This study assesses: the current status of Ryan White services during the early and later stages of ACA implementation;  how well the RWHAP is positioned to improve clinical outcomes, including viral suppression, retention to care, and linkage to care services; and, the efforts of RWHAP providers to adapt to the implementation of the ACA. Collect information on service provision, quality of care, barriers, gaps, and challenges related to ACA implementation in 2014.