ADAP Waiting List Update: 87 People in 5 States as of November 15

November 19, 2012

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As of November 15, 2012, there are 87 individuals on ADAP waiting lists in five (5) states. North Carolina eliminated their waiting list as of November 2 and Georgia and Florida are currently enrolling new clients into their programs and do not have any individuals on their waiting lists. However, they remain listed as they have not formally closed their waiting lists. Idaho has eight individuals on their waiting list which was reestablished in October. Louisiana and South Dakota have added 28 and five individuals, respectively, to their waiting lists.

The receipt of $75 million in ADAP Emergency Relief Funding (ERF) has allowed many states to make significant reductions in their waiting list numbers, but the potential for new waiting lists developing this fiscal year (ending March 31, 2013) continues. Two states currently report having capped enrollments, and another anticipates opening a wait list in 2013. To see a list of states with access restrictions please visit NASTAD's website.

ADAP enrollment is not static and ADAPs continue to experience increased strain on their programs due to continued enrollment of individuals based on increased efforts to identify new individuals living with HIV or re-engagement of individuals lost to care as part the National HIV/AIDS Strategy. Even with the recent receipt of ERF, some states are not able to eliminate their waiting lists entirely.

House and Senate leaders passed and the President signed a six month Continuing Resolution (CR) that funds the government through March 2013 at the Budget Control Act level. This CR does have a minimal increase of 0.6 percent from FY2012 which may provide a slight increase to overall ADAP funding. However, formula calculations associated with the Ryan White Program may result in fluctuations in ADAP funding for various jurisdictions.

In an effort to streamline and assist clients in need of medications, The Common Patient Assistance Program Application (CPAPA) was launched on September 12 and is now available on the NASTAD website or at This single common application allows uninsured individuals living with HIV and/or their providers/caregivers to use one application to apply for multiple patient assistance programs (PAPs) that together provide an entire course of antiretroviral therapy. To see additional information on pharmaceutical company patient assistance or co-payment assistance programs, please visit the Positively Aware website or the Fair Pricing Coalition's website.

ADAPs With Active Waiting Lists
(87 Individuals in 5 States*, as of November 15, 2012)
State Number of Individuals on ADAP Waiting List Percent of the Total ADAP Waiting List Increase/Decrease From Previous Reporting Period Date Waiting List Began
Florida00%-58June 2010
Georgia00%0July 2010
Idaho89%8October 2012
Louisiana**5867%28June 2010
South Dakota2124%5August 2012

* As a result of FY2012 ADAP emergency funding, Alabama, Florida, Georgia, Idaho, Louisiana, Montana, Nebraska, North Carolina, and Virginia were able to reduce the overall number of individuals on their waiting lists.

** Louisiana has a capped enrollment on their program. This number represents their current unmet need.

ADAPs With Capped Enrollment (as of November 15, 2012)
State Enrollment Cap
Utah450 direct medication clients, 100 insurance clients
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This article was provided by National Alliance of State and Territorial AIDS Directors. Visit NASTAD's website to find out more about their activities and publications.

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