The ADAP Watch

Waiting List Client Demographics: African Americans and Hispanics represent 62% (49% and 13%, respectively) of clients on ADAP waiting lists. Combined, Asians, Native Hawaiian/Pacific Islanders, and Alaskan Native/American Indians represent approximately 2% of the total ADAP waiting list population. Multi-racial ADAP clients represent 1% of the total ADAP waiting list population. Non-Hispanic whites comprise 23% of clients on ADAP waiting lists.

Almost three-quarters (74%) of ADAP clients are men. One quarter (25%) of ADAP waiting list clients are women.

Access to Medications: Case management services are being provided to ADAP waiting list clients through ADAP (2 ADAP), Part B (9 ADAPs), contracted agencies (6 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 (16 ADAPs)
• Higher demand for ADAP services as a result of increased unemployment (16 ADAPs)
• Increased demand for ADAP services due to comprehensive HIV testing efforts (15 ADAPs)
• Escalating drug costs (12 ADAPs)