NASTAD Releases Key Findings of the 2014 National AIDS Drug Assistance Program (ADAP) Monitoring Project Annual Report

By Amanda Bowes, Associate, Health Care Access and Viral Hepatitis, NASTAD

2014 National ADAP Monitoring Project Annual ReportToday, the National Alliance of State and Territorial AIDS Directors (NASTAD) released key findings of the 2014 National ADAP Monitoring Project Annual Report. The National ADAP Monitoring Project is NASTAD’s long-standing effort to document new developments and challenges facing AIDS Drug Assistance Programs (ADAPs), assessing key trends over time and providing the latest available data on the status of ADAPs. For the last 19 years, NASTAD has provided comprehensive analysis about ADAPs through The Report.

The Report provides an overview of the status of ADAPs as they prepared for full implementation of the Affordable Care Act (ACA).

The Report includes:

  • Background and context
  • Key findings
  • Detailed charts and tables

Among the key findings:

  • ADAP enrollment reached its highest level in the program’s history, with over 210,000 clients enrolled in FY2013.
  • ADAPs reported spending over $27.6 million on insurance purchasing/continuation in June 2013; 52,568 ADAP clients were covered by such arrangements. By comparison, ADAPs used $20.3 million in June 2012 for insurance purchasing/continuation.

Over the past twenty years, ADAPs have worked diligently to provide low income, under and uninsured people living with HIV (PLWH) access to life-saving HIV treatments. The ACA has significantly changed the landscape of care for ADAP clients. For some, the ACA provides the first opportunity to enroll in private insurance or Medicaid due to the elimination of pre-existing condition clauses and expansion efforts, respectively. In addition, comprehensive health services such as primary care, mental and substance use treatment, and case management may now be accessible. These, in concert with effective antiretroviral therapy, are critical to the achievement of viral load suppression and other optimal health outcomes for PLWH.

There remains a need for ADAPs to maintain current funding, interact with other health coverage entities, and reach out to clients to ensure they remain in and receive comprehensive care. The goals of the National HIV/AIDS Strategy remain – reduce HIV incidence, increase access to care and optimize health outcomes, and reduce HIV-related health disparities. ADAPs work daily to meet these goals with the hope to achieve an AIDS-free generation.

Please contact Britten Pund with questions regarding The Report.

Learn more about ADAP here.