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The ADAP Watch

August 12, 2011

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Access to Medications

Case management services are being provided to ADAP waiting lists through ADAP (1 ADAP), Part B (8 ADAPs), contracted agencies (4 ADAPs), and other agencies, including other Parts of Ryan White (5 ADAPs).

For clients on ADAP waiting lists who are currently on or in need of medications, 11 ADAP waiting list states can confirm that ADAP waiting list clients are receiving medications through either pharmaceutical company patient assistance programs (PAPs), Welvista, or other mechanisms available within the state.


Factors Leading to Implementation of Cost-Containment

ADAPs reported the following factors contributing to consideration or implementation of cost containment measures:

  • Level federal funding awards (28 ADAPs)
  • Higher demand for ADAP services as a result of increased unemployment (27 ADAPs)
  • Increased demand for ADAP services due to comprehensive HIV testing efforts (23 ADAPs)
  • Escalating drug costs (20 ADAPs)
  • Decreases in state general funding for ADAPs (16 ADAPs)


About ADAP

ADAPs provide life-saving HIV treatments to low income, uninsured, and underinsured individuals living with HIV/AIDS in all 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the U.S. Virgin Islands, Guam, the Northern Mariana Islands, the Federated States of Micronesia, American Samoa, and the Republic of the Marshall Islands. In addition, some ADAPs provide insurance continuation and Medicare Part D wrap-around services to eligible individuals. Ryan White Part B programs provide necessary medical and support services to low income, uninsured, and underinsured individuals living with HIV/AIDS in all states, territories and associated jurisdictions.


ADAPs With Waiting Lists
(9,217 Individuals in 12 States*, as of August 11, 2011)
StateNumber of Individuals on ADAP Waiting ListPercent of the Total ADAP Waiting ListIncrease/Decrease From Previous Reporting PeriodDate Waiting List Began
Alabama1492%+19May 2011
Arkansas510.6%+0December 2010
Florida3,79241%+41June 2010
Georgia1,77219%+54July 2010
Idaho250.3%+0February 2011
Louisiana**98711%+26June 2010
Montana290.3%+0January 2008
North Carolina3183%+2January 2010
Ohio2613%+14July 2010
South Carolina90510%+9March 2010
Utah410.4%+1May 2011
Virginia88710%+12November 2010

* As a result of FY2010 ADAP emergency funding, Hawaii, Idaho, Iowa, Kentucky, South Dakota, and Utah eliminated their waiting lists; Idaho reinstituted a waiting list in February 2011 and Utah reinstituted a waiting list in May 2011.

** Louisiana has a capped enrollment on their program. This number represents their current unmet need.


ADAPs With Other Cost-Containment Strategies: Financial Eligibility
(445 Individuals in 6 States, as of August 3, 2011)
StateLowered Financial EligibilityDisenrolled Clients
Arkansas500% to 200% FPL99 clients (September 2009)
Illinois500% to 300% FPLGrandfathered in current clients from 301-500% FPL
North Dakota400% to 300% FPLGrandfathered in current clients from 301-400% FPL
Ohio500% to 300% FPL257 clients (July 2010)
South Carolina550% to 300% FPLGrandfathered in current clients from 301-550% FPL
Utah400% to 250% FPL89 clients (September 2009)
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This article was provided by National Alliance of State and Territorial AIDS Directors. Visit NASTAD's website to find out more about their activities and publications.
 
See Also
2012 National ADAP Monitoring Project Annual Report: Module One (PDF)
After Five Years, ADAP Waiting Lists Have Been Eliminated; Unmet Need and Funding Uncertainties Require Continued Commitment
More on ADAP Restrictions and Waiting Lists

 

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