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The ADAP Watch

December 10, 2010

ADAPs With Waiting Lists (4,543 Individuals in 9 States*, as of December 9, 2010)

Arkansas: 5 individuals
Florida: 2,396 individuals
Georgia: 837 individuals
Louisiana: 511 individuals**
Montana: 14 individuals
North Carolina: 84 individuals
Ohio: 374 individuals
South Carolina: 298 individuals
Virginia: 24 individuals

ADAPs With Other Cost-Containment Strategies (Instituted Since April 1, 2009, as of September 29, 2010)


Arizona: reduced formulary
Arkansas: reduced formulary, lowered financial eligibility to 200% FPL
Colorado: reduced formulary
Florida: reduced formulary
Georgia: reduced formulary, implemented medical criteria, continued participation in the Alternative Method Demonstration Project (AMDP)
Idaho: capped enrollment
Illinois: reduced formulary, instituted monthly expenditure cap
Kentucky: reduced formulary
Louisiana: discontinued reimbursement of laboratory assays
New Jersey: reduced formulary
North Carolina: reduced formulary
North Dakota: capped enrollment, instituted annual expenditure cap, lowered financial eligibility to 300% FPL
Ohio: reduced formulary, lowered financial eligibility to 300% FPL (disenrolled 257 clients)
South Carolina: instituted annual expenditure cap, lowered financial eligibility to 300% FPL
Utah: reduced formulary, lowered financial eligibility to 250% FPL (disenrolled 89 clients)
Virginia: reduced formulary
Washington: instituted client cost sharing, reduced formulary (for uninsured clients only)
Wyoming: capped enrollment, reduced formulary

ADAPs Considering New/Additional Cost-Containment Measures (Before March 31, 2011***)

Arizona: establish waiting list
Colorado: establish waiting list
Idaho: establish waiting list
Illinois: reduce formulary, institute monthly expenditure cap, lower financial eligibility to 350% FPL
Mississippi: reduce formulary, lower financial eligibility to 200% FPL, institute monthly expenditure cap
New Jersey: institute policy that clients between 300% and 500% FPL will only receive antiretrovirals and opportunistic infection medications
Ohio: disenroll approximately 861 clients based on new medical criteria
Oregon: increase client cost sharing
Puerto Rico: reduce formulary
South Carolina: disenroll 200 clients
Washington: disenroll clients who fail to participate in insurance requirement
Wyoming: establish waiting list, reduce formulary

* As a result of ADAP Emergency Funding, Hawaii, Idaho, Kentucky, South Dakota, and Utah have eliminated their waiting lists.
** Louisiana has a capped enrollment on their program. This number is a representation of their current unmet need.
*** March 31, 2011 is the end of ADAP FY2010. ADAP fiscal years begin April 1 and end March 31.

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This article was provided by National Alliance of State and Territorial AIDS Directors. Visit NASTAD's website to find out more about their activities and publications.
See Also
As Year Comes to an End, ADAP Crisis Continues to Grow; States and Pharmaceutical Companies Increase Commitment to Programs
2014 National ADAP Monitoring Project Annual Report (PDF)
ADAP Waiting List Update: 35 People in 1 State as of July 23
More on ADAP Restrictions and Waiting Lists

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