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Annual ADAP report shows 11 states have closed program enrollment

Annual ADAP report shows 11 states have closed program enrollment

The eighth annual National AIDS Drug Assistance Program Monitoring Report, released Wednesday, shows that although there was an overall 9% increase in funding for state ADAPs across the nation between fiscal 2002 and 2003, the funding increase has not kept pace with rising costs and increasing demand for services. ADAP budget shortfalls have forced 11 states to close enrollment to their programs and nine states to implement program waiting lists. The report, prepared by the National Alliance of State and Territorial AIDS Directors, the AIDS Treatment Data Network, and the Kaiser Family Foundation, shows that about 136,000 low-income HIV-positive Americans receive anti-HIV drugs through ADAPs each year, representing about 30% of all Americans on antiretroviral therapy. But rising drug costs, increasing numbers of HIV-positive people needing access to treatment through ADAPs, and federal funding that isn't growing proportionately to demand are causing ADAP budget crises in several states, according to the report. "ADAPs continue to be in a difficult situation with the need for HIV/AIDS medications exceeding available resources," said Jennifer Kates, director of HIV policy for the Kaiser Family Foundation. "While ADAPs play a critical role in the care system for people with HIV, [administrators] are often forced to make difficult decisions that may limit access to care for some in need, and what people get often depends on what state they live in." The report shows that as of April, 13 state ADAP programs--those in Alabama, Alaska, Arkansas, Colorado, Idaho, Indiana, Kentucky, Montana, North Carolina, Oklahoma, South Dakota, Washington, and West Virginia--have implemented one or more cost-containment measures. Eleven of the states have closed program enrollment to new clients, with nine states reporting that a total of 1,263 people were on waiting lists for access to their collective programs. Two states reduced the number of drugs offered through the programs; three states adopted monthly or annual per capita program spending limits, and one state increased co-pays for program enrollees. The report also indicates that 10 state ADAPs plan to implement new or additional cost-containment measures before the current fiscal year ends in March 2005.

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