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AIDS Drug Assistance Program

States can increase access for one vulnerable population by raising eligibility levels in their state AIDS Drug Assistance Programs (ADAPs). These programs provide access to HIV/AIDS drug therapies to low-income, uninsured and under-insured people living with HIV/AIDS who otherwise could not afford drugs which could improve the quality and length of their lives.1 Because women with HIV/AIDS are disproportionately low-income, it is especially important that states improve affordable access to drug therapies.2

Does the state cover pharmaceuticals for individuals with incomes at or above 400 percent of the federal poverty level (FPL) under the AIDS Drug Assistance Program (ADAP)?

States receive a "meets policy" if they allow people at or above 400 percent of FPL to participate in ADAP.  States receive a "limited policy" if they allow people with incomes from 200 percent to 399 percent of FPL to participate.  States receive a "weak policy" if they allow only individuals with incomes below 200 percent of FPL to participate.

State Strength of Policy Change from 2007
Alabama Limited Policy Same
Alaska Limited Policy Same
Arizona Limited Policy Same
Arkansas Meets Policy Better
California Meets Policy Same
Colorado Meets Policy Better
Connecticut Meets Policy Same
Delaware 3 Meets Policy
District of Columbia Meets Policy Same
Florida Limited Policy Same
Georgia Limited Policy Same
Hawaii Meets Policy Same
Idaho Limited Policy Same
Illinois Meets Policy Same
Indiana Limited Policy Same
Iowa Limited Policy Same
Kansas Limited Policy Same
Kentucky Limited Policy Same
Louisiana Limited Policy Same
Maine Meets Policy Same
Maryland Meets Policy Same
Massachusetts Meets Policy Same
Michigan Meets Policy Same
Minnesota Limited Policy Same
Mississippi Meets Policy Same
Missouri Limited Policy Same
Montana Limited Policy Same
Nebraska Limited Policy Same
Nevada Meets Policy Same
New Hampshire Limited Policy Same
New Jersey Meets Policy Same
New Mexico 4 Meets Policy
New York Meets Policy Same
North Carolina Limited Policy Better
North Dakota Meets Policy Same
Ohio Meets Policy Same
Oklahoma Limited Policy Same
Oregon Limited Policy Same
Pennsylvania Limited Policy Same
Rhode Island 5 No Policy
South Carolina Limited Policy Same
South Dakota Limited Policy Same
Tennessee Limited Policy Same
Texas Limited Policy Same
Utah Meets Policy Same
Vermont Limited Policy Same
Virginia Limited Policy Same
Washington Limited Policy Same
West Virginia Limited Policy Same
Wisconsin Limited Policy Same
Wyoming Limited Policy Same

Policy Indicator Counts
Meets Policy: 
20
Limited Policy: 
30
Weak Policy: 
0
No/Harmful Policy: 
1
Better: 
3
Same: 
45
Worse: 
0

Data Source: The Henry J. Kaiser Family Foundation, "AIDS Drug Assistance Program (ADAP) Financial Eligibility Criteria (as a Percent of the Federal Poverty Level)," June 2008, available at http://www.statehealthfacts.org/comparemaptable.jsp?ind=543&cat=11. accessed April 1, 2010.

Footnotes

1 In the wake of rising drug costs and state fiscal crises, three states have imposed waiting lists in the AIDS Drug Assistance Programs. The Henry J. Kaiser Family Foundation, “AIDS Drug Assistance Programs (ADAPs) with Waiting Lists or Other Cost-Containment Strategies, as of March 2009,” available at http://www.statehealthfacts.org/comparetable.jsp?ind=552&cat=11, accessed August 27, 2010.

2 Centers for Disease Control and Prevention, “HIV/AIDS Among Women,” August 2008, available at http://www.cdc.gov/hiv/topics/women/resources/factsheets/women.htm, accessed August 27, 2010.

3 The 2007 report card did not assess this policy in Delaware because the source did not provide current state data at that time. Since there is no data against which to compare, there is no comparison to 2007.

4 The 2007 report card did not assess this policy in New Mexico because the source did not provide current state data at that time. Since there is no data against which to compare, there is no comparison to 2007.

5 The data source did not provide current data for Rhode Island. The 2010 Report Card therefore evaluates the state as having no policy. In addition, since there is no data against which to compare, there is no comparison to 2007.

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