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this "evidence-based" approach is how and who determines the final numbers. Initially (Title I) grants were designated to Eligible Metropolitan Areas (EMA) and Transitional Grant Areas (TGA) that were disapproportianely affected by HIV/AIDS (5). The funding scheme addressed core medical necessity and outreach. The complexity on how Department of Health and Human Services divided $611.6 million in 2006 appeared to test the infrastructure of the Ryan White Program.

FY 2007 Part A - Formula Grants
Eligible Metropolitan Areas
Atlanta, GA $12,223,780
Baltimore, MD $13,101,233
Boston, MA $9,091,554
Chicago, IL $16,477,405
Dallas, TX $9,137,396
Detroit, MI $5,648,743
Ft. Lauderdale, FL $9,444,098
Houston, TX $12,780,890
Los Angeles, CA $23,182,654
Miami, FL $16,014,327
New Orleans, LA $4,944,054
New York, NY $74,867,223
Newark, NJ $9,089,812
Orlando, FL $5,503,524
Philadelphia, PA $14,920,594
Phoenix, AZ $4,970,250
San Diego, CA $6,769,231
San Francisco, CA $14,672,553
San Juan, PR $9,415,282
Tampa-St. Petersburg, FL $6,330,047
Washington, DC $18,759,719
West Palm Beach, FL $5,769,416
Total FY 2007 Part A Formula Funds to EMAs $303,113,785
Bold denotes highest incidence rates of HIV in US cities.

Most Ryan White clients are of low-income, underinsured and of ethnic backgrounds. But as trends become more complex in Blacks, particularly those in prison, on probation and others who fall through the cracksefforts to capture these cohorts appear to be lost in translation in comparison to the new Part A formularies. This is evidenced by the scope of funding parameters for the EMA's and validation of Community Resource Guides (6, 7, and 8) from five cities. There appears to be no evidence or acknowledgement of Blacks in prison or probation, as it relates to HIV epidemiology and the correlation to Part A funding.
According to an unpublished Department of Justice report (The Health Status of Soon-to-be-Released Inmates)(8) seems to suggest that out of 11.5 million prisoners that cycle through prison each year; 18% are carriers of hepatitis C (HCV), 8% Human Immunodeficiency Virus (HIV) and tuberculosis(TB) respectively. Prison health experts believe that for these diseases, the infection rates (the number of cases per 100,000 cases) among prisoners are upward of ten times those found in the general population. In addition, a body of evidence has grown concerning the incidence of HIV rate among Black women in urban settings to down-low Black men.
The Minority AIDS Initiative (MAI) was created in 1998

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