In 1990 Congress enacted the Ryan White CARE Act to improve the quality and availability of care for low-income, uninsured and underinsured individuals and families affected by HIV disease. The CARE Act, which is administered by the HIV/AIDS Bureau of the Health Resources and Services Administration, was re-authorized in 1996 and again in 2000.

Title I of the Ryan White CARE Act provides emergency assistance to Eligible Metropolitan Areas (EMAs) that have reported at least 2,000 AIDS cases during the previous five years and have a population of at least 500,000. The New York EMA is one of 51 EMAs that receive Title I funding.

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