History

The Title X integration of HIV prevention projects receive funding from the Minority AIDS Fund and from Title X appropriations. The chart below describes the amount of funding from each source by fiscal year.

Table I. Integration of HIV/AIDS Prevention Services in Title X Family Planning Projects
Fiscal Year	Title X Appropriation	MAI Discretionary Fund	Total Award	Number of Awards	Average Award
2001	$2,004,000	$3,000,000	$5,004,000	34 Total/18 MAI	Average: $147,000 Range: $58,000 - $185,000
2002	$2,039,000	$3,000,000	$5,039,000	34 Total/18 MAI	Average: $148,200 Range: $55,000 - $186,000
2003	$2,087,000	$3,000,000	$5,087,000	34 Total/18 MAI	Average: $149,600 Range: $59,000 - $192,000
2004	$3,200,000	$6,000,000	$9,200,000	63 Total/41 MAI	Average: $146,000 Range: $6,5000 - $185,000
2005	$3,435,500	$6,000,000	$9,435,500	63 Total/41 MAI	Average: $149,770 Range: $9,000 - $195,000
2006	$3,389,572	$6,000,000	$9,389,572	62 Total/40 MAI	Average: $151,145 Range: $12,300 - $215,000
2007	$3,854,000	$6,500,000	$10,035,400	77 Total/47 MAI	Average: $130,000 Range: $22,000 - $185,000
2008	$3,850,000	$7,000,000	$10,850,000	80 Total/50 MAI	Average: $135,000 Range: $14,000 - $187,000

Title X of the PHS Act, 42 U.S.C. 300, et seq., authorizes the Secretary of Health and Human Services to award grants to public or private nonprofit entities to assist in the establishment and operation of voluntary family planning projects which shall offer a broad range of acceptable and effective family planning methods and services (including natural family planning methods, infertility services, and services for adolescents). Title X Program Guidelines require that HIV prevention education must be provided in all Title-X funded projects. Although HIV prevention education is required in all Title X- funded projects, not all are able to provide on-site HIV testing and related counseling and referral services.

Since September 2001, the Office of Family Planning (OFP), with funds from the Minority AIDS Fund and Title X appropriations, has funded HIV/AIDS Prevention Integration grants to a select number of Title X service projects. The HIV/AIDS prevention integration supplemental grant funds are made available to existing Title X service grantees through a competitive process. All project sites have established clinical operations. Many provide primary care services as well as Title X family planning services. The funds for the HIV/AIDS projects represent value-added services within already functional sites, thus minimizing overhead costs. Each project site was awarded a three-year project period, so that subsequent years of funding are awarded through non-competing continuation applications. There have been two cycles of awards, Cycle I - 09/2001 - 09/2004, and Cycle II - 09/2004 - 09/2007. In FY 2006, the Cycle II grants were funded for the final year of a three-year project period.

The purpose of these supplemental grants is to expand the availability of on-site HIV counseling, testing and HIV- related referral services in family planning clinics. The resources provided by the Minority AIDS Fund support projects in communities where racial and ethnic minorities are under-served or disproportionately impacted by HIV/AIDS. While the resources provided by the Title X appropriation may also support projects in these communities, there is flexibility to support projects that serve other individuals, areas, or populations that are at risk for HIV/AIDS. Examples include, but are not limited to, areas where there has been a significant shift in HIV prevalence, where STD rates are high or increasing, programs that serve individuals that engage in behaviors that place them at high risk for HIV/AIDS, and/or projects that serve groups or communities where there are identified pockets of need for further HIV prevention services. The OPA/OFP HIV Prevention Integration Project funds existing Title X service delivery sites where there are little or no other resources available for providing on-site HIV counseling, testing, and HIV-related referral services.