Tuesday, September 17, 2013

ADAP Watch september 17, 2013

ADAP Watch

September 17, 2013

ADAPs with Waiting Lists
(133 individuals in 3 states, as of September 13, 2013)
Number of Individuals on ADAP Waiting List
Percent of the Total
ADAP Waiting List
Increase/Decrease from Previous Reporting Period
Date Waiting List Began
June 2010
October 2012
South Dakota
August 2012

Note: ADAPs are required to recertify all enrolled clients at least twice a year.  This process often creates limited slots below an ADAP enrollment cap.  ADAPs often will not eliminate their waiting list until they are able to increase or remove the enrollment cap entirely.

Latest ADAP News
Last week, a FY2014 continuing resolution for the federal budget was proposed, but later retracted without a vote. While it is expected that Congress will pass legislation to continue to fund the government before October 1, the details of the current legislation are unresolved.

The Senate’s FY2014 budget includes an increase of $2 million over FY2012 for a total of $2.39 billion for the Ryan White Program, which includes a $10 million increase for the AIDS Drug Assistance Program (ADAP). Additionally, this total includes the President’s 2011 World AIDS Day ADAP emergency relief funding (ERF) of $35 million. The Ryan White Part B base FY2014 funding was reduced by $1.5 million from FY2012 levels. The President’s FY2014 budget request included an increase of $10 million for ADAP and it flat funded the Part B base from FY2012. The House budget never made it to the floor for a vote prior to the summer recess.

The FY2013 ERF funds have not yet been awarded to ADAPs. These funds are expected to be released by the end of this month. The FY2013 ERF funds consist of $65 million dollars in competing continuation funds for existing ERF grantees and $10 million in new competing funds available to ADAPs not previously receiving ERF.  The budget period for these FY2013 ERF funds will be six months (through March 31, 2014) to allow future alignment of the FY2014 ADAP ERF (if funds are available) and FY2014 Part B base/ADAP earmark awards. 

ADAPs with Other Cost-containment Strategies
(since April 1, 2013i, as of June 11, 2013)

Enrollment Cap
Expenditure Cap
Financial Eligibility
Formulary Reduction
Illinois: monthly
New Mexico:  monthly
South Dakota:  annual
Georgia: cap on insurance premiums
Montana:   service reductions in place

iADAPs may have other cost-containment strategies that were instituted prior to
April 1, 2013.

 ADAPs Considering New/Additional Cost-containment Measures
(before March 31, 2014

Expenditure Cap
Waiting List
Arizona: annual

iiMarch 31, 2014 is the end of ADAP FY2013. ADAP fiscal years begin April 1 and end March 31.

ADAPs that Eliminated/Modified Cost-containment Measures (since April 1, 2013iii)

Washington: Stopped requiring use of PAPs during insurance enrollment
West Virginia: Increased financial eligibility to 400%, up from 325%

iiiADAPs may have other cost-containment strategies that were
eliminated/modified prior to April 1, 2013.

About ADAP: ADAPs provide life-saving HIV treatments through directly purchasing medications or providing insurance coverage and wrap-around services to low income, uninsured, and underinsured individuals living with HIV/AIDS in all states, territories and associated jurisdictions.

About PAPs: Uninsured or underinsured individuals living with HIV who are ineligible for ADAPs can access needed medications using the common patient assistance program (PAP) application form to apply for multiple PAPs. To see additional information on pharmaceutical company patient assistance or co-payment assistance programs, please visit the Positively Aware website or the Fair Pricing Coalition's website. In addition, the HarborPath program is available to serve individuals on ADAP waiting lists as well as individuals in select states (see the HarborPath website for more information).

About NASTAD: NASTAD strengthens state and territory-based leadership, expertise, and advocacy and brings them to bear on reducing the incidence of HIV and viral hepatitis and on providing care and support to all who live with HIV and viral hepatitis. NASTAD’s vision is a world free of HIV/AIDS and viral hepatitis. For more information, visit www.NASTAD.org. To receive or unsubscribe from The ADAP Watch, please contact Christopher Cannon.

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