Number of People on ADAP Waiting Lists Nationwide Falls to 813; 13 States Using Cost-Containment Measures, Reports Say
December 16, 2004
The number of people on waiting lists nationwide for enrollment in AIDS Drug Assistance Programs has fallen to 813 in nine states as of Nov. 22, down from 1,108 people in seven states in July 2002, according to documents released on Wednesday by the National Alliance of State and Territorial AIDS Directors and the Kaiser Family Foundation, the Montgomery Advertiser reports (Davis, Montgomery Advertiser, 12/16). ADAPs are federal- and state-funded programs that provide HIV/AIDS-related medications to low-income, uninsured and underinsured HIV-positive individuals. President Bush in June ordered the immediate release of $20 million to purchase AIDS-related drugs for states with ADAP waiting lists, but only the 10 states that had waiting lists at the time of the order -- Alabama, Alaska, Colorado, Idaho, Iowa, Kentucky, Montana, North Carolina, South Dakota and West Virginia -- can apply for the funding. The Health Resources and Services Administration is coordinating the program with a pharmacy benefit manager to purchase the drugs and distribute them directly to individuals on the states' ADAP waiting lists as of June (Kaiser Daily HIV/AIDS Report, 10/8). According to a Kaiser Family Foundation fact sheet, five of the 10 eligible states had eliminated their waiting lists by November: three (Idaho, Kentucky and Montana) because of funding received through the initiative and two (Colorado and South Dakota) because of additional state appropriations (Kaiser Family Foundation fact sheet, 12/15). According to NASTAD's "ADAP Watch," nine states currently have ADAP waiting lists. Of the 813 individuals included on the waiting lists, 758 are eligible for coverage under Bush's initiative. Four states -- Arkansas, Hawaii, Nebraska and Wyoming -- that now have waiting lists are ineligible for Bush's initiative. Thirteen states -- Alabama, Arkansas, Hawaii, Indiana, Louisiana, Minnesota, Missouri, New Hampshire, Oklahoma, South Dakota, Texas, Utah and Washington -- have implemented other ADAP cost-containment strategies since April 2003, including capped enrollment, medication-specific waiting lists, annual or monthly expenditure caps and cost-sharing. In addition, Arkansas, Hawaii, Louisiana, Massachusetts, Oregon and Wyoming are anticipating new or additional ADAP restrictions during fiscal year 2004, which ends March 31, 2005 (NASTAD release, 12/15).
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ADAPs After Bush Initiative Expires
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