May 1, 2010

May 1, 2010
ADAP Crisis Deepens

Welcome to another day in my life. Today is Saturday and I hope your weekend is off to a great start. We are having a beautiful day here in south Florida with sunny skies and a nice breeze.

Last night, I went to the monthly BOLT social at Fusion. Anthony does such a great job doing the socials each month for people living with HIV and AIDS. I always have a great time getting to see everyone.

I also forgot to mention I went to the bi-weekly meeting of our Wilton Manors Quilters on Thursday. We are working on a quilt piece for the National AIDS Quilt. We are just getting started so it will be interesting to see how it turns out. Not being very domestically skilled, I just try to do whatever I can to help like cutting fabric since I do not know how to sew or paint.

Today, I need to talk about something very disturbing to me. I found out yesterday the ADAP waiting lists now have over 1,000 American men and women waiting for life saving HIV medications.

With 1,001 individuals on waiting lists to receive consistent access to their HIV related medications through AIDS Drug Assistance Programs (ADAPs), the National Alliance of State and Territorial AIDS Directors (NASTAD) urges the Obama Administration and Congress, state legislatures and pharmaceutical companies to take immediate action to provide relief to the nation’s struggling ADAPs. The program is in need of an additional $126 million in FY2010 emergency funding in order to ensure access to lifesaving medications.

As of April 30, 1,001 individuals in ten states are on waiting lists. ADAP waiting lists have increased ten fold in the last year (99 individuals were on ADAP waiting lists in May 2009). In addition to waiting lists, 16 states have implemented other access restrictions such as lowering financial eligibility criteria, removing drugs from their formulary and capping expenditures. To see a list of states with access restrictions please visit NASTAD’s website at

“ADAPs are struggling to provide their clients with access to the medications they need to stay healthy and productive,” stated Julie Scofield, NASTAD’s Executive Director. “Without additional resources and assistance we fear we will continue to see more states reducing access to these critical, life saving programs.”

The current economic crisis has impacted ADAPs heavily. Individuals losing jobs and their insurance as well as increased HIV testing efforts have created a heightened demand for ADAP services. During FY2009, clients utilizing ADAP services increased by an average of 1,271 individuals per month. This is an unprecedented increase of 80 percent from FY2008 when ADAPs experienced an average monthly growth of 706 clients. To hear other detailed information about the changes in ADAPs, NASTAD will release its 2010 National ADAP Monitoring Report via a live webcast on Monday, May 3, 2010 at 9:00 am EDT – the webcast can be accessed at

“NASTAD believes we have reached the point where federal and state governments as well as our pharmaceutical partners must step up and ensure that eligible ADAP clients have access to their medications,” remarked Scofield. “We call upon President Obama to provide sufficient funding to ease access restrictions in ADAPs nationwide.”

The ADAP Crisis Task Force (Task Force), convened by NASTAD, will negotiate with the major antiretroviral manufacturers next week in an effort to provide additional rebates and discounts as well as multiple year cost protections for ADAPs which will allow increased state and federal revenues to go toward eliminating waiting lists, providing medications to new clients, and maintaining formularies.

“While we believe the federal government must provide emergency funding to ADAPs, we also urge the pharmaceutical industry to come ready to negotiate with the Task Force,” stated Scofield. “We also urge state legislatures to maintain and increase their support of ADAPs during this critical period.”

ADAPs are the safety net under other public programs, such as Medicare and Medicaid. Over seventy five percent of ADAP clients earn less than 200 percent of the federal poverty level, which is $22,000 for an individual.

NASTAD estimates that the additional $126 million needed in FY2010 emergency federal funding will only allow states to continue their programs with the same composition, not expand their programs in any way. Emergency funding to curtail ADAP waiting lists has not been available since 2004 when President Bush provided additional funds to the program.

Founded in 1992, NASTAD is a nonprofit national association of state and territorial health department HIV/AIDS program directors who have programmatic responsibility for administering HIV/AIDS and viral hepatitis health care, prevention, education, and supportive services programs funded by state and federal governments. For more information, visit

So now you can see what I am starting the weekend in a down mood despite the beautiful weather. I am asking you continue to contact our elected officials in Washington, DC concerning the ADAP waiting lists. For more information on what to do see my blog from yesterday.

Until we meet again; here's wishing you health, hope, happiness and just enough.

big bear hug,

Daddy Dab