The ADAP Watch

As of August 11, 2011, there were 9,217 individuals on AIDS Drug Assistance Program (ADAP) waiting lists in 12 states. This is a 20 percent increase from the 7,674 individuals on the April 2011 ADAP Watch. Nineteen ADAPs, including 11 with current waiting lists, have instituted additional cost-containment measures since April 1, 2009 (reported as of August 3, 2011). In addition, 10 ADAPs, including two with current waiting lists, reported they are considering implementing new or additional cost-containment measures by the end of ADAP's current fiscal year (March 31, 2012).

ADAPs With Current or Anticipated Cost-Containment Measures, Including Waiting Lists, August 2011

Waiting List Organization

An ADAP waiting list using a first-come, first-served model is structured to place any individual applying to ADAP on the waiting list in order of receipt of a completed enrollment application and eligibility confirmation. Of the 12 states with ADAP waiting lists, seven ADAPs utilize a first-come, first-served model for prioritizing clients.

An ADAP waiting using a medical criteria model is structured based on a hierarchical criteria typically established by the state based on recommendations from its ADAP Advisory Committee. Of the 12 states with ADAP waiting lists, four ADAPs utilize a medical criteria model for prioritizing clients.

One ADAP utilizes an income criteria model to prioritize clients on their waiting list.

Waiting List Client Demographics

African Americans and Hispanics represent 64% (48% and 16%, respectively) of clients on ADAP waiting lists. Combined, Asians, Native Hawaiian/Pacific Islanders, and Alaskan Native/American Indians represent approximately 1% of the total ADAP waiting list population. Multi-racial ADAP clients represent 1% of the total ADAP waiting list population. Non-Hispanic whites comprise 25% of clients on ADAP waiting lists.

Almost three-quarters (71%) of ADAP clients are men. One quarter (26%) of ADAP waiting list clients are women.