Ryan White Care Act Reauthorization Hearing of the Committee On Labor And Huma
Ryan White Care Act Reauthorization Hearing of the Committee On Labor And Huma
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Similarly, there was wide variation in Title II funds distributed to the States. Again, for fiscal year 1994, Title II per case funding ranged from $960 in Hawaii to $2, 600 in New York, a difference of about 270 percent. Such differences in per case funding would not be a problem from an equity perspective if they reflected differences in the cost of de- livering services, or in State and local funding capacity. However, when we examined the difference in combined Title I and Title II funds ac...ross States, we found that cost differences and funding ca- pacity could explain only 36 percent of the variation. Approxi- mately 64 percent of the differences in State funding per AIDS case appears to be unrelated to State funding needs. As to why the existing Title I and Title II formulas result in the observed funding inequities, we identified four contributory factors. First, AIDS cases in eligible metropolitan areas are counted in both the Title I and Title II formulas. Our analysis indicates that this double counting of EMA cases accounts for about half of the dif- ferences in States' total per case funding.
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