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ADAP Waiting List Update: 11 People in 1 State as of November 14

November 18, 2013

As of November 14, 2013, there were 11 individuals on AIDS Drug Assistance Program (ADAP) waiting list in one (1) state.


ADAPs With Current or Anticipated Cost-Containment Measures, Including Waiting Lists, as of November 12, 2013

ADAPs With Current or Anticipated Cost-Containment Measures, Including Waiting Lists, as of November 12, 2013


ADAPs With Waiting Lists
(11 Individuals in 1 State, as of November 14, 2013)

StateNumber of Individuals on ADAP Waiting ListPercent of the Total ADAP Waiting ListIncrease/Decrease From Previous Reporting PeriodDate Waiting List Began
South Dakota11100%-4August 2012

Note: Alabama and Idaho eliminated their wait lists prior to November 14, 2013 due to the recent receipt of ADAP Emergency Relief Funding (ERF).


Factors Leading to ADAPs Considering or Implementing Cost-Containment Measures (41 ADAPs Reporting)

Factors Leading to ADAPs Considering or Implementing Cost-Containment Measures (41 ADAPs Reporting). Click image to enlarge.

Click image to enlarge.


Latest ADAP News

The federal government is currently funded under a FY2014 continuing resolution (CR). This CR funds the federal government at FY2013 post-sequestration spending levels through January 15, 2014. Both the House and the Senate have agreed to reconcile their budget resolutions in committee and report on their progress by December 13, 2013. Further, unless Congress provides an alternative to the sequester put in place under the 2011 Budget Control Act, agencies can expect a new round of cuts beginning January 15, 2014.

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 is six months (through March 31, 2014) to allow future alignment of the FY2014 Part B base/ADAP earmark awards and the FY2014 ADAP ERF. HRSA has released both funding opportunities announcements (FOAs). The FY2014 ADAP ERF application is due November 25, 2013. The FY2014 Part B base/ADAP earmark application is due on December 9, 2013.

Health departments should continue to expect delays and partial awards across programs, including ADAPs, as "regular order" of the appropriations and budget cycle remains in flux.


Waiting List Client Demographics

Waiting List Client Demographics. Click image to enlarge.

Click image to enlarge.

Waiting List Organization: Waiting list clients are prioritized by one of two models:

Access to Medications: One ADAP with waiting lists confirm that case management services assist clients in obtaining medications through the HarborPath ADAP waiting list program or pharmaceutical company patient assistance programs (PAPs) while clients are on the waiting list.


ADAPs With Other Cost-Containment Strategies
(since April 1, 2013i, as of November 12, 2013)

Enrollment CapExpenditure CapFinancial EligibilityFormulary ReductionOther
Indiana
Utah
Illinois: (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 That Eliminated/Modified Cost-Containment Measures
(Since April 1, 2013ii, as of November 12, 2013)

Enrollment CapExpenditure CapOther
Alabama
Idaho
New Mexico Oklahoma: increase financial eligibility to 400% for individuals with insurance; 200% for uninsured.
Washington: stopped requiring use of PAPs during insurance enrollment

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




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