The ADAP Watch

Waiting List Client Demographics

African Americans and Hispanics represent 58% (47% and 9%, respectively) of clients on current 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 26% of clients on ADAP waiting lists. Unknown is currently 14% of the total ADAP waiting list.

Almost three-quarters (72%) of ADAP clients on waiting lists are men. Approximately one quarter (27%) of ADAP waiting list clients are women.

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Access to Medications

Case management services are being provided to ADAP waiting list clients through ADAP (1 ADAP), Part B (6 ADAPs), contracted agencies (7 ADAPs) and other agencies, including other Parts of Ryan White (4 ADAPs).

For clients on ADAP waiting lists who are currently on or in need of medications, nine ADAP waiting list states 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 Measures

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

• Higher demand for ADAP services as a result of increased unemployment (19 ADAPs)
• Level federal funding awards (16 ADAPs)
• Increased demand for ADAP services due to comprehensive HIV testing efforts (14 ADAPs)
• Escalating drug costs (11 ADAPs)
• Budgets cuts in state Medicaid and other state programs (11 ADAPs)