NASTAD Releases Report On AIDS Drug Assistance Programs

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"ADAP Watch," National Alliance of State and Territorial AIDS Directors:The report found that there were no people on AIDS Drug AssistanceProgram waiting lists as of Sept. 26 ("ADAP Watch," 10/9). ADAPs arefederal- and state-funded programs that provide HIV/AIDS-relatedmedications to low-income, uninsured and underinsured HIV-positiveindividuals (Kaiser Daily HIV/AIDS Report,8/17). According to the report, ADAPs in Alabama, Indiana and Michiganhave implemented cost-containment measures since the ADAP fiscal yearbegan on April 1. The report also found that ADAPs in Idaho, Kansas andLouisiana expect the need to implement new or additionalcost-containment measures during the current ADAP fiscal year, whichends on March 31, 2008. Two states -- Alaska and South Carolina -- thatpreviously reported waiting lists did not do so for this report. Alaskaeliminated its waiting list because of supplemental funds, and SouthCarolina received state and federal funding, which allowed the state tomove all people on its waiting list into its ADAP, according to thereport.

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The report also found that 23 ADAPs have expandedtheir formularies because of supplemental funds. Four of these stateshave increased their financial eligibility levels, five have expandedor eliminated their enrollment caps, and six are providing additionalsupport that previously was not available, according to the report. Inaddition, the report found that current funding levels have allowedADAPs to meet demand for highly active antiretroviral therapy and otherdrugs and that there are no waiting lists for HIV-related medicationsfor the first time since July 2002. However, there is a significantdisparity among ADAPs nationwide in terms of formularies andeligibility criteria, according to the report.

Continuedfunding increases are needed annually to guarantee that ADAP waitinglists and other cost-containment measures are not reinstituted, thereport found. ADAP expenditures have increased by an average of $110million annually since FY 1997, according to the report ("ADAP Watch,"10/9).

Reprinted with permission from kaisernetwork.org. You can view theentire Kaiser DailyHIV/AIDS Report, search the archives, and sign up for email delivery at kaisernetwork.org/email . TheKaiser Daily HIV/AIDS Report is published for kaisernetwork.org, a free service ofThe Henry J. Kaiser Family Foundation.

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