SAPT Block Grant Program
- Distributes funds to 60 eligible States, Territories, the District of Columbia, and the Red Lake Band of the Chippewa Indians of Minnesota.
- Supports and expands substance abuse prevention and treatment services, including early intervention services for States that are HIV-Designated States.
HIV-Designated States (§96.128 Requirements Regarding HIV)
- States whose rate of AIDS is 10 or more per 100,000 individuals are considered HIV-Designated States.
- HIV-Designated States must expend 5% of the SAPT Block Grant award on HIV early intervention services.
- HIV-Designated States are required to establish linkages with a comprehensive community resource network of related health and social services organizations to ensure a wide-based knowledge of the availability of these services.
HIV Early Intervention Services (§96.128 Requirements Regarding HIV)
- Appropriate pre-test counseling
- HIV testing
- Appropriate post-test counseling
- Providing therapeutic measures for preventing and treating the deterioration of the immune system and other medical conditions stemming from HIV
- Testing of infectious diseases, such as Hepatitis C
Funded HIV Early Intervention Services
- Pre- and post-test counseling
- Referral services
- Risk assessment
- HIV/AIDS education
- Rapid HIV testing
- Integrated infectious disease services
|Fiscal Year||Set-Aside Total||Total States|
|Activity||Number of States*|
|*23 HIV-Designated States including the District of Columbia, Puerto Rico, and the U.S. Virgin Islands.↑|
|HIV Rapid Testing
(State Funds for HIV Rapid Testing)
|Funds Rapid Testing
(SAPT Funds for HIV Rapid Testing)
|Pre- and Post-Test Counseling||22|
How Are Services Provided?
- The majority of the States have developed agreements with DOH and other entities to provide HIV testing and counseling services to substance abuse clients either onsite or by referral, and with DPH to provide supplies and services for HIV.
- Some States provide direct funding to providers to make available early intervention services for persons receiving substance abuse treatment.
- Other States transfer SAPT funds to DOH to make the services available for persons who are in substance abuse treatment.
1 Outreach activities for early intervention services may be supported with SAPT funds for outreach to intravenous drug users required under Section 1923(b) of the Public Health Service (PHS) Act or State funds.↑