Florida AIDS Drug Assistance Program (ADAP): Facts, Problem, Solution, Action

Florida AIDS Drug Assistance Program (ADAP)

What is it?

·         ADAP provides HIV-related prescription drugs to low-income, underinsured HIV+ people (1)

·         Established by Congress in 1987 (1)

·         The majority of funding comes from the federal government, but each state is required to manage their own ADAP program. 

·         Florida ADAP qualifications (2):

o   HIV+

o   Income 400% below Federal Poverty Level (less than $38,013 for 1-person household)

o   Uninsured/lacking prescription drug coverage

o   Not confined to hospital, nursing home, correctional facility

Who pays for it?

·         ADAP is funded by the federal and state governments (1)

·         Florida (3): $103,443,567

o   91% of funding is provided by the federal government ($94,443,567)

o   9% of funding provided by the state government ($9,500,000)

Who uses it (4)?

·         10,405 ADAP clients in Florida, 2,843 in Miami Dade County

·         73% Florida ADAP clients are male, 27% female

·         41% Florida ADAP clients are Black (non-Hispanic), 30% Hispanic, 28% White (non-Hispanic)

·         More than 90% of Florida ADAP clients are between the ages 25-64

Who needs it?

·         There is not enough federal or state funding to enroll everyone that qualifies for ADAP

·         As of August 12, 2011, there are 3,792 people on the ADAP waiting list in Florida, which is more than 40% of all people on ADAP lists in the entire United States (5)

o  958 people on the waiting list are from Miami Dade County (5)

 

Florida ADAP in Crisis

Problem:

1.      Over 9,000 people in the US qualify for ADAP assistance but are being placed on waiting lists.  3,792 of those people are in Florida, with 958 residing in Miami. (5)

2.      Thirteen states have ADAP waiting lists, and eighteen have other strategies in place for reducing costs.(6) Florida has already stopped providing certain medications to reduce program costs. (7)

3.      Florida wants to reduce the minimum income required to qualify for ADAP to less than $30,000 for a one-person household.  HIV/AIDS medications cost between $10,000 and $20,000 per year.  Anybody making more than $30,000 per year would be kicked out of the program. (8)

4.      Florida only contributes $9.5 million to its ADAP.  Other states contribute much more, as much $25 million in North Carolina (9).

5.      In an investigation conducted by the US Department of Health and Human Services, Florida’s ADAP funds were severely mismanaged and economic data were ignored, which contributed to an ADAP budget deficit of $25-$32 million. (10)

 

Solution:

1.      Increase state funds and budgetary allocations for ADAP.

2.      Increase adherence to cost-containment strategies and improve management of ADAP budget.

Potential Actions:

1.      Lobby state government officials to increase state funds for ADAP.

2.      Lobby state government officials to improve budgetary management and spending in accordance with federal report.

 

 

Source Reference

1http://www.kff.org/hivaids/upload/1584_09.pdf

2http://www.doh.state.fl.us/Disease_ctrl/aids/care/home.html

3http://www.statehealthfacts.org/profileind.jsp?rgn=11&cat=11&ind=545

4http://www.doh.state.fl.us/Disease_ctrl/aids/care/Quarterly_Summary_Jan_2011_Mar_2011.pdf

5http://www.doh.state.fl.us/Disease_ctrl/aids/care/waiting_list/Weekly_Waiting_List%20Report8_12_11.pdf

6http://www.statehealthfacts.org/comparetable.jsp?ind=552&cat=11

7http://www.doh.state.fl.us/disease_ctrl/aids/care/WL_flyer_English_060810.pdf

8http://floridaindependent.com/27812/adap-aids-drug-assistance-program

9http://www.statehealthfacts.org/comparetable.jsp?ind=545&cat=11

10http://floridaindependent.com/27984/federal-report-alleges-florida-mismanaged-aids-drug-assistance-program-funds

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