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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