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ADAP WAITING LISTS IN AMERICA





4 PEOPLE ON SOUTH CAROLINA ADAP WAITING LIST DIE DEC 2006

3 PEOPLE ON WEST VIRGINIA ADAP WAITING LIST DIE 2003

5 PEOPLE ON KENTUCKY ADAP WAITING LIST DIE 2003


The AIDS Drug Assistance Program (ADAP) is a national program that was started by the United States government through the Ryan White Act in 1987 to provide free or low cost drugs to people with HIV who have limited financial resources. Generally, these are people who have an income that is too high for Medicaid, but who do not have private health insurance.

ADAPs vary from state to state in terms of what drugs are available, what the income requirements are, and what measures each state has taken to support the program. Most states add money to the funding they receive from the federal government, but some do not. As a result, most states offer drugs to anyone who qualifies, while some have waiting lists. ADAPs act as the payer of last resort, a "safety net" that catches people with HIV who fall through the cracks in the U.S. health care system. With more than 152,000 enrollees, ADAP reaches about a quarter of all people with HIV who are currently in care. Almost 2/3 of ADAP clients are people of color, and half have incomes at or below the Federal Poverty Level ($9,800 a year for an individual).

The steps taken by some states to control the costs of ADAPs include waiting lists, limiting the number of drugs available (formularies) and lowering the income eligibility criteria.

As of July 15, 2010; there are currently 1,879 total individuals in 11 states: Florida: 685 individuals; Georgia: 117 individuals; Hawaii 12 individuals; Idaho 26 individuals; Iowa: 100 individuals; Kentucky: 206 individuals; Louisiana: 177 individuals; Montana: 22 individuals; North Carolina 179 individuals; South Carolina 220 individuals; South Dakota: 23 individuals and Utah: 112 individuals according to the latest Kaiser Foundation Reports.

ADAPs with Other Cost-containment Strategies (instituted since June 24, 2010)

Arizona: reduced formulary; Arkansas: reduced formulary, lowered financial eligibility to 200% of FPL; Colorado: reduced formulary; Hawaii: individuals with CD4>350 not currently on ARV therapy are not being enrolled; Iowa: reduced formulary; Kentucky: reduced formulary; Missouri: reduced formulary; North Carolina: reduced formulary; North Dakota: cap on Fuzeon; Utah: reduced formulary, lowered financial eligibility to 250% of FPL; Washington: client cost sharing, reduced formulary (for uninsured clients only)

ADAPs Considering New/Additional Cost-containment Measures (before March 31, 2011***);
Arizona: reduced formulary; Arkansas: reduced formulary, lowered financial eligibility to 200% FPL; Colorado: Reduce formulary; Illinois: waiting list, reduced formulary, lowered financial eligibility, capped enrollment, monthly expenditure cap; Iowa: reduced formulary; Kentucky: reduced formulary; Louisiana: capped enrollment; North Carolina: lowered financial eligibility; North Dakota: waiting list, reduced formulary, capped enrollment, annual expenditure cap; Oregon: waiting list, reduced formulary; South Dakota: reduced formulary; Washington: client cost sharing, reduced formulary; Wyoming: lowered financial eligibility, annual expenditure cap

Florida and Louisiana have just started ADAP Waiting Lists so the total number of American men and women on the list will be rising. Two other states have announced they will have to start ADAP waiting lists soon.

So just because your state does not currently have an ADAP waiting lists or cutbacks does not mean people with HIV in other places in the United States are receiving treatment or quality health care.

In addition to waiting lists, ADAPs have also sought other ways to limit expenditures and some may already have quite limited formularies (number of HIV meds available), lower income eligibility compared to other states, and/or have instituted further restrictions in these and other areas even if they do not have an active waiting list in place.

For more detailed info, visit NASTAD.org or ATDN.org/access or copy this link in your browser: http://www.statehealthfacts.org/comparetable.jsp?ind=552&cat=11

The above link contains the entire reports including statistics, graphs, status of ADAPs and Ryan White Act.

What's that? You would like to use your voice and help those on ADAP waiting lists in the United States? You do not think it is right for Americans with HIV to die without access to lifesaving medications?

To help financially challenged Americans on ADAP waiting lists, you can contact the following governors whose states have ADAP waiting lists and voice your opinion.

Thanks for helping save lives by calling or writing to the above state's Governors today. An American man, woman or child should never have to die only because they can not afford the life saving HIV medications. My brothers and sisters should not be acceptable casualties in the war on HIV and AIDS in our country.

An American life is a terrible thing to waste!