ADAP Waiting List Update: 201 People in 3 States as of October 17

October 21, 2013

ADAPs With Waiting Lists
(201 Individuals in 3 States, as of October 17, 2013)

StateNumber of Individuals on ADAP Waiting ListPercent of the Total ADAP Waiting ListIncrease/Decrease From Previous Reporting PeriodDate Waiting List Began
Alabama18693%+74June 2010
Idaho00%0October 2012
South Dakota157%-6August 2012

Note: ADAPs are required to recertify all enrolled clients at least twice a year. This process often creates limited slots below an ADAP enrollment cap. ADAPs often will not eliminate their waiting list until they are able to increase or remove the enrollment cap entirely.

Latest ADAP News

A FY2014 continuing resolution (CR) for the federal budget was passed by both chambers of Congress in order to end the government shutdown. This CR funds the federal government at FY2013 post-sequestration spending levels through January 15, 2014. As part of this fiscal deal, both the House and the Senate agreed to reconcile their budget resolutions in committee and report on their progress by December 13, 2013. Further, unless Congress provides an alternative to the sequester put in place under the 2011 Budget Control Act, agencies can expect a new round of cuts beginning January 15, 2014.

The FY2013 ERF funds were awarded last month to ADAPs. The FY2013 ERF funds consist of $65 million dollars in competing continuation funds for existing ERF grantees and $10 million in new competing funds available to ADAPs not previously receiving ERF. The budget period for these FY2013 ERF funds will be six months (through March 31, 2014) to allow future alignment of the FY2014 Part B base/ADAP earmark awards and the FY2014 ADAP ERF. HRSA has released both funding opportunities announcements (FOAs). The FY2014 ADAP ERF application is due November 25, 2013. TheFY2014 Part B base/ADAP earmark application is due on December 9, 2013.

Health departments should continue to expect delays and partial awards across programs, including ADAPs, as "regular order" of the appropriations and budget cycle remains in flux.

ADAPs With Other Cost-Containment Strategies
(Since April 1, 2013i, as of June 11, 2013)

Enrollment CapExpenditure CapFinancial EligibilityFormulary ReductionOther
Illinois: monthly
New Mexico: monthly
South Dakota: annual
Illinois Alabama
Georgia: cap on insurance premiums
Montana: service reductions in place

iADAPs may have other cost-containment strategies that were instituted prior to April 1, 2013.

ADAPs Considering New/Additional Cost-Containment Measures
(Before March 31, 2014ii)

Expenditure CapWaiting ListOther
Arizona: annual Arkansas

iiMarch 31, 2014 is the end of ADAP FY2013. ADAP fiscal years begin April 1 and end March 31.

ADAPs That Eliminated/Modified Cost-Containment Measures
(Since April 1, 2013iii)

Washington: Stopped requiring use of PAPs during insurance enrollment
West Virginia: Increased financial eligibility to 400%, up from 325%

iiiADAPs may have other cost-containment strategies that were eliminated/modified prior to April 1, 2013.

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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