The Minority AIDS Initiative
The History of the Minority AIDS Initiative and its Impact on HIV/AIDS in
Communities of Color
Created in 1998 and codified into the Ryan White
Comprehensive AIDS Resources Emergency (CARE) Act reauthorization in 2006, this
groundbreaking legislation has saved countless lives by expanding
community-based capacity to serve people of color living with HIV/AIDS.
In March 1998, African-American leaders were briefed on the
highly disproportionate impact of the disease in their communities. They
developed a Call to Action requesting that the President and Surgeon General
declare HIV/AIDS a “State of Emergency”
in the African-American community. These leaders also testified before the
Congressional Black Caucus (CBC), urging action on their part.
The overall goal of the MAI is to improve HIV/AIDS-related
health outcomes for racial and ethnic minority communities disproportionately
affected by HIV/AIDS. It allows communities to expand local service capacity
primarily through minority community-based organizations (MCBOs), to increase
the availability of medications, primary care, support services, and outreach
services to communities of color, and support the development of new and
innovative programs designed to reduce HIV-related health disparities.
The MAI takes a multi-pronged approach to HIV/AIDS, focusing
on HIV prevention, care, treatment and research.
On December 19, 2006, President Bush signed the Ryan White
Treatment Modernization Act of 2006. This legislation, passed by Congress after
an almost two-year process spearheaded by NMAC, made significant changes to the
Ryan White Comprehensive AIDS Resources Emergency Act, including a number of
changes in how funds are awarded across the country. The legislation also incorporated
the Minority AIDS Initiative (MAI) into the law.
The MAI is an underlying statute now; yet its purpose
remains unchanged. The MAI continues to bridge the gap in HIV service delivery
by providing services to underserved communities and empowering local
community-based providers in efforts to reach high-risk populations that cannot
be reached by traditional models.