Ryan White CARE Act Part D: matches and gaps in political commitment and local implementation

Soc Work Public Health. 2014;29(3):267-84. doi: 10.1080/19371918.2013.821350.


This article demonstrates the opportunities for and challenges of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act Part D to implementing its mandate for comprehensive family-centered systems of care for women, infants, children, and youth with HIV/AIDS. Part D legislation should promote practices addressing families with models for basic security, judiciously embrace those universal public health policies aiming to improve children's overall welfare, and consistently repudiate those policies infringing on human rights of women infected with HIV, or ignoring their children's basic needs. The proposed revisions to Part D implementation may renew its political commitment to serving the needs of families who are HIV affected.

Keywords: Part D; Pediatric HIV/AIDS; Ryan White; policy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Child Welfare
  • Child, Preschool
  • Comprehensive Health Care / legislation & jurisprudence*
  • Comprehensive Health Care / organization & administration
  • Family Health / legislation & jurisprudence*
  • Female
  • Financing, Government
  • HIV Infections / economics*
  • HIV Infections / therapy
  • Health Plan Implementation*
  • Health Services Accessibility / economics
  • Health Services Accessibility / legislation & jurisprudence
  • Humans
  • Infant
  • Infant, Newborn
  • Local Government*
  • Mandatory Programs
  • United States
  • United States Health Resources and Services Administration