ADAP Waiting List Update: 133 People in 3 States as of September 13

ADAPs With Waiting Lists
(133 Individuals in 3 States, as of September 13, 2013)

State	Number of Individuals on ADAP Waiting List	Percent of the Total ADAP Waiting List	Increase/Decrease From Previous Reporting Period	Date Waiting List Began
Alabama	112	84%	-31	June 2010
Idaho	0	0%	0	October 2012
South Dakota	21	16%	+1	August 2012

Note: ADAPs are required to recertify all enrolled clients at least twice a year. This process often creates limited slots below an ADAP enrollment cap. ADAPs often will not eliminate their waiting list until they are able to increase or remove the enrollment cap entirely.

Latest ADAP News

Last week, a FY2014 continuing resolution for the federal budget was proposed, but later retracted without a vote. While it is expected that Congress will pass legislation to continue to fund the government before October 1, the details of the current legislation are unresolved.

The Senate's FY2014 budget includes an increase of $2 million over FY2012 for a total of $2.39 billion for the Ryan White Program, which includes a $10 million increase for the AIDS Drug Assistance Program (ADAP). Additionally, this total includes the President's 2011 World AIDS Day ADAP emergency relief funding (ERF) of $35 million. The Ryan White Part B base FY2014 funding was reduced by $1.5 million from FY2012 levels. The President's FY2014 budget request included an increase of $10 million for ADAP and it flat funded the Part B base from FY2012. The House budget never made it to the floor for a vote prior to the summer recess.

The FY2013 ERF funds have not yet been awarded to ADAPs. These funds are expected to be released by the end of this month. The FY2013 ERF funds consist of $65 million dollars in competing continuation funds for existing ERF grantees and $10 million in new competing funds available to ADAPs not previously receiving ERF. The budget period for these FY2013 ERF funds will be six months (through March 31, 2014) to allow future alignment of the FY2014 ADAP ERF (if funds are available) and FY2014 Part B base/ADAP earmark awards.

ADAPs With Other Cost-Containment Strategies
(Since April 1, 2013ⁱ, as of June 11, 2013)

Enrollment Cap	Expenditure Cap	Financial Eligibility	Formulary Reduction	Other
Alabama Idaho Indiana Utah	Illinois: monthly New Mexico: monthly South Dakota: annual	Illinois	Alabama Alaska Illinois Louisiana Maine	Georgia: cap on insurance premiums Montana: service reductions in place

ⁱADAPs may have other cost-containment strategies that were instituted prior to April 1, 2013.

ADAPs Considering New/Additional Cost-Containment Measures
(Before March 31, 2014ⁱⁱ)

Expenditure Cap	Waiting List	Other
Arizona: annual	Arkansas Utah	Wisconsin

ⁱⁱMarch 31, 2014 is the end of ADAP FY2013. ADAP fiscal years begin April 1 and end March 31.

ADAPs That Eliminated/Modified Cost-Containment Measures
(Since April 1, 2013ⁱⁱⁱ)

Other

Washington: Stopped requiring use of PAPs during insurance enrollment West Virginia: Increased financial eligibility to 400%, up from 325%

ⁱⁱⁱADAPs may have other cost-containment strategies that were eliminated/modified prior to April 1, 2013.