National ADAP Monitoring System: Annual Report, Amanda Bowes, Ann Lefert, Britten Pund, National Alliance of State & Territorial AIDS Directors (NASTAD), 2014

The National AIDS Drug Assistance Program (ADAP) Monitoring Project provides ongoing technical assistance to all state and territorial ADAPs (AIDS Drug Assistance Programs). This NASTAD project serves as a resource center, providing timely information on the status of ADAPs, particularly those experiencing resource constraints or other challenges, to national coalitions and organizations, policy makers, industry members, and state and federal government agencies.

According to the 2014 report, ADAP utilization reached an historic high in 2013 with 210,411 clients enrolled and more than 152,000 served. Between the 2012 and 2013 fiscal years, the total ADAP budget remained relatively constant at approximately $2 billion.  The report tracks trends in earmarks as a percentage of budget allocations, noting that in 2013 ADAP earmarks decreased 5% due to sequestration.

The report also shows: the percentage of the ADAP budget used for drug rebates and state contributions to that budget, expenditures by states to purchase health insurance and pay premiums, the number of clients served and the cost per client for drug and insurance purchases. Drug expenditures and prescriptions filled are broken down by state or territory, the relative cost of types of medications and client co-payments.