Ryan White Part B Supplemental - Montana Ryan White Part B FY 2024 Part B Base and Supplemental Grant Application Abstract MT Dept. of Public Health and Human Services, STD/HIV/HepC Prevention Section P.O. Box 202951, Helena MT 59620-9910 Project Director: Robert Elkins, 406-444-4744, relkins2@mt.gov 2024 Montana Part B Base and Supplemental Grant Application Abstract a. Current Part B base, earmark and rebate dollars are pooled together to cover the provision of only the most basic of core medical services; purchase of wholesale drugs, health insurance and provide HIV related medication co-pays, deductibles and coinsurance assistance. Without the availability of Emergency Shortfall Relief Funds in 2024, comparative reductions in partial-pay rebate dollars and a drastic anticipated increase in ADAP enrollment and costs, Montana is more dependent on supplemental grant dollars than ever before to establish a comprehensive system of HIV care and treatment for PLWHA. b. Montana’s current viral suppression rate among Ryan White clients of 93% will not be possible to maintain without Part B supplemental funding. To continue improving viral suppression rates and client-level health outcomes across the HIV care continuum, we must continue funding all the Ryan White HIV/AIDS services and activities that focus on finding, linking and retaining HIV + persons in Ryan White care. In Montana, those services are ADAP, Medical Case Management, Housing, Food Bank/Home delivered meals, Emergency Financial Assistance and Outreach, which are all currently funded with federal grant and rebate dollars. Without the additional X08 supplemental grant funds, it will be impossible to continue those services at the current contracted amounts. c. As of December 31, 2023, 1,970 cumulative cases of HIV infection have been reported to the DPHHS since 1985 when the Department began collecting HIV data. Of those cases, 855 (45%) were Montana residents at the time of their diagnosis and 54% moved to Montana after being diagnosed in another jurisdiction. Men who have sex with men (MSM) were the population most affected by HIV in Montana during the 2019-2024 time period (58%). Twenty percent of new cases reported injecting drug use (IDU) as at least one transmission risk. As a low morbidity state, the rate of HIV infection in Montana (1.3/100,000 in 2024) is substantially lower than that of the US as a whole (11.5/100,000 in 2024). Since 2012, 15–32 new cases have been reported each year. In Montana, most new HIV diagnoses were among men, accounting for 85% of cases in 2024. During the 2019-2024 period, an average of 15% of new HIV cases were diagnosed among women. Most Montana HIV cases were among white Montanans. Robert Elkins March 10, 2025
