Kaiser Daily HIV/AIDS Report Summarizes News on State AIDS Drug Assistance Programs
June 30, 2004
President Bush in Philadelphia last week announced that the administration would make available $20 million for AIDS Drug Assistance Programs in states with waiting lists for HIV-positive people to receive antiretroviral drugs. ADAPs -- which are supported with both state and federal Ryan White CARE Act funds -- provide HIV/AIDS-related medications to low-income, uninsured and underinsured HIV-positive individuals (Kaiser Daily HIV/AIDS Report, 6/24). The number of people on waiting lists for enrollment in ADAPs has increased nationwide from 1,263 in April to 1,629 in June, according to a report released earlier this month by the National Alliance of State and Territorial AIDS Directors. Alabama, Alaska, Arkansas, Colorado, Idaho, Iowa, Kentucky, Montana, North Carolina, South Dakota and West Virginia have waiting lists and/or access restrictions. In addition, Alabama, Arkansas, Colorado, Indiana, Oklahoma, South Dakota, Utah and Washington have implemented other cost-containment strategies since April. According to NASTAD, Massachusetts, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, New Mexico, Oregon, South Carolina and Texas are anticipating new or additional restrictions during fiscal year 2004, which ends March 31, 2005 (Kaiser Daily HIV/AIDS Report, 6/8).
Iowa is one of the 10 states set to benefit from the federal money, which will help the Iowa's ADAP treat the 16 people on its waiting list, the Des Moines Register reports. However, it does not address the program's long-term funding problems, Iowa ADAP manager Holly Hanson said, adding that the funding is "just a Band-Aid." In addition, the requirements tied to the new funding will create "a lot of administrative work," Hanson said. None of the funding will go directly to the state ADAP. As a result, Iowa will have to gather information on the drug regimens of the 16 people on the waiting list and report them to the federal agency that oversees the state ADAP. Because the state does not keep individual drug records and because of frequent drug changes, Hanson said that the process will be "complicated," according to the Register. In addition, only the 16 people who were on the waiting list at the time of the announcement will be eligible for the funding, meaning that anyone who has applied for ADAP coverage since then will be placed on a waiting list, Hanson said, adding that she receives about 12 new applications each month, the Register reports (Sagario, Des Moines Register, 6/28).
Ugandan President Museveni Discusses Country's HIV/AIDS Treatment, Prevention Programs in kaisernetwork.org Interview
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