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ADAP in Trouble, April Report
National Alliance of State and Territorial AIDS Directors
Press Release
April 8, 2004
The ADAP Watch
AIDS Drug Assistance Programs (ADAPs) provide life-saving HIV treatments to low income, uninsured and underinsured individuals living with HIV/AIDS in all 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the U.S. Virgin Islands, three U.S. Pacific Territories (Guam, the Commonwealth of the Northern Mariana Islands, and American Samoa) and one Associated Jurisdiction (the Republic of the Marshall Islands).
Federal funding for ADAPs in FY2003 and FY2004 has been insufficient to meet the needs of those eligible and has led to ADAP access restrictions. Nine (9) ADAPs have a current waiting list.
As of April 2004, there are 1,263 individuals on ADAP waiting lists nationwide. Seven (7) ADAPs have instituted capped enrollment and/or other cost-containment measures since April 2003. Ten (10) states anticipate theneed to implement new or additional program restrictions during FY2004, which ends March 31, 2005.
ADAPs with waiting lists* (as of April 2004)
Alabama: 304 on waiting list (FY1999)
Alaska: 9 on waiting list (FY2003)
Colorado: 292 on waiting list (FY2003)
Idaho: 5 on wait list (FY2000)
Kentucky: 123 on waiting list (FY2002)
Montana: 4 on waiting list (FY2002)
North Carolina: 449 on waiting list (FY2001)
South Dakota:, 43 on waiting list (FY2000)
West Virginia: 34 on waiting list (FY2002)
* Fiscal year in parenthesis indicates when waiting list was initially instituted
ADAPs with other cost-containment strategies in place
Arkansas: capped enrollment
Colorado: reduced formulary
Idaho: monthly expenditure cap
Indiana: capped enrollment
Oklahoma: reduced formulary and annual expenditure cap
South Dakota: annual expenditure cap
Washington: Increased and expanded cost-sharing (effective 4/1/2004)
ADAPs anticipating new/additional restrictions during FY2004
New Hampshire
New Jersey
New Mexico
South Carolina

NASTAD is a non-profit national association of state health department HIV/AIDS program directors who have programmatic responsibility for administering HIV/AIDS health care, prevention, education, and supportive services programs funded by state and federal governments. If you would like to receive The ADAP Watch, please forward your email to Beth Perry at bcrutsinger-perry@nastad.org.
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