . . . . . . . . . 
6 
Summary  of Grantee  ~enditures  by Setice  . . . . . . . . . . . . . . . . . . . . . . . . . . 
11 
FY1992~enditures  for the Top  Seven Services  . . . . . . . . . . . . . . . . . . . . . 
.  19

Title II Tables  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
19 
FY1992Award  hounts  and  Expenditures  . . . . . . . . . . . . . . . . . . . . . . . . . . 
21 
Summary  of Grantee  ~enditures  by Setice  . . . . . . . . . . . . . . . . . . . . . . . . . 
28 
FY1992~enditures  for Title  II Options  . . . . . . . . . . . . . . . . . . . . . . . . . . . 
30 
FY1992~enditures  for the  Top  Six Services  . . . . . . . . . . . . . . . . . . . . . . . .  INTRODUCTION

PURPOSE 
The  purpose  of this technical  report  is to provide  detailed  Fiscal  Year  (FY)  1992 
expenditures  for Titles  I and  11of the  Ryan  White  CARE  Act.  This  report  provides 
supplemental  information  related  to two reports  in our Ryan  White  CARE  Act 
series. 
BACKGROUND 
On August  18, 1990, Congress  passed  Public  Law  101-381 entitled  The  Ryan  White 
Comprehensive  AIDS  Resources  Emergency  (CARE)  Act  of 1990 (the  Act).  The 
purpose  of the  Act was to provide  emergency  assistance  to localities... 
disproportionately  affected  by the  Human  Immunodeficiency  Virus  (HIV)  epidemic 
and  to make  financial  assistance  available  to States  and  other  public  or private 
nonprofit  entities  to provide  for the  development,  organization,  coordination  and 
operation  of more  effective  and  cost efficient  systems  for the  delivery  of essential 
services  to individuals  and  families  with  HIV  disease. 
Congress  funded  the  Act  at $221 million  for FY  1991, $276 million  for FY  1992, $348 
million  for FY  1993, and  $579.4 million  for FY  1994.  The  Health  Resources  and 
Services  Administration  (HRSA)  within  the  Public  Health  Service  administers  the  Act. 
Four  titles  direct  resources  to various  entities,  allowing  maximum  flexibility  to 
grantees,  particularly  at the  local  level,  in the  use of funds.  The  first  two titles,  which 
are  the  subject  of this report,  constitute  88 percent  of Ryan  White  funding  for FY 
1994. 
Title  ~ funded  at $325.5 million  for FY  1994, comprises  56 percent  of Ryan  White 
funding.  This  title  provides  emergency  relief  grants  to eligible  metropolitan  areas 
(EMAs)  for HIV-related  outpatient  and  ambulatory  health  and  support  services, 
includlng  case  management  and  comprehensive  treatment  services.  Public  or 
nonprofit  private  organizations  are  eligible  for funding  to provide  services  on a 
contract  basis  with the  EMA. 
Half  of the  funds  are  distributed  to EMAs  through  formula  grants  and  half  through 
competitive  supplemental  grants.  In FY  1992. the  year  addressed  in this report,  18 
EMAs  received  about  $120 million  (formula  and  supplemental  funds  combined). 
Title  Q  funded  at $183.9 million  for FY  1994, comprises  32 percent  of Ryan  White 
funding.  This  title  provides  formula  grants  to States  and  territories  to improve  the 
quality,  availability  and  organization  of health  care  and  support  services  for individuals  and  families  with HIV  disease.  States  receive  aminimum  of$100,0OO. 
In FY  1992, HRSA  awarded  54 formula  grants  to States  and  territories  totaling  $99 
million.  States  have  the  option  of using Title  H funds  in one  or more  of the  following 
ways. 
	 They  may  establish  HIV  care  consortia within  areas  most  affected  by HIV 
disease,  to provide  a comprehensive  continuum  of care.  Consortia  must: 
consist  of public  and  nonprofit  private,  health  care  and  support  service 
providers,  and  community  based  organizations;  assist in the  planning, 
development,  and  delive~  of comprehensive  outpatient  health  and  support 
services;  conduct  a needs  assessment;  and  create  a mechanism  to period icaIly 
evaluate  their  major  duties.  States  that  report  1 percent  or more  of all 
AIDS  cases  reported  to the  Centers  for Disease  Control  nationally  must  use 
50 percent  of their  funds  to operate  consortia. 
	 They  may provide  home  and community-based  care services, including 
outreach  services  to individuals  in rural  areas. 
*	 They  may  provide  treatments  (medications)  that  prolong  life or prevent 
serious  deterioration  of health. 
o They  may provide  assistance  to assure  the  continuity  of health insurance 
coverage. 
SCOPE AND  METHODOIDGY 
The  Ryan  White  CARE  Act will come  up for reauthorization  for FY  1996.  This 
report  is a technical  assistance  report  related  to a series  of reports  on the  Ryan  Wh i[e 
CARE  Act  including: 
  Funding  Formulas  (05-93-00330); 
  FY  1992 Title  I and  Title  II Expenditures  (05-93-00331); 
  Special  Projects  of National  Significance  (05-93-00332);  and, 
  Consortia  Activities  (05-93-00333). 
Both  Title  I and  Title  II Ryan  White  grantees  are  required  in the  law to report 
aggregate  expenditures  for each  service.  Title  I data  in this report  come  from  year-
end  reports  submitted  by 17 of the  18 grantees  funded  in N  1992.  Most  of the  data 
was extracted  from  the  reports  by HRSA  and  given to us for  analysis.  We  also 
examined  a few Title  I reports  ourselves  and  contacted  two grantees  about  incomplete 
or unclear  information.  For  Title  II, we reviewed  year-end  reports  and  subsequently 
contacted  all 54 grantees  about  missing or unclear  information. 
2  This  report  provides  detailed  data  on FY  1992 grantee  expenditures  by semice  for use 
by HRSA  as well as in the  discussion  surrounding  reauthorization.  Our  study was not 
an evaluation  of the  Ryan  White  program  or any individual  grantee.  We  did not  ask 
for explanations  from  grantees  for why funds  were  spent  as they were,  or obtain  any 
description  of the  semices  provided,  including  their  quality  or effectiveness. 
We  discovered  limitations  to the  data  which  are  described  in our  report  on FY  1992 
Title  I and  Title  II expenditures.  Despite  the  limitations,  we consider  this data  to be 
the  best  information  available,  given the  time  and  resources  available  to us to obtain 
it. 
3
 TABLES

TITLE  I TABLES 
The  first nine  tables  describe  Title  I awards  and  expenditures.  When  referring  to Title 
I grantees  in the  tables,  we use  the  city associated  with that  grantee  for ease  of 
reading.  For  example,  we refer  to Atlanta,  Georgia  rather  than  Fulton  County, 
Georgia. 
Table I:  Iltk  I FY 1992 Award AmounJs and Expndures 
Table  1 shows HRSA  Title  I award  amounts  and  grantee  expenditures.  The  first 
column  shows the  award  amount  for each  grantee  as reported  by HRSA.  The  second 
column  shows FY  1992 expenditures  as reported  by each  grantee.  One  grantee 
reported  spending  more  than  its award.l 
. 
  Grant  awards are adjusted  by HRS&  however, throughout  the program  year based  on financial status 
reports  submitted  by grantees.  Hence  the final grant award amounts  for FY  1992 reported  by HRSA  may differ to 
some extent  from the figures in this report. 
4  TABLE  1:  RYAN WHITE TITLE I FY 1992 
AWARD AMOUNTS  AND EXPENDITURES 
HRSA  Total 
City
 Award  Expenditures 
Atlanta  GA
 3,148,612  2,899,666 
Baltimore  MD
 1,898,561  918,072 
Boston  MA
 3,569,149  2,940,382 
Chicago  IL
 4,431,632  4,327,152 
Dallas TX
 3,203,220  3,196,220 
Ft Lauderdale  FL
 3,097,663  3,058,920 
Houston  TX
 6,377,597  5,562,500 
Jersey  City NJ
 2,368,466  2,306,381 
Los Angeles  CA
 9,925,225  10,759,820 
Miami FL
 6,740,073  6,587,864 
New York NY
 36,190,210  34,450,000 
Oakland  CA
 2,123,466  1,975,382 
Philadelphia  PA
 4,238,608  2,569,502 
San Diego  CA
 3,347,916  2,054,788 
San Francisco  CA
 21,662,418  21,562,175 
San Juan  PR
 3,579,982  3,579,983 
Washington  DC
 5,286,485  3,943,543 
Total
 121,189,283  112,692,350 
5
 Table 2  Summuy  of ZItle I Grantee Eqendhues  by Se&e 
Table  2 provides  a breakdown  of Title  I expenditures  by sefice  for all  17 grantees 
that  reported  expenditures.  The  services  are  shown in rank  order  by dollars  spent, 
from  Primary  Medical  Care,  which  accounted  for 20.6 percent  of FY  1992 Title  I 
dollars,  to Durable  Medical  Equipment  (DME),  on which  no funds  were  spent. 
The  table  shows total  expenditures  for each  semice,  and  also shows these  expenditures 
as a percentage  of total  Title  I expenditures.  It also shows the  amount  spent  on each 
service  by each  grantee.  This provides  a detailed  ovefiew  of Title  I expenditures.2 
L  Just  prior to issuing this report,  we teamed  that San Diego spent  $751,850 on primary  medical care and 
$651,393 on case management,  and that Baltimore  spent  S766,S22  on primary medical care.  These  figures are not 
included  in this report. 
6  TABLE  2;  SUMMARY  OF TITLE  I GRANTEE  EXPENDITURES  BY SERVICE 
(page  1 of 4) 
SERVICE  Total  Exp,  %  II  Atlanta  GA  Baltimore  MD  Boston  MA  Chicago  IL 
...-. ____________ 
II 
Title I Expenditures  112,692,350  I  2,699,666  918,072  2,940,382  4,327,152 
Primary  Medical  Care  23,229,170  20.6%  I  1,966,170  0  164,132  1,194,707 
Case  Management  14,743,352  13.1%  I  436,649  0  368,056  813,500 
Pharmaceuticals  10,745,819  9.5%  I  3s,oea  0  0  0 
Housing  Assistance  8,026,538  7,1%  I  o  64,744  591,665  312,193 
Substance  Abuse  8,005,212  7.1%  I  15,000  0  0  370,2?0 
Mental  Health  (MH)  7,759,640  6.9%  I  0  131,232  15,997  437,800 
Administration  7,738,368  6.9%  I  155,187  0  0  365,088 
Food  Bank/Home  Meals  4,788,296  4.2%  t  93,154  39,600  427,758  129,457 
Home  Health  4,253,888  3.8%  I  151,501  108,200  0  80,090 
Outreach/Info  Referral  3,456,889  3.1%  I  0  73,949  0  107,070 
Non-MH  Counseling  2,827,464  2.5%  I  0  0  302,742  0 
Dental  Care  2,770,711  2.5%  I  0  91,118  416,789  0 
P\anning/Evaluation  2,248,907  2.0%  I  0  0  0  15,000 
Other  2,159,636  1 .9%  I  0  7S,756  97,117  0 
Client Advocacy  1,474,046  1 .3%  I  0  o  79,760  0 
Day-Respite  Care  1,308,944  1 .2%  I  0  72,298  378,802  74,830 
Buddy/Companion  1,185,134  1.1%  I  0  0  0  0 
Transportation  1,029,559  0.9%  I  0  81,477  28,000  91,082 
In Home  Hospice  1,013,318  0.9%  I  0  0  0  88,622 
Rehab  Care  989,704  0.9%  I  0  0  0  0 
Volunteer  Support  808,264  0,7%  I  0  0  0  46,717 
Residential  Care  632,752  0,6%  I  0  0  0  64,695 
Emergency  Finan.  526,780  0.5%  I  0  159,698  0  0 
Legal  Services  313,359  0.3%  I  0  0  0  24,363 
Adopt/Foster  Care  256,205  0.2%  I  0  0  0  0 
Educ/Risk  Reduc  174,330  0.2%  I  0  0  48,544  0 
Sign Lang/lnterp  91,827  0.1%  I  0  0  0  0 
Inpatient  Personnel  91,625  0.1%  I  0  0  0  91,625 
Insurance  44,805  0.0%  I  44,805  0  0  0 
DME  0  0.0%  I  0  0  0  0 
I 
TOTAL  112,892,350  100.0%  I  2,6S9,666  918,072  2,940,382  4,327,152 
7
 TABLE  2:  SUMMARY  OF TITLE  I GRANTEE  EXPENDITURES  BY SERVICE 
(page  2 of 4) 
SERVICE  1  Dallas  TX  Ft Lauder  FL  Houston  TX  Jersey  City NJ  Los Angeles  CA  Miami  FL 
---..--_  I 
Title I Expenditures  I  3,196,220  3,058,920  5,562,500  2,306,381  10,759,820  6,587,864 
Primary  Medical  Care  I  531,863  1,337,279  1,521,064  219,924  3,905,122  1,174,539 
Case  Management  I  322,863  363,300  1,176,320  953,630  1,060,578  727,619 
Pharmaceuticals  I  25,000  616,089  48,954  0  0  914,224 
Housing  Assistance  I  288,756  409,076  144,708  0  1,314,687  119,884 
Substance  Abusa  I  198,388  0  102,702  0  648,710  166,351 
Mental  Health  (MH)  I  213,456  48,419  420,864  0  656,376  0 
Administration  I  172,757  188,291  0  107,747  469,403  754,099 
Food  Bank/Home  Meals  I  160,590  0  150,288  226,700  50,634  786,453 
Home  Health  I  383,391  0  96,870  410,500  0  474,947 
Outreach/Info  Referral  I  136,062  0  247,002  0  420,389  0 
Non-MH  Counseling  I  0  0  135,880  246,490  599, f 79  504,276 
Dental  Care  I  117,750  0  272,133  0  123,599  419,639 
Planning/Evaluation  I  12,700  0  99,649  0  639,125  150,000 
Other  I  0  76,466  0  14+,190  470,701  0 
Client  Advocacy  I  0  0  0  o  0  0 
Day-Respite  Care  I  129,434  0  105,000  0  0  141,686 
Buddy) Companion  I  0  0  150,981  0  0  69,306 
Transportation  I  80,000  0  199,973  0  156,324  105,071 
In Home  Hospice  I  0  0  192,182  0  0  0 
Rehab  Care  I  0  0  66,204  0  0  0 
Volunteer  Support  I  191,220  0  193,025  0  168,020  0 
Residential  Care  I  0  0  163,057  0  0  0 
Emergency  Finan.  I  172,117  0  20,646  0  0  37,936 
Legal  Services  I  59,853  0  34,998  0  54,993  0 
Adopt/Foster  Care  I  0  0  0  0  0  21,632 
Educ/Risk  Reduc  I  0  0  0  0  0  0 
Sign Lang/lnterp  I  0  0  0  0  0  0 
Inpatient  Personnel  I  0  0  0  0  0  0 
Insurance  I  0  0  0  0  0  0 
DME  I  0  0  0  0  0  0 
I 
TOTAL  I  3,196,220  3,058,920  5,562,500  2,306,381  10,759,820  6,587,864 
8
 TABLE  2:  SUMMARY  OF TITLE  I GRANTEE  EXPENDITURES  BY SERVICE 
(page  3 of 4) 
SERVICE  I  New York  NY  Oakland  CA  Philadelphm  PA  San Diego  CA  San Francisco  CA  San Juan  PR 
I      ..  -.  _______ 
Title I Expenditures  I  34,450,000  1,975,382  2,569,502  2,054,768  21,562,175  3,579,983 
Primary  Medical  Care
 I  2,885,291  123,958  610,702  310,455  5,810,597  331,544 
Case  Management
 I  3,942,000  358,889  963,557  478,247  1,370,626  557,563 
Pharmacetiicals
 I  7,363,35%  0  0  0  0  1,656,750 
Housing  Assistance
 I  2,171,932  151,943  0  9,497  2,322,453  105,000 
Substance  Abuse
 I  3,207,315  124,641  101,s36  0  2,957,600  0 
Mental  Health  (MH)
 I  3,448,704  49,519  192,724  157,479  1,745,031  0 
Administration
 I  3,334,027  317,039  178,552  86,370  944,213  450,661 
Food  Bank/Home  Meals
 I  1,392,962  64,29s  30,46e  60,903  636,114  0 
Home  Health
 I  1,059,451  195,981  50,649  182,863  895,322  0 
Outreach/Info  Referral
 I  ,571,730  0  196,240  245,991  221,540  24,825 
Non-MH  Counseling
 I  917,428  50,134  0  0  0  0 
Dental  Care
 I  745,737  24,559  60,029  23,298  313,500  0 
Planning/Evaluation
 I  376,266  0  96,700  0  772,633  86,634 
Other
 I  ,062,938  0  0  233,761  1,707  0 
Client Advocacy
 I  608,232  65,487  0  54,404  645,163  0 
Day-l? espite  Care
 I  0  0  0  30,000  338,663  0 
Bucidy/Companiorr
 I  230,513  44,000  0  17,171  653,163  0 
Transportation
 I  0  24,559  17,144  65,4U  41,693  0 
In Home  Hospice
 I  0  115,!320  0  o  602,538  0 
Rehab  Care
 I  0  o  0  0  864,221  0 
Volunteer  Support
 I  0  0  0  24,047  43$368  0 
Residential  Care
 I  0  0  0  0  0  365,000 
Emergency  Finan.
 I  0  113,662  0  22,721  0  0 
Legal  Services
 I  0  0  28,580  32,177  78,375  0 
AdoptfFoster  Care
 I  131,116  0  0  0  103,455  0 
Educ/Risk  Reduc
 I  0  125,786  0  0  0  0 
Sign Lang/lnterp
 I  0  0  0  0  0  0 
Inpatient  Personnel
 I  0  0  0  0  0  0 
Insurance
 I  0  0  0  0  0  0 
DME
 I  0  0  0  0  0  0 
1 
TOTAL
 I  34,450,000  1,975,382  2,569,502  2,054,788  21,562,175  3,579,963 
9
 TABLE  2:  SUMMARY  OF TITLE  I GRANTEE  EXPENDITURES  BY SERVICE 
(page  4 of 4) 
SERVICE  I  Washington  DC
.......--.- --- --.    I 
Ttile I Expenditures
 I  3,943,543 
Primary  Medical  Care
 I  1,139,823 
Case  Management
 I  788,525 
Pharmacti}cals
 I  84,440 
Housing  Assistance
 I  0 
Substance  Abuse
 I  I I 2,2e3 
Mental  Health  (MH)
 I  240,0f  9 
Administration
 I  194,934 
Food  Sank/Home  Meals
 I  311,8ss 
Home  Health
 I  164,114 
Outreach/Info  Referral
 I  210,101 
Non-MH  Counseling
 I  71,353 
Dental  Care
 I  142,560 
Planning/Evaluation
 I  0 
Other
 I  0 
Client Advocacy
 I  0 
Day-Respite  Care
 I  38,023 
Buddy/Companion
 I  0 
Transportation
 I  138,632 
In Home  Hospice
 I  14,054 
Rehab  Care
 I  59,279 
Volunteer  Support
 I  141,867 
Residential  Care
 I  0 
Emergency  Finan.
 I  0 
Legal  Services
 I  0 
Adopt/Foster  Care
 I  0 
Educ/Risk  Reduc
 I  0 
Sign Lang/lnterp
 I  91,627 
Inpatient  Personnel
 I  0 
Insurance
 I  0 
DME
 I  0 
I 
TOTAL
 I  3,943,543 
10

 .  Tables 3-9:  llth  IFY1992@eru&.um  forth  Top Smm  Smku. 
Under  Title  I, expenditures  for the  top  seven  services  comprise  over  70 percent  of 
total  Title  I expenditures  for FY  1992.  The  following  tables  show expenditures  for 
these  seven  services,  with one  table  devoted  to each  service.  The  top  seven  services 
include:  Primary  Medical  Care,  Case  Management,  Pharmaceuticals,  Housing 
Assistance,  Substance  Abuse,  Mental  Health,  and  Administration.  In addition  to 
showing  expenditures  for each  service  by grantee,  each  table  also shows the 
percentage  of each  grantees  total  Title  I expenditures  spent  on that  sexvice. 
11
 TABLE 3:  PRIMARY MEDICAL  CARE (PMC) 
RYAN  WHITE  TITLE  I FY 1992  EXPENDITURES 
I
 I  PMC as %

Total  I  Primary
 I  of Grantees

City  Title I $  Medical  Care  I  Title I $

Atlanta  GA  2,899,666  1,968,170  I  68%

Baltimore  MD  918,072  0  I  o%

Boston  MA  2,940,382  164,132  I  6%

Chicago  IL  4,327,152  1,194,707  I  28%

Dallas  TX  3,196,220  531,863  I  1770

Ft Lauderdale  FL  3,058,920  1,337,279  I  4470

Houston  TX  5,562,500  1,521,064  I  27%

Jersey  City  NJ  2,306,381  219,924  I  10%

Los Angeles  CA  10,759,820  3,905,122  I  36%

Miami  FL  6,587,864  1,174,539  1870 
New York  NY  34,450,000  2,885,291  1  8% 
Oakland  CA  1,975,382  123,958  I  6V0 
Philadelphia  PA  2,569,502  610,702  I  24% 
San Diego  CA  2,054,788  I  310,455  I  15% 
San Francisco  CA  21,562,175  I  5,810,597  I  27% 
San Juan  PR  3,579,983  I  331,544  I  9% 
Washington  DC  3,943,543  I  1,139,823  I  29% 
I
 I 
Total  112,692,350  I  23,229,170
 21
To
12

  TABLE  4:  CASE MANAGEMENT  (CM) 
RYAN  WHITE  TITLE  I FY 1992  EXPENDITURES 
I  CM as % 
I 
Total  I  I  of Grantees 
City  Title I $  CM$  I  Title I $ 
Atlanta  GA  2,899,666  436,849  I  1570 
Baltimore  MD  918,072  0  I  O?zo 
Boston  MA  2,940,382  389,056  I  13% 
Chicago  IL  4,327,152  813,500  I  1970 
Dallas  TX  3,196,220  322,883  I  1o% 
Ft Lauderdale  FL  3,058,920  383,300  I  13% 
Houston  TX  5,562,500  1,176,320  I  21% 
Jersey  City  NJ  2,306,381  953,830  I  41% 
Los Angeles  CA  10,759,820  1,060,578  I  1o% 
Miami  FL  6,587,864  727,619  [  11% 
New York  NY  34,450,000  3,942,000  I  ll% 
Oakland  CA  1,975,382  358,899  [  18%0 
Philadelphia  PA  2,569,502  983,557  I  38% 
San Diego  CA  2,054,788  I  478)247  I  23% 
San Francisco  CA  21,562,175  I  1,370,626  I  6% 
San Juan  PR  3,579,983  I  557,563  I  16%0 
Washington  DC  3,943,543  I  788,525  I  2070 
I I 
Total  112,692,350  I  14,743,352  I  13%
13

  TABLE 5:  PHARMACEUTICALS  (RX) 
RYAN  WHITE  TITLE  I FY 1992 EXPENDITURES 
I  I  RXas % 
Total  I  I  of Grantees 
Citv  Title I $  RX $  Title I $ 
Atlanta  GA  2,899,666  35,000  1% 
Baltimore  MD
 918,072  0  0% 
Boston  MA
 2,940,382  0  o% 
Chicago  IL
 4,327,152  0  0% 
Dallas  TX
 3,196,220  25,000  1% 
Ft Lauderdale  FL
 3,058,920  616,089  20% 
Houston  TX
 5,562,500  48,954  1% 
Jersey  City  NJ
 2,306,381  0  0% 
Los Angeles  CA
 10,759,820  0  o% 
Miami  FL
 6,587,864  914,224  14% 
New York  NY
 34,450,000  7,363,356  2170 
Oakland  CA
 1,975,382  0  o% 
Philadelphia  PA
 2,569,502  0  Ozo 
San Diego  CA
 2,054,788  01  o% 
San Francisco  CA
 21,562,175  01  Ozo 
San Juan  PR
 3,579,983  1,658,756  I  46%

Washington  DC
 3,943,543  84,440  I  2%

I

Total  112,692,350  10,745,819  I  10%

14  TABLE  6:  HOUSING  (HOUS) 
RYAN  WHITE  TITLE  I FY 1992  EXPENDITURES 
I  I  HOUS as % 
Total  I  I  of Grantees 
City  Title I $  HOUS $  Title I $ 
Atlanta  GA  2,899,666  0  I  o%

Baltimore  MD
 918,072  84,744  I  970

Boston  MA
 2,940,382  591,685  I  20%

Chicago  IL
 4,327,152  312,193  I  7%

Dallas  TX
 3,196,220  288,756  I  9%

Ft Lauderdale  FL
 3,058,920  409,076  I  13%

Houston  TX
 5,562,500  144,708  I  3%0

Jersey  City  NJ
 2,306,381  0  I  0940

Los Angeles  CA
 10,759,820  1,314,667  I  1270

Miami  FL
 6,587,864  119,884  I  2%

New York  NY
 34,450,000  2,171,932  I  6%

Oakland  CA
 1,975,382  151,943  I  8%

Philadelphia  PA
 2,569,502  0  I  o%

San Diego  CA
 2,054,788  9,497  I  o%

San Francisco  CA
 21,562,175  2,322,453  I  11%

San Juan  PR
 3,579,983  105,000  I  3%

Washington  DC
 3,943,543  0  I  o%

I

Total  112,692,350  8,026,538  I  770

15
 TABLE 7:  SUBSTANCE  ABUSE  (SA) 
RYAN  WHITE  TITLE  I FY 1992 EXPENDITURES 
I  I  SA as%

Total  I  I  of Grantees

City  Title I $  SA $  I  Title I $

Atlanta  GA  2,899,666  15,000  I   1%

Baltimore  MD
 918,072  o  I  0?40

Boston  MA
 2,940,382  0  I  o%

Chicago  IL
 4,327,152  370,276  I  9%

Dallas  TX
 3,196,220  198,388  I  6%

Ft Lauderdale  FL
 3,058,920  0  I  o%

Houston  TX
 5,562,500  102,702  I  2%

Jersey  City  NJ
 2,306,381  0  I  o%

Los Angeles  CA
 10,759,820  648,710  I  6%

Miami  FL
 6,587,864  166,351  I  370

New York  NY
 34,450,000  3,207,315  I  9%

Oakland  CA
 1,975,382  124,641  I  6%

Philadelphia  PA
 2,569,502  101,936  I  4%

San Diego  CA
 2,054,788  I  0  I  0?!0

San Francisco  CA
 21,562,175  I  2,957,600  I  149!0

San Juan  PR
 3,579,983  I  0  I  o%

Washington  DC
 3,943,543  I  112,293  I  3%

I  I

Total  112,692,350  I  8,005,212  I  7%

16
 TABLE 8:  MENTAL  HEALTH (MH) 
RYAN  WHITE  TITLE  I FY 1992  EXPENDITURES 
I  MH as % 
I 
Total  I  I  of Grantees 
L 
City  Title I $  MH $  Title I $ 
Atlanta  GA  2,899,666  0  I  0% 
Baltimore  MD  918,072  131,232  I  14% 
Boston  MA  2,940,382  15,997  I  1Yo 
Chicago  IL  4,327,152  437,800  I  10% 
Dallas  TX  3,196,220  213,456  I  7% 
Ft Lauderdale  FL  3,058,920  48,419  I  2% 
Houston  TX  5,562,500  420,884  I  8% 
Jersey  City  NJ  2,306,381  0  I  o% 
Los Angeles  CA  10,759,820  658,376  I  670 
Miami  FL  6,587,864  0  070 
New York  NY  34,450,000  3,448,704  1o% 
Oakland  CA  1,975,382  49,519  3% 
Philadelphia  PA  2,569,502  192,724  8% 
San Diego  CA  2,054,788  157,479  8% 
San Francisco  CA  21,562,175  1,745,031  8% 
San Juan  PR  3,579,983  0  o% 
Washington  DC  3,943,543  240,019  6% 
Total  112,692,350  7,759,640  7%
17
 TABLE 9:  ADMINISTRATIVE  COSTS (ADMIN) 
RYAN  WHITE  TITLE  I FY 1992 EXPENDITURES 
I  I  ADMIN as % 
Total  I  1  of Grantees 
City  Title I $  I  ADMIN $  Title I $ 
Atlanta  GA  2,899,666  I  155,187  5% 
Baltimore  MD  918,072  I  0  09!0 
Boston  MA  2,940,382  I  0  070 
Chicago  IL  4,327,152  I  365,088  8% 
Dallas  TX  3,196,220  I  172,757  570 
Ft Lauderdale  FL  3,058,920  I  188,291  6% 
Houston  TX  5,562,500  I  0  o% 
Jersey  City  NJ  2,306,381  I  107,747  5% 
Los Angeles  CA  10,759,820  I  489,403  570 
Miami  FL  6,587,864  ]  754,099  11% 
8 
New York  NY  34,450,000  I  3,334,027  1o% 
Oakland  CA  1,975,382  I  317,039  1670 
Philadelphia  PA  2,569,502  I  178,552  7?/0 
San Diego  CA  2,054,788  I  86,370  4% 
San Francisco  CA  21,562,175  I  944,213  4h 
San Juan  PR  3,579,983  I  450,661  13% 
Washington  DC  3,943,543  I  194,934  5% 
I 
Total  112,692,350  \  7,738,368  7% 
18
 TITLE II TABLES 
The  last nine  tables  refer  to Title  II awards  and  expenditures  for FY  1992. 
Table 10:  Ryan W%& llde  11FY 1992 Awan.i Amounm  and Eqend@m 
Title  11grantees  (States)  each  receive  a Notice  of Financial  Grant  Award  from  HRSA, 
with  the  amount  of their  grant  specified.  This  amount  is shown  as HRSA  Award  in 
Table  10.  Since  the  notices  are  updated  throughout  the  year,  we utilized  the  latest 
information  that  FIRSA had  available  in September,  1993 for FY  1992 awards. 
There  were  many  discrepancies  in the  N  1992 figures  that  States  themselves  provided 
to us.  Thus,  we include  in Table  10 a column  for State  identified  award  amounts, 
labelled  State  Identified  Award.  The  table  also has  a column  listing total 
expenditures  by each  State. 
Fifteen  States  reported  award  amounts  greater  than  those  reported  by HRSA.  We 
did not  attempt  to verify these  amounts,  nor  can we explain  the  difference  between 
the  States  and  HRSAS data.  As noted  on page  4, however,  HRSA  does  adjust  award 
amounts  for grantees  throughout  the  program  yea~  this could  account  for the 
difference  in some  cases. 
19
 TABLE  10:  RYAN WHITE  TITLE II FY 1992 
AWARD  AMOUNTS  AND  EXPENDITURES 
STATE  lDEN- TOTAL 
STATE  HRSAAWARD  TIFIED  AWARD  EXPENDITURES
AK  100,000  124,470  123,955 
AL  790,679  790,079  788,423 
AR  497,308  497,308  497,308 
AZ  687,616  687,616  687,616 
CA  16,297,940  16,297,940  15,862,468 
co  838,453  838,453  857,391 
CT  999,652  1,068,400  1,068,399 
DC  1,385,438  1,538,544  1,334,463 
DE  173,168  173,168  173,168 
FL  9,927,807  11,011,364  10,754,102 
GA  3,201,172  3,201,172  3,155,728 
GU  4,323  4,616  4,618 
HI  366,974  442,934  442,934 
1A  164,436  164,436  164,436 
ID  100,000  100,000  100,000 
IL  2,829,336  3,374,175  3,275,301 
IN  726,781  688,781  688,781 
KS  274,616  274,616  270,693 
KY  528,039  299,009  299,00S 
LA  1,672,504  1,727,415  1,727,415 
MA  1,793,707  1,637,645  1,637,645 
MD  2,368,486  2,368,466  2,368,486 
ME  163,401  163,401  163,401 
Ml  l,213,0@  1,213,063  1,213,063 
MN  602,682  417,363  320,686 
MO  1,330,744  1,330,744  1,269,726 
MS  616,440  616,440  616,440 
MT  100,000  100,000  100,016 
NC  i ,664,757  967,473  1,162,266 
ND  100,000  100,000  100,000 
NE  117,168  117,188  90,10s 
NH  149,133  166,356  186,356 
NJ  4,711,438  4,688,987  4,688,987 
NM  254,732  254,714  254,714 
NV  443,463  443,463  443,463 
NY  17,693,568  16,828,76S  16,26S,813 
OH  1,423,256  1,366,761  1,376,800 
OK  490,547  488,20S  486,20S 
OR  658,551  679,447  679,447 
PA  2,536,6S7  2,702,630  2,702$30 
PR  5,681,717  5,681,717  4,975,196 
Rf  194,400  194,400  203,046 
Sc  795,067  795,067  782,319 
SD  100,000  103,386  103,386 
TN  737,498  737,498  737,498 
7X    8,232,737  8,232,757  8,197,632 
UT  329,063  329,063  327,646 
VA  1,405,219  1,405,219  1,405,219 
VI  28,087  26,690  26,690 
v-r  100,000  100,000  92,405 
WA  1,322,995  1,418,902  1,418,902 
WI  539,014  526,602  526,602 
w  168,363  168,363  168,363 
WY  100,000  100,000  100,001 
TOTAL  99,754,335  100,205,975  97,911,642 
20
 Table II:  Sumnuuy of lltli? II Grantee Eqwn&ures  by Senice 
Table  llprovides  abreakdow  of Title  IIeqenditures  bysetice  foral154  grantees. 
The  services  are  shown in rank  order,  from  Pharmaceuticals,  which  accounted  for 35.4 
percent  of FY  1992Title  Idollars,  to Inpatient  Personnel  onwhichno  funds  were 
spent. 
The  table  first shows total  expenditures  for each  service  and  these  expenditures  as a 
percentage  of total  Title  II expenditures.  It then  shows the  amount  spent  on each 
service  by each  State.  This  provides  a detailed  overview  of Title  II expenditures, 
21
 TABLE 11:  SUMMARY  OF TITLE II GRANTEE  EXPENDITURES  BY SERVICE 
(page 1 of 6) 
SERVICE  Total Exp.  %  II  AK  AL  AR  AZ  CA  co  CT  DC 
---------------------------------- ----------------------- ------- II  -----------------------------------------------------------------------------------------------------------------------------------------
Pharmaceuticals  34,632,562  35.4%  I I  15,513  644,502  242,065  247,844  4,733,213  174,852  364,389  366,054 
Case Management  17,355,868  1.7.7%  I I  36,696  14,180  58,928  165,300  3,586,931  423,634  381,578  409,196 
Administration  12,402,034  12.7%  I I  19,371  43,255  82,487  36,572  2,514,361  129,239  168,325  378,431 
Primary Medical Care  7,824,836  8,0%  I I  7,445  14,478  35,403  2,000  716,380  31,947  59,432  0 
Home Health  5,948,640  6.1%  Ii  0  55,891  65,000  113,600  980,920  50,002  34,000  135,135 
Other  2,669,737  2.7%  I  20,710  1,335  0  0  259,535  0  3,000  0 
Insurance  2,131,317  2.2%  I  0  0  0  0  600,000  0  0  0 
Housing Assistance  2,077,637  2.1%  I  0  6,713  0  0  397,287  0  0  45,647 
Transportation  1,959,289  2.0%  I  1,727  2,645  9,230  3,000  313,208  0  46,675  0 
Dental Care  1.697,736  1.7%  I  3,522  150  0  65,300  102,311  4,530  0  0 
Mental Heatth (MH)  1,329,530  1.4%  II  10,727  2,316  0  0  328,692  35,497  0  0 
Food BankjHome  Meals  1,321,785  1.3%  II  0  1,872  0  0  277,757  0  5,000  0 
Emergency  Finan  1,219,946  1.2%  II  0  0  0  0  379,734  0  0  0 
Non-MH  Counsehng  1,189,980  1.2%  II  0  0  0  0  52,578  0  6,000  0 
Outreach/Info  Referral  768,956  0.8%  I I  0  0  0  0  0  0  0  0 
Client Advocacy  676,794  0.7%  I {  0  0  0  53,000  240,137  0  0  0 
Residential Care  666,324  0.7%  I I  0  0  0  0  6,826  0  0  0 
Buddy/Companion  485,293  0.5%  I I  0  0  0  0  229,252  0  0  0 
Day-Respite Care  402,385  0.4%  I I  0  0  0  1,000  72,937  0  0  0 
In Home Hospice  373,223  0.4%  I I  0  0  0  0  22,681  7,690  0  0 
DME  270,239  0.3%  I I  0  368  0  0  12,421  0  0  0 
Substance Abuse  251,452  0.3%  I I  0  0  0  0  12,711  0  0  0 
Educ/Risk Reduc  160,248  0.2%  I I  8,244  718  4,195  0  22,598  0  0  0 
Rehab Care  44,780  0.0%  I [  0  0  0  0  0  0  0  0 
Adopt/Foster  Care  39,050  0.0%  / I  0  0  0  0  0  0  0  0 
Sign Lang/lnterp  12,000  0.0%  { I  0  0  0  0  0  0  0  0 
Inpatient Personnel  0  0.0%  I I  0  0  0  0  0  0  0  0 
II 
Title II Expenditures  97,911,642  100.0 I I  123,955  788,423  497,308  687,616  15,862,469  857,391  1,068,399  1,334,463  TABLE 11:  SUMMARY  OF TITLE II GRANTEE  EXPENDITURES  BY SERVICE 
(page 2 of 6) 
SERVICE  I  DE  FL  GA GU  HI  1A ID  IL  IN KS 
----------------------- , --------- I -------------------------------------------------------------------------------------------------------------------------------------------------------------------
Pharmaceuticals  I  40,000  5,316,625  1,164,025  4,618  197,625  59,017  90,000  1,273,875  551,945  203,914 
Case Management  I  0  1,715,444  556,638  0  19,912  43,555  0  451,714  0  0 
Administration  I  10,168  1,055,985  178,468  0  40,884  22,374  10,000  656,428  172,285  13,534 
Primary Medical Care  I  0  899,156  745,467  0  16,166  16,048  0  360,345  173,549  0 
Home Health  I  0  260,898  0  0  2,770  0  0  2,043  0  21,802 
Other  I  43,500  205,876  10,794  0  12,742  0  0  84,442  0  0 
Insurance  I  49,200  0  337,056  0  75,000  0  0  0  0  27,713 
Housing Assistance  I  0  190,485  0  0  36,940  0  0  231,598  0  0 
Transportation  I  0  181,292  37,853  0  3,192  5,984  0  10,187  0  0 
Dental Care  I  0  355,137  0  0  16,166  5,039  0  5,553  865  0 
Mental Health (MH)  I  8,000  151,479  0  0  10,568  0  0  10,345  137  0 
Food Bank/Home  Meals  0  135,423  0  0  7,854  0  0  176,770  0  0 
Emergency  Finan  I  16,000  0  0 0 0 8,744  0  0 0 0 
Non-MH  Counseling  I  0  147,778  0  0  0 1,706  0  0  0  0 
Outreach/Info  Referral  I  0  0  0 0 0 0 0  0 0 0 
Client Advocacy  I  0  0  0 0 0 0 0 12,000  0 0 
Residential Care  I  0  0  0 0 0 0 0  0 0 0 
Buddy/Companion  I  0  0  0 0 0 0 0  0 0 0 
Day-Respite Care  I  0  5,890  0 0  0 1,969  0  0  0  0 
In Home Hospice  I  0  0  0 0 0 0 0  0 0 0 
DME  I  0  34,065  125,427  0  0  0  0  0  0  3,730 
Substance Abuse  I  6,300 95,935  0 0 0 0 0  0 0 0 
Educ/Risk Reduc  I  0  0  0 0 0 0 0  0 0 0 
Rehab Care  I  0 2,633  0 0 0 0 0  0 0 0 
Adopt/Foster  Care  I  0  0  0 0 3,115  0 0  0 0 0 
Sign Lang/lnterp  I  0  0  0 0 0 0 0  0 0 0 
Inpatient Personnel  I  0  0  0 0 0 0 0  0 0 0 
I 
Title II Expendllures  I  173,168  10.754,102  3,155,728  4,618  442,934  164,436  100,000  3,275,301  898,781  270,693  TABLE 11:  SUMMARY  OF TITLE II GRANTEE  EXPENDITURES  BY SERVICE 
(page 3 of 6) 
SERVICE  I  KY  IA  MA  MD  ME  Ml MN  MO  MS  MT 
----------------------- ,--------- I  ------------- -------------------------------------------------- -------------------------------- ------------------------------------------------------------------------
Pharmaceuticals  I  216,804  0  85,010  100,000  0  129,500  0  548,181  272,837  35,539 
Case Management  1  0  304,517  657,250  458,770  163,401  896,929  47,000  0  0  8,400 
Administration  I  2,432  172,812  339,135  405,449  0  80,654  71,769  105,103  58,758  18,721 
Primary Medical Care  I  0  135,276  0  686,680  0  10,000  16,833  87,582  284,845  16,270 
Home Health  I  9,154  410,643  386,000  219,456  0  90,000  0  351,178  0  1,800 
Other  I  0  343,991  t 1,950  0  0  0 0  0 0  2,600 
Insurance  I  69,846  12,857  0  0  0  0  79,763  0  0  4,286 
Housing Assistance  I  0  0  35,850  67,501  0  0  0  37,982  0  2,800 
Transportation  I  0  73,005  167,300  0  0  0  4,429  75,787  0  600 
Dental Care  I  0  0  0  142,000  0  0  7,974  3,436  0  3,200 
Mental Health (MH)  I  732  0  71,700  84,136  0  0  0  43,635  0  3,100 
Food Bank/Home  Meals  I  0  0  59,750  0  0  0  0  36,842  0  900 
Emergency  Finan  I  0  118,418  23,900  153,800  0  0  25,000  0  0  0 
Non-MH  Counseling  I  0 0  0 0  0  0  23,545  0  0  0 
Outreach/Info  Referral  I  0  0  0  32,898  0  0 0  0 0 0 
Client Advocacy  I  0  84,182  0  0  0  0  16,585  0  0  100 
Residential Care  I  0  59,099  0  0  0  0 0  0 0 0 
Buddy/Companion  I  0 0  0 0  0  0 0  0 0 0 
Day-Respite Care  I  0 0  0 0  0  0 0  0 0 0 
In Home Hospice  I  0  12,615  0  17,796  0  0 0  0 0 0 
DME  I  41 0  0 0  0  0 0  0 0 0 
Substance Abuse  I  0 0  0 0  0  6,000 0  0 0 0 
Educ/Risk fhduc  I  0 0  0 0  0  0  0  0  0 1,700 
Rehab Care  I  0 0  0 0  0  0  28,000  0  0  0 
Adopt/Foster  Care  I  0 0  0 0  0  0 0  0 0 0 
Sign Lang/lnterp  I  0 0  0 0  0  0 0  0 0 0 
Inpatient Personnel  I  0 0  0 0  0  0 0  0 0 0 
I 
Title II Expenditures  I  299,009  1,727,415  1,837,845  2,368,486  163,401  1,213,083  320,898  1,289,726  616,440  100,016  TABLE 11:  SUMMARY  OF TITLE II GRANTEE  EXPENDITURES  BY SERVICE 
(page 4 of 6) 
SERVICE	 I  NC  ND NE  NH  NJ  NM  NV  NY  OH  OK 
--------------------------------- ..------------------------------------------- ------------- ----------------------------------------------------------------------------------------- ----------------.-
I 
Pharmaceuticals  I  234,519  58,500  69,297  150,393  1,645,693  81,214  232,000  6,609,157  575,132  270,299 
Case Management  . I  391,494  0  6,990  0  577,500  0  71,467  2,263,633  0  0 
Administration  I  30,857  10,OOO  5,046  6,400  802,164  24,500  46,253  2,322,948  122,328  65,065 
Primary Medical Care  I  18,145  31,500  1,225  0  509,992  0  0  698,477  43,751  0 
Home Health  I  231,508  0  0  20,317  214,943  36,000  44,623  1,013,779  1,600  62,500 
Other  I  15,627  0  2,075  1,624  37,937  0  0  792,918  3,673  0 
Insurance  I  0  0 0  0  0 50,000  0  0  0  0 
Housing Assistance  I  0  0  203  0  5,798  0  0  264,522  492,736  0 
Transportation  I  51,513  0  1,381  0  177,431  17,000  0  395,812  28,777  20,290 
Dental Care  I  3,932  0  1,250  0  198,361  0  0  406,807  13,200  0 
Mental Health (MH)  I  28,190  0  0  2,850  129,163  0  1,250  151,340  6,086  0 
Food Bank/Home  Meals  I  0  0  230  0  37,682  0  0  109,301  67,913  0 
Emergency  Finan  I  114,719  0  0  0  0  3,000  0  0  10,497  8,400 
Non-MH  Counseling  I  0  0  0  0 25,098  0  0 576,256  0  0 
Outreach/Info  Referral  I  0  0  800  0  89,043  19,000  0  547,799  0  20,328 
Client Advocacy  I  0  0  711  0  18,375  22,000  0  64,028  425  20,328 
Residential Care  i  0 0 0 0  0 0 0  0  0 0 
Buddy/Companion  I  44,504  0 0  0  0  0  0 33,631  0  0 
Day-Respite Care  I  806  0  450  0  72,112  0  17,248  9,701  0  0 
In Home Hospice  I  0  0  0  0  18,000  0  30,357  9,701  0  0 
DME  I  3,235  0  450  0  5,770  2,000  0  0  2,013  0 
Substance  Abuse  I  0  0  0  0  93,678  0  0  0  2,300  21,000 
Educ/Risk  Reduc  I  0 0 0 0 26,183  0 0  0  0 0 
Rehab Care  I  216  0  0  4,773  4,064  0  285  0  3,809  0 
Adopt/Foster  Care  I  0 0 0 0  0 0 0  0 2,560  0 
Sign Lang/lnterp  I  0 0 0 0  0 0 0  0  0 0 
Inpatient Personnel  I  0 0 0 0  0 0 0  0  0 0 
I 
Title II Expenditures  I  1,169,266  100.000  90,109  186,356  4,688,987  254,714  443,483  16,269,813  1,376,800  488,209  TABLE 11:  SUMMARY  OF TITLE II GRANTEE  EXPENDITURES  BY SERVICE 
(page 5 of 6) 
SERVICE  OR  PA  PR  RI  se  SD  TN  TX  UT  VA 
..--------------------- ~--------- .---------------------------------------------------------------------- ------------------------------------------------ -.------------------------ --------------------------------
Pharmaceuticals  344,680  1,136,075  2,292,366  119,700  434,731  88,848  729,007  1,349,684  203,607  426,768  22,89 
Case Management  . 130,000  365,220  528,839  0  34,786  0  0  1,977,648  3,112  270,269 
Administration  57,444  357,508  415,378  19,348  55,663  5,000  8,491  589,714  0  264,682  2,00 
Primary Medical Care  15,000  166,064  265,762  0  189,639  4,053  0  755,740  6,657  250,000 
Home Health  37,000  25,603  363,061  0  40,200  1,513  0  355,088  19,685  10,000  2,00 
Other  0  228,374  386,708  0  0  0  0  198,648  772  0 
Insurance  0  0  0  64,000  0  0  0  757,422  0  0 
Housing Assistance  5,000  19,494  112,310  0  0  0  0  88,020  0  6,000 
Transportation  6,323  42,233  37,759  0  0  0  0  203,636  2,628  15,000 
Dental Care  8,000  9,098  32,544  0  0  0  0  259,888  21,441  25,000 
Mental Health (MH)  0  41,787  74,119  0  7,200  2,500  0  0  36,553  30,000 
Food Bank/Home  Meals  6,000  0  0  0  0  0  0  386,048  1,586  5,000 
Emergency  Finan  10,000  218,421  81,846  0  0  0  0  0  4,420  26,000 
Non-MH  Counseling  0  0  0  0  7,500  0  0  310,888  12,381  15,000 
Outreach/Info  Referral  0  27,646  840  0  0  0  0  0  0  25,000 
Client Advocacy  15,000  704  6,000  0  0  0  0  51,400  0  7,000 
Residential Care  0  0  299,983  0  0  0  0  298,316  0  2,000 
Buddy/Companion  0  44,256  27,620  0  0  0  0  79,664  0  1,000 
Day-Respite Care  20,000  0  41,215  0  0  0  0  144,020  0  15,000 
In Home Hospice  0  0  0  0  0  0  0  253,916  0  0 
DME  0  623  8,846  0  12,600  1,472  0  52,688  2,491  2,000 
Substance Abuse  0  9,579  0  0  0  0  0  0  2,450  1,500 
Educ/Risk Reduc  0  10,143  0  0  0  0  0  73,404  10,063  3,000 
Rehab Care  0  0  0  0  0  0  0  0  0  1,000 
Adopt/Foster  Care  25,000  0  0  0  0  0  0  0  0  4,000 
Sign Lang/lnterp  0  0  0  0  0  0  0  12,000  0  0 
Inpatient Personnel  0  0  0  0  0  0  0  0  0  0 
Title II Expenditures  679,447  2,702,830  4,975,196  203,048  782,319  103,386  737,498  8,197,832  327,846  1,405,219  26,89  TABLE 11:  SUMMARY  OF TITLE II GRANTEE  EXPENDITURES  BY SERVICE 
(page 6 of 6) 
SERVICE  I  w WY 
--------------- -----.---,- ----------------- -------
I  -------"*--------------:-------------w:-------------------------------

Pharmaceuticals  I  52,405  329,173  0  61,228  37,249

Case Management  I  101,249  165,552  59,175  8,962 
Administration  I  i,oo:  203,472  136,580  14,192  10,000 
Primary Medical Care  10  433,717  78,803  7,671  33,336 
Home Health  10  272,568  6,000  0  360 
Other  10  0  0  905  0 
Insurance  10  0  0  0  4,175 
Housing Assistance  I  o  14,279  0  16,473  0 
Transportation  I  o  0  20,000  2,307  1,086 
Dental Care  I  o  0  0  1,240  1,791 
Mentat Health (MH)  I  o  3,262  52,743  0  1,422 
Food  BanWHOmO  M-S  I  o  0  0  4,474  1,384 
Emargency  Fman  I  o  0  16,695  352  0 
Non-MH  Counsding  I  o  0  11,250  0  0 
Outreach/lnlo  Rated  I  o  0  5,600  0  0 
Client Advocacy  I  o  61,182  3,637  0  0 
Residential Care  I  o  0  0  100  0 
Buddy/Companion  I  o  0  25,367  0  0 
Day-Respite Care  I  o  0  0  0  36 
In Home Hospice  10  0  0  266  200 
DME  10  0  0  0  0 
Substance  Abuse  10  0  0  0  0 
Educ/Risk  Reduc  10  0  0  0  0 
Rehab Care  I  o  0  0  0  0 
Adopt/Foster  Care  10  0  4,375  0  0 
Sign Lang/lnterp  10  0  0  0  0 
Inpatient Personnel  I  o  0  0  0  0 
I 
TOTAL  I  92,405  1,418,902  526,602  168,383  100,001  Table 12:  Expenditures for  lltle  II by Option 
The  four  Ryan  White  CARE  Act  Title  11options  for States  are  consortia, 
pharmaceuticals,  home- and  community- based  care  and  insurance  continuation. 
Table  12 lists total  expenditures  for Title  11by State  and  then  provides  shows 
expenditures  for  each  option.  Table  12 also displays  expenditures  for each  option  as a 
percentage  of total  expenditures  for each  grantee,  TABLE  12:  TITLE  II OPTIONS* 
Ryan White  FY 1992  Expenditures  by Option  as a Percentage  of Total  Expenditures 
Total  I  Pharma- I  Home&  Comm.  I 
State  Expenditures  Consortia  %1  ceuticais  xi  Baaed  Care  xi  Insurance  % 
I  I 
AK  123,955  121,737  96%  o  o% I  o  o% I  o  o% 
AL  788,423  54,869  7%  554,682  70%  I  141,111  16%  I  0  o% 
AR  497,308  460,713  93%  0  o% I  o  o% I  0  o% 
AZ  687,616  484,227  70%  164,544  27%  I  o  o% I  0  o% 
CA  15,862,469  7,607,254  48%  4,594,012  29%  I  917,295  6%  I  600,000  4% 
co  857,391  552,830  84%  174,652  20%  1  54,502  6%  0  o% 
CT  1,068,399  597,171  56%  384,389  34%  I  o  o%  0  o% 
Dc  1,334,463  664,970  51%  366,054  27%  I  170,116  13%  0  o% 
DE  173,168  53,800  31%  40,000  23%  I  25,000  14%  49,200  26% 
FL  10,754,102  5,833,059  54%  4,455,121  41%[  o  o%  0  o% 
GA  3,155,728  1,462,554  47%  1,184,025  37%  I  45,000  1%  337,056  11% 
GU  4,618  o  o%  4,616  100  o  o%  0  o% 
HI  442,934  175,884  40%  I  192,050  43%  o  o%  75,000  1796 
1A  184,436  90,000  55%  I  58,071  35%  o  o%  0  o% 
10  100,000  o  o% I  90,000  90%  o  o%  0  o% 
IL  3,275,301  1,860,833  57%  I  1,273,675  39%  o  o%  0  o% 
IN  898,7$1  309,194  34%  I  551,945  61%  o  o%  0  o% 
KS  270,693  o  o% I  203,914  75%  25,532  9%  27,713  1o% 
KY  299,009  o  o% I  212,715  71%  14,016  5%  8S,846  23% 
LA  1,727,415  1,124,648  65%  I  o  o%  423,256  25%  12,657  1% 
MA  1,837,845  1,195,000  85%  I  73,060  4%  386,000  21%  0  o% 
MD  2,366,486  1,828,532  77%  I  100,000  4%  237,252  10%  0  o% 
ME  183,401  1833401  100  I  o  o%  o  o%  0  o% 
Ml  1,213,083  912,929  75%  I  129,500  11%  90,000,  7%  0  o% 
MN  320,698  199,399  62%  I  o  o%  o  o%  79,783  25% 
MO  1,289,726  836,442  49%  I  548,161  43%  o  o%  0  o% 
MS  616,440  o  o% I  272,637  44%  284,845  46%  0  o% 
MT  100,016  57,970  56%  I  30,839  31%  o  o%  4,266  4% 
NC  1,169,266  947,422  81%  I  221,844  19%  o  o%  0  o% 
ND  100,000  90,000  90%  I  o  o%  o  o%  0  o% 
NE  90,109  15,592  17%  I  69,297  77%  900  1%  0  o% 
NH  186,356  o  o% I  150,393  61%  29,584  18%  0  o% 
NJ  4,666,967  2,407,708  51%  I  1,613,097  34%  205,602  4%  0  o% 
NM  254,7i4  63,000  25%  [  81,214  32%  36,000  15%  50,000  20% 
NV  443,463  o  o% 1  232,000  52%  165,230  37%  0  o% 
NY  16,269,813  8,179,780  50%  I  6,609,157  41%  o  o%  0  o% 
OH  1,376,600  703,929  51%  571,476  42%  o  o%  0  o% 
OK  486,209  160,000  33%  241,299  49%  62.500  13%  0  o% 
OR  679,447  260,323  41%  341,680  50%  o  0  o% 
PA  2,702,830  1,495,668  55%  1,136,075  42%  20,518  0  o% 
PR  4,975,196  2,840,659  57%  1,925,497  39%  0  0  o% 
RI  203,048  o  o%  119,700  59%  0  84,000  32% 
Sc  782,319  297,252  36%  389,404  47%  60,000  0  o% 
SD  103,366  o  o%  85,679  84%  32,507  0  o% 
TN  737,496  o  o%  729,007  99%  0  0  o% 
TX  8,197,832  5,650,696  69%  1,200,000  15%  0  757,422  9% 
UT  327,646  99,067  30%  202,719  62%  26,060  0  o% 
VA  1,405,219  871,219  62%  400,000  28%  0  0  o% 
VI  26,690  o  o%  22,890  65%  2,000  0  o% 
v-r  92,405  30,000  32%  52,405  57%  0  0  o% 
WA  1,418,902  712,451  50%  329,173  23%  I  272,568  0  o% 
WI  526,602  460,876  91%  o  o% 1  0  0  o% 
WV  166,383  109,016  65%  50,000  30%  I  0  0  o% 
WY  100,001  48,577  49%  37,249  37%  I  0  4.175  4% 
I  I 
TOTAL  97,911,642  51,970,653  53%  32,410,740  32%  I  3,729,376  4%  [  2,131,317  2% 
 Ths table does notshowadministraticm,m eveluaticmand planning expendmmesincluded mtotalState expenditures. 
29
 Tables 13-17:  l%le II W  1992 Expenditures for the top Six Semces 
For  Title  II, expenditures  for the  top  six services  comprise  almost  80 percent  of total 
Title  11 expenditures  for FY  1992.  The  following  tables  show expenditures  for these 
six services,  with one  table  devoted  to each  service. 
The  top  six services  include:  Pharmaceuticals,  Case  Management,  Primary  Medical 
Care,  Administrative  Costs,  Home  Health,  and  Planning  and  Evaluation.  In addition 
to showing  expenditures  for each  service  by State,  each  table  also shows the 
percentage  of each  States  total  Title  II expenditures  for that  service. 
30
 TABLE  13:  PHARMACEUTICALS  (RX) 
RYAN WHITE  TITLE II FY 1992  EXPENDITURES 
UNDER  PHARMACEUTICAL,  CONSORTIA,  AND HOME- AND COMMUNITY-BASED  CARE  (HCBC)  OPTIONS 
Total  I  Pharm.  I  I  I  Total  RX 
Expenditures  I  Option Exp.  Consortia  Expenditures  [  HCBC  Expenditures  Expenditures 
I  I  /  RX as % 
Total  I  Total  I  Total  of States 
State  Ttile II $  [  RX $  Consortia  $  RX$  I  HCBC  $  RX $  RX S  Title II $ 
I 
AK  123,955  0  121,737  15,513  I  0  0  15,513  13% 
AL  788,423  554,662  54,869  4,601  I  141,111  65,220  644,502  82% 
AR  497,308  0  460,713  242,065  I  0  0  242,065  49% 
AZ  667,618  164,544  484,227  63,300  I  0  0  247,644  36% 
CA  15,862,469  4,594,012  7,607,254  138,227  I  917,295  975  I  4,733,213  30% 
co  657,391  174,852  552,630  01  54,502  0  174,852  20% 
CT  1,068,399  364,389  597,171  01  0  0  /  364,389  34% 
DC  1,334,463  366,054  664,970  01  170,116  0  I  366,054  27% 
DE  173,168  40,000  53,800  01  25,000  4,089  44,089  25% 
FL  10,754,102  4,455,121  5,633,059  861,504  I  0  0  5,316,625  49% 
GA  3,155,728  1,164,025  1,482,554  01  45,000  0  1,164,025  37% 
GU  4,618  4,618  0  01  0  0  4,618  1 00% 
HI  442,934  192,050  175,664  5,575  I  0  0  197,625  45% 
1A  164,436  58,071  90,000  946  I  0  4,950  I  63,967  39% 
ID  100,000  90,000  0  01  0  0  90,000  90% 
IL  3,275,301  I  1,273,875  I  1,660,833  01  0  0  I  1,273,875  39% 
IN  898,781  I  551,945  I  309,194  01  0  0  551,945  61% 
KS  270,693  I  203,914  I  0  01  25,532  0  203,914  75% 
KY  299,009  I  212,715  I  0  01  14,016  0  212,715  71% 
LA  1,727,415  I  01  1,124,648  01  423,258  22,969  22,969  1% 
MA  1,837,645  I  73,060  I  1,195,000  11,950  I  386,000  0  I  85,010  5% 
MD  2,368,486  I  100,000  I  1,628,532  01  237,252  0  100,000  4% 
ME  163,401  I  01  163,401  01  0  0  0  o% 
Ml  1,213,063  I  129,500  I  912,929  QI  90,000  0  129,500  11% 
MN  320,898  Q!  199,399  o  0  0  I  0  o% 
MO  1,289,726  548,161  I  636,442  0  0  0  I  548,181  43% 
MS  616,440  272,637  I  0  0  264,645  0  1  272,637  44% 
MT  100,016  30,639  I  57,970  4,700  0  0  35,539  36% 
NC  1,169,266  221,644  I  947,422  12,675  0  0  234,519  20% 
ND  100,000  01  90,000  58,500  0  0  58,500  59% 
NE  90,109  69,297  I  15,592  0  900  0  69,297  77% 
NH  186,356  150,393  I  0  0  29,564  0  150,393  81% 
NJ  4,668,967  1,613,097  I  2,407,708  27,646  205,602  0  1,640,743  35% 
NM  254,714  81,214  I  63,000  0  38,000  0  81,214  32% 
NV  443,463  232,000  I  0  0  165,230  0  232,000  52% 
NY  16,269,613  6,609,157  I  8,179,780  0  0  0  6,609,157  41% 
OH  1,376,800  571,478  I  703,929  3,654  0  0  575,132  42% 
OK  488,209  241,299  I  160,000  29,000  62,500  0  270,299  55% 
OR  679,447  341,680  I  280,323  3,000  0  0  344,680  51% 
PA  2,702,630  1,136,075  1,495,668  0  20,518  0  1,136,075  42% 
PR  4,975,196  1,925,497  2,640,659  366,869  0  0  2,292,366  46% 
RI  203,048  119,700  0  0  0  0  119,700  59% 
Sc  782,319  369,404  297,252  65,327  60,000  0  434,731  56% 
SD  103,386  65,879  0  0  32,507  0  65,879  64% 
TN  737,498  729,007  0  0  0  0  729,007  99% 
TX  8,197,632  1,200,000  5,650,686  149,664  0  0  1,349,664  16% 
UT  327,646  202,719  99,067  868  28,060  0  203,607  62% 
VA  1,405,219  400,000  671,219  26,768  0  0  426,768  30% 
VI  26,890  22,890  0  01  2,000  0  22,890  85% 
v-r  92,405  52,405  30,000  01  0  0  52,405  57% 
WA  1,418,902  329,173  712,451  01  272,568  0  329,173  23% 
WI  526,602  0  480,878  01  0  0  0  o% 
Wv  168,363  50,000  109,016  11,228  I  0  0  61,228  36% 
w  100,001  37,249  48,577  01  0  0  37,249  37% 
TOTAL  97,911,642  32,410,740  51,970,653  2,103,620  I  3,729,376  118.202  34,632,562  35% 
31
 TABLE  14:  CASE  MANAGEMENT  (CM)* 
RYAN WHITE TITLE II FY 1992 EXPENDITURES 
UNDER  THE  CONSORTIA  AND  HOME- AND  COMMUNITY-BASED  CARE  (HCBC)  OPTIONS 
Total  I I 
Expenditures  Consortia  Expenditures  I  HCBC  Expenditures  I  Total CM  Expenditures 
I  LM  a 
Total  Total  Total  Total  of Sta 
State  Title  II $  Consortia  $  CM  $  I  HCBC  $  CM $  CM $  Title 
I  I 
AK  123,955  I  121,737  36,696  I  0  0  36,696 
AL  788,423  I  54,869  14,180  I  141,111  0  14,180 
AR  497,308  I  460,713  56,928  I  0  0  58,928 
/+2  687,616  I  464,227  165,300  0  0  165,300 
CA  15,662,469  I  7,607,254  3,324,935  /  917,295  261,995  i  3,586,931 
co  857,391  I  552,830  423,834  I  54,502  0  423,634 
CT  1,068,399  597,171  381,576  0  0  I  381,578 
Dc  1,334,483  I  664,970  409,196  I  170,116  0  I  409,196 
FL  10,754,102  I  5,833,059  1,715.444  I  0  0  1,715,444 
GA  3.155,726  I  1,482,554  513,836  I  45 SOoo  43,000  I  556,638 
HI  442,934  I  175,864  19,912  o  0  19,912 
1A  164,436  I  90,000  43,555  /  0 0  I  43,555 
IL  3,275,301  1,860,833  451,714  I  0 0  I  451,714 
LA  1,727,415  !  1,124,648  304,517  I  423,256  0  I  304,517 
MA  1,837,645  1,195,000  857,250  I  386,000  0  I  657,250 
MD  2,366,486  /  1,826,532  458,770  237,252  0  I  458,770 
ME  183,401  I  183,401  183,401  I  0  0  163,401 
Ml  1,213,083  I  912,929  696,929  I  90,000  0  I  896,929 
MN  320,898  I  199,399  47,000  I  0  0  47,000 
MT  100,016  i  57,970  8,400  0  0  I  8,400 
NC  1,169,266  I  947,422  391,494  1  0  0  I  391,494 
NE  90,109  I  15,592  6,990  I  900  0  I  6,990 
NJ  4,688,987  I  2,407,708  577,500  I  205,602  0  I  577,500 
NV  443,483  0  0  I  185,230  71,467  I  71,467 
NY  16,269,813  /  8,179,780  2,283,833  I  0 0  I  2,263,633 
OR  679,447  260,323  130,000  0  0  130,000 
PA  2,702,630  I  1,495,668  385,220  /  20,518  0  /  365,220 
PR  4,975,196  I  2,640,859  528.839  0  0  528,839 
Sc  782,319  I  297,252  34,786  I  60,000  0  I  34,786 
TX  6,197,832  5,850,696  1,977,648  I  0 0  I  1,977,648 
UT  327,646  /  99,067  0  I  26,060  3,112  I  3,112 
VA  1,405,219  I  871,219  270,269  I  0  0  270,269 
WA  1,416,902  I  712,451  101,249  272,568  0  I  101,249 
WI  526,602  I  480,878  165,552  1  0 0  I  165,552 
w  168,383  I  109,016  59,175  0  0  I  59,175 
WY  100,001  I  48,577  6,962  I  0 0  I  8,962 
I 
TOTAL**  97,911,642  I  49,924,288  16,976,294  I  3,215,412  379,574  I  17,355,868 
  Eighteen  States  spent  no funds  on case  management.  These  States  are not included  in the  table. 
 * Totals  include  the  18  States  not  shown  in the table, 
32
 TABLE  15:  PRIMARY  MEDICAL  CARE  (PMC)* 
RYAN  WHITE  TITLE  II FY 1992  EXPENDITURES 
UNDER  THE  CONSORTIA  AND  HOME- AND  COMMUNITY-BASED  CARE  (HCBC)  OPTIONS 
Total  I  I 
Expenditures  Consortia  Expenditures  I  HCBC  Expenditures  I  Total PMC  Expenditures 
I  PMC  as % 
Total  Total  Total  I  Total  of States 
State  Title  II $  Consortia  $  PMC  $  HCBC  $  PMC  $  I  PMC  $  Title  II $ 
I 
AK  123,955  121,737  7,445  0  0  I  78445  6% 
AL  788,423  54,869  14,478  141,111  0  I  14,478  2 Y. 
AR  497,308  460,713  35,403  0  0  I  35,403  7% 
AZ  687,616  484,227  2,000  0  0  I  2,000  0% 
CA  15,862,469  7,607,254  716,380  917,295  0  I  716,380  5~o 
co  857,391  552,830  31,947  54,502  0  I  31,947  4% 
CT  1,068,399  597,171  59,432  0  0  I  59,432  6% 
FL  10,754,102  5,833,059  899,156  0  0  899,156  870 
GA  3,155,728  1,482,554  745,467  45,000  0  I  745,467  24% 
HI  442,934  175,884  16,166  0  0  16,166  4% 
1A  164,436  90,000  16,048  0  0  I  16,048  1o% 
IL  3,275,301  1,860,633  360,345  0  0  360,345  11% 
IN  898,781  309,194  173,549  0  0  !  173,549  19% 
LA  1,727,415  1,124,648  135,276  423,258  0  I  135,276  8?L0 
MD  2,368,486  1,828,532  686,680  237,252  0  I  686,680  29% 
Ml  1,213,083  912,929  10,000  90,000  0  I  10,000  1% 
MN  320,898  199,399  16,833  0  0  I  16,833  5% 
MO  1,289,726  636,442  87,582  I  0  0  67,582  7% 
MS  616,440  0  0  284,845  284,845  I  284,845  4 60/0 
MT  100,016  57,970  16,270  I  0  0  I  16,270  16[0 
NC  1,169,266  947,422  18,145  0  0  18,145  254 
ND  100,000  90,000  31,500  I  0  0  I  31,500  32?. 
NE  90,109  15,592  1,225  I  900  0  1,225  1ok 
NJ  4,688,987  2,407,708  509,992  I  205,602  0  I  509,992  11% 
NY  16,269,813  8,179,780  698,477  I  0  0  I  696,477  4% 
OH  1,376,800  703,929  43,751  0  0  I  43,751  3 Y. 
OR  679,447  280,323  15,000  I  0  0  I  15,000  2% 
PA  2,702,830  I  ~,495,668  166,064  20,518  0  166,064  6% 
PR  4,975,196  I  2,840,859  265,762  I  0  0  I  265,762  5 %0 
Sc  782,319  I  297,252  189,639  I  60!OO0  0  I  189,639  24% 
SD  103,386  I  0  0  32,507  4,053  I  4,053  4% 
TX  8,197,832  I  5,650,696  755,740  I  0  0  755,740  9% 
UT  327,846  I  99,067  6,657  26,060  0  I  6,657  2 /0 
VA  1,405,219  871,219  250,000  I  0  0  250,000  18?6 
WA  1,418,902  I  ,  712,451  433,717  I  272.568  0  !  433,717  31%
WI  526,602  480,878  78,803  I  0  0  76,603  156 
Wv  168,383  I  109,016  7,671  1  0  0  I  7,671  570 
WY  100,001  I  48,577  33,336  I  0  0  I  33,336  33% 
I  I 
TOTAL**  97,911,642  I  51,970,653  7,535,938  I  3.729.376  288,898  I  7,824,836  8% 
*  Sixteen  States  spent  no Title II funds  on primary  medical  care.  These  States  are  not included  in this table. 
**  Totals  include  expenditures  for the  16  States  not included  in this table 
33
 TABLE  16:  ADMINISTRATIVE  COSTS (ADMIN) 
RYAN WHITE  TITLE  II FY 1992  EXPENDITURES  AT THE  STATE  LEVEL AND 
UNDER  THE CONSORTIA  AND  HOME- AND COMMUNITY-BASED  CARE  (HCBC)  OPTIONS 
Total  I  State  Level  I  I  I 
Expenditures  I  ADMIN  Exp.  \  Consotiia  Expenditures  I  HCBC Expenditures  I  Total  ADMIN  Expenditures 
I I  I  I  ADMIN  as %

Total  I  State-Level  I  Total  Total  I  Total  of States

State  Title II $  I  ADMIN  $  Consortia  $  ADMIN S  HCBC  $  ADMIN  $  I  ADMIN  $  Title II $

I 
AK  123,955  1  2,218  121,737  8,577  0  0  I  10,795  9% 
AL  788,423  5,721  54,869  1,931  141,111  0  I  7,652  1% 
AR  497,308  34,295  460,713  45,892  0  0  80,187  16% 
AZ  687,616  18,845  464,227  17,727  0  0  36,572  5% 
CA  15,862,46S  1,057,124  7,607,254  325,709  917,295  44,745  1,427,578  9% 
co  857,391  37,604  552,830  49,532  54,502  4,500  I  91,636  11% 
CT  1,068,399  53,420  597,171  61,486  0  0  I  114,906  11% 
DC  1,334,463  56,662  684,970  92,240  170,116  11,661  160,763  12% 
DE  173,168  5,168  53,800  5,000  25,000  0  10,168  6% 
FL  10,754,102  247,965  5,833,059  590,063  0  0  638,028  8% 
GA  3,155,728  42,093  1,482,554  49,375  45,000  2,000  93,468  3% 
GU 4,618  0  0 0  0 0  0  0% 
Hi  442,934  0  175,884  40,884  0  0  40,884  9% 
1A  164,436  8,183  90,000  6,009  0  0  14,192  9% 
ID  100,000  5,000  0  0  0  0  5,000  5% 
IL  3,275,301  140,793  1,860,633  515,635  0  0  656,428  20% 
IN  898,781  31,996  309,194  134,843  0  0  166,630  19% 
KS  270,693  13,534  0  0  25,532  0  13,534  5% 
KY  299,008  2,432  0  0  I  14,016  0  I  2,432  1% 
LA  1,727,415  83,327  1,124,648  6,160  423,258  0  I  89,487  5% 
MA  1,837,645  91,892  1,195,000  131,450  386,000  0  223,342  12% 
MD  2,368,486  101,351  1,828,532  202,747  237,252  0  I  304,098  13% 
ME  163,401  0  163,401  0  0  0  0  o% 
Ml  1,213,063  60,654  912,929  0  90,000  0  60,654  5% 
MN  320,698  41,736  I  199,399  30,033  0  0  71,769  22% 
MO  1,289,726  66,537  I  836,442  0  0  0  66,537  5% 
MS  616,440  29,379  I  0  0  264,845  0  29,379  5% 
MT  100,016  3,461  I  57,970  11,800  0  0  15,261  15% 
NC  1,169,266  01  947,422  30,857  0  0  30,857  3% 
ND  100,000  5,000  I  90,000  0  0  0  5,000  5% 
NE  90,108  1,426  I  15,592  535  900  0  1,961  2% 
NH  186,356  6,400  I  0  0  29,564  0  6,400  3% 
NJ  4,688,987  228,739  I  2,407,708  187,105  205,802  370  416,214  9% 
NM  254,714  10,000  I  63,000  2,000  36,000  0  12,000  5% 
NV  443,463  30,636  I  0  0  165,230  0  30,836  7% 
NY  16,269,813  693,434  I  6,179,780  730,183  0  0  1,423,817  9% 
OH  1,376,800  74,463  I  703,929  20,935  0  0  I  95,418  7% 
OK  488,209  24,410  I  160,000  20,328  62,500  0  I  44,738  9% 
OR  679,447  28,722  I  280,323  0  0  0  28,722  4% 
PA  2,702,830  50,569  I  1,495,688  187,137  20,518  1,085  238,791  9% 
PR  4,975,196  100,000  I  2,840,659  206,538  0  0  306,538  6% 
RI  203,048  9,674  I  0  0  0  0  9,674  5% 
Sc  782,319  39,753  I  297,252  0  60,000  0  39,753  5% 
SD  103,386  5,000  I  0  0  32,507  0  5,000  5% 
TN  737,498  8,491,  I  0  0  0  0  8,491  1% 
TX  8,197,S32  364,714  I  5,650,696  0  0  0  364,714  4% 
UT  327,846  01  99,067  0  26,060  0  0  o% 
VA  1,405,219  67,000  I  871,219  87,122  0  0  I  154,122  11% 
VI  26,890  o  0  0  2,000  0  I  0  o% 
VT  92,405  5,000  30,000  0  0  0  I  5,000  5% 
WA  1,418,902  52,355  712,451  48,762  272,568  0  101,117  7% 
WI  526,602  22,862  480,878  39,609  0  0  62,471  12% 
Wv  168,363  4,457  109,016  4,825  0  0  9,282  6% 
WY  100,001  5,000  48,577  0  0  0  5,000  5% 
I 
TOTAL  97,911,642  4,079,712  51,970,653  3,692,629  3,729,376  64,581  I  8,037,121  8% 
34
 TABLE  17:  HOME  HEALTH  (HH)* 
RYAN  WHITE  TITLE  II FY 1992  EXPENDITURES 
UNDER  THE  CONSORTIA  AND  HOME- AND  COMMUNITY-BASED  CARE  (HCBC)  OPTIONS 
Total  I  I  I 
Expenditures  I  Consortia  Ex~enditures  I  HCBC  Expenditures  I  Total  HH  Expenditures 
I  I  HH  as % 
Total  I  Total  Total  I  Total  of States 
State  Title  II $  I  Consortia  $  HH $  HCBC  .$  HH $  I  HH  $  Title  II $ 
I  I  I 
AL  788,423  54.869  0  I  141,111  55,891  55,891  7% 
AR  497,308  I  460,713  65,000  I  0  0  I  65,000  13% 
AZ  687,616  I  484,227  113,600  I  0  0  I  113,600  17% 
CA  15,862,469  I  7,607,254  400,601  I  917,295  580,318  I  980,920  6% 
co  657,391  I  552,830  0  I  54,502  50,002  I  50,002  6Y. 
CT  1,068,399  I  597,171  34,000  I  0  0  I  34,000  3% 
DC  1,334,463  I  664,970  0  I  170,116  135,135  I  135,135  10?40 
FL  10,754,102  5,833,059  260,898  I  0  0  I  260,898  2% 
HI  442,934  I  175,864  2,770  I  0  0  I  2,770  1y. 
IL  3,275,301  I  1,860,633  2,043  I  0  0  2,043  070 
KS  270,693  I  0  0  I  25,532  21,802  21,802  6% 
KY  299,009  I  0  0  I  14,016  9,154  I  9,154  3YQ 
LA  1,727,415  1,124,648  0  I  423,258  410,643  I  410,643  247. 
MA  1,837,845  !  1,195,000  0  I  386,000  386,000  I  386,000  21% 
MD  2,368,486  I  1,828,532  0  I  237,252  219,456  I  219,456  9% 
Ml  1,213,063  I  912,929  0  I  90,000  90,000  I  90,000  7yo 
MO  1,289,726  636,442  351,178  I  0  0  I  351,178  27% 
MT  100,016  /  57,970  1,800  1  0  0  I  1,600  270 
NC  1,169,266  I  947,422  231,508  I  0  0  I  231,508  20% 
NH  186,356  I  0  0  I  29,564  20,317  I  20,317  1170 
NJ  4,688,987  I  2,407,708  27,892  I  205,602  187,051  I  214s943  5~o 
NM  254,714  I  63,000  0  I  38,000  36,000  I  36,000  1 4% 
NV  443,483  I  0  0  I  165,230  44,623  I  44,623  1090 
NY  16,269,813  I  8,179,780  1,013,779  I  0  0  I  1,013,779  6% 
OH  1,376,800  I  703,929  1,600  I  0  0  I  1,600  o% 
OK  488,209  I  160,000  0  I  62,500  62,500  62,500  13yo 
OR  679,447  I  280,323  37,000  I  0  0  I  37,000  5 v. 
PA  2,702,830  I  1,495,668  11,070  I  20,518  14,533  25,603  1 Yo 
PR  4,975,196  2,640,859  363,061  0  0  I  363,061  7V0 
Sc  782,319  I  297,252  0  I  60,000  40,200  1  40,200  5% 
SD  103,386  I  0  0  1  32,507  1,513  1,513  1 Y. 
TX  8,197,632  I  5,650,696  355,088  I  0  0  I  355,088  4 Y. 
UT  327,846  I  99,067  0  I  26,060  19,685  19,685  6% 
VA  1,405,219  871,219  10,000  0  0  I  10,000  1$40 
VI  26,890  !  0  0  I  2,000  2,000  I  2,000  7% 
WA  1,418,902  I  712,451  0  272,568  272,568  I  272,568  19%. 
WI  526,602  I  480,878  6,000  I  0  0  I  6,000  1% 
WY  100,001  1  48,577  360  I  0  0  I  360  o% 
I  I  I 
TOTAL**  97,911,642  I  49,305,959  3,289,248  I  3,373,631  2,659,392  I  5,948,640  6% 
*  SiXteen  StateS spent  no funds  On home  health.  These  States  are not shown  in this table, 
**  Totals  include  expenditures  for the sixteen  States  not  shown  in the  table 
35
 TABLE  18:  PLANNING  & EVALUATION  (P&E) 
RYAN WHITE  TITLE II FY 1992  EXPENDITURES  AT THE  STATE  LEVEL AND 
UNDER  THE  CONSORTIA  AND HOME- AND COMMUNITY-BASED  CARE  (HCBC)  OPTIONS 
Total  I  State  Level  I 
Expenditures  I  P&E Exp.  HCBC  Expenditures  I  Total  P&E Expenditures 
I  I  P&E as % 
Total  ]  State-Level  Total  Total  I  Total  of States 
State  Ttile II $  I  P&E $  Consortia  $  P&E $  HCBC  S  P&E $  I  P&E $  Title Ii $ 
I  I 
AK  123,955  I  0  121,737  8,577  o  01  8,577  7% 
AL  788,423  I  32,040  54,86S  3,563  141,111  01  35,603  5% 
AR  497,308  I  2,300  460,713  0  0  01  2,300  o% 
AZ  687,616  I  01  464,227  0  0  01  0  o% 
CA  15,862,469  I  1,086,763  I  7,607,254  0  917,295  01  1,086,763  7% 
co  857,391  I  37,604  I  552,630  0  54,502  01  37,604  4% 
CT  1,068,399  I  53,420  I  597,171  0  0  01  53,420  5% 
DC  1,334,463  I  56,662  I  664,970  137,887  170,116  23,100  I  217,649  16% 
DE  173,168  01  53,800  0  25,000  01  0  o% 
FL  10,754,102  217,957  5,633,059  0  0  01  217,957  2% 
GA  3,155,728  85,000  1,482,554  0  45,000  fJl  65,000  3% 
GU 4,618  0  0 0  0 01  0  o% 
HI  442,934  0  175,864  0  0  01  0  o% 
1A  164,436  8,183  90,000  0  0  01  8,183  5% 
ID  100,000  5,000  0  0  0  01  5,000  5% 
IL  3,275,301  0  1,860,633  0  0  01  0  o% 
IN  898,781  5,646  30s,194  0  0  01  5,646  1% 
KS  270,693  0  o  0  25,532  01  0  o% 
KY  299,002  0  0  14,016  01  0  o% 
LA  1,727,415  63,326  1,124,648  0  423,258  01  63,326  5% 
MA  1,637,845  91,893  1,195,000  23,900  386,000  01  115,793  6% 
MD  2,368,486  101,351  1,828,532  0  237,252  01  101,351  4% 
ME  163,401  0  163,401  0  0  QI  0  o% 
Ml  1,213,063  20,000  912,929  0  90,000  QI  20,000  2% 
MN  320,698  0  199,399  0  0  01  0  o% 
MO  1,289,726  38,568  636,442  0  0  01  38,566  3% 
MS  616,440  29,379  0  0  264,645  01  29,379  5% 
MT  100,016  3,461  57,970  0  0  01  3,461  3% 
NC  1,169,288  0  947,422  0  0  01  0  o% 
ND  100,000  5,000  90,000  0  0  01  5,000  5% 
NE  90,109  2,693  15,592  193  900  01  3,086  3% 
NH  166,356  0  0  0  29,564  01  0  o% 
NJ  4,668,967  233,641  2,407,708  I52,109  205,602  01  365,950  8% 
NM  254,714  I  12,500  63,000  o  38,000  01  12,500  5% 
NV  443,463  I  15,417  0  0  165,230  01  15,417  3% 
NY  16,269,813  I  787,442  8,179,780  111,888  I  0  01  699,330  6% 
OH  1,376,800  I  26,910  703,929  0  0  01  26,910  2% 
OK  488,202  I  0  160,000  20,328  62,500  01  20,328  4% 
OR  679,447  I  28,722  280,323  0  0  01  28,722  4% 
PA  2,702,630  I  0  1,495,668  118,717  20,518  01  118,717  4% 
PR  4,975,198  I  108,840  2,640,659  0  0  01  108,640  2% 
RI  203,048  I  9,674  0  0  I  0  01  9,674  5% 
Sc  782,319  I  15,910  297,252  0  60,000  01  15,910  2% 
SD  103,366  I  01  0 0  I  32,507  01  0  o% 
TN  737,496  I  0.  I  0 0  I  0  01  0  o% 
TX  8,197,632  I  225,000  I  5,660,6S6  0  0  01  225,000  3% 
UT  327,646  I  01  99,067  0  I  26,060  01  0  o% 
VA  1,405,219  I  67,000  I  871,219  43,560  0  01  110,560  8% 
VI  26,890  2,000  I  0  0  2,000  01  2,000  7% 
v-r  92,405  5,000  I  30,000  30,000  0  01  35,000  38% 
WA  1,418,902  52,355  I  712,451  50,000  272,568  01  102,355  7% 
WI  526,602  22,862  I  480,878  51,247  I  0  01  74,109  14% 
w  168,363  4,910  I  109,016  0  0  01  4,910  3% 
WY  100,001  5,000  I  48,577  0  0  01  5,000  5% 
I 
TOTAL  97,911,642  3,569,645  I  51,970,653  751,968  3,729,376  23,100  I  4,364,913  4% 
36