Author

Cindy Nguyen

Date of Award

Spring 4-26-2014

Degree Type

Thesis

Degree Name

Master of Public Administration (MPA)

Abstract

In 1990, the U.S Congress first enacted the Ryan White Program, a major AIDS legislation, which provides federally funded services for those who are living with HIV/AIDS. Although this legislation has been reauthorized several times, debate over its fifth reauthorization still raises questions of its effectiveness, efficiency, and fairness. Critics argue that the funding allocated to this program is not necessary due to the expansion of the Affordable CARE Act. Some even doubt the validity of HIV/AIDS prevention and treatment services. The goal of this research is to determine if the reauthorization of the Ryan White Act is necessary, or if the Affordable CARE Act is sufficient in providing the services that were formally funded by the Ryan White Act. Participants in this research include eight key informants from HIV/AIDS clinics and services that oversee the funding for the programs, which are located in the San Francisco Bay Area. Mixed-method Research was conducted to provide a quantitative and qualitative dimension in the analysis. The majority of participants in the study have claimed that the non-renewal of the Ryan White Act has negatively affected their programs in some way and that funding is needed to provide the appropriate services for the patients in the programs.

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