Emergency Funding for Title II
AIDS Drug Assistance Program (ADAP):
ADAP programs across the country are currently in crisis due to a critical lack of funds. In many states, access to life saving drugs is being delayed, capped, or even suspended to people with HIV/AIDS who can not afford them. The availability of promising new drugs and new combination therapies will continue to place increasing demands on this program as physicians begin to prescribe these new and expensive therapies for their indigent clients.
As a response, President Clinton is expected to include a request of $52 million for ADAP in an emergency assistance supplemental appropriations request to Congress to deal with the recent floods and other natural disasters. It is our understanding that he will send this to Congress on March 1. These additional funds are not the "cure-all" for the ADAP crisis. These funds will only help meet the expected increase in demand for the rest of the fiscal year, and to help ensure that ADAP can continue to provide access to critical AIDS drugs for eligible recipients.
Ryan White and the AIDS Education
and Training Centers (AETCs):
As you know, programs like Ryan White and the AETCs have been receiving funding through the current Continuing Resolution (CR) that will expire on March 15. As AIDS Action reported earlier, we expect that Congress will produce another CR that will provide funding for all programs until the end of FY 96. As the deadline approaches, the President will be negotiating with Congress on specific year-long funding levels for programs. As part of these negotiations, the President will submit to Congress a list of funding levels for programs that he will insist on for the rest of FY 96. This list is called an "add-back" list.
For Ryan White, the President's "add back" request represents an increase of $90 million over FY 95 funding; and for the AETCs his request is the same as FY 95 ($16.3m). These numbers represent the President's original FY 96 budget request for Ryan White and the AETCs. Remember, the House eliminated the AETCs entirely, and the Senate cut the program in half for FY 96. The President's funding requests for both of these programs are much needed increases over what the House and Senate proposed for FY 96.
The "add-backs" broken down by titles are as follows (in millions):
FY95 -- FY96 Request -- Increase
Title I $356 -- $407 -- +$51(+14%)
Title II $198 -- $222 -- +24 (+12%)
Title III $52 -- $62 -- +$10 (+20%)
Title IV $26 -- $32 -- +$6 (23%)
Total: $632 -- $723 -- +91 (+14%)
AETCs $16.3 -- $16.3 -- +0 (+0)
These increases in Ryan White funding are needed to meet the ever increasing demand for services provided through all titles of the CARE Act. Funding for AETCs is especially important to ensure that health care providers in communities across the country have access to training and resources to provide competent, compassionate care to people living with HIV/AIDS.
AIDS Action: Call your members of Congress -
both Senators and House members
Urge them to support the president's FY 96 "add-back" request for Ryan White and the AETCs, and to support emergency funding for the ADAP program. Ask your members to call the leadership of the House and Senate Labor/HHS Subcommittees and full Appropriations Committees, to convey their support. (Phone numbers listed below)
E-mail addresses for your Representatives and Senators can be found posted in HandsNet at Resources/Congressional Contacts.
Call President Clinton at 202-456-1414 and thank the White House for its leadership in advocating for increased funding for Ryan White, ADAP, and AETCs.
You can reach the White House by fax at 202-456-2883, and by e-mail at firstname.lastname@example.org
Issues to stress in your calls to your members:
AIDS Drug Assistance Program (ADAP)
- The problems your state is having providing drug assistance to people with AIDS. Currently 21 states are reporting serious budget shortfalls in the ADAP program. These states include: Arizona, Arkansas, California, Colorado, Delaware, District of Columbia, Indiana, Illinois, Iowa, Kansas, Maine, Massachusetts, Minnesota, Missouri, Nebraska, New Hampshire, New York, Oklahoma, Oregon, South Carolina, and Texas.
- ADAP fills a need for access to basic HIV/AIDS-related drugs to fight off opportunistic infections which help to keep people out of the hospital and emergency rooms, which in turn reduces costs to taxpayers.
- The status of the epidemic in your area and how Ryan White services are being stretched thin by increasing caseloads.
- How important it is to make sure that people with HIV/AIDS across the country have access to the life-saving, basic medical and support services that Ryan White funds help provide.
- The need for competent health care providers in your area by sharing any stories about the experiences your clients have had with unqualified or uninformed providers.
- The rapidly changing, new standards of care for HIV, and how the AETCs are one of the few competent routes of dissemination of this information.
- The ways the AETC in your area helps to better serve people living with HIV in your community.
- The importance of maintaining a National Network of AETCs so that the training and education needs of rural as well suburban areas, in all 50 states, can be met.
Important Phone Numbers:
Chair, Senate Appropriations Committee - Senator Mark Hatfield (R-OR)
Chair, Senate Labor/HHS Subcommittee - Senator Arlen Specter (R-PA)
Chair, House Appropriations Committee - Rep. Bob Livingston (R-LA)
Chair, House Labor/HHS Appropriations Subcommittee - Rep. John Porter
Capitol Switchboard 202-224-3121 Ask to be connected to you member's office.
For more information, contact
AIDS Action Council
1875 Connecticut Avenue NW #700
Washington DC 20009