April 21, 2005
Overall, ADAP budgets rose 11% in fiscal year 2004 over FY 2003 levels, which allowed 38 states to provide more HIV-positive people with medication, according to Reuters (Reuters, 4/20). Approximately 32% of the funding increase is attributable to increases in state budgets, 33% came from drug manufacturers' rebates and 5% came from increased federal funding, according to the release. ADAP funding levels are not determined based on the number of people who need prescription drugs or the cost of medications because ADAPs are a discretionary program funded through the federal Ryan White CARE Act (Kaiser Family Foundation release, 4/20). An additional $20 million in federal money came from a June 2004 executive order from President Bush. The order allowed the one-time release of $20 million for states with ADAP waiting lists to purchase AIDS-related drugs, 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 -- were eligible to apply for the funding (Kaiser Daily HIV/AIDS Report, 4/12).
About 136,000 HIV-positive people -- or about 30% of people estimated to be living with the disease nationwide -- receive ADAP services, according to the report (CQ HealthBeat, 4/20). Most states with the greatest number of HIV-positive residents currently do not have waiting lists and tend to have "more generous" access to their programs, according to a Kaiser Family Foundation release (Kaiser Family Foundation release, 4/20). "The states have really had to step up in the last year to keep the doors open," NASTAD Executive Director Julie Scofield said (CQ HealthBeat, 4/20). "The growing number of people who need HIV medications and rising drug costs continue to exceed available resources," Jennifer Kates, a vice president and director of HIV policy at the Kaiser Family Foundation, said (Reuters, 4/20). According to CDC data, 42% to 59% of the nearly one million HIV-positive people in the United States are not accessing health care, and approximately 40,000 new HIV infections occur annually in the country, CQ HealthBeat reports.
Other findings from the report include:
Reprinted with permission from kaisernetwork.org. You can view the entire Kaiser Daily HIV/AIDS Report, search the archives, or sign up for email delivery at www.kaisernetwork.org/dailyreports/hiv. The Kaiser Daily HIV/AIDS Report is published for kaisernetwork.org, a free service of the Kaiser Family Foundation, by The Advisory Board Company. © 2004 by The Advisory Board Company and Kaiser Family Foundation. All rights reserved.