**GAO-11-322R**                      Published: Jan 21, 2011. Publicly Released: Jan 21, 2011.                  

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## Highlights

Congress asked us to estimate the effect on Ryan White Comprehensive AIDS Resources Emergency Act of 1990 (CARE Act) funding to urban areas if a certain stop-loss provision was enacted. The CARE Act, administered by the Department of Health and Human Services' (HHS) Health Resources and Services Administration (HRSA), was enacted to address the needs of jurisdictions, health care providers, and people with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). In October 2009, the Ryan White HIV/AIDS Treatment Extension Act of 2009 (RWTEA) reauthorized CARE Act programs for fiscal years 2010 through 2013. The stop-loss provision that you asked us to address was contained in a draft consolidated appropriations bill for fiscal year 2011.

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## Topics

Health Care

AIDSDisadvantaged personsEvaluation criteriaFederal aid to localitiesFederal fundsFormula grantsFunds managementGovernment grantsGrant administrationHealth care servicesMinoritiesNeeds assessmentUse of fundsHealth care programsCost estimatesUrban areas