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A State-by-State Profile of ADAPs: Key Access & Budget Categories (as of July 1997)

State Financial Eligibility *1
(% above federal poverty level)
Medical Eligibility *2
(CD4=CD4 cell count, vl=viral load)
Protease Inhibitors Covered *3
(4 drugs approved)
Non- nucleosides Covered
(2 drugs approved)
OI Prophylaxis Covered *4
(14 drugs recom- mended)
Other Medications Covered Total Est. Budget
(FY 1997)
State Contri- bution as % of Total Est. Budget
(FY 1997)
ADAP Clients Served Per Month *5
(December 1996)
Emergency Cost-Containment Measures (1996- 1997) * = measure in place as of July 1997
Alabama 250% CD4 <500 3 0 5 0 $3,190,000 5% 700 Capped enrollment*, waiting list
Alaska 200%   4 1 0 0 $122,917 0% 9 Capped enrollment*, transferred funds from other accounts, waiting list
Arizona 200%   4 0 2 2 $2,300,027 0% 354 Transferred funds from other accounts
Arkansas 100%   0 0 3 3 $1,254,013 0% 389 Capped enrollment
California 400%   4 1 13 28 $87,111,105 46% 7,342  
Colorado 185%   4 0 0 0 $2,904,932 10% 423 Transferred funds from other accounts
Connecticut 300%   3 0 12 42 $3,814,283 0% 548  
Delaware 230%   3 1 6 27 $979,000 0% 62  
D.C. 300%   3 1 11 25 $4,363,341 3% 699 Access to protease inhibitors capped*; capped enrollment*; reduced formulary*, transferred funds from other accounts, waiting list
Florida 200% CD4 <500 4 1 6 2 $24,317,997 0% 4,565 Access to protease inhibitors capped*
Georgia 125% CD4 <500 3 0 0 0 $9,379,959 3% 984 Capped enrollment*; restricted access to protease inhibitors*, waiting list
Hawaii 400%   4 1 12 13 $1,112,403 27% 66  
Idaho 400% CD4 <500 1 0 2 2 $193,000 0% 30  
Illinois 200%   4 1 14 36 $14,514,522 57% 1,211 Per client dollar limits on drug costs*; reduced formulary*, transferred funds from other accounts, access to protease inhibitors capped
Indiana 300% CD4 <500 4 1 5 4 $2,310,710 3% 225 Capped enrollment*; reduced formulary*, waiting list
Iowa 200%   3 0 6 6 $292,680 0% 39  
Kansas 300%   4 0 8 14 $738,196 0% 56 Transferred funds from other accounts, capped enrollment, access to protease inhibitors capped
Kentucky 300% CD4 <550 4 1 5 7 $994,321 9% 173 Access to protease inhibitors capped*, waiting list
Louisiana 200%   3 0 0 0 $19,371,330 83% 115 Transferred funds from other accounts
Maine 200% CD4 <400 or vl >20k 4 0 5 1 $389,426 15% 45 Access to protease inhibitors capped*, transferred funds from other accounts, waiting list
Maryland $8,750 - $29,400   4 1 11 11 $6,259,239 10% 406  
Massachusetts <$27,000 p.a.   4 1 10 9 $7,970,714 46% 1,074 Transferred funds from other accounts
Michigan 185% <500 CD4 4 1 6 5 $3,258,921 0% 178  
Minnesota 300%   4 1 10 22 $841,003 0% 231  
Mississippi 200% CD4 <500 or vl >30k 1 0 6 2 $2,040,326 0% 415 Access to protease inhibitors capped*, reduced formulary*, transferred funds from other accounts
Missouri 185%   4 1 12 47 $2,575,652 23% 842 Access to protease inhibitors capped*, waiting list
Montana Need-based   4 0 0 1 $204,000 0% 18 Capped enrollment*, waiting list
Nebraska 200%   4 1 6 12 $300,000 0% 59 Reduced formulary
Nevada 200% CD4<500 0 0 5 0 $1,534,199 0% 151 Capped enrollment*, waiting list
New Hampshire 300%   4 1 10 16 $403,500 0% 40 Restrictions on some formulary drugs*, access to protease inhibitors capped
New Jersey <$30,000 p.a.   3 1 11 19 $16,753,868 4% 1,325 Reduced formulary*
New Mexico 300%   4 1 9 20 $1,340,212 55% 375 Transferred funds from other accounts
New York <$44,000 p.a.   4 2 14 182 $82,501,058 15% 6,183 Transferred funds from other account, reduced formulary
North Carolina 125%   4 2 10 7 $3,710,201 20% 310  
North Dakota 150%   4 0 13 37 $94,390 0% 14  
Ohio 281%   4 1 6 5 $6,600,000 45% 424  
Oklahoma 150%   3 0 6 2 $1,690,187 12% 243 Access to protease inhibitors capped*; per client dollar limits on drug costs*, waiting list
Oregon 250%   0 0 2 2 $2,035,136 0% 99  
Pennsylvania <$30,000 p.a.   3 0 13 30 $9,871,022 47% 1,125  
Puerto Rico certified as indigent CD4 <500 or vl >10k 3 0 13 87 $15,619,324 46% 2,320  
Rhode Island 400%   4 1 9 5 $792,972 0% 57  
South Carolina 300% CD4 <500 3 0 6 6 $3,386,578 15% 198 Capped enrollment*, transferred funds from other accounts, waiting list
South Dakota 300%   0 1 8 19 $105,343 0% 30 Per client dollar limits on drug costs*; capped enrollment*; reduced formulary* , waiting list
Tennessee 300%   3 0 7 4 $1,830,152 0% 147 Restrictions on use of protease inhibitors*
Texas 200%   4 1 8 4 $17,088,684 16% 2,727 Reduced formulary*; restrictions on formulary drugs*, transferred funds from other accounts
Utah 100%   4 1 0 0 $843,006 14% 79 Transferred funds from other accounts
Vermont 200%   4 1 12 14 $374,611 20% 43 Reduced formulary*, waiting list, access to protease inhibitors capped
Virginia 200%   4 0 7 1 $6,457,969 11% 700 Reduced formulary*, waiting list, access to protease inhibitors capped
Washington 370%   3 1 10 42 $6,863,160 61% 430 transferred funds from other accounts, access to protease inhibitors capped, capped enrollment
West Virginia 300%   4 1 2 5 $361,000 7% 39 Transferred funds from other accounts
Wisconsin 200%   4 1 6 3 $1,500,001 20% 139  
Wyoming 300%   4 0 13 36 $80,940 0% 44 Per client dollar limits on drug costs*, waiting list, capped enrollment


*1 Financial elgibility requirements listed are for a household of one. For more financial eligibility information, including asset limits and sliding scale co-pays, see the full NASTAD/ATDN Technical Report.

*2 All states require a diagnosis of HIV infection for ADAP enrollment.

*3 All state ADAPs cover the five nucleoside analog antiretroviral drugs (AZT, ddI, ddC, d4T, 3TC), except Louisiana where a separate state program provides these drugs through ambulatory care sites.

*4 Based on 1997 USPHS/IDSA Guidelines for the Prevention of Opportunistic Infections for Persons Infected with HIV (released June 27, 1997 MMWR, Vol. 46, No. RR-12).

*5 The number of clients served is usually fifty percent or less of the total enrollment for the month (percentage varies from state to state).
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State AIDS Drug Assistance Programs: A National Status Report on Access:
Press Release | Report | State Data | 


Information provided by the HIV Policy Program
Publication Number: 1275
Publish Date: 1997-07-10

 

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