.!,


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 OIG’S 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 

IN’’I’ROI)umON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

4 

TM~.....,””O””.O”.So--” ‘ “”””””””””””””””””””””””””” ““”””””” 

4 

TitleITables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

FY1992Award Amomtsand ~enditures . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Summary of Grantee ~enditures by Setice . . . . . . . . . . . . . . . . . . . . . . . . . . 

FY1992~enditures for the Top Seven Services . . . . . . . . . . . . . . . . . . . . . 

. 19


Title II Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

FY1992Award hounts and Expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . 

Summary of Grantee ~enditures by Setice . . . . . . . . . . . . . . . . . . . . . . . . . 

FY1992~enditures for Title II Options . . . . . . . . . . . . . . . . . . . . . . . . . . . 

FY1992~enditures for the Top Six Services . . . . . . . . . . . . . . . . . . . . . . . . 

4 

6 

11 

19 

21 

28 

30 
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 yearend 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 

City


Atlanta GA


Baltimore MD


Boston MA


Chicago IL


Dallas TX


Ft Lauderdale FL


Houston TX


Jersey City NJ


Los Angeles CA


Miami FL


New York NY


Oakland CA


Philadelphia PA


San Diego CA


San Francisco CA


San Juan PR


Washington DC


Total


HRSA 

Award 

3,148,612 

1,898,561 

3,569,149 

4,431,632 

3,203,220 

3,097,663 

6,377,597 

2,368,466 

9,925,225 

6,740,073 

36,190,210 

2,123,466 

4,238,608 

3,347,916 

21,662,418 

3,579,982 

5,286,485 

121,189,283 

Total 

Expenditures 

2,899,666 

918,072 

2,940,382 

4,327,152 

3,196,220 

3,058,920 

5,562,500 

2,306,381 

10,759,820 

6,587,864 

34,450,000 

1,975,382 

2,569,502 

2,054,788 

21,562,175 

3,579,983 

3,943,543 

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 

Title I Expenditures 

Primary Medical Care


Case Management


Pharmacetiicals


Housing Assistance


Substance Abuse


Mental Health (MH)


Administration


Food Bank/Home Meals


Home Health


Outreach/Info Referral


Non-MH Counseling


Dental Care


Planning/Evaluation


Other


Client Advocacy


Day-l? espite Care


Bucidy/Companiorr


Transportation


In Home Hospice


Rehab Care


Volunteer Support


Residential Care


Emergency Finan.


Legal Services


AdoptfFoster Care


Educ/Risk Reduc


Sign Lang/lnterp


Inpatient Personnel


Insurance


DME


TOTAL


I New York NY Oakland CA Philadelphm PA San Diego CA San Francisco CA San Juan PR 

I ——— ——— —..— —-—. _______ 

I 34,450,000 1,975,382 2,569,502 2,054,768 21,562,175 3,579,983 

I 2,885,291 123,958 610,702 310,455 5,810,597 331,544 

I 3,942,000 358,889 963,557 478,247 1,370,626 557,563 

I 7,363,35% 0 0 0 0 1,656,750 

I 2,171,932 151,943 0 9,497 2,322,453 105,000 

I 3,207,315 124,641 101,s36 0 2,957,600 0 

I 3,448,704 49,519 192,724 157,479 1,745,031 0 

I 3,334,027 317,039 178,552 86,370 944,213 450,661 

I 1,392,962 64,29s 30,46e 60,903 636,114 0 

I 1,059,451 195,981 50,649 182,863 895,322 0 

I ,571,730 0 196,240 245,991 221,540 24,825 

I 917,428 50,134 0 0 0 0 

I 745,737 24,559 60,029 23,298 313,500 0 

I 376,266 0 96,700 0 772,633 86,634 

I ,062,938 0 0 233,761 1,707 0 

I 608,232 65,487 0 54,404 645,163 0 

I 0 0 0 30,000 338,663 0 

I 230,513 44,000 0 17,171 653,163 0 

I 0 24,559 17,144 65,4U 41,693 0 

I 0 115,!320 0 o 602,538 0 

I 0 o 0 0 864,221 0 

I 0 0 0 24,047 43$368 0 

I 0 0 0 0 0 365,000 

I 0 113,662 0 22,721 0 0 

I 0 0 28,580 32,177 78,375 0 

I 131,116 0 0 0 103,455 0 

I 0 125,786 0 0 0 0 

I 0 0 0 0 0 0 

I 0 0 0 0 0 0 

I 0 0 0 0 0 0 

I 0 0 0 0 0 0 

1 

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

... ....- -.- —--- --—. — 

Ttile I Expenditures


Primary Medical Care


Case Management


Pharmacti}cals


Housing Assistance


Substance Abuse


Mental Health (MH)


Administration


Food Sank/Home Meals


Home Health


Outreach/Info Referral


Non-MH Counseling


Dental Care


Planning/Evaluation


Other


Client Advocacy


Day-Respite Care


Buddy/Companion


Transportation


In Home Hospice


Rehab Care


Volunteer Support


Residential Care


Emergency Finan.


Legal Services


Adopt/Foster Care


Educ/Risk Reduc


Sign Lang/lnterp


Inpatient Personnel


Insurance


DME


TOTAL


I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

I 

3,943,543 

1,139,823 

788,525 

84,440 

0 

I I 2,2e3 

240,0f 9 

194,934 

311,8ss 

164,114 

210,101 

71,353 

142,560 

0 

0 

0 

38,023 

0 

138,632 

14,054 

59,279 

141,867 

0 

0 

0 

0 

0 

91,627 

0 

0 

0 

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 grantee’s total Title I expenditures spent on that sexvice. 

11

TABLE 3: PRIMARY MEDICAL CARE (PMC) 

RYAN WHITE TITLE I FY 1992 EXPENDITURES 

City 

Atlanta GA 

Baltimore MD 

Boston 

Chicago 

Dallas 

Ft Lauderdale 

Houston 

Jersey City 

Los Angeles 

Miami 

New York 

Oakland 

Philadelphia 

San Diego 

San Francisco 

San Juan 

Washington 

MA 

IL 

TX 

FL 

TX 

NJ 

CA 

FL 

NY 

CA 

PA 

CA 

CA 

PR 

DC 

Total 

Title I $ 

2,899,666 

918,072 

2,940,382 

4,327,152 

3,196,220 

3,058,920 

5,562,500 

2,306,381 

10,759,820 

6,587,864 

34,450,000 

1,975,382 

2,569,502 

2,054,788 

21,562,175 

3,579,983 

3,943,543 

112,692,350 

I


I Primary


Medical Care 

1,968,170 

0 

164,132 

1,194,707 

531,863 

1,337,279 

1,521,064 

219,924 

3,905,122 

1,174,539 

2,885,291 

123,958 

610,702 

I 310,455 

I 5,810,597 

I 331,544 

I 1,139,823 

I


I 23,229,170


I PMC as %


I of Grantee’s


I Title I $


I 68%


I o%


I 6%


I 28%


I 1770


I 4470


I 27’%


I 10%


I 36%


1870 

1 8% 

I 6V0 

I 24% 

I 15% 

I 27% 

I 9% 

I 29% 

I 

Total 21To

12


— 
TABLE 4: 

RYAN WHITE 

CASE MANAGEMENT (CM) 

TITLE I FY 1992 EXPENDITURES 

City 

Atlanta 

Baltimore 

Boston 

Chicago 

Dallas 

Ft Lauderdale 

Houston 

Jersey City 

Los Angeles 

Miami 

New York 

Oakland 

Philadelphia 

San Diego 

San Francisco 

San Juan 

Washington 

GA 

MD 

MA 

IL 

TX 

FL 

TX 

NJ 

CA 

FL 

NY 

CA 

PA 

CA 

CA 

PR 

DC 

Total 

Title I $ 

2,899,666 

918,072 

2,940,382 

4,327,152 

3,196,220 

3,058,920 

5,562,500 

2,306,381 

10,759,820 

6,587,864 

34,450,000 

1,975,382 

2,569,502 

2,054,788 

21,562,175 

3,579,983 

3,943,543 

112,692,350 

I I 

I I 

CM$ I 

436,849 I 

0 I 

389,056 I 

813,500 I 

322,883 I 

383,300 I 

1,176,320 I 

953,830 I 

1,060,578 I 

727,619 [ 

3,942,000 I 

358,899 [ 

983,557 I 

I 478)247 I 

I 1,370,626 I 

I 557,563 I 

I 788,525 I 

I I 

I 14,743,352 I 

CM as % 

of Grantee’s 

Title I $ 

1570 

O?zo 

13% 

1970 

1o% 

13% 

21% 

41% 

1o% 

11% 

ll% 

18’%0 

38% 

23% 

6% 

16’%0 

2070 

Total 13%

13


—— 
TABLE 5: PHARMACEUTICALS (RX) 

RYAN WHITE TITLE I FY 1992 EXPENDITURES 

Citv 

Atlanta GA 

Baltimore MD


Boston MA


Chicago IL


Dallas TX


Ft Lauderdale FL


Houston TX


Jersey City NJ


Los Angeles CA


Miami FL


New York NY


Oakland CA


Philadelphia PA


San Diego CA


San Francisco CA


San Juan PR


Washington DC


Total 

Total 

Title I $ 

2,899,666 

918,072 

2,940,382 

4,327,152 

3,196,220 

3,058,920 

5,562,500 

2,306,381 

10,759,820 

6,587,864 

34,450,000 

1,975,382 

2,569,502 

2,054,788 

21,562,175 

3,579,983 

3,943,543 

112,692,350 

I 

I 

RX $ 

35,000 

0 

0 

0 

25,000 

616,089 

48,954 

0 

0 

914,224 

7,363,356 

0 

0 

01 

01 

1,658,756 

84,440 

10,745,819 

14 

I RX as % 

I of Grantee’s 

Title I $ 

1% 

0% 

o% 

0% 

1% 

20% 

1% 

0% 

o% 

14% 

2170 

o% 

O’zo 

o% 

O’zo 

I 46%


I 2%


I


I 10’%

TABLE 6: HOUSING (HOUS) 

RYAN WHITE TITLE I FY 1992 EXPENDITURES 

City 

Atlanta GA 

Baltimore MD


Boston MA


Chicago IL


Dallas TX


Ft Lauderdale FL


Houston TX


Jersey City NJ


Los Angeles CA


Miami FL


New York NY


Oakland CA


Philadelphia PA


San Diego CA


San Francisco CA


San Juan PR


Washington DC


Total 

Total 

Title I $ 

2,899,666 

918,072 

2,940,382 

4,327,152 

3,196,220 

3,058,920 

5,562,500 

2,306,381 

10,759,820 

6,587,864 

34,450,000 

1,975,382 

2,569,502 

2,054,788 

21,562,175 

3,579,983 

3,943,543 

112,692,350 

I 

I 

HOUS $ 

0 

84,744 

591,685 

312,193 

288,756 

409,076 

144,708 

0 

1,314,667 

119,884 

2,171,932 

151,943 

0 

9,497 

2,322,453 

105,000 

0 

8,026,538 

I HOUS as % 

I of Grantee’s 

Title I $ 

I o%


I 970


I 20%


I 7%


I 9%


I 13%


I 3’%0


I 0940


I 1270


I 2%


I 6%


I 8%


I o%


I o%


I 11%


I 3%


I o%


I


I 770


15

TABLE 7: 

RYAN WHITE 

City 

Atlanta GA 

Baltimore MD


Boston MA


Chicago IL


Dallas TX


Ft Lauderdale FL


Houston TX


Jersey City NJ


Los Angeles CA


Miami FL


New York NY


Oakland CA


Philadelphia PA


San Diego CA


San Francisco CA


San Juan PR


Washington DC


Total 

SUBSTANCE ABUSE (SA) 

TITLE I FY 1992 EXPENDITURES 

I 

Total I 

Title I $ 

2,899,666 

918,072 

2,940,382 

4,327,152 

3,196,220 

3,058,920 

5,562,500 

2,306,381 

10,759,820 

6,587,864 

34,450,000 

1,975,382 

2,569,502 

2,054,788 I 

21,562,175 I 

3,579,983 I 

3,943,543 I 

I 

112,692,350 I 

SA $ 

15,000 

o 

0 

370,276 

198,388 

0 

102,702 

0 

648,710 

166,351 

3,207,315 

124,641 

101,936 

0 

2,957,600 

0 

112,293 

8,005,212 

I SA as’%


I of Grantee’s


I Title I $


I “ 1%


I 0?40


I o%


I 9%


I 6%


I o%


I 2%


I o%


I 6%


I 370


I 9%


I 6%


I 4%


I 0?!0


I 149!0


I o%


I 3%


I


I 7%


16

TABLE 8: 

RYAN WHITE 

MENTAL HEALTH (MH) 

TITLE I FY 1992 EXPENDITURES 

City 

Atlanta 

Baltimore 

Boston 

Chicago 

Dallas 

Ft Lauderdale 

Houston 

Jersey City 

Los Angeles 

Miami 

New York 

Oakland 

Philadelphia 

San Diego 

San Francisco 

San Juan 

Washington 

GA 

MD 

MA 

IL 

TX 

FL 

TX 

NJ 

CA 

FL 

NY 

CA 

PA 

CA 

CA 

PR 

DC 

Total 

Title I $ 

2,899,666 

918,072 

2,940,382 

4,327,152 

3,196,220 

3,058,920 

5,562,500 

2,306,381 

10,759,820 

6,587,864 

34,450,000 

1,975,382 

2,569,502 

2,054,788 

21,562,175 

3,579,983 

3,943,543 

112,692,350 

I 

I 

MH $ 

0 

131,232 

15,997 

437,800 

213,456 

48,419 

420,884 

0 

658,376 

0 

3,448,704 

49,519 

192,724 

157,479 

1,745,031 

0 

240,019 

7,759,640 

I MH as % 

I of Grantee’s 

Title I $ 

I 0% 

I 14% 

I 1Yo 

I 10% 

I 7% 

I 2% 

I 8% 

I o% 

I 670 

070 

L 

1o% 

3% 

8% 

8% 

8% 

o% 

6% 

Total 7%

17

TABLE 9: ADMINISTRATIVE COSTS (ADMIN) 

RYAN WHITE TITLE I FY 1992 EXPENDITURES 

I I ADMIN as % 

Total I 1 of Grantee’s 

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 

Chicago 

Dallas 

Ft Lauderdale 

Houston 

Jersey City 

Los Angeles 

Miami 

New York 

Oakland 

Philadelphia 

San Diego 

San Francisco 

San Juan 

Washington 

MA 2,940,382 I 0 070 

IL 4,327,152 I 365,088 8’% 

TX 3,196,220 I 172,757 570 

FL 3,058,920 I 188,291 6% 

TX 5,562,500 I 0 o% 

NJ 2,306,381 I 107,747 5% 

CA 10,759,820 I 489,403 570 

FL 6,587,864 ] 754,099 11% 

NY 34,450,000 I 3,334,027 1o% 

CA 1,975,382 I 317,039 1670 

PA 2,569,502 I 178,552 7?/0 

CA 2,054,788 I 86,370 4% 

CA 21,562,175 I 944,213 4°h 

PR 3,579,983 I 450,661 13% 

DC 3,943,543 I 194,934 5% 

I 

Total 112,692,350 \ 7,738,368 7% 

18


8 
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 HRSA’S 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 

AL 

AR 

AZ 

CA 

co 

CT 

DC 

DE 

FL 

GA 

GU 

HI 

1A 

ID 

IL 

IN 

KS 

KY 

LA 

MA 

MD 

ME 

Ml 

MN 

MO 

MS 

MT 

NC 

ND 

NE 

NH 

NJ 

NM 

NV 

NY 

OH 

OK 

OR 

PA 

PR 

Rf 

Sc 

SD 

TN 

7X 

UT 

VA 

VI 

v-r 

WA 

WI 

w 

WY 

TOTAL 

100,000 

790,679 

497,308 

687,616 

16,297,940 

838,453 

999,652 

1,385,438 

173,168 

9,927,807 

3,201,172 

4,323 

366,974 

164,436 

100,000 

2,829,336 

726,781 

274,616 

528,039 

1,672,504 

1,793,707 

2,368,486 

163,401 

l,213,0@ 

602,682 

1,330,744 

616,440 

100,000 

i ,664,757 

100,000 

117,168 

149,133 

4,711,438 

254,732 

443,463 

17,693,568 

1,423,256 

490,547 

658,551 

2,536,6S7 

5,681,717 

194,400 

795,067 

100,000 

737,498 

‘ 8,232,737 

329,063 

1,405,219 

28,087 

100,000 

1,322,995 

539,014 

168,363 

100,000 

99,754,335 

124,470 

790,079 

497,308 

687,616 

16,297,940 

838,453 

1,068,400 

1,538,544 

173,168 

11,011,364 

3,201,172 

4,616 

442,934 

164,436 

100,000 

3,374,175 

688,781 

274,616 

299,009 

1,727,415 

1,637,645 

2,368,466 

163,401 

1,213,063 

417,363 

1,330,744 

616,440 

100,000 

967,473 

100,000 

117,188 

166,356 

4,688,987 

254,714 

443,463 

16,828,76S 

1,366,761 

488,20S 

679,447 

2,702,630 

5,681,717 

194,400 

795,067 

103,386 

737,498 

8,232,757 

329,063 

1,405,219 

26,690 

100,000 

1,418,902 

526,602 

168,363 

100,000 

100,205,975 

123,955 

788,423 

497,308 

687,616 

15,862,468 

857,391 

1,068,399 

1,334,463 

173,168 

10,754,102 

3,155,728 

4,618 

442,934 

164,436 

100,000 

3,275,301 

688,781 

270,693 

299,00S 

1,727,415 

1,637,645 

2,368,486 

163,401 

1,213,063 

320,686 

1,269,726 

616,440 

100,016 

1,162,266 

100,000 

90,10s 

186,356 

4,688,987 

254,714 

443,463 

16,26S,813 

1,376,800 

486,20S 

679,447 

2,702$30 

4,975,196 

203,046 

782,319 

103,386 

737,498 

8,197,632 

327,646 

1,405,219 

26,690 

92,405 

1,418,902 

526,602 

168,363 

100,001 

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 
----------------------- --------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------

SERVICE 

, 

Pharmaceuticals 

Case Management 

Administration 

Primary Medical Care 

Home Health 

Other 

Insurance 

Housing Assistance 

Transportation 

Dental Care 

Mental Health (MH) 

Food Bank/Home Meals 

Emergency Finan 

Non-MH Counseling 

Outreach/Info Referral 

Client Advocacy 

Residential Care 

Buddy/Companion 

Day-Respite Care 

In Home Hospice 

DME 

Substance Abuse 

Educ/Risk Reduc 

Rehab Care 

Adopt/Foster Care 

Sign Lang/lnterp 

Inpatient Personnel 

Title II Expendllures 

TABLE 11: SUMMARY OF TITLE II GRANTEE EXPENDITURES BY SERVICE 

(page 2 of 6) 

I DE FL GA GU HI 1A ID IL IN KS 

I 

I 40,000 5,316,625 1,164,025 4,618 197,625 59,017 90,000 1,273,875 551,945 203,914 

I 0 1,715,444 556,638 0 19,912 43,555 0 451,714 0 0 

I 10,168 1,055,985 178,468 0 40,884 22,374 10,000 656,428 172,285 13,534 

I 0 899,156 745,467 0 16,166 16,048 0 360,345 173,549 0 

I 0 260,898 0 0 2,770 0 0 2,043 0 21,802 

I 43,500 205,876 10,794 0 12,742 0 0 84,442 0 0 

I 49,200 0 337,056 0 75,000 0 0 0 0 27,713 

I 0 190,485 0 0 36,940 0 0 231,598 0 0 

I 0 181,292 37,853 0 3,192 5,984 0 10,187 0 0 

I 0 355,137 0 0 16,166 5,039 0 5,553 865 0 

I 8,000 151,479 0 0 10,568 0 0 10,345 137 0 

0 135,423 0 0 7,854 0 0 176,770 0 0 

I 16,000 0 0 0 0 8,744 0 0 0 0 

I 0 147,778 0 0 0 1,706 0 0 0 0 

I 0 0 0 0 0 0 0 0 0 0 

I 0 0 0 0 0 0 0 12,000 0 0 

I 0 0 0 0 0 0 0 0 0 0 

I 0 0 0 0 0 0 0 0 0 0 

I 0 5,890 0 0 0 1,969 0 0 0 0 

I 0 0 0 0 0 0 0 0 0 0 

I 0 34,065 125,427 0 0 0 0 0 0 3,730 

I 6,300 95,935 0 0 0 0 0 0 0 0 

I 0 0 0 0 0 0 0 0 0 0 

I 0 2,633 0 0 0 0 0 0 0 0 

I 0 0 0 0 3,115 0 0 0 0 0 

I 0 0 0 0 0 0 0 0 0 0 

I 0 0 0 0 0 0 0 0 0 0 

I 

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 2,0

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 

SERVICE 

----- .---, 

Pharmaceuticals 

Case Management 

Administration 

Primary Medical Care 

Home Health 

Other 

Insurance 

Housing Assistance 

Transportation 

Dental Care 

Mentat Health (MH) 

Food BanWHOmO M-S 

Emargency Fman 

Non-MH Counsding 

Outreach/lnlo Rated 

Client Advocacy 

Residential Care 

Buddy/Companion 

Day-Respite Care 

In Home Hospice 

DME 

Substance Abuse 

Educ/Risk Reduc 

Rehab Care 

Adopt/Foster Care 

Sign Lang/lnterp 

Inpatient Personnel 

TOTAL 

(page 6 of 6) 

I w WY 

I -------"*--------------:-------------w:-------------------------------


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


I 101,249 165,552 59,175 8,962 

I i,oo: 203,472 136,580 14,192 10,000 

10 433,717 78,803 7,671 33,336 

10 272,568 6,000 0 360 

10 0 0 905 0 

10 0 0 0 4,175 

I o 14,279 0 16,473 0 

I o 0 20,000 2,307 1,086 

I o 0 0 1,240 1,791 

I o 3,262 52,743 0 1,422 

I o 0 0 4,474 1,384 

I o 0 16,695 352 0 

I o 0 11,250 0 0 

I o 0 5,600 0 0 

I o 61,182 3,637 0 0 

I o 0 0 100 0 

I o 0 25,367 0 0 

I o 0 0 0 36 

10 0 0 266 200 

10 0 0 0 0 

10 0 0 0 0 

10 0 0 0 0 

I o 0 0 0 0 

10 0 4,375 0 0 

10 0 0 0 0 

I o 0 0 0 0 

I 

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 

State Expenditures 

AK 123,955 

AL 788,423 

AR 497,308 

AZ 687,616 

CA 15,862,469 

co 857,391 

CT 1,068,399 

Dc 1,334,463 

DE 173,168 

FL 10,754,102 

GA 3,155,728 

GU 4,618 

HI 442,934 

1A 184,436 

10 100,000 

IL 3,275,301 

IN 898,7$1 

KS 270,693 

KY 299,009 

LA 1,727,415 

MA 1,837,845 

MD 2,366,486 

ME 183,401 

Ml 1,213,083 

MN 320,698 

MO 1,289,726 

MS 616,440 

MT 100,016 

NC 1,169,266 

ND 100,000 

NE 90,109 

NH 186,356 

NJ 4,666,967 

NM 254,7i4 

NV 443,463 

NY 16,269,813 

OH 1,376,600 

OK 486,209 

OR 679,447 

PA 2,702,830 

PR 4,975,196 

RI 203,048 

Sc 782,319 

SD 103,366 

TN 737,496 

TX 8,197,832 

UT 327,646 

VA 1,405,219 

VI 26,690 

v-r 92,405 

WA 1,418,902 

WI 526,602 

WV 166,383 

WY 100,001 

TOTAL 97,911,642 

I 

Consortia %1 

121,737 96% 

54,869 7% 

460,713 93% 

484,227 70% 

7,607,254 48% 

552,830 84% 

597,171 56% 

664,970 51% 

53,800 31% 

5,833,059 54% 

1,462,554 47% 

o o% 

175,884 40% I 

90,000 55% I 

o o% I 

1,860,833 57% I 

309,194 34% I 

o o% I 

o o% I 

1,124,648 65% I 

1,195,000 85% I 

1,828,532 77% I 

1833401 100 I 

912,929 75% I 

199,399 62% I 

836,442 49% I 

o o% I 

57,970 56% I 

947,422 81% I 

90,000 90% I 

15,592 17% I 

o o% I 

2,407,708 51% I 

63,000 25% [ 

o o% 1 

8,179,780 50% I 

703,929 51% 

160,000 33% 

260,323 41% 

1,495,668 55% 

2,840,659 57% 

o o% 

297,252 36% 

o o% 

o o% 

5,650,696 69% 

99,067 30% 

871,219 62% 

o o% 

30,000 32% 

712,451 50% 

460,876 91% 

109,016 65% 

48,577 49% 

51,970,653 53% 

Pharma- I Home& Comm. I 

ceuticais xi Baaed Care xi 

I 

o o% I 

554,682 70% I 

0 o% I 

164,544 27% I 

4,594,012 29% I 

174,652 20% 1 

384,389 34% I 

366,054 27% I 

40,000 23% I 

4,455,121 41%[ 

1,184,025 37% I 

4,616 100 

192,050 43% 

58,071 35% 

90,000 90% 

1,273,675 39% 

551,945 61% 

203,914 75% 

212,7’15 71% 

o o% 

73,060 4% 

100,000 4% 

o o% 

129,500 11% 

o o% 

548,161 43% 

272,637 44% 

30,839 31% 

221,844 19% 

o o% 

69,297 77% 

150,393 61% 

1,613,097 34% 

81,214 32% 

232,000 52% 

6,609,157 41% 

571,476 42% 

241,299 49% 

341,680 50% 

1,136,075 42% 

1,925,497 39% 

119,700 59% 

389,404 47% 

85,679 84% 

729,007 99% 

1,200,000 15% 

202,719 62% 

400,000 28% 

22,890 65% 

52,405 57% 

329,173 23% I 

o o% 1 

50,000 30% I 

37,249 37% I 

I 

I 

o o% I 

141,111 16% I 

o o% I 

o o% I 

917,295 6% I 

54,502 6% 

o o% 

170,116 13% 

25,000 14% 

o o% 

45,000 1% 

o o% 

o o% 

o o% 

o o% 

o o% 

o o% 

25,532 9% 

14,016 5% 

423,256 25% 

386,000 21% 

237,252 10% 

o o% 

90,000, 7% 

o o% 

o o% 

284,845 46’% 

o o% 

o o% 

o o% 

900 1% 

29,584 18% 

205,602 4% 

36,000 15% 

165,230 37% 

o o% 

o o% 

62.500 13% 

o 

20,518 

0 

0 

60,000 

32,507 

0 

0 

26,060 

0 

2,000 

0 

272,568 

0 

0 

0 

Insurance % 

o o% 

0 o% 

0 o% 

0 o% 

600,000 4% 

0 o% 

0 o% 

0 o% 

49,200 26% 

0 o% 

337,056 11% 

0 o% 

75,000 1796 

0 o% 

0 o% 

0 o% 

0 o% 

27,713 1o% 

8S,846 23% 

12,657 1% 

0 o% 

0 o% 

0 o% 

0 o% 

79,783 25% 

0 o% 

0 o% 

4,266 4% 

0 o% 

0 o% 

0 o% 

0 o% 

0 o% 

50,000 20% 

0 o% 

0 o% 

0 o% 

0 o% 

0 o% 

0 o% 

0 o% 

84,000 32% 

0 o% 

0 o% 

0 o% 

757,422 9% 

0 o% 

0 o% 

0 o% 

0 o% 

0 o% 

0 o% 

0 o% 

4.175 4% 

I 

32,410,740 32% I 3,729,376 4% [ 2,131,317 2% 

‘ Ths table does not show administraticm, m eveluaticmand planning expendmmes included m total State expenditures. 

29

Tables 13-17: l%le II W 1992 Expenditures for the top Six Sem”ces 

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 State’s 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 State’s 

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 

Expenditures Consortia Expenditures 

Total Total 

State Title II $ Consortia $ CM $ 

I AK 123,955 I 121,737 36,696 

AL 788,423 I 54,869 14,180 

AR 497,308 I 460,713 56,928 

/+2 687,616 I 464,227 165,300 

CA 15,662,469 I 7,607,254 3,324,935 

co 857,391 I 552,830 423,834 

CT 1,068,399 597,171 381,576 

Dc 1,334,483 I 664,970 409,196 

FL 10,754,102 I 5,833,059 1,715.444 

GA 3.155,726 I 1,482,554 513,836 

HI 442,934 I 175,864 19,912 

1A 164,436 I 90,000 43,555 

IL 3,275,301 1,860,833 451,714 

LA 1,727,415 ! 1,124,648 304,517 

MA 1,837,645 1,195,000 857,250 

MD 2,366,486 / 1,826,532 458,770 

ME 183,401 I 183,401 183,401 

Ml 1,213,083 I 912,929 696,929 

MN 320,898 I 199,399 47,000 

MT 100,016 i 57,970 8,400 

NC 1,169,266 I 947,422 391,494 

NE 90,109 I 15,592 6,990 

NJ 4,688,987 I 2,407,708 577,500 

I I 

I HCBC Expenditures I Total CM Expenditures 

I LM a 

Total Total of Sta 

I HCBC $ CM $ CM $ Title 

I 

I 0 0 36,696 

I 141,111 0 14,180 

I 0 0 58,928 

0 0 165,300 

/ 917,295 261,995 i 3,586,931 

I 54,502 0 423,634 

0 0 I 381,578 

I 170,116 0 I 409,196 

I 0 0 1,715,444 

I 45 SOoo 43,000 I 556,638 

o 0 19,912 

/ 0 0 I 43,555 

I 0 0 I 451,714 

I 423,256 0 I 304,517 

I 386,000 0 I 657,250 

237,252 0 I 458,770 

I 0 0 163,401 

I 90,000 0 I 896,929 

I 0 0 47,000 

0 0 I 8,400 

1 0 0 I 391,494 

I 900 0 I 6,990 

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 State’s 

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 2’54 

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 

WI 526,602 

I , 712,451 433,717 

480,878 78,803 

I 272.568 

I 0 

0 

0 

433,717 31% ! 76,603 15”6 

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 State’s


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 State’s 

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 44,623 109’0 

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 State’s 

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