Summary

NASTAD’s National Ryan White HIV/AIDS Program (RWHAP) Part B and AIDS Drug Assistance Program (ADAP) Monitoring Project, including its Annual Report, documents key trends, challenges, and successes faced by public health programs ensuring access to life-saving treatment and services for people living with HIV (PLWH) nationally. In the 22nd year of its history, this 2019 edition of the Annual Report marks the first featuring comprehensive, longitudinal data spanning several domains of the RWHAP Part B program and ADAP, including budget, expenditures, utilization, and client demographics.

The National RWHAP Part B and ADAP Monitoring Survey and the resulting Annual Report reflects a relatively abbreviated snapshot of calendar year 2017 and fiscal year 2018, highlighting those data points that are most dynamic year-to-year, including budgets and expenditures, as well as client utilization and health outcomes (i.e., viral load suppression). As in previous iterations, the Annual Report also aims to illustrate the actual or potential impacts of key policies (e.g., federal/state changes to the Affordable Care Act (ACA) and Medicaid coverage) on RWHAP Part B programs’ and ADAPs’ effectiveness in delivering treatment and key support services for HIV and comorbid conditions that disproportionately impact PLWH.

As sources of care for PLWH who are under-or uninsured via private insurance, Medicaid, Medicare, and other insurers (i.e., “payer of last resort”), RWHAP Part B programs and ADAPs are critical players in ongoing efforts to achieve the goals of the National HIV/AIDS Strategy (NHAS) and jurisdictional ending-the-epidemic (ETE) initiatives. Changes to the broader health care and payer landscape may have significant downstream effects on ETE initiatives as well as RWHAP Part B programs, ADAPs, and the clients they serve.

Section One

RWHAP Part B Program Funding and Structure

Overview of the RWHAP Part B Program

RWHAP Part B programs were created under the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, passed by Congress, with significant bipartisan support, and signed into law by President George H.W. Bush in 1990. This legislation was enacted to create and sustain a responsive care system that spans the continuum of HIV care: HIV diagnosis; linkage to, and lifelong engagement in, HIV medical care and supportive services; access to safe, effective, and easy-to-use treatment; and durable virologic suppression.

Part B of the RWHAP maintains the infrastructure through which state and territorial health departments are funded to provide core medical and support services to eligible clients. As in other Parts of the RWHAP, Part B is administered by the Health Resources and Services Administration’s HIV/AIDS Bureau (HRSA/HAB). All 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and the six U.S. Pacific Territories/Associated Jurisdictions are eligible for Part B program funding. In funding states and territories directly, Congress has empowered jurisdictions to implement and modify equitable systems of care for those who would most benefit in both urban and rural settings.

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Chart 1

Total RWHAP Part B Budget, by Source, FY2017-FY2018

Total RWHAP Part B Budget, by Source, FY2017-FY2018

The Part B program includes the administration of ADAPs to ensure access to lifesaving treatments for HIV (e.g., antiretroviral (ARV) medications, “A1” opportunistic infection (OI) medications) and comorbid conditions that disproportionately impact PLWH and/or affect the adherence to or effectiveness of ARV treatment. The Drug Reimbursement Program was first implemented in 1987 via Congressional appropriation to provide the newly Food & Drug Administration (FDA)-approved treatment, zidovudine (AZT), to PLWH without private insurance or who were ineligible for Medicaid, Medicare, or other state programs. These state-based programs were absorbed into the then RWHAP Title II program in 1990 and were subsequently changed to “AIDS Drug Assistance Programs” in 1996. Over time, ADAPs have evolved by providing expanded formulary coverage and increasing their capacity in supporting clients via ADAP-funded insurance programs. ADAPs work in concert with the broader Part B program; clients can receive services from either ADAP alone or in combination with other Part B services, depending on their needs and eligibility.

Each jurisdiction’s RWHAP Part B program is administered and delivers services uniquely, reflecting the needs and challenges of their clients and the political and structural landscape in which they exist. Yet every RWHAP Part B program shares a goal of guaranteeing access to treatments and services that bolster clients’ engagement in care, likelihood of durable virologic suppression, and overall wellbeing. RWHAP Part B programs are comprised of the following key components: core medical/support service delivery, including ADAP; quality management (i.e., a series of activities that focus on enhancing the quality of HIV care provided and increasing access to services); and program administration (i.e., administrative, planning and evaluation, salaries, overhead, client eligibility and enrollment, and data system management and reporting).

The breadth of service categories allowable under RWHAP represent a comprehensive and patient-centered approach to serving individuals with a chronic disease who experience complex social and structural barriers and/or comorbid conditions. Core medical services such as Early Intervention Services (EIS), Health Insurance Premium and Cost-Sharing Assistance for Low-Income Individuals, Medical Case Management, Mental Health Services, and Outpatient and Ambulatory Health Services support eligible clients across the HIV-care continuum by bolstering testing, linkage to, and retention in care for HIV and comorbidities. As compared to the general population, RWHAP clients demonstrate higher outcomes across the HIV care continuum; in 2017, 86% of clients receiving RWHAP medical services were virally suppressed. Meanwhile, RWHAP support services (e.g., Housing Services, Medical Transportation Services) undergird these by ensuring adherence to and the effectiveness of clinical care. The array of RWHAP services ensures that public health priorities (e.g., minimizing new infections by optimizing viral load suppression) and individual clients’ overall health and wellness needs are simultaneously addressed.

The National RWHAP Part B Program Budget

RWHAP was last reauthorized in 2009 and the most recent authorization sunset ended on September 30, 2013. In the absence of Congressional action on authorization, the program continues to operate as Congress maintains annual appropriations to the program. Based on a formula and eligibility-based distribution mechanism, RWHAP Part B programs are eligible to receive the following categories of federal funding: Part B Base, Part B Supplemental (if applicable), Part B ADAP Earmark, Part B ADAP Supplemental (if applicable), and ADAP Emergency Relief Funding (if applicable). In FY2018, RWHAP Part B programs (n=59) were Congressionally appropriated a total of $1.4 billion, with $893 million awarded by HRSA to ADAP specifically (i.e., via Part B ADAP Earmark (n=59), Part B ADAP Supplemental (n=6), and ADAP Emergency Relief Funding (n=9)). By comparison, RWHAP Part B programs and ADAPs were awarded $1.4 billion and $896 million in FY2017, representing a -1.3% and -0.6% change for each.

RWHAP Part B programs must use at least 75% of federal RWHAP awards (e.g., Part B Base, Part B Supplemental) to fund core medical services, including ADAP (unless a “75/25 waiver” is approved by HRSA/HAB). RWHAP Part B programs may choose to allocate a portion or all their Part B Base and/or Part B Supplemental to ADAP. For FY2018, 24 RWHAP Part B programs reported having allocated at least some portion of their RWHAP Part B Base and/or Part B Supplemental to ADAP, representing 10% of their overall ADAP budgets. As the largest component to the RWHAP Part B program with the greatest number of clients served (97%), ADAPs represented 74% of the overall Part B budget in FY2018. The proportion of the RWHAP Part B budget used for ADAP ranged from 2% in the American Samoa and the Federated States of Micronesia to 93% in New York. Between 1997 and 2018, the total ADAP budget has grown 458% with an average growth of 9% per year. Yet these awards alone do not meet the needs of RWHAP Part B programs or their clients. Instead, jurisdictions must often use other funding streams to sustain their infrastructure and service delivery.

Additional sources that may be available to RWHAP Part B programs include other federal funding (e.g., carry-over from prior Part B Base or ADAP Earmark awards), state general revenue funding, private donations, and rebates received as part of medication purchasing. RWHAP Part A programs in eligible metropolitan areas may contribute directly-appropriated funds to their Part B counterparts. Such decisions are made locally and reflect an effort between RWHAP Parts A and B programs to avoid duplicating service delivery and to mutually ensure each other’s success in serving the needs of PLWH. Taken together, these additional funding sources make up 51% of the FY2018 RWHAP Part B program and ADAP budgets.

Rebates received in medication purchasing (32%), state contributions (12%), and Part B base (11%) make up the greatest proportions of the overall Part B budget for FY2018. The breakdown of sources of funding for RWHAP Part B programs can be found in the box to the right.

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Chart 2

Total ADAP Budget, by Source, FY1996-FY2018

Total ADAP Budget, by Source, FY1996-FY2018

Table 1

Download Table
State/Territory Part B FY2018 Total Budget ADAP FY2018 Total Budget % of Total Part B Budget
Alabama $44,591,407 $33,482,585 75%
Alaska $1,781,690 $594,859 33%
American Samoa $32,908 $815 2%
Arizona $30,987,103 $14,873,459 48%
Arkansas $17,165,912 $6,052,010 35%
California $253,737,043 $213,810,204 84%
Colorado $31,117,122 $18,583,455 60%
Connecticut $35,962,007 $29,062,043 81%
Delaware $10,692,646 $7,665,049 72%
District of Columbia $18,950,006 $15,019,359 79%
Federated States of Micronesia $50,815 $815 2%
Florida $246,068,570 $150,515,812 61%
Georgia $85,019,897 $64,484,912 76%
Guam $265,180 $65,180 25%
Hawaii $5,913,247 $2,155,830 36%
Idaho $10,062,447 $8,141,593 81%
Illinois $64,551,546 $50,555,012 78%
Indiana $54,151,392 $26,364,704 49%
Iowa $21,019,207 $5,349,808 25%
Kansas $4,123,165 $2,903,033 70%
Kentucky $11,900,646 $5,378,982 45%
Louisiana $66,934,145 $47,921,588 72%
Maine $4,903,752 $3,827,610 78%
Marshall Islands $27,021 $815 3%
Maryland $102,959,594 $60,858,411 59%
Massachusetts $38,963,129 $25,074,896 64%
Michigan $46,490,914 $24,079,445 52%
Minnesota $29,693,746 $11,521,173 39%
Mississippi $18,508,035 $8,519,160 46%
Missouri $50,850,384 $40,370,440 79%
Montana $2,783,621 $2,064,636 74%
Nebraska $17,620,988 $14,751,760 84%
Nevada $39,338,884 $32,294,547 82%
New Hampshire $5,582,173 $4,082,173 73%
New Jersey $110,066,641 $86,505,884 79%
New Mexico $6,268,240 $2,728,967 44%
New York $479,495,759 $447,649,130 93%
North Carolina $72,512,936 $57,517,872 79%
North Dakota $2,681,699 $1,740,351 65%
Northern Mariana Islands $64,552 $4,074 6%
Ohio $56,042,882 $30,920,178 55%
Oklahoma $23,115,410 $20,136,723 87%
Oregon $8,536,947 $7,391,761 87%
Pennsylvania $104,038,654 $77,506,654 74%
Puerto Rico $59,910,961 $53,038,167 89%
Republic of Palau $24,596 $4,147 17%
Rhode Island $13,334,841 $10,530,603 79%
South Carolina $82,622,233 $58,035,479 70%
South Dakota $3,439,965 $2,208,288 64%
Tennessee $68,430,785 $63,176,889 92%
Texas $140,558,914 $99,327,787 71%
Utah $13,513,735 $8,385,172 62%
Vermont $2,179,375 $1,157,375 53%
Virgin Islands (U.S.) $2,036,540 $1,138,196 56%
Virginia $85,285,801 $52,800,805 62%
Washington $50,873,350 $30,165,431 59%
West Virginia $7,705,874 $4,822,361 63%
Wisconsin $32,134,159 $21,672,626 67%
Wyoming $1,473,387 $903,387 61%
Total $2,799,148,578 $2,069,894,480 74%
State/Territory Part B FY2018 Total Budget ADAP FY2018 Total Budget % of Total Part B Budget
Alabama $44,591,407 $33,482,585 75%
Alaska $1,781,690 $594,859 33%
American Samoa $32,908 $815 2%
Arizona $30,987,103 $14,873,459 48%
Arkansas $17,165,912 $6,052,010 35%
California $253,737,043 $213,810,204 84%
Colorado $31,117,122 $18,583,455 60%
Connecticut $35,962,007 $29,062,043 81%
Delaware $10,692,646 $7,665,049 72%
District of Columbia $18,950,006 $15,019,359 79%
Federated States of Micronesia $50,815 $815 2%
Florida $246,068,570 $150,515,812 61%
Georgia $85,019,897 $64,484,912 76%
Guam $265,180 $65,180 25%
Hawaii $5,913,247 $2,155,830 36%
Idaho $10,062,447 $8,141,593 81%
Illinois $64,551,546 $50,555,012 78%
Indiana $54,151,392 $26,364,704 49%
Iowa $21,019,207 $5,349,808 25%
Kansas $4,123,165 $2,903,033 70%
Kentucky $11,900,646 $5,378,982 45%
Louisiana $66,934,145 $47,921,588 72%
Maine $4,903,752 $3,827,610 78%
Marshall Islands $27,021 $815 3%
Maryland $102,959,594 $60,858,411 59%
Massachusetts $38,963,129 $25,074,896 64%
Michigan $46,490,914 $24,079,445 52%
Minnesota $29,693,746 $11,521,173 39%
Mississippi $18,508,035 $8,519,160 46%
Missouri $50,850,384 $40,370,440 79%
Montana $2,783,621 $2,064,636 74%
Nebraska $17,620,988 $14,751,760 84%
Nevada $39,338,884 $32,294,547 82%
New Hampshire $5,582,173 $4,082,173 73%
New Jersey $110,066,641 $86,505,884 79%
New Mexico $6,268,240 $2,728,967 44%
New York $479,495,759 $447,649,130 93%
North Carolina $72,512,936 $57,517,872 79%
North Dakota $2,681,699 $1,740,351 65%
Northern Mariana Islands $64,552 $4,074 6%
Ohio $56,042,882 $30,920,178 55%
Oklahoma $23,115,410 $20,136,723 87%
Oregon $8,536,947 $7,391,761 87%
Pennsylvania $104,038,654 $77,506,654 74%
Puerto Rico $59,910,961 $53,038,167 89%
Republic of Palau $24,596 $4,147 17%
Rhode Island $13,334,841 $10,530,603 79%
South Carolina $82,622,233 $58,035,479 70%
South Dakota $3,439,965 $2,208,288 64%
Tennessee $68,430,785 $63,176,889 92%
Texas $140,558,914 $99,327,787 71%
Utah $13,513,735 $8,385,172 62%
Vermont $2,179,375 $1,157,375 53%
Virgin Islands (U.S.) $2,036,540 $1,138,196 56%
Virginia $85,285,801 $52,800,805 62%
Washington $50,873,350 $30,165,431 59%
West Virginia $7,705,874 $4,822,361 63%
Wisconsin $32,134,159 $21,672,626 67%
Wyoming $1,473,387 $903,387 61%
Total $2,799,148,578 $2,069,894,480 74%

Table 2

Download Table
State/Territory Part B Base Part B Base Contribution Allocated to Part B Part B Base Contribution Allocated to ADAP % of Total Budget Part B Supplemental 1 Part B Supplemental Allocated to Part B Part B Supplemental Allocated to ADAP % of Total Budget Part B ADAP Earmark % of Total Budget Part B ADAP Supplemental 2 % of Total Budget ADAP Emergency Funding % of Total Budget Part A Contribution Allocated to Part B Part A Contribution Allocated to ADAP % of Total Budget Part B State Contribution ADAP State Contribution % of Total Budget Part B Estimated Drug Rebates ADAP Estimated Drug Rebates % of Total Budget Part B Other State or Federal ADAP Other State or Federal % of Total Budget Total FY2018 Budget
Alabama $8,060,177 $7,791,814 $268,363 18% $12,335,911 $2,500,000 $9,835,911 28% $10,594,199 24% $0 0% $0 0% $0 $0 0% $500,000 $2,419,796 7% $0 $10,000,000 22% $317,008 $364,316 2% $44,591,407
Alaska $500,000 $500,000 $0 28% $425,451 $425,451 $0 24% $580,102 33% $0 0% $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $261,380 $14,757 15% $1,781,690
American Samoa $32,093 -- -- 98% $0 -- -- 0% $815 2% $0 0% $0 0% -- -- 0% -- -- -- -- -- -- -- -- -- $32,908
Arizona $4,113,644 $4,113,644 $0 13% $0 $0 $0 0% $12,000,459 39% $0 0% $0 0% $0 $0 0% $0 $873,000 3% $12,000,000 $2,000,000 45% $0 $0 0% $30,987,103
Arkansas $3,374,295 $3,374,295 $0 20% $0 $0 $0 0% $4,552,010 27% $0 0% $0 0% $0 $0 0% $0 $0 0% $2,000,000 $1,000,000 17% $5,739,607 $500,000 36% $17,165,912
California $33,135,968 $33,135,968 $0 13% $23,765,871 $6,790,871 $16,975,000 9% $105,659,276 42% $0 0% $11,000,000 4% $0 $0 0% $0 $0 0% $0 $78,146,342 31% $0 $2,029,586 1% $253,737,043
Colorado $3,362,667 $3,362,667 $0 11% $0 $0 $0 0% $9,768,043 31% $0 0% $0 0% $0 $0 0% $0 $4,160,614 13% $8,200,000 $4,514,798 41% $971,000 $140,000 4% $31,117,122
Connecticut $2,728,988 $2,728,988 $0 8% $0 $0 $0 0% $8,869,373 25% $0 0% $0 0% $0 $0 0% $898,828 $0 2% $3,272,148 $20,192,670 65% $0 $0 0% $35,962,007
Delaware $2,027,597 $2,027,597 $0 19% $0 $0 $0 0% $2,665,049 25% $0 0% $0 0% $0 $0 0% $0 $0 0% $1,000,000 $5,000,000 56% $0 $0 0% $10,692,646
District of Columbia $3,718,903 $0 $3,718,903 20% $0 $0 $0 0% $6,300,456 33% $0 0% $0 0% $0 $0 0% $3,930,647 $0 21% $0 $5,000,000 26% $0 $0 0% $18,950,006
Federated States of Micronesia $50,000 -- -- 98% $0 -- -- 0% $815 2% $0 0% $0 0% -- -- -- -- -- -- -- -- -- -- -- -- $50,815
Florida $30,367,329 $30,367,329 $0 12% $20,900,239 $20,900,239 $0 8% $89,515,812 36% $0 0% $0 0% $0 $0 0% $31,642,087 $6,000,000 15% $6,655,600 $55,000,000 25% $5,987,503 $0 2% $246,068,570
Georgia $13,986,055 $13,986,055 $0 16% $2,060,818 $0 $2,060,818 2% $37,634,950 44% $8,934,091 11% $5,261,556 6% $0 $0 0% $6,548,930 $10,297,357 20% $0 $0 0% $0 $296,140 0% $85,019,897
Guam $200,000 -- -- 75% $0 -- -- 0% $65,180 25% $0 0% $0 0% -- -- -- -- -- -- -- -- -- -- -- -- $265,180
Hawaii $1,640,178 $1,640,178 $0 28% $0 $0 $0 0% $2,155,830 36% $0 0% $0 0% $0 $0 0% $0 $0 0% $2,117,239 $0 36% $0 $0 0% $5,913,247
Idaho $577,100 $577,100 $0 6% $2,934,719 $1,343,754 $1,590,965 29% $758,533 8% $400,000 4% $1,290,295 13% $0 $0 0% $0 $801,800 8% $0 $3,300,000 33% $0 $0 0% $10,062,447
Illinois $9,546,822 $9,546,822 $0 15% $0 $0 $0 0% $30,334,787 47% $2,669,140 4% $0 0% $0 $0 0% $0 $10,000,000 15% $4,449,712 $7,550,288 19% $0 $797 0.001% $64,551,546
Indiana $3,609,343 $3,609,343 $0 7% $11,509,813 $11,509,813 $0 21% $8,643,687 16% $2,721,017 5% $0 0% $0 $0 0% $0 $0 0% $12,000,000 $15,000,000 50% $667,532 $0 1% $54,151,392
Iowa $1,438,100 $0 $1,438,100 7% $10,760,441 $8,797,941 $1,962,500 51% $1,890,221 9% $0 0% $0 0% $0 $0 0% $0 $58,987 0% $6,871,458 $0 33% $0 $0 0% $21,019,207
Kansas $1,095,007 $1,095,007 $0 27% $0 $0 $0 0% $2,539,577 62% $0 0% $0 0% $0 $0 0% $125,125 $0 3% $0 $0 0% $0 $363,456 9% $4,123,165
Kentucky $4,092,386 $4,092,386 $0 34% $0 $0 $0 0% $5,378,982 45% $0 0% $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $2,429,278 $0 20% $11,900,646
Louisiana $6,476,557 $4,942,557 $1,534,000 10% $0 $0 $0 0% $17,387,588 26% $0 0% $0 0% $0 $0 0% $0 $0 0% $14,070,000 $29,000,000 64% $0 $0 0% $66,934,145
Maine $786,616 $642,442 $144,174 16% $1,627,018 $0 $1,627,018 33% $1,033,918 21% $0 0% $0 0% $0 $0 0% $33,700 $22,500 1% $400,000 $1,000,000 29% $0 $0 0% $4,903,752
Marshall Islands $26,206 -- -- 97% $0 -- -- 0% $815 3% $0 0% $0 0% -- -- -- -- -- -- -- -- -- -- -- -- $27,021
Maryland $7,975,128 $7,975,128 $0 8% $0 $0 $0 0% $26,740,923 26% $0 0% $0 0% $0 $0 0% $0 $0 0% $31,324,033 $20,000,000 50% $2,802,022 $14,117,488 16% $102,959,594
Massachusetts $5,204,324 $5,204,324 $0 13% $5,104,136 $940,000 $4,164,136 13% $16,095,394 41% $0 0% $0 0% $0 $47,388 0% $3,543,909 $1,467,978 13% $4,200,000 $3,300,000 19% $0 $0 0% $38,963,129
Michigan $5,067,469 $5,067,469 $0 11% $0 $0 $0 0% $13,579,445 29% $0 0% $0 0% $0 $0 0% $0 $0 0% $0 $10,500,000 23% $17,344,000 $0 37% $46,490,914
Minnesota $2,043,212 $1,723,300 $319,912 7% $2,269,463 $1,544,086 $725,377 8% $6,444,676 22% $0 0% $0 0% $0 $0 0% $1,156,169 $1,063,678 7% $8,399,018 $2,967,530 38% $5,350,000 $0 18% $29,693,746
Mississippi $5,778,432 $5,778,432 $0 31% $3,510,443 $3,510,443 $0 19% $7,819,160 42% $0 0% $0 0% $0 $0 0% $700,000 $700,000 8% $0 $0 0% $0 $0 0% $18,508,035
Missouri $3,486,897 $3,486,897 $0 7% $589,105 $0 $589,105 1% $10,281,335 20% $0 0% $0 0% $0 $0 0% $6,786,505 $0 13% $0 $29,500,000 58% $206,542 $0 0.4% $50,850,384
Montana $500,000 $355,176 $144,824 18% $566,491 $202,298 $364,193 20% $364,193 13% $0 0% $895,285 32% $0 $0 0% $36,447 $46,337 3% $0 $249,804 9% $125,064 $0 4% $2,783,621
Nebraska $1,242,221 $1,202,221 $40,000 7% $1,317,007 $1,317,007 $0 7% $1,632,760 9% $0 0% $0 0% $0 $0 0% $0 $750,000 4% $350,000 $4,000,000 25% $0 $8,329,000 47% $17,620,988
Nevada $2,187,045 $2,187,045 $0 6% $0 $0 $0 0% $6,855,310 17% $0 0% $0 0% $0 $0 0% $2,260,589 $0 6% $2,596,703 $11,188,876 35% $0 $14,250,361 36% $39,338,884
New Hampshire $500,000 $500,000 $0 9% $0 $0 $0 0% $978,515 18% $0 0% $0 0% $0 $103,658 2% $0 $0 0% $1,000,000 $3,000,000 72% $0 $0 0% $5,582,173
New Jersey $10,105,758 $10,105,758 $0 9% $754,999 $754,999 $0 1% $30,505,884 28% $0 0% $0 0% $0 $0 0% $0 $0 0% $12,700,000 $56,000,000 62% $0 $0 0% $110,066,641
New Mexico $1,848,454 $1,549,073 $299,381 29% $0 $0 $0 0% $2,429,586 39% $0 0% $0 0% $0 $0 0% $1,990,200 $0 32% $0 $0 0% $0 $0 0% $6,268,240
New York $34,111,900 $31,846,629 $2,265,271 7% $26,333,142 $0 $26,333,142 5% $106,716,823 22% $0 0% $0 0% $0 $14,884,391 3% $0 $153,799,470 32% $0 $142,917,431 30% $0 $732,602 0.2% $479,495,759
North Carolina $11,495,064 $11,495,064 $0 16% $2,612,392 $0 $2,612,392 4% $23,827,375 33% $0 0% $3,000,000 4% $0 $0 0% $0 $14,341,033 20% $0 $10,237,072 14% $3,500,000 $3,500,000 10% $72,512,936
North Dakota $500,000 $500,000 $0 19% $161,348 $161,348 $0 6% $240,351 9% $0 0% $0 0% $0 $0 0% $0 $0 0% $280,000 $1,500,000 66% $0 $0 0% $2,681,699
Northern Mariana Islands $50,000 -- -- 77% $10,478 -- -- 16% $4,074 6% $0 0% $0 0% -- -- -- -- -- -- -- -- -- -- -- -- $64,552
Ohio $7,122,704 $7,122,704 $0 13% $0 $0 $0 0% $17,420,178 31% $0 0% $0 0% $0 $0 0% $0 $0 0% $12,000,000 $8,000,000 36% $6,000,000 $5,500,000 21% $56,042,882
Oklahoma $3,598,969 $2,978,687 $620,282 16% $0 $0 $0 0% $4,730,441 20% $0 0% $0 0% $0 $0 0% $0 $786,000 3% $0 $8,000,000 35% $0 $6,000,000 26% $23,115,410
Oregon $1,145,186 $1,145,186 $0 13% $0 $0 $0 0% $4,891,761 57% $0 0% $0 0% $0 $0 0% $0 $0 0% $0 $2,500,000 29% $0 $0 0% $8,536,947
Pennsylvania $10,617,820 $0 $10,617,820 10% $0 $0 $0 0% $28,064,078 27% $0 0% $0 0% $0 $0 0% $0 $0 0% $26,532,000 $20,000,000 45% $0 $18,824,756 18% $104,038,654
Puerto Rico $5,757,976 $5,729,618 $28,358 10% $14,277,230 $0 $14,277,230 24% $15,260,275 25% $3,972,304 7% $11,000,000 18% $0 $0 0% $0 $0 0% $0 $3,500,000 6% $1,143,176 $5,000,000 10% $59,910,961
Republic of Palau $20,449 -- -- 83% $0 $0 -- 0% $4,147 17% $0 0% $0 0% -- -- -- -- -- -- -- -- -- -- -- -- $24,596
Rhode Island $1,525,502 $0 $1,525,502 11% $2,505,974 $1,305,974 $1,200,000 19% $2,005,101 15% $0 0% $0 0% $0 $0 0% $0 $0 0% $0 $5,800,000 43% $1,498,264 $0 11% $13,334,841
South Carolina $10,170,016 $3,390,463 $6,779,553 12% $12,038,386 $5,000,000 $7,038,386 15% $13,616,923 16% $0 0% $0 0% $0 $0 0% $0 $5,500,000 7% $16,196,291 $9,794,347 31% $0 $15,306,270 19% $82,622,233
South Dakota $500,000 $415,767 $84,233 15% $0 $0 $0 0% $439,965 13% $0 0% $0 0% $0 $0 0% $0 $0 0% $815,910 $1,684,090 73% $0 $0 0% $3,439,965
Tennessee $5,053,896 $5,053,896 $0 7% $0 $0 $0 0% $14,041,408 21% $0 0% $9,000,000 13% $0 $0 0% $200,000 $7,000,000 11% $0 $19,000,000 28% $0 $14,135,481 21% $68,430,785
Texas $23,581,066 $23,581,066 $0 17% $1,884,208 $1,884,208 $0 1% $68,823,596 49% $0 0% $0 0% $0 $0 0% $15,182,521 $30,504,191 33% $0 $0 0% $583,332 $0 0.4% $140,558,914
Utah $1,720,141 $1,515,696 $204,445 13% $1,999,675 $1,831,903 $167,772 15% $2,260,932 17% $167,772 1% $1,322,937 10% $0 $0 0% $0 $0 0% $1,780,964 $3,500,000 39% $0 $761,314 6% $13,513,735
Vermont $500,000 $500,000 $0 23% $0 $0 $0 0% $407,375 19% $0 0% $0 0% $0 $0 0% $0 $0 0% $522,000 $750,000 58% $0 $0 0% $2,179,375
Virgin Islands (U.S.) $500,000 $342,500 $157,500 25% $650,838 $187,509 $463,329 32% $517,367 25% $0 0% $0 0% $0 $0 0% $196,875 $0 10% $171,460 $0 8% $0 $0 0% $2,036,540
Virginia $7,068,769 $7,068,769 $0 8% $0 $0 $0 0% $18,646,378 22% $0 0% $11,000,000 13% $0 $0 0% $103,371 $1,576,747 2% $23,532,989 $4,814,738 33% $1,779,867 $16,762,942 22% $85,285,801
Washington $3,612,726 $3,612,726 $0 7% $0 $0 $0 0% $10,180,306 20% $0 0% $0 0% $0 $0 0% $1,050,000 $0 2% $16,045,193 $19,936,064 71% $0 $49,061 0.1% $50,873,350
West Virginia $1,008,638 $1,008,638 $0 13% $0 $0 $0 0% $1,442,108 19% $0 0% $0 0% $0 $0 0% $10,000 $0 0.1% $1,864,875 $3,380,253 68% $0 $0 0% $7,705,874
Wisconsin $3,588,620 $3,588,620 $0 11% $2,509,106 $2,509,106 $0 8% $4,741,847 15% $0 0% $0 0% $0 $0 0% $4,000,000 $1,306,200 17% $0 $11,260,520 35% $363,807 $4,364,059 15% $32,134,159
Wyoming $500,000 $500,000 $0 34% $0 $0 $0 0% $253,387 17% $0 0% $0 0% $0 $0 0% $70,000 $250,000 22% $0 $400,000 27% $0 $0 0% $1,473,387
Total $314,634,413 $284,065,044 $30,190,621 11% $165,414,702 $73,416,950 $91,987,274 6% $820,593,854 29% $18,864,324 1% $53,770,073 2% $0 $15,035,437 1% $80,965,903 $253,725,688 12% $233,347,593 $654,384,823 32% $57,069,382 $131,342,386 7% $2,799,148,578

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State/Territory Part B Base Part B Base Contribution Allocated to Part B Part B Base Contribution Allocated to ADAP % of Total Budget Part B Supplemental 1 Part B Supplemental Allocated to Part B Part B Supplemental Allocated to ADAP % of Total Budget Part B ADAP Earmark % of Total Budget Part B ADAP Supplemental 2 % of Total Budget ADAP Emergency Funding % of Total Budget Part A Contribution Allocated to Part B Part A Contribution Allocated to ADAP % of Total Budget Part B State Contribution ADAP State Contribution % of Total Budget Part B Estimated Drug Rebates ADAP Estimated Drug Rebates % of Total Budget Part B Other State or Federal ADAP Other State or Federal % of Total Budget Total FY2018 Budget
Alabama $8,060,177 $7,791,814 $268,363 18% $12,335,911 $2,500,000 $9,835,911 28% $10,594,199 24% $0 0% $0 0% $0 $0 0% $500,000 $2,419,796 7% $0 $10,000,000 22% $317,008 $364,316 2% $44,591,407
Alaska $500,000 $500,000 $0 28% $425,451 $425,451 $0 24% $580,102 33% $0 0% $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $261,380 $14,757 15% $1,781,690
American Samoa $32,093 -- -- 98% $0 -- -- 0% $815 2% $0 0% $0 0% -- -- 0% -- -- -- -- -- -- -- -- -- $32,908
Arizona $4,113,644 $4,113,644 $0 13% $0 $0 $0 0% $12,000,459 39% $0 0% $0 0% $0 $0 0% $0 $873,000 3% $12,000,000 $2,000,000 45% $0 $0 0% $30,987,103
Arkansas $3,374,295 $3,374,295 $0 20% $0 $0 $0 0% $4,552,010 27% $0 0% $0 0% $0 $0 0% $0 $0 0% $2,000,000 $1,000,000 17% $5,739,607 $500,000 36% $17,165,912
California $33,135,968 $33,135,968 $0 13% $23,765,871 $6,790,871 $16,975,000 9% $105,659,276 42% $0 0% $11,000,000 4% $0 $0 0% $0 $0 0% $0 $78,146,342 31% $0 $2,029,586 1% $253,737,043
Colorado $3,362,667 $3,362,667 $0 11% $0 $0 $0 0% $9,768,043 31% $0 0% $0 0% $0 $0 0% $0 $4,160,614 13% $8,200,000 $4,514,798 41% $971,000 $140,000 4% $31,117,122
Connecticut $2,728,988 $2,728,988 $0 8% $0 $0 $0 0% $8,869,373 25% $0 0% $0 0% $0 $0 0% $898,828 $0 2% $3,272,148 $20,192,670 65% $0 $0 0% $35,962,007
Delaware $2,027,597 $2,027,597 $0 19% $0 $0 $0 0% $2,665,049 25% $0 0% $0 0% $0 $0 0% $0 $0 0% $1,000,000 $5,000,000 56% $0 $0 0% $10,692,646
District of Columbia $3,718,903 $0 $3,718,903 20% $0 $0 $0 0% $6,300,456 33% $0 0% $0 0% $0 $0 0% $3,930,647 $0 21% $0 $5,000,000 26% $0 $0 0% $18,950,006
Federated States of Micronesia $50,000 -- -- 98% $0 -- -- 0% $815 2% $0 0% $0 0% -- -- -- -- -- -- -- -- -- -- -- -- $50,815
Florida $30,367,329 $30,367,329 $0 12% $20,900,239 $20,900,239 $0 8% $89,515,812 36% $0 0% $0 0% $0 $0 0% $31,642,087 $6,000,000 15% $6,655,600 $55,000,000 25% $5,987,503 $0 2% $246,068,570
Georgia $13,986,055 $13,986,055 $0 16% $2,060,818 $0 $2,060,818 2% $37,634,950 44% $8,934,091 11% $5,261,556 6% $0 $0 0% $6,548,930 $10,297,357 20% $0 $0 0% $0 $296,140 0% $85,019,897
Guam $200,000 -- -- 75% $0 -- -- 0% $65,180 25% $0 0% $0 0% -- -- -- -- -- -- -- -- -- -- -- -- $265,180
Hawaii $1,640,178 $1,640,178 $0 28% $0 $0 $0 0% $2,155,830 36% $0 0% $0 0% $0 $0 0% $0 $0 0% $2,117,239 $0 36% $0 $0 0% $5,913,247
Idaho $577,100 $577,100 $0 6% $2,934,719 $1,343,754 $1,590,965 29% $758,533 8% $400,000 4% $1,290,295 13% $0 $0 0% $0 $801,800 8% $0 $3,300,000 33% $0 $0 0% $10,062,447
Illinois $9,546,822 $9,546,822 $0 15% $0 $0 $0 0% $30,334,787 47% $2,669,140 4% $0 0% $0 $0 0% $0 $10,000,000 15% $4,449,712 $7,550,288 19% $0 $797 0.001% $64,551,546
Indiana $3,609,343 $3,609,343 $0 7% $11,509,813 $11,509,813 $0 21% $8,643,687 16% $2,721,017 5% $0 0% $0 $0 0% $0 $0 0% $12,000,000 $15,000,000 50% $667,532 $0 1% $54,151,392
Iowa $1,438,100 $0 $1,438,100 7% $10,760,441 $8,797,941 $1,962,500 51% $1,890,221 9% $0 0% $0 0% $0 $0 0% $0 $58,987 0% $6,871,458 $0 33% $0 $0 0% $21,019,207
Kansas $1,095,007 $1,095,007 $0 27% $0 $0 $0 0% $2,539,577 62% $0 0% $0 0% $0 $0 0% $125,125 $0 3% $0 $0 0% $0 $363,456 9% $4,123,165
Kentucky $4,092,386 $4,092,386 $0 34% $0 $0 $0 0% $5,378,982 45% $0 0% $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $2,429,278 $0 20% $11,900,646
Louisiana $6,476,557 $4,942,557 $1,534,000 10% $0 $0 $0 0% $17,387,588 26% $0 0% $0 0% $0 $0 0% $0 $0 0% $14,070,000 $29,000,000 64% $0 $0 0% $66,934,145
Maine $786,616 $642,442 $144,174 16% $1,627,018 $0 $1,627,018 33% $1,033,918 21% $0 0% $0 0% $0 $0 0% $33,700 $22,500 1% $400,000 $1,000,000 29% $0 $0 0% $4,903,752
Marshall Islands $26,206 -- -- 97% $0 -- -- 0% $815 3% $0 0% $0 0% -- -- -- -- -- -- -- -- -- -- -- -- $27,021
Maryland $7,975,128 $7,975,128 $0 8% $0 $0 $0 0% $26,740,923 26% $0 0% $0 0% $0 $0 0% $0 $0 0% $31,324,033 $20,000,000 50% $2,802,022 $14,117,488 16% $102,959,594
Massachusetts $5,204,324 $5,204,324 $0 13% $5,104,136 $940,000 $4,164,136 13% $16,095,394 41% $0 0% $0 0% $0 $47,388 0% $3,543,909 $1,467,978 13% $4,200,000 $3,300,000 19% $0 $0 0% $38,963,129
Michigan $5,067,469 $5,067,469 $0 11% $0 $0 $0 0% $13,579,445 29% $0 0% $0 0% $0 $0 0% $0 $0 0% $0 $10,500,000 23% $17,344,000 $0 37% $46,490,914
Minnesota $2,043,212 $1,723,300 $319,912 7% $2,269,463 $1,544,086 $725,377 8% $6,444,676 22% $0 0% $0 0% $0 $0 0% $1,156,169 $1,063,678 7% $8,399,018 $2,967,530 38% $5,350,000 $0 18% $29,693,746
Mississippi $5,778,432 $5,778,432 $0 31% $3,510,443 $3,510,443 $0 19% $7,819,160 42% $0 0% $0 0% $0 $0 0% $700,000 $700,000 8% $0 $0 0% $0 $0 0% $18,508,035
Missouri $3,486,897 $3,486,897 $0 7% $589,105 $0 $589,105 1% $10,281,335 20% $0 0% $0 0% $0 $0 0% $6,786,505 $0 13% $0 $29,500,000 58% $206,542 $0 0.4% $50,850,384
Montana $500,000 $355,176 $144,824 18% $566,491 $202,298 $364,193 20% $364,193 13% $0 0% $895,285 32% $0 $0 0% $36,447 $46,337 3% $0 $249,804 9% $125,064 $0 4% $2,783,621
Nebraska $1,242,221 $1,202,221 $40,000 7% $1,317,007 $1,317,007 $0 7% $1,632,760 9% $0 0% $0 0% $0 $0 0% $0 $750,000 4% $350,000 $4,000,000 25% $0 $8,329,000 47% $17,620,988
Nevada $2,187,045 $2,187,045 $0 6% $0 $0 $0 0% $6,855,310 17% $0 0% $0 0% $0 $0 0% $2,260,589 $0 6% $2,596,703 $11,188,876 35% $0 $14,250,361 36% $39,338,884
New Hampshire $500,000 $500,000 $0 9% $0 $0 $0 0% $978,515 18% $0 0% $0 0% $0 $103,658 2% $0 $0 0% $1,000,000 $3,000,000 72% $0 $0 0% $5,582,173
New Jersey $10,105,758 $10,105,758 $0 9% $754,999 $754,999 $0 1% $30,505,884 28% $0 0% $0 0% $0 $0 0% $0 $0 0% $12,700,000 $56,000,000 62% $0 $0 0% $110,066,641
New Mexico $1,848,454 $1,549,073 $299,381 29% $0 $0 $0 0% $2,429,586 39% $0 0% $0 0% $0 $0 0% $1,990,200 $0 32% $0 $0 0% $0 $0 0% $6,268,240
New York $34,111,900 $31,846,629 $2,265,271 7% $26,333,142 $0 $26,333,142 5% $106,716,823 22% $0 0% $0 0% $0 $14,884,391 3% $0 $153,799,470 32% $0 $142,917,431 30% $0 $732,602 0.2% $479,495,759
North Carolina $11,495,064 $11,495,064 $0 16% $2,612,392 $0 $2,612,392 4% $23,827,375 33% $0 0% $3,000,000 4% $0 $0 0% $0 $14,341,033 20% $0 $10,237,072 14% $3,500,000 $3,500,000 10% $72,512,936
North Dakota $500,000 $500,000 $0 19% $161,348 $161,348 $0 6% $240,351 9% $0 0% $0 0% $0 $0 0% $0 $0 0% $280,000 $1,500,000 66% $0 $0 0% $2,681,699
Northern Mariana Islands $50,000 -- -- 77% $10,478 -- -- 16% $4,074 6% $0 0% $0 0% -- -- -- -- -- -- -- -- -- -- -- -- $64,552
Ohio $7,122,704 $7,122,704 $0 13% $0 $0 $0 0% $17,420,178 31% $0 0% $0 0% $0 $0 0% $0 $0 0% $12,000,000 $8,000,000 36% $6,000,000 $5,500,000 21% $56,042,882
Oklahoma $3,598,969 $2,978,687 $620,282 16% $0 $0 $0 0% $4,730,441 20% $0 0% $0 0% $0 $0 0% $0 $786,000 3% $0 $8,000,000 35% $0 $6,000,000 26% $23,115,410
Oregon $1,145,186 $1,145,186 $0 13% $0 $0 $0 0% $4,891,761 57% $0 0% $0 0% $0 $0 0% $0 $0 0% $0 $2,500,000 29% $0 $0 0% $8,536,947
Pennsylvania $10,617,820 $0 $10,617,820 10% $0 $0 $0 0% $28,064,078 27% $0 0% $0 0% $0 $0 0% $0 $0 0% $26,532,000 $20,000,000 45% $0 $18,824,756 18% $104,038,654
Puerto Rico $5,757,976 $5,729,618 $28,358 10% $14,277,230 $0 $14,277,230 24% $15,260,275 25% $3,972,304 7% $11,000,000 18% $0 $0 0% $0 $0 0% $0 $3,500,000 6% $1,143,176 $5,000,000 10% $59,910,961
Republic of Palau $20,449 -- -- 83% $0 $0 -- 0% $4,147 17% $0 0% $0 0% -- -- -- -- -- -- -- -- -- -- -- -- $24,596
Rhode Island $1,525,502 $0 $1,525,502 11% $2,505,974 $1,305,974 $1,200,000 19% $2,005,101 15% $0 0% $0 0% $0 $0 0% $0 $0 0% $0 $5,800,000 43% $1,498,264 $0 11% $13,334,841
South Carolina $10,170,016 $3,390,463 $6,779,553 12% $12,038,386 $5,000,000 $7,038,386 15% $13,616,923 16% $0 0% $0 0% $0 $0 0% $0 $5,500,000 7% $16,196,291 $9,794,347 31% $0 $15,306,270 19% $82,622,233
South Dakota $500,000 $415,767 $84,233 15% $0 $0 $0 0% $439,965 13% $0 0% $0 0% $0 $0 0% $0 $0 0% $815,910 $1,684,090 73% $0 $0 0% $3,439,965
Tennessee $5,053,896 $5,053,896 $0 7% $0 $0 $0 0% $14,041,408 21% $0 0% $9,000,000 13% $0 $0 0% $200,000 $7,000,000 11% $0 $19,000,000 28% $0 $14,135,481 21% $68,430,785
Texas $23,581,066 $23,581,066 $0 17% $1,884,208 $1,884,208 $0 1% $68,823,596 49% $0 0% $0 0% $0 $0 0% $15,182,521 $30,504,191 33% $0 $0 0% $583,332 $0 0.4% $140,558,914
Utah $1,720,141 $1,515,696 $204,445 13% $1,999,675 $1,831,903 $167,772 15% $2,260,932 17% $167,772 1% $1,322,937 10% $0 $0 0% $0 $0 0% $1,780,964 $3,500,000 39% $0 $761,314 6% $13,513,735
Vermont $500,000 $500,000 $0 23% $0 $0 $0 0% $407,375 19% $0 0% $0 0% $0 $0 0% $0 $0 0% $522,000 $750,000 58% $0 $0 0% $2,179,375
Virgin Islands (U.S.) $500,000 $342,500 $157,500 25% $650,838 $187,509 $463,329 32% $517,367 25% $0 0% $0 0% $0 $0 0% $196,875 $0 10% $171,460 $0 8% $0 $0 0% $2,036,540
Virginia $7,068,769 $7,068,769 $0 8% $0 $0 $0 0% $18,646,378 22% $0 0% $11,000,000 13% $0 $0 0% $103,371 $1,576,747 2% $23,532,989 $4,814,738 33% $1,779,867 $16,762,942 22% $85,285,801
Washington $3,612,726 $3,612,726 $0 7% $0 $0 $0 0% $10,180,306 20% $0 0% $0 0% $0 $0 0% $1,050,000 $0 2% $16,045,193 $19,936,064 71% $0 $49,061 0.1% $50,873,350
West Virginia $1,008,638 $1,008,638 $0 13% $0 $0 $0 0% $1,442,108 19% $0 0% $0 0% $0 $0 0% $10,000 $0 0.1% $1,864,875 $3,380,253 68% $0 $0 0% $7,705,874
Wisconsin $3,588,620 $3,588,620 $0 11% $2,509,106 $2,509,106 $0 8% $4,741,847 15% $0 0% $0 0% $0 $0 0% $4,000,000 $1,306,200 17% $0 $11,260,520 35% $363,807 $4,364,059 15% $32,134,159
Wyoming $500,000 $500,000 $0 34% $0 $0 $0 0% $253,387 17% $0 0% $0 0% $0 $0 0% $70,000 $250,000 22% $0 $400,000 27% $0 $0 0% $1,473,387
Total $314,634,413 $284,065,044 $30,190,621 11% $165,414,702 $73,416,950 $91,987,274 6% $820,593,854 29% $18,864,324 1% $53,770,073 2% $0 $15,035,437 1% $80,965,903 $253,725,688 12% $233,347,593 $654,384,823 32% $57,069,382 $131,342,386 7% $2,799,148,578

Table 3

Download Table
State/Territory Part B FY2017 Total Budget Part B FY2018 Total Budget % Change ADAP FY2017 Total Budget ADAP FY2018 Total Budget % Change
Alabama $34,856,967 $44,591,407 28% $24,456,111 $33,482,585 37%
Alaska $1,482,387 $1,781,690 20% $761,434 $594,859 -22%
American Samoa $23,877 $32,908 38% $143 $815 470%
Arizona $26,067,093 $30,987,103 19% $21,987,191 $14,873,459 -32%
Arkansas $15,073,949 $17,165,912 14% $12,758,406 $6,052,010 -53%
California $269,279,831 $253,737,043 -6% $201,133,004 $213,810,204 6%
Colorado $30,597,639 $31,117,122 2% $21,695,458 $18,583,455 -14%
Connecticut $28,887,065 $35,962,007 24% $21,848,895 $29,062,043 33%
Delaware $9,862,533 $10,692,646 8% $7,307,416 $7,665,049 5%
District of Columbia $27,930,487 $18,950,006 -32% $17,833,982 $15,019,359 -16%
Federated States of Micronesia $50,000 $50,815 2% $0 $815 100%
Florida $220,093,958 $246,068,570 12% $151,133,740 $150,515,812 -0.4%
Georgia $81,372,052 $85,019,897 4% $60,814,896 $64,484,912 6%
Guam $260,943 $265,180 2% $60,943 $65,180 7%
Hawaii $6,150,484 $5,913,247 -4% $4,521,529 $2,155,830 -52%
Idaho $8,225,242 $10,062,447 22% $6,002,307 $8,141,593 36%
Illinois $60,684,032 $64,551,546 6% $48,116,423 $50,555,012 5%
Indiana $77,941,841 $54,151,392 -31% $27,591,439 $26,364,704 -4%
Iowa $22,685,054 $21,019,207 -7% $2,917,636 $5,349,808 83%
Kansas $4,473,061 $4,123,165 -8% $2,903,673 $2,903,033 -0.02%
Kentucky $39,780,597 $11,900,646 -70% $23,275,597 $5,378,982 -77%
Louisiana $66,701,269 $66,934,145 0.3% $42,638,819 $47,921,588 12%
Maine $5,871,849 $4,903,752 -16% $3,297,596 $3,827,610 16%
Marshall Islands $48,436 $27,021 -44% $813 $815 0.2%
Maryland $88,506,476 $102,959,594 16% $58,153,556 $60,858,411 5%
Massachusetts $49,090,641 $38,963,129 -21% $18,781,182 $25,074,896 34%
Michigan $45,578,331 $46,490,914 2% $23,240,135 $24,079,445 4%
Minnesota $22,605,277 $29,693,746 31% $12,832,733 $11,521,173 -10%
Mississippi $24,215,098 $18,508,035 -24% $13,867,976 $8,519,160 -39%
Missouri $58,740,775 $50,850,384 -13% $53,296,752 $40,370,440 -24%
Montana $3,149,977 $2,783,621 -12% $2,055,350 $2,064,636 0.5%
Nebraska $14,440,820 $17,620,988 22% $8,188,283 $14,751,760 80%
Nevada $47,450,749 $39,338,884 -17% $27,563,474 $32,294,547 17%
New Hampshire $5,463,709 $5,582,173 2% $2,963,709 $4,082,173 38%
New Jersey $90,174,281 $110,066,641 22% $77,213,006 $86,505,884 12%
New Mexico $5,821,667 $6,268,240 8% $2,397,084 $2,728,967 14%
New York $376,387,202 $479,495,759 27% $375,887,951 $447,649,130 19%
North Carolina $80,930,967 $72,512,936 -10% $63,533,427 $57,517,872 -9%
North Dakota $2,463,706 $2,681,699 9% $1,410,439 $1,740,351 23%
Northern Mariana Islands $94,201 $64,552 -31% $1,625 $4,074 151%
Ohio $37,352,200 $56,042,882 50% $31,796,650 $30,920,178 -3%
Oklahoma $26,775,615 $23,115,410 -14% $24,004,823 $20,136,723 -16%
Oregon $13,477,972 $8,536,947 -37% $11,749,476 $7,391,761 -37%
Pennsylvania $102,697,473 $104,038,654 1% $86,517,299 $77,506,654 -10%
Puerto Rico $56,988,304 $59,910,961 5% $51,205,515 $53,038,167 4%
Republic of Palau $53,250 $24,596 -54% $3,250 $4,147 28%
Rhode Island $5,869,017 $13,334,841 127% $1,911,979 $10,530,603 451%
South Carolina $57,917,967 $82,622,233 43% $33,040,409 $58,035,479 76%
South Dakota $3,791,172 $3,439,965 -9% $2,415,224 $2,208,288 -9%
Tennessee $65,350,765 $68,430,785 5% $60,350,765 $63,176,889 5%
Texas $158,122,298 $140,558,914 -11% $116,905,105 $99,327,787 -15%
Utah $13,862,591 $13,513,735 -3% $9,277,188 $8,385,172 -10%
Vermont $2,507,098 $2,179,375 -13% $907,098 $1,157,375 28%
Virgin Islands (U.S.) $2,329,563 $2,036,540 -13% $1,070,103 $1,138,196 6%
Virginia $81,796,927 $85,285,801 4% $57,364,253 $52,800,805 -8%
Washington $36,700,000 $50,873,350 39% $24,000,000 $30,165,431 26%
West Virginia $6,281,223 $7,705,874 23% $5,243,938 $4,822,361 -8%
Wisconsin $28,427,955 $32,134,159 13% $21,680,159 $21,672,626 -0.03%
Wyoming $1,485,500 $1,473,387 -1% $950,759 $903,387 -5%
Total $2,655,301,413 $2,799,148,578 5% $1,984,838,126 $2,069,894,480 4%
Comparison Total 1 $2,654,770,706 $2,798,683,506 5% $1,984,771,352 $2,069,818,634 4%
State/Territory Part B FY2017 Total Budget Part B FY2018 Total Budget % Change ADAP FY2017 Total Budget ADAP FY2018 Total Budget % Change
Alabama $34,856,967 $44,591,407 28% $24,456,111 $33,482,585 37%
Alaska $1,482,387 $1,781,690 20% $761,434 $594,859 -22%
American Samoa $23,877 $32,908 38% $143 $815 470%
Arizona $26,067,093 $30,987,103 19% $21,987,191 $14,873,459 -32%
Arkansas $15,073,949 $17,165,912 14% $12,758,406 $6,052,010 -53%
California $269,279,831 $253,737,043 -6% $201,133,004 $213,810,204 6%
Colorado $30,597,639 $31,117,122 2% $21,695,458 $18,583,455 -14%
Connecticut $28,887,065 $35,962,007 24% $21,848,895 $29,062,043 33%
Delaware $9,862,533 $10,692,646 8% $7,307,416 $7,665,049 5%
District of Columbia $27,930,487 $18,950,006 -32% $17,833,982 $15,019,359 -16%
Federated States of Micronesia $50,000 $50,815 2% $0 $815 100%
Florida $220,093,958 $246,068,570 12% $151,133,740 $150,515,812 -0.4%
Georgia $81,372,052 $85,019,897 4% $60,814,896 $64,484,912 6%
Guam $260,943 $265,180 2% $60,943 $65,180 7%
Hawaii $6,150,484 $5,913,247 -4% $4,521,529 $2,155,830 -52%
Idaho $8,225,242 $10,062,447 22% $6,002,307 $8,141,593 36%
Illinois $60,684,032 $64,551,546 6% $48,116,423 $50,555,012 5%
Indiana $77,941,841 $54,151,392 -31% $27,591,439 $26,364,704 -4%
Iowa $22,685,054 $21,019,207 -7% $2,917,636 $5,349,808 83%
Kansas $4,473,061 $4,123,165 -8% $2,903,673 $2,903,033 -0.02%
Kentucky $39,780,597 $11,900,646 -70% $23,275,597 $5,378,982 -77%
Louisiana $66,701,269 $66,934,145 0.3% $42,638,819 $47,921,588 12%
Maine $5,871,849 $4,903,752 -16% $3,297,596 $3,827,610 16%
Marshall Islands $48,436 $27,021 -44% $813 $815 0.2%
Maryland $88,506,476 $102,959,594 16% $58,153,556 $60,858,411 5%
Massachusetts $49,090,641 $38,963,129 -21% $18,781,182 $25,074,896 34%
Michigan $45,578,331 $46,490,914 2% $23,240,135 $24,079,445 4%
Minnesota $22,605,277 $29,693,746 31% $12,832,733 $11,521,173 -10%
Mississippi $24,215,098 $18,508,035 -24% $13,867,976 $8,519,160 -39%
Missouri $58,740,775 $50,850,384 -13% $53,296,752 $40,370,440 -24%
Montana $3,149,977 $2,783,621 -12% $2,055,350 $2,064,636 0.5%
Nebraska $14,440,820 $17,620,988 22% $8,188,283 $14,751,760 80%
Nevada $47,450,749 $39,338,884 -17% $27,563,474 $32,294,547 17%
New Hampshire $5,463,709 $5,582,173 2% $2,963,709 $4,082,173 38%
New Jersey $90,174,281 $110,066,641 22% $77,213,006 $86,505,884 12%
New Mexico $5,821,667 $6,268,240 8% $2,397,084 $2,728,967 14%
New York $376,387,202 $479,495,759 27% $375,887,951 $447,649,130 19%
North Carolina $80,930,967 $72,512,936 -10% $63,533,427 $57,517,872 -9%
North Dakota $2,463,706 $2,681,699 9% $1,410,439 $1,740,351 23%
Northern Mariana Islands $94,201 $64,552 -31% $1,625 $4,074 151%
Ohio $37,352,200 $56,042,882 50% $31,796,650 $30,920,178 -3%
Oklahoma $26,775,615 $23,115,410 -14% $24,004,823 $20,136,723 -16%
Oregon $13,477,972 $8,536,947 -37% $11,749,476 $7,391,761 -37%
Pennsylvania $102,697,473 $104,038,654 1% $86,517,299 $77,506,654 -10%
Puerto Rico $56,988,304 $59,910,961 5% $51,205,515 $53,038,167 4%
Republic of Palau $53,250 $24,596 -54% $3,250 $4,147 28%
Rhode Island $5,869,017 $13,334,841 127% $1,911,979 $10,530,603 451%
South Carolina $57,917,967 $82,622,233 43% $33,040,409 $58,035,479 76%
South Dakota $3,791,172 $3,439,965 -9% $2,415,224 $2,208,288 -9%
Tennessee $65,350,765 $68,430,785 5% $60,350,765 $63,176,889 5%
Texas $158,122,298 $140,558,914 -11% $116,905,105 $99,327,787 -15%
Utah $13,862,591 $13,513,735 -3% $9,277,188 $8,385,172 -10%
Vermont $2,507,098 $2,179,375 -13% $907,098 $1,157,375 28%
Virgin Islands (U.S.) $2,329,563 $2,036,540 -13% $1,070,103 $1,138,196 6%
Virginia $81,796,927 $85,285,801 4% $57,364,253 $52,800,805 -8%
Washington $36,700,000 $50,873,350 39% $24,000,000 $30,165,431 26%
West Virginia $6,281,223 $7,705,874 23% $5,243,938 $4,822,361 -8%
Wisconsin $28,427,955 $32,134,159 13% $21,680,159 $21,672,626 -0.03%
Wyoming $1,485,500 $1,473,387 -1% $950,759 $903,387 -5%
Total $2,655,301,413 $2,799,148,578 5% $1,984,838,126 $2,069,894,480 4%
Comparison Total 1 $2,654,770,706 $2,798,683,506 5% $1,984,771,352 $2,069,818,634 4%

Table 4

Download Table
State/Territory 2017 Part B Base Contribution Allocated to Part B 2018 Part B Base Contribution Allocated to Part B % Change 2017 Part B Base Contribution Allocated to ADAP 2018 Part B Base Contribution Allocated to ADAP % Change 2017 Part B Supplemental Directed to Part B 2018 Part B Supplemental Directed to Part B % Change 2017 Part B Supplemental Directed to ADAP 2018 Part B Supplemental Directed to ADAP % Change 2017 Part B ADAP Earmark 2018 Part B ADAP Earmark % Change 2017 Part B ADAP Supplemental 2018 Part B ADAP Supplemental 1 % Change 2017 ADAP Emergency Funding 2018 ADAP Emergency Funding % Change 2017 Part A Contribution Allocated to Part B 2018 Part A Contribution Allocated to Part B % Change 2017 Part A Contribution Allocated to ADAP 2018 Part A Contribution Allocated to ADAP % Change Part B 2017 State Contribution Part B 2018 State Contribution % Change ADAP 2017 State Contribution ADAP 2018 State Contribution % Change Part B 2017 Estimated Drug Rebates Part B 2018 Estimated Drug Rebates % Change ADAP 2017 Estimated Drug Rebates ADAP 2018 Estimated Drug Rebates % Change
Alabama $5,341,622 $7,791,814 46% $2,550,000 $268,363 -89% $0 $2,500,000 100% $4,000,000 $9,835,911 146% $10,081,565 $10,594,199 5% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $500,000 $500,000 0% $1,919,796 $2,419,796 26% $2,250,000 $0 -100% $7,750,000 $10,000,000 29%
Alaska $500,000 $500,000 0% $0 $0 0% $152,453 $425,451 179% $0 $0 0% $567,987 $580,102 2% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0%
American Samoa -- -- -- -- -- -- -- -- -- -- -- -- $143 $815 470% $0 $0 0% $0 $0 0% -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Arizona $4,079,902 $4,113,644 1% $0 $0 0% $0 $0 0% $0 $0 0% $11,586,446 $12,000,459 4% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $873,000 $873,000 0% $12,876,261 $12,000,000 -7% $2,054,169 $2,000,000 -3%
Arkansas $3,324,876 $3,374,295 1% $0 $0 0% $0 $0 0% $0 $0 0% $4,368,380 $4,552,010 4% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $2,800,000 $2,000,000 -29% $1,000,000 $1,000,000 0%
California $33,146,827 $33,135,968 -0.03% $0 $0 0% $35,000,000 $6,790,871 -81% $0 $16,975,000 100% $102,954,339 $105,659,276 3% $0 $0 0% $9,000,000 $11,000,000 22% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $85,303,627 $78,146,342 -8%
Colorado $3,402,181 $3,362,667 -1% $0 $0 0% $0 $0 0% $0 $0 0% $9,644,402 $9,768,043 1% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $1,451,056 $4,160,614 187% $5,500,000 $8,200,000 49% $6,500,000 $4,514,798 -31%
Connecticut $2,794,701 $2,728,988 -2% $0 $0 0% $0 $0 0% $0 $0 0% $8,848,895 $8,869,373 0.2% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $861,928 $898,828 4% $0 $0 0% $3,381,541 $3,272,148 -3% $13,000,000 $20,192,670 55%
Delaware $2,055,117 $2,027,597 -1% $0 $0 0% $0 $0 0% $0 $0 0% $2,625,416 $2,665,049 2% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $500,000 $1,000,000 100% $4,500,000 $5,000,000 11%
District of Columbia $0 $0 0% $3,828,733 $3,718,903 -3% $0 $0 0% $0 $0 0% $12,905,249 $6,300,456 -51% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $10,096,505 $3,930,647 -61% $0 $0 0% $0 $0 0% $1,100,000 $5,000,000 355%
Federated States of Micronesia -- -- -- -- -- -- -- -- -- -- -- -- $0 $815 100% $0 $0 0% $0 $0 0% -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Florida $30,743,307 $30,367,329 -1% $0 $0 0% $0 $20,900,239 100% $0 $0 0% $88,224,056 $89,515,812 1% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $32,513,966 $31,642,087 -3% $10,100,000 $6,000,000 -41% $5,702,945 $6,655,600 17% $52,809,684 $55,000,000 4%
Georgia $13,448,517 $13,986,055 4% $0 $0 0% $0 $0 0% $700,000 $2,060,818 194% $35,272,071 $37,634,950 7% $8,934,091 $8,934,091 0% $5,261,556 $5,261,556 0% $0 $0 0% $0 $0 0% $6,631,878 $6,548,930 -1% $10,194,676 $10,297,357 1% $0 $0 0% $0 $0 0%
Guam -- -- -- -- -- -- -- -- -- -- -- -- $60,943 $65,180 7% $0 $0 0% $0 $0 0% -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Hawaii $1,628,955 $1,640,178 1% $0 $0 0% $0 $0 0% $0 $0 0% $2,080,994 $2,155,830 4% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $440,535 $0 -100% $0 $2,117,239 100% $2,000,000 $0 -100%
Idaho $413,728 $577,100 39% $160,000 $0 -100% $1,809,207 $1,343,754 -26% $0 $1,590,965 100% $732,939 $758,533 3% $237,273 $400,000 69% $770,295 $1,290,295 68% $0 $0 0% $0 $0 0% $0 $0 0% $801,800 $801,800 0% $0 $0 0% $3,300,000 $3,300,000 0%
Illinois $9,567,609 $9,546,822 -0.2% $0 $0 0% $0 $0 0% $0 $0 0% $29,606,015 $30,334,787 2% $2,669,140 $2,669,140 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $2,500,000 $10,000,000 300% $3,000,000 $4,449,712 48% $12,000,000 $7,550,288 -37%
Indiana $3,609,959 $3,609,343 -0.02% $0 $0 0% $26,365,550 $11,509,813 -56% $0 $0 0% $8,405,232 $8,643,687 3% $2,721,017 $2,721,017 0% $0 $0 0% $0 $0 0% $0 $0 0% $1,703,623 $0 -100% $0 $0 0% $18,567,130 $12,000,000 -35% $16,465,190 $15,000,000 -9%
Iowa $280,945 $0 -100% $1,123,480 $1,438,100 28% $12,286,473 $8,797,941 -28% $0 $1,962,500 100% $1,794,156 $1,890,221 5% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $58,987 100% $7,200,000 $6,871,458 -5% $0 $0 0%
Kansas $1,104,957 $1,095,007 -1% $0 $0 0% $0 $0 0% $0 $0 0% $2,490,529 $2,539,577 2% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $207,932 $125,125 -40% $0 $0 0% $0 $0 0% $0 $0 0%
Kentucky $0 $4,092,386 100% $4,072,706 $0 -100% $0 $0 0% $0 $0 0% $5,202,891 $5,378,982 3% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $14,000,000 $0 -100% $14,000,000 $0 -100%
Louisiana $5,562,450 $4,942,557 -11% $839,731 $1,534,000 83% $0 $0 0% $0 $0 0% $16,799,088 $17,387,588 4% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $18,500,000 $14,070,000 -24% $25,000,000 $29,000,000 16%
Maine $633,487 $642,442 1% $162,863 $144,174 -11% $0 $0 0% $1,776,038 $1,627,018 -8% $1,017,339 $1,033,918 2% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $37,372 $33,700 -10% $124,740 $22,500 -82% $127,356 $400,000 214% $1,992,654 $1,000,000 -50%
Marshall Islands -- -- -- -- -- -- -- -- -- -- -- -- $813 $815 0.2% $0 $0 0% $0 $0 0% -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Maryland $7,965,275 $7,975,128 0.1% $0 $0 0% $0 $0 0% $0 $0 0% $25,998,201 $26,740,923 3% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $18,301,461 $31,324,033 71% $25,000,000 $20,000,000 -20%
Massachusetts $4,989,140 $5,204,324 4% $0 $0 0% $0 $940,000 100% $0 $4,164,136 100% $14,460,547 $16,095,394 11% $0 $0 0% $0 $0 0% $0 $0 0% $170,635 $47,388 -72% $21,163,336 $3,543,909 -83% $850,000 $1,467,978 73% $4,100,000 $4,200,000 2% $3,300,000 $3,300,000 0%
Michigan $4,994,196 $5,067,469 1% $0 $0 0% $0 $0 0% $0 $0 0% $13,040,135 $13,579,445 4% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $10,200,000 $10,500,000 3%
Minnesota $2,040,110 $1,723,300 -16% $0 $319,912 100% $900,000 $1,544,086 72% $0 $725,377 100% $6,262,483 $6,444,676 3% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $1,156,169 $1,156,169 0% $1,062,676 $1,063,678 0.1% $5,676,265 $8,399,018 48% $5,507,574 $2,967,530 -46%
Mississippi $4,326,105 $5,778,432 34% $1,578,085 $0 -100% $5,113,766 $3,510,443 -31% $1,261,234 $0 -100% $7,764,926 $7,819,160 1% $2,513,731 $0 -100% $0 $0 0% $0 $0 0% $0 $0 0% $907,251 $700,000 -23% $750,000 $700,000 -7% $0 $0 0% $0 $0 0%
Missouri $3,508,508 $3,486,897 -1% $0 $0 0% $0 $0 0% $8,700,000 $589,105 -93% $10,064,501 $10,281,335 2% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $1,754,254 $6,786,505 287% $5,032,251 $0 -100% $0 $0 0% $29,500,000 $29,500,000 0%
Montana $0 $355,176 100% $500,000 $144,824 -71% $1,059,801 $202,298 -81% $27,917 $364,193 1205% $349,405 $364,193 4% $27,917 $0 -100% $895,285 $895,285 0% $0 $0 0% $0 $0 0% $6,979 $36,447 422% $6,979 $46,337 564% $0 $0 0% $220,000 $249,804 14%
Nebraska $1,228,944 $1,202,221 -2% $40,000 $40,000 0% $3,167,740 $1,317,007 -58% $248,260 $0 -100% $1,621,079 $1,632,760 1% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $750,000 $750,000 0% $1,088,805 $350,000 -68% $4,000,000 $4,000,000 0%
Nevada $2,147,677 $2,187,045 2% $0 $0 0% $1,902,971 $0 -100% $0 $0 0% $6,541,195 $6,855,310 5% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $2,260,589 100% $0 $0 0% $2,167,810 $2,596,703 20% $10,160,580 $11,188,876 10%
New Hampshire $500,000 $500,000 0% $0 $0 0% $0 $0 0% $0 $0 0% $963,709 $978,515 2% $0 $0 0% $0 $0 0% $0 $0 0% $284,963 $103,658 -64% $0 $0 0% $0 $0 0% $2,000,000 $1,000,000 -50% $2,000,000 $3,000,000 50%
New Jersey $10,286,108 $10,105,758 -2% $0 $0 0% $1,097,877 $754,999 -31% $0 $0 0% $30,213,006 $30,505,884 1% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $12,700,000 100% $47,000,000 $56,000,000 19%
New Mexico $1,876,383 $1,549,073 -17% $0 $299,381 100% $0 $0 0% $0 $0 0% $2,397,084 $2,429,586 1% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $1,548,200 $1,990,200 29% $0 $0 0% $0 $0 0% $0 $0 0%
New York $307,347 $31,846,629 10262% $34,944,689 $2,265,271 -94% $0 $0 0% $35,000,000 $26,333,142 -25% $107,486,859 $106,716,823 -1% $0 $0 0% $0 $0 0% $0 $0 0% $14,234,391 $14,884,391 5% $0 $0 0% $20,000,000 $153,799,470 669% $0 $0 0% $163,414,679 $142,917,431 -13%
North Carolina $11,497,540 $11,495,064 -0.02% $0 $0 0% $800,000 $0 -100% $6,500,000 $2,612,392 -60% $23,192,394 $23,827,375 3% $0 $0 0% $3,000,000 $3,000,000 0% $0 $0 0% $0 $0 0% $0 $0 0% $14,341,033 $14,341,033 0% $0 $0 0% $13,000,000 $10,237,072 -21%
North Dakota $303,267 $500,000 65% $196,733 $0 -100% $0 $161,348 100% $0 $0 0% $213,706 $240,351 12% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $750,000 $280,000 -63% $1,000,000 $1,500,000 50%
Northern Mariana Islands -- -- -- -- -- -- -- -- -- -- -- -- $1,625 $4,074 151% $0 $0 0% $0 $0 0% -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Ohio $5,555,550 $7,122,704 28% $0 $0 0% $0 $0 0% $0 $0 0% $16,796,650 $17,420,178 4% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $12,000,000 100% $15,000,000 $8,000,000 -47%
Oklahoma $2,770,792 $2,978,687 8% $859,850 $620,282 -28% $0 $0 0% $0 $0 0% $4,638,154 $4,730,441 2% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $786,000 $786,000 0% $0 $0 0% $12,000,000 $8,000,000 -33%
Oregon $1,728,496 $1,145,186 -34% $0 $0 0% $0 $0 0% $0 $0 0% $4,749,476 $4,891,761 3% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $7,000,000 $2,500,000 -64%
Pennsylvania $0 $0 0% $10,822,830 $10,617,820 -2% $0 $0 0% $0 $0 0% $27,850,050 $28,064,078 1% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $16,180,174 $26,532,000 64% $29,671,640 $20,000,000 -33%
Puerto Rico $5,782,789 $5,729,618 -1% $189,722 $28,358 -85% $0 $0 0% $18,214,030 $14,277,230 -22% $15,420,155 $15,260,275 -1% $3,972,304 $3,972,304 0% $9,000,000 $11,000,000 22% $0 $0 0% $0 $0 0% $0 $0 0% $1,677,500 $0 -100% $0 $0 0% $2,731,804 $3,500,000 28%
Republic of Palau -- -- -- -- -- -- -- $0 -- -- -- -- $3,250 $4,147 28% $0 $0 0% $0 $0 0% -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Rhode Island $1,496,654 $0 -100% $0 $1,525,502 100% $2,460,384 $1,305,974 -47% $0 $1,200,000 100% $1,911,979 $2,005,101 5% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $5,800,000 100%
South Carolina $10,208,283 $3,390,463 -67% $0 $6,779,553 100% $0 $5,000,000 100% $0 $7,038,386 100% $13,282,281 $13,616,923 3% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $5,500,000 100% $14,669,275 $16,196,291 10% $8,013,709 $9,794,347 22%
South Dakota $500,000 $415,767 -17% $0 $84,233 100% $0 $0 0% $0 $0 0% $415,224 $439,965 6% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $875,948 $815,910 -7% $2,000,000 $1,684,090 -16%
Tennessee $0 $5,053,896 100% $5,215,284 $0 -100% $0 $0 0% $0 $0 0% $14,135,481 $14,041,408 -1% $0 $0 0% $9,000,000 $9,000,000 0% $0 $0 0% $0 $0 0% $0 $200,000 100% $7,000,000 $7,000,000 0% $5,000,000 $0 -100% $25,000,000 $19,000,000 -24%
Texas $23,234,672 $23,581,066 1% $0 $0 0% $2,800,000 $1,884,208 -33% $0 $0 0% $66,057,126 $68,823,596 4% $21,384,601 $0 -100% $0 $0 0% $0 $0 0% $0 $0 0% $15,182,521 $15,182,521 0% $29,463,378 $30,504,191 4% $0 $0 0% $0 $0 0%
Utah $1,216,800 $1,515,696 25% $501,840 $204,445 -59% $2,498,036 $1,831,903 -27% $212,640 $167,772 -21% $2,195,566 $2,260,932 3% $167,772 $167,772 0% $1,322,937 $1,322,937 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $815,637 $1,780,964 118% $3,695,787 $3,500,000 -5%
Vermont $500,000 $500,000 0% $0 $0 0% $0 $0 0% $0 $0 0% $407,098 $407,375 0.1% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $500,000 $0 -100% $0 $0 0% $600,000 $522,000 -13% $500,000 $750,000 50%
Virgin Islands (U.S.) $13,435 $342,500 2449% $486,565 $157,500 -68% $946,025 $187,509 -80% $0 $463,329 100% $498,918 $517,367 4% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $150,000 $196,875 31% $18,000 $0 -100% $150,000 $171,460 14% $66,620 $0 -100%
Virginia $4,568,497 $7,068,769 55% $2,612,434 $0 -100% $0 $0 0% $0 $0 0% $18,410,415 $18,646,378 1% $0 $0 0% $9,000,000 $11,000,000 22% $0 $0 0% $0 $0 0% $0 $103,371 100% $2,658,673 $1,576,747 -41% $19,472,677 $23,532,989 21% $12,716,317 $4,814,738 -62%
Washington $1,370,706 $3,612,726 164% $2,247,190 $0 -100% $0 $0 0% $0 $0 0% $9,936,928 $10,180,306 2% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $687,108 $1,050,000 53% $0 $0 0% $10,642,186 $16,045,193 51% $11,815,882 $19,936,064 69%
West Virginia $1,037,285 $1,008,638 -3% $0 $0 0% $0 $0 0% $0 $0 0% $1,443,938 $1,442,108 -0.1% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $10,000 100% $0 $0 0% $0 $1,864,875 100% $3,800,000 $3,380,253 -11%
Wisconsin $3,610,212 $3,588,620 -1% $0 $0 0% $2,824,500 $2,509,106 -11% $0 $0 0% $4,636,529 $4,741,847 2% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $3,677,000 $4,000,000 9% $1,306,200 $1,306,200 0% $0 $0 0% $11,250,000 $11,260,520 0.1%
Wyoming $400,000 $500,000 25% $100,000 $0 -100% $0 $0 0% $0 $0 0% $238,083 $253,387 6% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $34,741 $70,000 101% $312,676 $250,000 -20% $100,000 $0 -100% $300,000 $400,000 33%
Total $241,603,911 $284,065,044 18% $73,032,735 $30,190,621 -59% $101,184,783 $73,416,950 -27% $76,640,119 $91,987,274 20% $808,868,044 $820,593,854 1% $42,627,846 $18,864,324 -56% $47,250,073 $53,770,073 14% $0 $0 0% $14,689,989 $15,035,437 2% $99,320,763 $80,965,903 -18% $114,420,969 $253,725,688 122% $196,995,471 $233,347,593 18% $708,639,916 $654,384,823 -8%

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State/Territory 2017 Part B Base Contribution Allocated to Part B 2018 Part B Base Contribution Allocated to Part B % Change 2017 Part B Base Contribution Allocated to ADAP 2018 Part B Base Contribution Allocated to ADAP % Change 2017 Part B Supplemental Directed to Part B 2018 Part B Supplemental Directed to Part B % Change 2017 Part B Supplemental Directed to ADAP 2018 Part B Supplemental Directed to ADAP % Change 2017 Part B ADAP Earmark 2018 Part B ADAP Earmark % Change 2017 Part B ADAP Supplemental 2018 Part B ADAP Supplemental 1 % Change 2017 ADAP Emergency Funding 2018 ADAP Emergency Funding % Change 2017 Part A Contribution Allocated to Part B 2018 Part A Contribution Allocated to Part B % Change 2017 Part A Contribution Allocated to ADAP 2018 Part A Contribution Allocated to ADAP % Change Part B 2017 State Contribution Part B 2018 State Contribution % Change ADAP 2017 State Contribution ADAP 2018 State Contribution % Change Part B 2017 Estimated Drug Rebates Part B 2018 Estimated Drug Rebates % Change ADAP 2017 Estimated Drug Rebates ADAP 2018 Estimated Drug Rebates % Change
Alabama $5,341,622 $7,791,814 46% $2,550,000 $268,363 -89% $0 $2,500,000 100% $4,000,000 $9,835,911 146% $10,081,565 $10,594,199 5% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $500,000 $500,000 0% $1,919,796 $2,419,796 26% $2,250,000 $0 -100% $7,750,000 $10,000,000 29%
Alaska $500,000 $500,000 0% $0 $0 0% $152,453 $425,451 179% $0 $0 0% $567,987 $580,102 2% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0%
American Samoa -- -- -- -- -- -- -- -- -- -- -- -- $143 $815 470% $0 $0 0% $0 $0 0% -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Arizona $4,079,902 $4,113,644 1% $0 $0 0% $0 $0 0% $0 $0 0% $11,586,446 $12,000,459 4% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $873,000 $873,000 0% $12,876,261 $12,000,000 -7% $2,054,169 $2,000,000 -3%
Arkansas $3,324,876 $3,374,295 1% $0 $0 0% $0 $0 0% $0 $0 0% $4,368,380 $4,552,010 4% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $2,800,000 $2,000,000 -29% $1,000,000 $1,000,000 0%
California $33,146,827 $33,135,968 -0.03% $0 $0 0% $35,000,000 $6,790,871 -81% $0 $16,975,000 100% $102,954,339 $105,659,276 3% $0 $0 0% $9,000,000 $11,000,000 22% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $85,303,627 $78,146,342 -8%
Colorado $3,402,181 $3,362,667 -1% $0 $0 0% $0 $0 0% $0 $0 0% $9,644,402 $9,768,043 1% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $1,451,056 $4,160,614 187% $5,500,000 $8,200,000 49% $6,500,000 $4,514,798 -31%
Connecticut $2,794,701 $2,728,988 -2% $0 $0 0% $0 $0 0% $0 $0 0% $8,848,895 $8,869,373 0.2% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $861,928 $898,828 4% $0 $0 0% $3,381,541 $3,272,148 -3% $13,000,000 $20,192,670 55%
Delaware $2,055,117 $2,027,597 -1% $0 $0 0% $0 $0 0% $0 $0 0% $2,625,416 $2,665,049 2% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $500,000 $1,000,000 100% $4,500,000 $5,000,000 11%
District of Columbia $0 $0 0% $3,828,733 $3,718,903 -3% $0 $0 0% $0 $0 0% $12,905,249 $6,300,456 -51% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $10,096,505 $3,930,647 -61% $0 $0 0% $0 $0 0% $1,100,000 $5,000,000 355%
Federated States of Micronesia -- -- -- -- -- -- -- -- -- -- -- -- $0 $815 100% $0 $0 0% $0 $0 0% -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Florida $30,743,307 $30,367,329 -1% $0 $0 0% $0 $20,900,239 100% $0 $0 0% $88,224,056 $89,515,812 1% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $32,513,966 $31,642,087 -3% $10,100,000 $6,000,000 -41% $5,702,945 $6,655,600 17% $52,809,684 $55,000,000 4%
Georgia $13,448,517 $13,986,055 4% $0 $0 0% $0 $0 0% $700,000 $2,060,818 194% $35,272,071 $37,634,950 7% $8,934,091 $8,934,091 0% $5,261,556 $5,261,556 0% $0 $0 0% $0 $0 0% $6,631,878 $6,548,930 -1% $10,194,676 $10,297,357 1% $0 $0 0% $0 $0 0%
Guam -- -- -- -- -- -- -- -- -- -- -- -- $60,943 $65,180 7% $0 $0 0% $0 $0 0% -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Hawaii $1,628,955 $1,640,178 1% $0 $0 0% $0 $0 0% $0 $0 0% $2,080,994 $2,155,830 4% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $440,535 $0 -100% $0 $2,117,239 100% $2,000,000 $0 -100%
Idaho $413,728 $577,100 39% $160,000 $0 -100% $1,809,207 $1,343,754 -26% $0 $1,590,965 100% $732,939 $758,533 3% $237,273 $400,000 69% $770,295 $1,290,295 68% $0 $0 0% $0 $0 0% $0 $0 0% $801,800 $801,800 0% $0 $0 0% $3,300,000 $3,300,000 0%
Illinois $9,567,609 $9,546,822 -0.2% $0 $0 0% $0 $0 0% $0 $0 0% $29,606,015 $30,334,787 2% $2,669,140 $2,669,140 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $2,500,000 $10,000,000 300% $3,000,000 $4,449,712 48% $12,000,000 $7,550,288 -37%
Indiana $3,609,959 $3,609,343 -0.02% $0 $0 0% $26,365,550 $11,509,813 -56% $0 $0 0% $8,405,232 $8,643,687 3% $2,721,017 $2,721,017 0% $0 $0 0% $0 $0 0% $0 $0 0% $1,703,623 $0 -100% $0 $0 0% $18,567,130 $12,000,000 -35% $16,465,190 $15,000,000 -9%
Iowa $280,945 $0 -100% $1,123,480 $1,438,100 28% $12,286,473 $8,797,941 -28% $0 $1,962,500 100% $1,794,156 $1,890,221 5% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $58,987 100% $7,200,000 $6,871,458 -5% $0 $0 0%
Kansas $1,104,957 $1,095,007 -1% $0 $0 0% $0 $0 0% $0 $0 0% $2,490,529 $2,539,577 2% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $207,932 $125,125 -40% $0 $0 0% $0 $0 0% $0 $0 0%
Kentucky $0 $4,092,386 100% $4,072,706 $0 -100% $0 $0 0% $0 $0 0% $5,202,891 $5,378,982 3% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $14,000,000 $0 -100% $14,000,000 $0 -100%
Louisiana $5,562,450 $4,942,557 -11% $839,731 $1,534,000 83% $0 $0 0% $0 $0 0% $16,799,088 $17,387,588 4% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $18,500,000 $14,070,000 -24% $25,000,000 $29,000,000 16%
Maine $633,487 $642,442 1% $162,863 $144,174 -11% $0 $0 0% $1,776,038 $1,627,018 -8% $1,017,339 $1,033,918 2% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $37,372 $33,700 -10% $124,740 $22,500 -82% $127,356 $400,000 214% $1,992,654 $1,000,000 -50%
Marshall Islands -- -- -- -- -- -- -- -- -- -- -- -- $813 $815 0.2% $0 $0 0% $0 $0 0% -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Maryland $7,965,275 $7,975,128 0.1% $0 $0 0% $0 $0 0% $0 $0 0% $25,998,201 $26,740,923 3% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $18,301,461 $31,324,033 71% $25,000,000 $20,000,000 -20%
Massachusetts $4,989,140 $5,204,324 4% $0 $0 0% $0 $940,000 100% $0 $4,164,136 100% $14,460,547 $16,095,394 11% $0 $0 0% $0 $0 0% $0 $0 0% $170,635 $47,388 -72% $21,163,336 $3,543,909 -83% $850,000 $1,467,978 73% $4,100,000 $4,200,000 2% $3,300,000 $3,300,000 0%
Michigan $4,994,196 $5,067,469 1% $0 $0 0% $0 $0 0% $0 $0 0% $13,040,135 $13,579,445 4% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $10,200,000 $10,500,000 3%
Minnesota $2,040,110 $1,723,300 -16% $0 $319,912 100% $900,000 $1,544,086 72% $0 $725,377 100% $6,262,483 $6,444,676 3% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $1,156,169 $1,156,169 0% $1,062,676 $1,063,678 0.1% $5,676,265 $8,399,018 48% $5,507,574 $2,967,530 -46%
Mississippi $4,326,105 $5,778,432 34% $1,578,085 $0 -100% $5,113,766 $3,510,443 -31% $1,261,234 $0 -100% $7,764,926 $7,819,160 1% $2,513,731 $0 -100% $0 $0 0% $0 $0 0% $0 $0 0% $907,251 $700,000 -23% $750,000 $700,000 -7% $0 $0 0% $0 $0 0%
Missouri $3,508,508 $3,486,897 -1% $0 $0 0% $0 $0 0% $8,700,000 $589,105 -93% $10,064,501 $10,281,335 2% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $1,754,254 $6,786,505 287% $5,032,251 $0 -100% $0 $0 0% $29,500,000 $29,500,000 0%
Montana $0 $355,176 100% $500,000 $144,824 -71% $1,059,801 $202,298 -81% $27,917 $364,193 1205% $349,405 $364,193 4% $27,917 $0 -100% $895,285 $895,285 0% $0 $0 0% $0 $0 0% $6,979 $36,447 422% $6,979 $46,337 564% $0 $0 0% $220,000 $249,804 14%
Nebraska $1,228,944 $1,202,221 -2% $40,000 $40,000 0% $3,167,740 $1,317,007 -58% $248,260 $0 -100% $1,621,079 $1,632,760 1% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $750,000 $750,000 0% $1,088,805 $350,000 -68% $4,000,000 $4,000,000 0%
Nevada $2,147,677 $2,187,045 2% $0 $0 0% $1,902,971 $0 -100% $0 $0 0% $6,541,195 $6,855,310 5% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $2,260,589 100% $0 $0 0% $2,167,810 $2,596,703 20% $10,160,580 $11,188,876 10%
New Hampshire $500,000 $500,000 0% $0 $0 0% $0 $0 0% $0 $0 0% $963,709 $978,515 2% $0 $0 0% $0 $0 0% $0 $0 0% $284,963 $103,658 -64% $0 $0 0% $0 $0 0% $2,000,000 $1,000,000 -50% $2,000,000 $3,000,000 50%
New Jersey $10,286,108 $10,105,758 -2% $0 $0 0% $1,097,877 $754,999 -31% $0 $0 0% $30,213,006 $30,505,884 1% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $12,700,000 100% $47,000,000 $56,000,000 19%
New Mexico $1,876,383 $1,549,073 -17% $0 $299,381 100% $0 $0 0% $0 $0 0% $2,397,084 $2,429,586 1% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $1,548,200 $1,990,200 29% $0 $0 0% $0 $0 0% $0 $0 0%
New York $307,347 $31,846,629 10262% $34,944,689 $2,265,271 -94% $0 $0 0% $35,000,000 $26,333,142 -25% $107,486,859 $106,716,823 -1% $0 $0 0% $0 $0 0% $0 $0 0% $14,234,391 $14,884,391 5% $0 $0 0% $20,000,000 $153,799,470 669% $0 $0 0% $163,414,679 $142,917,431 -13%
North Carolina $11,497,540 $11,495,064 -0.02% $0 $0 0% $800,000 $0 -100% $6,500,000 $2,612,392 -60% $23,192,394 $23,827,375 3% $0 $0 0% $3,000,000 $3,000,000 0% $0 $0 0% $0 $0 0% $0 $0 0% $14,341,033 $14,341,033 0% $0 $0 0% $13,000,000 $10,237,072 -21%
North Dakota $303,267 $500,000 65% $196,733 $0 -100% $0 $161,348 100% $0 $0 0% $213,706 $240,351 12% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $750,000 $280,000 -63% $1,000,000 $1,500,000 50%
Northern Mariana Islands -- -- -- -- -- -- -- -- -- -- -- -- $1,625 $4,074 151% $0 $0 0% $0 $0 0% -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Ohio $5,555,550 $7,122,704 28% $0 $0 0% $0 $0 0% $0 $0 0% $16,796,650 $17,420,178 4% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $12,000,000 100% $15,000,000 $8,000,000 -47%
Oklahoma $2,770,792 $2,978,687 8% $859,850 $620,282 -28% $0 $0 0% $0 $0 0% $4,638,154 $4,730,441 2% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $786,000 $786,000 0% $0 $0 0% $12,000,000 $8,000,000 -33%
Oregon $1,728,496 $1,145,186 -34% $0 $0 0% $0 $0 0% $0 $0 0% $4,749,476 $4,891,761 3% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $7,000,000 $2,500,000 -64%
Pennsylvania $0 $0 0% $10,822,830 $10,617,820 -2% $0 $0 0% $0 $0 0% $27,850,050 $28,064,078 1% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $16,180,174 $26,532,000 64% $29,671,640 $20,000,000 -33%
Puerto Rico $5,782,789 $5,729,618 -1% $189,722 $28,358 -85% $0 $0 0% $18,214,030 $14,277,230 -22% $15,420,155 $15,260,275 -1% $3,972,304 $3,972,304 0% $9,000,000 $11,000,000 22% $0 $0 0% $0 $0 0% $0 $0 0% $1,677,500 $0 -100% $0 $0 0% $2,731,804 $3,500,000 28%
Republic of Palau -- -- -- -- -- -- -- $0 -- -- -- -- $3,250 $4,147 28% $0 $0 0% $0 $0 0% -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Rhode Island $1,496,654 $0 -100% $0 $1,525,502 100% $2,460,384 $1,305,974 -47% $0 $1,200,000 100% $1,911,979 $2,005,101 5% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $5,800,000 100%
South Carolina $10,208,283 $3,390,463 -67% $0 $6,779,553 100% $0 $5,000,000 100% $0 $7,038,386 100% $13,282,281 $13,616,923 3% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $5,500,000 100% $14,669,275 $16,196,291 10% $8,013,709 $9,794,347 22%
South Dakota $500,000 $415,767 -17% $0 $84,233 100% $0 $0 0% $0 $0 0% $415,224 $439,965 6% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $875,948 $815,910 -7% $2,000,000 $1,684,090 -16%
Tennessee $0 $5,053,896 100% $5,215,284 $0 -100% $0 $0 0% $0 $0 0% $14,135,481 $14,041,408 -1% $0 $0 0% $9,000,000 $9,000,000 0% $0 $0 0% $0 $0 0% $0 $200,000 100% $7,000,000 $7,000,000 0% $5,000,000 $0 -100% $25,000,000 $19,000,000 -24%
Texas $23,234,672 $23,581,066 1% $0 $0 0% $2,800,000 $1,884,208 -33% $0 $0 0% $66,057,126 $68,823,596 4% $21,384,601 $0 -100% $0 $0 0% $0 $0 0% $0 $0 0% $15,182,521 $15,182,521 0% $29,463,378 $30,504,191 4% $0 $0 0% $0 $0 0%
Utah $1,216,800 $1,515,696 25% $501,840 $204,445 -59% $2,498,036 $1,831,903 -27% $212,640 $167,772 -21% $2,195,566 $2,260,932 3% $167,772 $167,772 0% $1,322,937 $1,322,937 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $815,637 $1,780,964 118% $3,695,787 $3,500,000 -5%
Vermont $500,000 $500,000 0% $0 $0 0% $0 $0 0% $0 $0 0% $407,098 $407,375 0.1% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $500,000 $0 -100% $0 $0 0% $600,000 $522,000 -13% $500,000 $750,000 50%
Virgin Islands (U.S.) $13,435 $342,500 2449% $486,565 $157,500 -68% $946,025 $187,509 -80% $0 $463,329 100% $498,918 $517,367 4% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $150,000 $196,875 31% $18,000 $0 -100% $150,000 $171,460 14% $66,620 $0 -100%
Virginia $4,568,497 $7,068,769 55% $2,612,434 $0 -100% $0 $0 0% $0 $0 0% $18,410,415 $18,646,378 1% $0 $0 0% $9,000,000 $11,000,000 22% $0 $0 0% $0 $0 0% $0 $103,371 100% $2,658,673 $1,576,747 -41% $19,472,677 $23,532,989 21% $12,716,317 $4,814,738 -62%
Washington $1,370,706 $3,612,726 164% $2,247,190 $0 -100% $0 $0 0% $0 $0 0% $9,936,928 $10,180,306 2% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $687,108 $1,050,000 53% $0 $0 0% $10,642,186 $16,045,193 51% $11,815,882 $19,936,064 69%
West Virginia $1,037,285 $1,008,638 -3% $0 $0 0% $0 $0 0% $0 $0 0% $1,443,938 $1,442,108 -0.1% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $10,000 100% $0 $0 0% $0 $1,864,875 100% $3,800,000 $3,380,253 -11%
Wisconsin $3,610,212 $3,588,620 -1% $0 $0 0% $2,824,500 $2,509,106 -11% $0 $0 0% $4,636,529 $4,741,847 2% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $3,677,000 $4,000,000 9% $1,306,200 $1,306,200 0% $0 $0 0% $11,250,000 $11,260,520 0.1%
Wyoming $400,000 $500,000 25% $100,000 $0 -100% $0 $0 0% $0 $0 0% $238,083 $253,387 6% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $34,741 $70,000 101% $312,676 $250,000 -20% $100,000 $0 -100% $300,000 $400,000 33%
Total $241,603,911 $284,065,044 18% $73,032,735 $30,190,621 -59% $101,184,783 $73,416,950 -27% $76,640,119 $91,987,274 20% $808,868,044 $820,593,854 1% $42,627,846 $18,864,324 -56% $47,250,073 $53,770,073 14% $0 $0 0% $14,689,989 $15,035,437 2% $99,320,763 $80,965,903 -18% $114,420,969 $253,725,688 122% $196,995,471 $233,347,593 18% $708,639,916 $654,384,823 -8%

Table 5

Download Table
State/Territory Private Insurance Medicaid Other Total
Alabama $0 $0 $0 $0
Alaska $1,286,709 $0 $0 $1,286,709
American Samoa -- -- -- --
Arizona $1,354 $40 $25 $1,419
Arkansas $0 $2,843 $0 $2,843
California $0 $0 $0 $0
Colorado $0 $0 $0 $0
Connecticut -- -- -- --
Delaware $0 $0 $0 $0
District of Columbia $7,000 $0 $0 $7,000
Federated States of Micronesia -- -- -- --
Florida -- -- -- --
Georgia $8,301,116 $0 $0 $8,301,116
Guam -- -- -- --
Hawaii $0 $0 $0 $0
Idaho $0 $0 $0 $0
Illinois $7,860 $21,987 $0 $29,847
Indiana $0 $0 $0 $0
Iowa $43,396 $46,047 $0 $89,443
Kansas $0 $0 $0 $0
Kentucky $40,635 $0 $0 $40,635
Louisiana $0 $0 $0 $0
Maine $0 $0 $0 $0
Marshall Islands -- -- -- --
Maryland $95,801 $283,179 $0 $378,980
Massachusetts $0 $0 $0 $0
Michigan $34,800 $892,675 $0 $927,475
Minnesota $0 $0 $0 $0
Mississippi $0 $0 $0 $0
Missouri $672,792 $3,812,487 $0 $4,485,279
Montana $48,606 $0 $0 $48,606
Nebraska $172,863 $9,775 $0 $182,638
Nevada $0 $0 $0 $0
New Hampshire $0 $0 $0 $0
New Jersey $0 $9,164,439 $0 $9,164,439
New Mexico $957,940 $0 $18,475 $976,415
New York $9,500,000 $2,000,000 $0 $11,500,000
North Carolina $0 $0 $0 $0
North Dakota $0 $0 $0 $0
Northern Mariana Islands -- -- -- --
Ohio $0 $0 $0 $0
Oklahoma $7,508 $1,647 $0 $9,155
Oregon $43,244,308 $0 $0 $43,244,308
Pennsylvania $0 $0 $0 $0
Puerto Rico $0 $43,140,349 $0 $43,140,349
Republic of Palau -- -- -- --
Rhode Island $0 $0 $0 $0
South Carolina $0 $0 $1,618,037 $1,618,037
South Dakota $0 $0 $0 $0
Tennessee $0 $0 $0 $0
Texas $0 $0 $0 $0
Utah $93,508 $19,407 $0 $112,915
Vermont $0 $0 $0 $0
Virgin Islands (U.S.) $0 $0 $0 $0
Virginia $0 $79,594 $0 $79,594
Washington $172,020 $84,827 $120,803 $377,650
West Virginia $0 $42,763 $0 $42,763
Wisconsin $103,136 $0 $0 $103,136
Wyoming $0 $0 $0 $0
Totals $64,791,352 $59,602,059 $1,757,340 $126,150,751
Total # of ADAPs 19 16 4 25
State/Territory Private Insurance Medicaid Other Total
Alabama $0 $0 $0 $0
Alaska $1,286,709 $0 $0 $1,286,709
American Samoa -- -- -- --
Arizona $1,354 $40 $25 $1,419
Arkansas $0 $2,843 $0 $2,843
California $0 $0 $0 $0
Colorado $0 $0 $0 $0
Connecticut -- -- -- --
Delaware $0 $0 $0 $0
District of Columbia $7,000 $0 $0 $7,000
Federated States of Micronesia -- -- -- --
Florida -- -- -- --
Georgia $8,301,116 $0 $0 $8,301,116
Guam -- -- -- --
Hawaii $0 $0 $0 $0
Idaho $0 $0 $0 $0
Illinois $7,860 $21,987 $0 $29,847
Indiana $0 $0 $0 $0
Iowa $43,396 $46,047 $0 $89,443
Kansas $0 $0 $0 $0
Kentucky $40,635 $0 $0 $40,635
Louisiana $0 $0 $0 $0
Maine $0 $0 $0 $0
Marshall Islands -- -- -- --
Maryland $95,801 $283,179 $0 $378,980
Massachusetts $0 $0 $0 $0
Michigan $34,800 $892,675 $0 $927,475
Minnesota $0 $0 $0 $0
Mississippi $0 $0 $0 $0
Missouri $672,792 $3,812,487 $0 $4,485,279
Montana $48,606 $0 $0 $48,606
Nebraska $172,863 $9,775 $0 $182,638
Nevada $0 $0 $0 $0
New Hampshire $0 $0 $0 $0
New Jersey $0 $9,164,439 $0 $9,164,439
New Mexico $957,940 $0 $18,475 $976,415
New York $9,500,000 $2,000,000 $0 $11,500,000
North Carolina $0 $0 $0 $0
North Dakota $0 $0 $0 $0
Northern Mariana Islands -- -- -- --
Ohio $0 $0 $0 $0
Oklahoma $7,508 $1,647 $0 $9,155
Oregon $43,244,308 $0 $0 $43,244,308
Pennsylvania $0 $0 $0 $0
Puerto Rico $0 $43,140,349 $0 $43,140,349
Republic of Palau -- -- -- --
Rhode Island $0 $0 $0 $0
South Carolina $0 $0 $1,618,037 $1,618,037
South Dakota $0 $0 $0 $0
Tennessee $0 $0 $0 $0
Texas $0 $0 $0 $0
Utah $93,508 $19,407 $0 $112,915
Vermont $0 $0 $0 $0
Virgin Islands (U.S.) $0 $0 $0 $0
Virginia $0 $79,594 $0 $79,594
Washington $172,020 $84,827 $120,803 $377,650
West Virginia $0 $42,763 $0 $42,763
Wisconsin $103,136 $0 $0 $103,136
Wyoming $0 $0 $0 $0
Totals $64,791,352 $59,602,059 $1,757,340 $126,150,751
Total # of ADAPs 19 16 4 25

Section Two

Coordinated Care Delivery for Optimal Health Outcomes

Who are RWHAP Part B Program Clients?

In calendar year 2017 (CY2017), 245,245 clients were served by RWHAP Part B core medical and support services, representing 22% of the 1.1 million people estimated to be living with HIV in the United States. This represents a 3% decrease from the 253,331 reported as served in CY2016. Within ADAP, 238,320 clients were reported as served in CY2017, with 52% by ADAP-funded insurance (i.e., the client had either public or private insurance for which the ADAP paid premium(s), deductible payment(s) and/or cost-sharing/co-payments) and 48% by the full-pay prescription program only. As RWHAP Part B programs/ADAPs served over half of all RWHAP clients and one-fifth of all PLWH nationally, they are a critical component to the public health and health care infrastructures necessary to reaching an end to the HIV epidemic.

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Chart 3

Engagement in RWHAP Part B and ADAP, Calendar Year 2017

Engagement in RWHAP Part B and ADAP, Calendar Year 2017

In achieving wide-spread optimal health outcomes among the PLWH served by their programs, RWHAP Part B programs and ADAPs must develop and maintain systems that are responsive to the unique challenges faced by their clients. Per the Ryan White CARE Act, individuals served by RWHAP Part B programs are inherently low-income and under/uninsured. Among RWHAP Part B clients served during calendar year 2017, 53% had incomes less than 100% of the federal poverty level (FPL) whereas 13% of the general population were living at or below the FPL. RWHAP Part B clients were also more likely to be people of color (52% vs. 23%), with the majority 81% of clients of color reported as Black/African American. By ethnicity, 21% of RWHAP Part B clients were reported as Hispanic/Latinx (vs. 18% in the general population). The majority of clients served identified as male (72%) whereas 26% and 1% were identified as female and transgender, respectively. By comparison, 49% and 51% of the U.S. population in 2016 were reported as male and female, respectively 1. This difference is reflective of the disproportionate prevalence of HIV among men nationally; 76% of all adult PLWH in 2015 were male.

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Chart 4

RWHAP Part B Clients Served, by Viral Load, Calendar Year 2017

RWHAP Part B Clients Served, by Viral Load, Calendar Year 2017

There are key differences in the clients served by RWHAP Part B core medical/support services vs. those served by ADAP specifically. Forty-one percent of ADAP clients served in CY2018 had incomes below 100% FPL, 12% less than those served by RWHAP Part B (53%). RWHAP Part B programs, outside of ADAP, may provide more services to low-income PLWH that are not otherwise covered by Medicaid. In 2016, 42% of all RWHAP clients were enrolled in Medicaid. Forty-eight percent of ADAP clients were reported as people of color – slightly less than the 52% of RWHAP Part B clients. Yet a greater proportion of ADAP clients (84%) were Black/African American, compared to 81% of RWHAP Part B clients. Twenty-eight percent were of Hispanic/Latinx ethnicity (vs. 21% among RWHAP Part B clients). By gender, ADAP clients were more likely to be male than those PLWH served by RWHAP Part B; 77% of ADAP clients were reported as male, 22% as female, and 1% as transgender.

By design, RWHAP Part B programs and ADAPs are structured in such a way that their services can be customized and/or targeted to specific subpopulations of clients. HRSA/HAB identifies the RWHAP Part B program as critical and comprehensive service delivery system that should increase access to services while “decreasing [HIV] health disparities among affected subpopulations and historically underserved communities.” RWHAP Part B programs and ADAPs must therefore remain nimble and proactive in delivering services to those who would most benefit and in a manner that is compatible with their unique experiences. By way of example, RWHAP Part B programs and ADAPs are well-poised to meet the needs of their aging client populations. Effective antiretroviral (ARV) regimens have allowed many PLWH, including RWHAP Part B and ADAP clients, to achieve near-normal lifespans and experience fewer HIV-related conditions (e.g., opportunistic infections). As a result, the proportion of RWHAP Part B and ADAP clients who are older – and consequently facing an increased risk of non-HIV-related health complications (e.g., cardiovascular disease and cancer) – has and will continue to grow. In calendar year 2017, 56% of RWHAP Part B clients and 57% of ADAP clients were aged 45 years or older. In 2007, 47% of ADAP clients served were aged 45 years or older, a significant shift over a ten-year interval. 2

Maximizing Services to Achieve Viral Load Suppression

“Undetectable = untransmittable (U=U)” is an evidenced-based campaign asserting that PLWH who are on antiretroviral therapy (ART) and durably virally suppressed (i.e., viral load < 200 copies/mL) do not sexually transmit HIV. In 2015, 94% of new HIV infections in the U.S. were transmitted sexually, underscoring the watershed moment that U=U represents for public health efforts to curtail HIV incidence and end HIV-related stigma. Furthermore, the added preventive benefit of treatment emphasized by U=U could encourage PLWH to initiate and adhere to a safe and effective ART regimen, closely monitor their viral load, and stay in regular medical care. RWHAP Part B programs and ADAPs are critical to the U=U campaign as they support clients in achieving viral suppression by providing access to safe and effective treatment, comprehensive medical care, and essential support services.

As compared to the general population, Part B and ADAP clients demonstrate higher outcomes across the HIV care continuum. Part B client enrollment ranges from 161 (Virgin Islands (U.S.)) to 30,289 (Florida). Forty-percent of PLWH in the U.S. have been estimated to be retained in care (i.e., had two or more medical visits in a calendar year, three months or more apart); by comparison, 67% and 59% of Part B and ADAP clients were reported as retained (i.e., were successfully recertified twice in a 12-month period of time). Sixty-nine percent of Part B clients, regardless of whether they are on ARV treatment, were reported as being virally suppressed based on their most recent viral load recorded as of December 31, 2017. This is a 8% increase from clients served in CY2016 and significantly more than the estimated 51% of all PLWH who are virally suppressed. RWHAP Part B programs with the highest rates of viral load suppression include: Hawaii (93%), New York (93%), Arizona (91%), and Montana (90%). These four programs vary considerably in geographic region and client enrollment/utilization (Montana, 367 and New York, 16,493).

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Chart 5

ADAP Clients Served by Program, by Viral Load, Calendar Year 2017

ADAP Clients Served by Program, by Viral Load, Calendar Year 2017

ADAPs, as providers of life-saving treatments necessary to achieving viral load suppression, including ARVs and treatments for comorbid conditions that might affect adherence to or the effectiveness of ARV treatment, demonstrate even higher rates of viral load suppression among their clients served (76%). While ARVs represent 90% of all CY2017 ADAP drug expenditures, 4% and 3% were expended on hepatitis B and C treatment, respectively. All other medications comprised 3% of drug expenditures. Viral load suppression is highest among those clients served by ADAP-funded insurance alone (79%) and in combination with the full-pay prescription program (82%). Twelve ADAPs reported viral load suppression rates of 90% or greater; 19 reported rates of 80-90%; five reported rates of 70-80%; and 14 reported rates of less than 70%. By comparison, 19% of ADAP clients served in 2014 3 were reported as virally suppressed, the earliest year in which these data were available. This significant change over time is a testament to the increasing effectiveness of ADAPs in reporting and ensuring optimal health outcomes among their clients served.

ADAP-funded insurance is defined as when an ADAP client is enrolled in insurance (public or private insurance) and the ADAP pays for part or all the clients’ co-payments/co-insurance, deductibles, and/or premiums. ADAPs began purchasing insurance for clients in 2002 when HRSA specifically clarified this option. In calendar year 2017, 50 ADAPs reported using funds for insurance purchasing/continuation (see Table 18), representing $458.7 million in estimated expenditures (24% of the total ADAP budget for the year) for 123,160 clients (52%), with an average cost per client of $3,725. By comparison, 44 ADAPs reported using funds for insurance purchasing/continuation in 2013 (i.e., the last year before the Patient Protection and Affordable Care Act (Affordable Care Act, ACA) was fully implemented) for 35% of all clients served by ADAP. From 2013 to 2017, ADAPs have reported an average 10% increase each year in the proportion of clients served by insurance purchasing/continuation programs. While ADAP-funded insurance programs support their clients in accessing medications and services necessary to ensure adherence to these treatments, the RWHAP Part B Health Insurance Premium and Cost-Sharing Assistance for Low-Income Individuals service category allows for additional flexibility than ADAP-funded insurance alone in paying medical costs (e.g., it is not subject to the 5% cap on ADAP funding used for adherence, outreach, and monitoring services). In 2017, 29 RWHAP Part B programs reported having provided services to clients under Health Insurance Premium and Cost-Sharing Assistance for Low-Income Individuals.

For many clients, ADAP services are not sufficient alone – they benefit from complementary RWHAP Part B program core medical and support services that address their needs beyond HIV treatment that nevertheless impact their overall health and wellbeing. RWHAP Part B programs and ADAPs are well-positioned to address the “bars before the bars,” social determinants that influence the HIV care continuum for individual PLWH and in aggregate before diagnoses are made. These may include access to stable housing, transportation to service providers, and food security. RWHAP Part B programs and ADAPs are increasingly able to address these social determinants in light of changes to the broader healthcare system.

1 The U.S. Census does not collect “transgender” as a separate category from “male” and “female.”

2 RWHAP Part B program client data was first captured for calendar year 2015.

3 Prior to 2015, ADAPs reported clients served for a single month, June. Beginning in 2015, the number of clients served by ADAP is for the entire calendar year (January 1, 2015 – December 31, 2015).

Case Study

New Jersey

  • RWHAP Part B Clients and ADAP Clients Served, CY2017: 6,633 and 6,247
  • RWHAP Part B Budget, FY2018: $110.1 million (79% for ADAP)
    • Federal Awards, FY2018: $41.4 million
    • Other Funding (including rebates), FY2018: $68.7 million

Homelessness and housing instability have consistently been identified as structural drivers of poor outcomes along the HIV care continuum. In CY2017, over 8,000 RWHAP Part B clients received Housing Services. This is no less true in New Jersey, where housing has been identified as one of the most needed resources for people living with HIV in the state’s Integrated HIV Prevention and Care Plan for 2017–2021. All eligible metropolitan areas (EMAs) and transitional grant areas (TGAs) listed housing as an area of concern. Additionally, statewide consumer needs assessments and focus groups have consistently noted the lack of affordable housing as a major barrier to being linked to care and being retained in care, particularly among young gay, bisexual, and other men who have sex with men.

Increasing opportunities and access to Housing and Urban Development (HUD) housing, including Section 8 and the Housing Opportunities for Persons with AIDS (HOPWA) Program, has been a cornerstone of New Jersey’s response to the epidemic, with a goal of its Integrated Plan to increase the number of RWHAP clients with permanent housing from 82% to 86% by the end of 2021. However, for clients with criminal records, receiving federal assistance can be challenging.

To help mitigate this obstacle, New Jersey’s RWHAP Part B program has established a Medical-Legal Partnership to make lawyers available to clients facing discriminatory practices. While New Jersey draws upon funds from the Legal Services category under RWHAP Part B, the Medical-Legal Partnership has expanded rapidly, from two to eight counties. In turn, New Jersey has started using ADAP rebate dollars to ensure legal representation in clinics.

Through the Medical-Legal Partnership, clients may explore opportunities to expunge convictions, where feasible, for municipal infractions and disorderly persons offenses, such as shoplifting, simple assault, and mischief, as well as arrest records where there were no convictions. Most violent offenses and sex crimes are not expungable under the law. New Jersey ensures that the purpose of obtaining expungement for a client is to assist in obtaining housing, entitlements, or other benefits to promote clinical care retention, treatment adherence, and better health outcomes.

The ACA has enabled tens of thousands of people living with HIV to transition to expanded Medicaid and private insurance available through Marketplaces. Though Medicaid and private insurance continue to be the subject of federal and state policy flux, the ACA's public and private insurance expansions have had a profound impact on ADAPs and the clients they serve. ADAP continues to support more clients than ever to afford private insurance coverage. The ACA has allowed RWHAP Part B programs and ADAPs to repurpose expenditures associated with paying full cost for clients for medications by migrating clients towards Medicaid (particularly in those states that have expanded Medicaid) or enrolling them in less costly and more comprehensive insurance coverage within the federal or state Marketplaces.

This has created opportunities for shifting funds towards expanding or bolstering other RWHAP Part B core medical/services as well as key programmatic functions, including clinical quality management (CQM) (i.e., a series of activities that focus on enhancing the quality of HIV care provided and increasing access to services) and program administration (e.g., planning and evaluation, salaries, and data system management and reporting). Of note, all of the four jurisdictions with the highest rates of viral load suppression among RWHAP Part B clients are those in which Medicaid eligibility has expanded to at least 139% of FPL. Between 2016 and 2017, the core medical services in which the greatest number of jurisdictions have reported increases in the number of clients served and/or expenditures include: Medical Case Management (n=31); Outpatient and Ambulatory Health Services (n=26); Oral Health Care (n=25); Mental Health Services (n=24); and Health Insurance Premium and Cost-Sharing Assistance for Low-Income Individuals (n=17). The support services in which the greatest number of jurisdictions have reported expansion in clients served/expenditures include: Housing Services (n=25); Food Bank/Home-Delivered Meals (n=23); Case Management (Non-Medical) (n=21); Emergency Financial Assistance (n=16); and Psychosocial Support Services (n=16). Under program administration, 30 RWHAP Part B programs reported having increased expenditures while 22 ADAPs reported such increases. Jurisdictions have also made significant increases in expenditures for CQM across RWHAP Part B (n=27) and ADAP (n=10). By bolstering direct service delivery and programmatic functions that ensure their effectiveness, RWHAP Part B programs and ADAPs may thus be able to realize further gains in their clients’ health outcomes, including viral load suppression.

Case Study

Arizona

  • RWHAP Part B Clients and ADAP Clients Served, CY2017: 2,719 and 2,522
  • RWHAP Part B Budget, FY2018: $31 million (48% for ADAP)
    • Federal Awards, FY2018: $16.1 million
    • Other Funding (including rebates), FY2018: $9.2 million

With access to federally facilitated marketplace (FFM) made possible by the ACA and the expansion of its state Medicaid program in 2013, Arizona has developed a comprehensive process to migrate low-income PLWH toward public and private insurance options through a comprehensive eligibility screening process jointly developed by Part A and Part B of the state’s RWHAP.

All case management agencies providing support to Arizona residents living with HIV are trained to screen for other payers to maximize client health care coverage. Additionally, Arizona ADAP has also developed a program to identify FFM plans that meet comprehensiveness and cost effectiveness requirements. This works in sync with an annual RWHAP Part B-led collaborative project that aims to maximize eligible client enrollment into FFM plans in both RWHAP Part A and Part B jurisdictions.

Not only have these efforts to maximize enrollment in public and private insurance decreased dependency on access to antiretroviral therapy and other life-saving drugs through the state ADAP, they have been associated with reduced utilization of core medical Outpatient Ambulatory Health Services (OAHS). This has been particularly impactful in the central Arizona RWHAP Part A jurisdiction, which has seen a significant reduction in OAHS costs.

Arizona’s RWHAP Part B program is also increasing Health Insurance Premium and Cost-Sharing Assistance (HIPCSA) allocations in its budget to accommodate for the shift from wholly paying medical costs through OAHS to covering costs associated with public and private insurance coverage. Even here, however, increases in HIPCSA utilization for FFM clients continues to be more cost effective over reliance on OAHS.

These cost savings have enabled more allocations of RWHAP Part A and Part B grant funds and rebate revenue to other core medical services, such as Oral Health Care in the central Arizona Part A region. Utilization of Oral Health Care has been associated with higher rates of viral suppression. Ninety-two percent of Oral Health Care recipients are virally suppressed as of September 2018, compared with viral suppression rates of 79% for all central Arizona RWHAP Part A clients. With the growing number of persons able to access Oral Health Care, upward trends in virologic suppression rates among Part A clients may continue.

Increased revenue from cost savings and rebates has also enabled utilization of funds to increase supportive services like housing services, implemented throughout the state in both Part A and B areas. Housing stability, a key social determinant of health, has also been correlated with improved viral suppression in the state.

Finally, Arizona’s RWHAP is also partnering with the Arizona Department of Health Services’ HIV Prevention Program to use rebate revenue that might otherwise have gone to OAHS costs to support new statewide EIS Rapid Start activities beginning next year. Cost savings from the ACA are therefore enabling an investment in activities that will help PLWH rapidly achieve viral suppression. This EIS project, in conjunction with the expanded services above, will hopefully contribute to the broad statewide goal of ending HIV in Arizona.

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Chart 6

RWHAP Part B Clients Served and Top Ten States, by Clients Served, Calendar Year 2017

RWHAP Part B Clients Served and Top Ten States, by Clients Served, Calendar Year 2017

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Chart 7

ADAP Clients Served and Top Ten States, by Clients Served, Calendar Year 2017

ADAP Clients Served and Top Ten States, by Clients Served, Calendar Year 2017

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Chart 8

ADAP Clients Served, by Program Type, Calendar Year 2017

ADAP Clients Served, by Program Type, Calendar Year 2017

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Chart 9

RWHAP Part B Viral Load Suppression Rate, by Clients Served, Calendar Year 2017

RWHAP Part B Viral Load Suppression Rate, by Clients Served, Calendar Year 2017

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Chart 10

ADAP Viral Load Suppression Rate, by Clients Served, Calendar Year 2017

ADAP Viral Load Suppression Rate, by Clients Served, Calendar Year 2017

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Chart 11

RWHAP Part B Clients Served, by Demographic, Calendar Year 2017

RWHAP Part B Clients Served, by Demographic, Calendar Year 2017

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Chart 12

ADAP Clients Served, by Demographic, Calendar Year 2017

ADAP Clients Served, by Demographic, Calendar Year 2017

Table 6

Download Table
State/Territory Ryan White Part B, Including ADAP ADAP Only
  Calendar Year 2017 Clients Enrolled Calendar Year 2017 New Clients Enrolled Calendar Year 2017 Clients Enrolled and Recertified Twice in 12-Month Period Calendar Year 2017 Clients Served Calendar Year 2017 Clients Enrolled Calendar Year 2017 New Clients Enrolled Calendar Year 2017 Clients Enrolled and Recertified Twice in 12-Month Period Calendar Year 2017 Clients Served 1
  Full-Pay Medications Only ADAP-Funded Insurance Only 2 Full-Pay Medications and ADAP-Funded Insurance 3 Total Clients Served
Alabama 7,310 -- -- 7,310 3,495 684 3,168 1,149 1,457 889 3,495
Alaska 283 35 258 283 86 6 83 23 51 12 86
American Samoa -- -- -- -- -- -- -- -- -- -- --
Arizona 2,733 221 1,800 2,719 2,753 521 1,206 722 1,598 202 2,522
Arkansas 2,263 822 1,868 2,263 1,202 552 334 490 500 212 1,202
California 14,370 1,475 -- 14,370 33,303 6,238 3,158 13,101 16,385 0 29,486
Colorado 2,172 614 1,965 2,172 5,293 997 4,815 853 3,728 351 4,932
Connecticut 2,313 326 1,751 2,313 2,332 207 2,024 1,036 246 317 1,599
Delaware 1,594 146 1,179 1,496 1,880 166 1,341 67 1,227 6 1,300
District of Columbia 1,431 103 1,325 1,403 1,439 270 726 541 134 333 1,008
Federated States of Micronesia -- -- -- -- -- -- -- -- -- -- --
Florida 30,743 5,436 19,052 30,289 24,212 4,235 18,207 15,513 4,424 2,690 22,627
Georgia 13,856 2,727 7,243 10,981 11,773 2,727 7,243 9,756 999 0 10,755
Guam -- -- -- -- -- -- -- -- -- -- --
Hawaii 1,120 120 1,015 981 427 76 422 82 207 16 305
Idaho 480 77 113 480 343 80 137 294 44 0 338
Illinois 12,913 2,134 7,635 10,806 12,352 2,018 7,270 3,596 2,522 2,220 8,338
Indiana 3,204 464 2,349 1,160 3,204 464 2,349 903 1,064 0 1,967
Iowa 1,840 230 -- 1,840 642 130 391 61 351 208 620
Kansas 1,514 158 1,216 1,055 1,305 127 1,202 189 987 3 1,179
Kentucky 4,448 428 4,117 4,127 3,464 308 3,027 964 2,384 116 3,464
Louisiana 6,427 833 4,635 6,016 4,587 552 3,430 493 2,895 701 4,089
Maine 1,064 94 867 940 1,064 94 867 32 536 74 642
Marshall Islands -- -- -- -- -- -- -- -- -- -- --
Maryland 17,796 6,317 4,235 4,786 7,099 744 4,302 940 4,681 602 6,223
Massachusetts 4,804 866 -- 4,804 7,700 642 3,160 218 5,540 39 5,797
Michigan 3,401 780 2,730 3,401 3,587 311 2,827 567 2,225 315 3,107
Minnesota 3,313 85 -- 2,866 2,098 270 -- 377 1,356 0 1,733
Mississippi 2,435 627 2,009 2,435 2,508 492 2,009 2,508 0 0 2,508
Missouri 7,806 785 5,664 7,650 5,493 381 3,953 1,140 1,731 1,330 4,201
Montana 367 58 220 354 348 58 220 57 256 0 313
Nebraska 581 56 488 597 925 164 780 150 607 101 858
Nevada 3,378 1,479 1,522 3,378 2,242 712 1,777 762 637 771 2,170
New Hampshire 661 52 493 509 661 52 493 87 400 22 509
New Jersey 6,633 1,115 -- 6,633 6,247 683 5,664 3,696 2,497 54 6,247
New Mexico 1,286 183 1,182 1,286 513 97 421 55 319 28 402
New York 16,493 2,805 16,493 16,493 24,467 2,372 24,467 11,557 10,610 0 22,167
North Carolina 10,417 3,166 9,804 10,417 10,314 1,549 7,310 7,210 1,635 292 9,137
North Dakota 313 78 235 302 313 78 235 50 136 44 230
Northern Mariana Islands -- -- -- -- -- -- -- -- -- -- --
Ohio 7,152 514 3,978 6,660 6,429 507 3,849 1,004 2,277 692 3,973
Oklahoma -- -- -- -- 2,071 314 1,243 265 1,442 303 2,010
Oregon 1,283 187 852 1,283 3,906 538 3,294 142 2,221 627 2,990
Pennsylvania -- -- -- -- 8,123 1,906 4,639 1,542 4,723 1,105 7,370
Puerto Rico 6,756 554 4,087 6,756 8,100 183 7,638 7,802 183 115 8,100
Republic of Palau -- -- -- -- -- -- -- -- -- -- --
Rhode Island 613 161 578 518 791 96 620 0 227 395 622
South Carolina 9,413 849 8,478 9,413 6,118 745 3,234 2,281 2,690 764 5,735
South Dakota 378 97 210 372 378 97 210 49 190 76 315
Tennessee 8,599 1,308 3,115 8,599 7,830 890 2,993 1,663 4,508 1,659 7,830
Texas 23,360 2,392 -- 23,360 22,752 3,993 5,476 17,006 2,272 220 19,498
Utah 1,269 253 852 1,171 878 103 634 379 313 94 786
Vermont 483 -- 483 483 419 46 367 3 416 0 419
Virgin Islands (U.S.) 161 23 149 161 152 18 132 83 69 0 152
Virginia 6,634 1,480 -- 5,542 7,720 1,452 2,583 2,156 3,517 1,337 7,010
Washington 5,906 515 4,782 5,716 4,273 405 2,378 655 382 2,532 3,569
West Virginia 1,191 131 1,063 1,159 579 68 514 194 351 7 552
Wisconsin 4,950 -- -- 4,950 1,892 256 1,117 675 282 689 1,646
Wyoming 187 32 186 187 187 32 186 22 165 0 187
Total 270,097 43,391 132,276 245,245 272,269 40,706 160,125 115,160 100,597 22,563 238,320

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State/Territory Ryan White Part B, Including ADAP ADAP Only
  Calendar Year 2017 Clients Enrolled Calendar Year 2017 New Clients Enrolled Calendar Year 2017 Clients Enrolled and Recertified Twice in 12-Month Period Calendar Year 2017 Clients Served Calendar Year 2017 Clients Enrolled Calendar Year 2017 New Clients Enrolled Calendar Year 2017 Clients Enrolled and Recertified Twice in 12-Month Period Calendar Year 2017 Clients Served 1
  Full-Pay Medications Only ADAP-Funded Insurance Only 2 Full-Pay Medications and ADAP-Funded Insurance 3 Total Clients Served
Alabama 7,310 -- -- 7,310 3,495 684 3,168 1,149 1,457 889 3,495
Alaska 283 35 258 283 86 6 83 23 51 12 86
American Samoa -- -- -- -- -- -- -- -- -- -- --
Arizona 2,733 221 1,800 2,719 2,753 521 1,206 722 1,598 202 2,522
Arkansas 2,263 822 1,868 2,263 1,202 552 334 490 500 212 1,202
California 14,370 1,475 -- 14,370 33,303 6,238 3,158 13,101 16,385 0 29,486
Colorado 2,172 614 1,965 2,172 5,293 997 4,815 853 3,728 351 4,932
Connecticut 2,313 326 1,751 2,313 2,332 207 2,024 1,036 246 317 1,599
Delaware 1,594 146 1,179 1,496 1,880 166 1,341 67 1,227 6 1,300
District of Columbia 1,431 103 1,325 1,403 1,439 270 726 541 134 333 1,008
Federated States of Micronesia -- -- -- -- -- -- -- -- -- -- --
Florida 30,743 5,436 19,052 30,289 24,212 4,235 18,207 15,513 4,424 2,690 22,627
Georgia 13,856 2,727 7,243 10,981 11,773 2,727 7,243 9,756 999 0 10,755
Guam -- -- -- -- -- -- -- -- -- -- --
Hawaii 1,120 120 1,015 981 427 76 422 82 207 16 305
Idaho 480 77 113 480 343 80 137 294 44 0 338
Illinois 12,913 2,134 7,635 10,806 12,352 2,018 7,270 3,596 2,522 2,220 8,338
Indiana 3,204 464 2,349 1,160 3,204 464 2,349 903 1,064 0 1,967
Iowa 1,840 230 -- 1,840 642 130 391 61 351 208 620
Kansas 1,514 158 1,216 1,055 1,305 127 1,202 189 987 3 1,179
Kentucky 4,448 428 4,117 4,127 3,464 308 3,027 964 2,384 116 3,464
Louisiana 6,427 833 4,635 6,016 4,587 552 3,430 493 2,895 701 4,089
Maine 1,064 94 867 940 1,064 94 867 32 536 74 642
Marshall Islands -- -- -- -- -- -- -- -- -- -- --
Maryland 17,796 6,317 4,235 4,786 7,099 744 4,302 940 4,681 602 6,223
Massachusetts 4,804 866 -- 4,804 7,700 642 3,160 218 5,540 39 5,797
Michigan 3,401 780 2,730 3,401 3,587 311 2,827 567 2,225 315 3,107
Minnesota 3,313 85 -- 2,866 2,098 270 -- 377 1,356 0 1,733
Mississippi 2,435 627 2,009 2,435 2,508 492 2,009 2,508 0 0 2,508
Missouri 7,806 785 5,664 7,650 5,493 381 3,953 1,140 1,731 1,330 4,201
Montana 367 58 220 354 348 58 220 57 256 0 313
Nebraska 581 56 488 597 925 164 780 150 607 101 858
Nevada 3,378 1,479 1,522 3,378 2,242 712 1,777 762 637 771 2,170
New Hampshire 661 52 493 509 661 52 493 87 400 22 509
New Jersey 6,633 1,115 -- 6,633 6,247 683 5,664 3,696 2,497 54 6,247
New Mexico 1,286 183 1,182 1,286 513 97 421 55 319 28 402
New York 16,493 2,805 16,493 16,493 24,467 2,372 24,467 11,557 10,610 0 22,167
North Carolina 10,417 3,166 9,804 10,417 10,314 1,549 7,310 7,210 1,635 292 9,137
North Dakota 313 78 235 302 313 78 235 50 136 44 230
Northern Mariana Islands -- -- -- -- -- -- -- -- -- -- --
Ohio 7,152 514 3,978 6,660 6,429 507 3,849 1,004 2,277 692 3,973
Oklahoma -- -- -- -- 2,071 314 1,243 265 1,442 303 2,010
Oregon 1,283 187 852 1,283 3,906 538 3,294 142 2,221 627 2,990
Pennsylvania -- -- -- -- 8,123 1,906 4,639 1,542 4,723 1,105 7,370
Puerto Rico 6,756 554 4,087 6,756 8,100 183 7,638 7,802 183 115 8,100
Republic of Palau -- -- -- -- -- -- -- -- -- -- --
Rhode Island 613 161 578 518 791 96 620 0 227 395 622
South Carolina 9,413 849 8,478 9,413 6,118 745 3,234 2,281 2,690 764 5,735
South Dakota 378 97 210 372 378 97 210 49 190 76 315
Tennessee 8,599 1,308 3,115 8,599 7,830 890 2,993 1,663 4,508 1,659 7,830
Texas 23,360 2,392 -- 23,360 22,752 3,993 5,476 17,006 2,272 220 19,498
Utah 1,269 253 852 1,171 878 103 634 379 313 94 786
Vermont 483 -- 483 483 419 46 367 3 416 0 419
Virgin Islands (U.S.) 161 23 149 161 152 18 132 83 69 0 152
Virginia 6,634 1,480 -- 5,542 7,720 1,452 2,583 2,156 3,517 1,337 7,010
Washington 5,906 515 4,782 5,716 4,273 405 2,378 655 382 2,532 3,569
West Virginia 1,191 131 1,063 1,159 579 68 514 194 351 7 552
Wisconsin 4,950 -- -- 4,950 1,892 256 1,117 675 282 689 1,646
Wyoming 187 32 186 187 187 32 186 22 165 0 187
Total 270,097 43,391 132,276 245,245 272,269 40,706 160,125 115,160 100,597 22,563 238,320

Table 7

Download Table
State/Territory Calendar Year 2017 Ryan White Part B Clients Served, Including ADAP All Ryan White Part B Clients Served Calendar Year 2017 ADAP Clients Served Only All ADAP Clients Served Subset of Calendar Year 2017 Clients Served by Full-Pay Medications Only Full-Pay Medications Only Subset of Calendar Year 2017 Clients Served by ADAP-Funded Insurance Only 2 ADAP-Funded Insurance Only 2 Subset of Calendar Year 2017 Clients Served by Full-Pay Medications and ADAP-Funded Insurance 3 Full-Pay Medications and ADAP-Funded Insurance 3
  Viral Load ≤200 Viral Load >200 Unknown Viral Load ≤200 Viral Load >200 Unknown Viral Load ≤200 Viral Load >200 Unknown Viral Load ≤200 Viral Load >200 Unknown Viral Load ≤200 Viral Load >200 Unknown
Alabama 7,310 11% 38% 3,495 16% 13% 1,149 -- -- 1,457 -- -- 889 -- --
Alaska 283 0% 100% 86 0% 100% 23 -- -- 51 -- -- 12 -- --
American Samoa -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Arizona 2,719 3% 6% 2,522 2% 1% 722 4% 1% 1,598 1% 1% 202 3% 0.5%
Arkansas 2,263 14% 23% 1,202 12% 43% 490 -- -- 500 -- -- 212 -- --
California 14,370 14% 10% 29,486 7% 33% 13,101 10% 33% 16,385 4% 32% 0 0% 0%
Colorado 2,172 0.2% 68% 4,932 10% 6% 853 11% 6% 3,728 7% 6% 351 40% 3%
Connecticut 2,313 9% 11% 1,599 6% 14% 1,036 -- -- 246 -- -- 317 -- --
Delaware 1,496 75% 0% 1,300 74% 0% 67 -- -- 1,227 -- -- 6 -- --
District of Columbia 1,403 18% 0% 1,008 17% 7% 541 -- -- 134 -- -- 333 -- --
Federated States of Micronesia -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Florida 30,289 7% 47% 22,627 13% 0.004% 15,513 17% 0% 4,424 4% 0.02% 2,690 7% 0%
Georgia 10,981 14% 15% 10,755 17% 18% 9,756 18% 20% 999 7% 0% 0 0% 0%
Guam -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Hawaii 981 5% 2% 305 4% 2% 82 -- -- 207 -- -- 16 -- --
Idaho 480 22% 17% 338 5% 38% 294 -- -- 44 -- -- 0 -- --
Illinois 10,806 12% 0.4% 8,338 10% 0.3% 3,596 14% 1% 2,522 6% 0.04% 2,220 6% 0.1%
Indiana 1,160 13% 18% 1,967 7% 52% 903 14% 17% 1,064 2% 81% 0 0% 0%
Iowa 1,840 10% 6% 620 5% 4% 61 11% 11% 351 2% 3% 208 7% 2%
Kansas 1,055 13% 69% 1,179 10% 74% 189 -- -- 987 -- -- 3 -- --
Kentucky 4,127 8% 22% 3,464 14% 3% 964 -- -- 2,384 -- -- 116 -- --
Louisiana 6,016 13% 5% 4,089 8% 3% 493 17% 6% 2,895 7% 3% 701 9% 2%
Maine 940 6% 6% 642 5% 7% 32 3% 13% 536 4% 6% 74 5% 9%
Marshall Islands -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Maryland 4,786 18% 33% 6,223 9% 9% 940 16% 8% 4,681 8% 10% 602 10% 6%
Massachusetts 4,804 6% 33% 5,797 8% 0.1% 218 27% 1% 5,540 7% 0.02% 39 8% 0%
Michigan 3,401 9% 6% 3,107 6% 8% 567 12% 5% 2,225 4% 9% 315 4% 3%
Minnesota 2,866 9% 22% 1,733 0% 100% 377 -- -- 1,356 -- -- 0 -- --
Mississippi 2,435 0% 100% 2,508 0% 100% 2,508 -- -- 0 -- -- 0 -- --
Missouri 7,650 14% 0% 4,201 12% 0% 1,140 11% 0% 1,731 8% 0% 1,330 19% 0%
Montana 354 10% 0% 313 10% 0% 57 -- -- 256 -- -- 0 -- --
Nebraska 597 9% 50% 858 7% 20% 150 18% 15% 607 4% 23% 101 10% 12%
Nevada 3,378 22% 7% 2,170 5% 67% 762 -- -- 637 -- -- 771 -- --
New Hampshire 509 9% 7% 509 9% 7% 87 -- -- 400 -- -- 22 -- --
New Jersey 6,633 13% 43% 6,247 9% 26% 3,696 -- -- 2,497 -- -- 54 -- --
New Mexico 1,286 31% 0% 402 9% 0% 55 -- -- 319 -- -- 28 -- --
New York 16,493 7% 0% 22,167 7% 0.2% 11,557 -- -- 10,610 -- -- 0 -- --
North Carolina 10,417 11% 19% 9,137 12% 6% 7,210 14% 6% 1,635 6% 5% 292 5% 3%
North Dakota 302 7% 10% 230 6% 7% 50 16% 12% 136 4% 6% 44 2% 7%
Northern Mariana Islands -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Ohio 6,660 12% 1% 3,973 10% 1% 1,004 18% 1% 2,277 6% 1% 692 11% 1%
Oklahoma -- -- -- 2,010 14% 5% 265 -- -- 1,442 -- -- 303 -- --
Oregon 1,283 8% 2% 2,990 6% 0.03% 142 13% 0% 2,221 5% 0.05% 627 5% 0%
Pennsylvania -- -- -- 7,370 6% 27% 1,542 12% 29% 4,723 4% 25% 1,105 8% 31%
Puerto Rico 6,756 11% 19% 8,100 14% 2% 7,802 15% 2% 183 3% 13% 115 8% 1%
Republic of Palau -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Rhode Island 518 3% 70% 622 0% 100% 0 -- -- 227 -- -- 395 -- --
South Carolina 9,413 11% 0% 5,735 16% 2% 2,281 24% 1% 2,690 8% 2% 764 17% 2%
South Dakota 372 11% 2% 315 10% 1% 49 24% 2% 190 6% 0% 76 9% 1%
Tennessee 8,599 11% 41% 7,830 12% 35% 1,663 22% 25% 4,508 6% 43% 1,659 16% 23%
Texas 23,360 23% 4% 19,498 18% 0% 17,006 17% 0% 2,272 21% 0% 220 13% 0%
Utah 1,171 9% 4% 786 11% 4% 379 18% 5% 313 4% 4% 94 1% 2%
Vermont 483 6% 5% 419 5% 0% 3 -- -- 416 -- -- 0 -- --
Virgin Islands (U.S.) 161 12% 4% 152 7% 0% 83 -- -- 69 -- -- 0 -- --
Virginia 5,542 23% 3% 7,010 25% 2% 2,156 43% 1% 3,517 14% 3% 1,337 25% 1%
Washington 5,716 7% 13% 3,569 3% 23% 655 6% 10% 382 4% 53% 2,532 3% 22%
West Virginia 1,159 10% 2% 552 7% 0% 194 -- -- 351 -- -- 7 -- --
Wisconsin 4,950 7% 32% 1,646 11% 4% 675 -- -- 282 -- -- 689 -- --
Wyoming 187 3% 49% 187 3% 49% 22 -- -- 165 -- -- 0 -- --
Total 245,245 12% 19% 238,320 11% 13% 115,160 16% 9% 100,597 6% 15% 22,563 10% 8%

Scroll or click the table to use your arrow keys

State/Territory Calendar Year 2017 Ryan White Part B Clients Served, Including ADAP All Ryan White Part B Clients Served Calendar Year 2017 ADAP Clients Served Only All ADAP Clients Served Subset of Calendar Year 2017 Clients Served by Full-Pay Medications Only Full-Pay Medications Only Subset of Calendar Year 2017 Clients Served by ADAP-Funded Insurance Only 2 ADAP-Funded Insurance Only 2 Subset of Calendar Year 2017 Clients Served by Full-Pay Medications and ADAP-Funded Insurance 3 Full-Pay Medications and ADAP-Funded Insurance 3
  Viral Load ≤200 Viral Load >200 Unknown Viral Load ≤200 Viral Load >200 Unknown Viral Load ≤200 Viral Load >200 Unknown Viral Load ≤200 Viral Load >200 Unknown Viral Load ≤200 Viral Load >200 Unknown
Alabama 7,310 11% 38% 3,495 16% 13% 1,149 -- -- 1,457 -- -- 889 -- --
Alaska 283 0% 100% 86 0% 100% 23 -- -- 51 -- -- 12 -- --
American Samoa -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Arizona 2,719 3% 6% 2,522 2% 1% 722 4% 1% 1,598 1% 1% 202 3% 0.5%
Arkansas 2,263 14% 23% 1,202 12% 43% 490 -- -- 500 -- -- 212 -- --
California 14,370 14% 10% 29,486 7% 33% 13,101 10% 33% 16,385 4% 32% 0 0% 0%
Colorado 2,172 0.2% 68% 4,932 10% 6% 853 11% 6% 3,728 7% 6% 351 40% 3%
Connecticut 2,313 9% 11% 1,599 6% 14% 1,036 -- -- 246 -- -- 317 -- --
Delaware 1,496 75% 0% 1,300 74% 0% 67 -- -- 1,227 -- -- 6 -- --
District of Columbia 1,403 18% 0% 1,008 17% 7% 541 -- -- 134 -- -- 333 -- --
Federated States of Micronesia -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Florida 30,289 7% 47% 22,627 13% 0.004% 15,513 17% 0% 4,424 4% 0.02% 2,690 7% 0%
Georgia 10,981 14% 15% 10,755 17% 18% 9,756 18% 20% 999 7% 0% 0 0% 0%
Guam -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Hawaii 981 5% 2% 305 4% 2% 82 -- -- 207 -- -- 16 -- --
Idaho 480 22% 17% 338 5% 38% 294 -- -- 44 -- -- 0 -- --
Illinois 10,806 12% 0.4% 8,338 10% 0.3% 3,596 14% 1% 2,522 6% 0.04% 2,220 6% 0.1%
Indiana 1,160 13% 18% 1,967 7% 52% 903 14% 17% 1,064 2% 81% 0 0% 0%
Iowa 1,840 10% 6% 620 5% 4% 61 11% 11% 351 2% 3% 208 7% 2%
Kansas 1,055 13% 69% 1,179 10% 74% 189 -- -- 987 -- -- 3 -- --
Kentucky 4,127 8% 22% 3,464 14% 3% 964 -- -- 2,384 -- -- 116 -- --
Louisiana 6,016 13% 5% 4,089 8% 3% 493 17% 6% 2,895 7% 3% 701 9% 2%
Maine 940 6% 6% 642 5% 7% 32 3% 13% 536 4% 6% 74 5% 9%
Marshall Islands -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Maryland 4,786 18% 33% 6,223 9% 9% 940 16% 8% 4,681 8% 10% 602 10% 6%
Massachusetts 4,804 6% 33% 5,797 8% 0.1% 218 27% 1% 5,540 7% 0.02% 39 8% 0%
Michigan 3,401 9% 6% 3,107 6% 8% 567 12% 5% 2,225 4% 9% 315 4% 3%
Minnesota 2,866 9% 22% 1,733 0% 100% 377 -- -- 1,356 -- -- 0 -- --
Mississippi 2,435 0% 100% 2,508 0% 100% 2,508 -- -- 0 -- -- 0 -- --
Missouri 7,650 14% 0% 4,201 12% 0% 1,140 11% 0% 1,731 8% 0% 1,330 19% 0%
Montana 354 10% 0% 313 10% 0% 57 -- -- 256 -- -- 0 -- --
Nebraska 597 9% 50% 858 7% 20% 150 18% 15% 607 4% 23% 101 10% 12%
Nevada 3,378 22% 7% 2,170 5% 67% 762 -- -- 637 -- -- 771 -- --
New Hampshire 509 9% 7% 509 9% 7% 87 -- -- 400 -- -- 22 -- --
New Jersey 6,633 13% 43% 6,247 9% 26% 3,696 -- -- 2,497 -- -- 54 -- --
New Mexico 1,286 31% 0% 402 9% 0% 55 -- -- 319 -- -- 28 -- --
New York 16,493 7% 0% 22,167 7% 0.2% 11,557 -- -- 10,610 -- -- 0 -- --
North Carolina 10,417 11% 19% 9,137 12% 6% 7,210 14% 6% 1,635 6% 5% 292 5% 3%
North Dakota 302 7% 10% 230 6% 7% 50 16% 12% 136 4% 6% 44 2% 7%
Northern Mariana Islands -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Ohio 6,660 12% 1% 3,973 10% 1% 1,004 18% 1% 2,277 6% 1% 692 11% 1%
Oklahoma -- -- -- 2,010 14% 5% 265 -- -- 1,442 -- -- 303 -- --
Oregon 1,283 8% 2% 2,990 6% 0.03% 142 13% 0% 2,221 5% 0.05% 627 5% 0%
Pennsylvania -- -- -- 7,370 6% 27% 1,542 12% 29% 4,723 4% 25% 1,105 8% 31%
Puerto Rico 6,756 11% 19% 8,100 14% 2% 7,802 15% 2% 183 3% 13% 115 8% 1%
Republic of Palau -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Rhode Island 518 3% 70% 622 0% 100% 0 -- -- 227 -- -- 395 -- --
South Carolina 9,413 11% 0% 5,735 16% 2% 2,281 24% 1% 2,690 8% 2% 764 17% 2%
South Dakota 372 11% 2% 315 10% 1% 49 24% 2% 190 6% 0% 76 9% 1%
Tennessee 8,599 11% 41% 7,830 12% 35% 1,663 22% 25% 4,508 6% 43% 1,659 16% 23%
Texas 23,360 23% 4% 19,498 18% 0% 17,006 17% 0% 2,272 21% 0% 220 13% 0%
Utah 1,171 9% 4% 786 11% 4% 379 18% 5% 313 4% 4% 94 1% 2%
Vermont 483 6% 5% 419 5% 0% 3 -- -- 416 -- -- 0 -- --
Virgin Islands (U.S.) 161 12% 4% 152 7% 0% 83 -- -- 69 -- -- 0 -- --
Virginia 5,542 23% 3% 7,010 25% 2% 2,156 43% 1% 3,517 14% 3% 1,337 25% 1%
Washington 5,716 7% 13% 3,569 3% 23% 655 6% 10% 382 4% 53% 2,532 3% 22%
West Virginia 1,159 10% 2% 552 7% 0% 194 -- -- 351 -- -- 7 -- --
Wisconsin 4,950 7% 32% 1,646 11% 4% 675 -- -- 282 -- -- 689 -- --
Wyoming 187 3% 49% 187 3% 49% 22 -- -- 165 -- -- 0 -- --
Total 245,245 12% 19% 238,320 11% 13% 115,160 16% 9% 100,597 6% 15% 22,563 10% 8%

Table 8

Download Table
State/Territory Calendar Year 2017 Part B Clients Served Black / African American White Asian Native Hawaiian / Pacific Islander American Indian / Alaskan Native Multi-Racial Other Unknown Calendar Year 2017 ADAP Clients Served Black/African American White Asian Native Hawaiian / Pacific Islander American Indian / Alaskan Native Multi-Racial Other Unknown
Alabama 7,310 0% 0% 0% 0% 0% 0% 0% 100% 3,495 66% 27% 0.1% 0% 0% 8% 0% 0.03%
Alaska 283 19% 51% 3% 1% 25% 0% 0% 0% 86 23% 70% 5% 0% 2% 0% 0% 0%
American Samoa -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Arizona 2,719 10% 74% 1% 0.04% 6% 8% 0% 2% 2,522 12% 80% 2% 0.04% 1% 5% 0% 0%
Arkansas 2,263 46% 49% 0.5% 0.5% 1% 3% 0.1% 0% 1,202 43% 51% 0.4% 0.5% 0.5% 4% 0% 0%
California 14,370 18% 72% 3% 1% 2% 1% 3% 1% 29,486 12% 73% 4% 0.4% 0.4% 1% 0% 10%
Colorado 2,172 21% 73% 2% 0.4% 2% 0% 0% 1% 4,932 20% 71% 2% 0.4% 4% 2% 0% 0%
Connecticut 2,313 45% 50% 0.5% 0.1% 0.3% 3% 0.3% 0% 1,599 31% 53% 1% 0.2% 0.4% 0% 0% 15%
Delaware 1,496 64% 35% 0.1% 0.1% 0.1% 1% 0% 0% 1,300 64% 34% 0.2% 0.1% 0.2% 1% 0% 0%
District of Columbia 1,403 86% 10% 0.2% 0.1% 0.2% 1% 0.5% 3% 1,008 68% 31% 1% 0.1% 0.1% 0% 0.5% 0%
Federated States of Micronesia -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Florida 30,289 48% 50% 1% 0.1% 0.1% 1% 0.02% 1% 22,627 43% 54% 1% 0.1% 0.1% 0.4% 0% 1%
Georgia 10,981 72% 24% 1% 0.1% 0.2% 0.4% 3% 0.2% 10,755 74% 22% 1% 0.5% 0.2% 0.05% 0% 3%
Guam -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Hawaii 981 6% 40% 18% 19% 3% 13% 0% 0% 305 4% 49% 21% 14% 4% 9% 0% 0%
Idaho 480 8% 86% 1% 0.2% 1% 4% 0% 0.2% 338 9% 82% 1% 0% 1% 5% 0% 1%
Illinois 10,806 46% 48% 2% 0.1% 1% 1% 2% 0.1% 8,338 42% 51% 2% 0.1% 1% 1% 2% 0.1%
Indiana 1,160 38% 30% 3% 0% 0.3% 10% 19% 0% 1,967 38% 39% 4% 0% 0.3% 5% 14% 0%
Iowa 1,840 26% 68% 3% 0.1% 0.4% 2% 0% 0.2% 620 21% 73% 3% 0.2% 0.3% 2% 0% 1%
Kansas 1,055 27% 70% 2% 0% 2% 0% 0.3% 0% 1,179 27% 69% 2% 0% 1% 0% 0.3% 0%
Kentucky 4,127 38% 59% 1% 0.1% 1% 0% 0% 0% 3,464 36% 62% 1% 0.1% 1% 0% 0% 0%
Louisiana 6,016 64% 32% 0.3% 0.2% 0.4% 1% 0% 2% 4,089 61% 35% 0.5% 0.2% 0.3% 0.2% 0% 3%
Maine 940 21% 74% 0.3% 0% 1% 4% 0% 0% 642 25% 71% 0.5% 0% 1% 3% 0% 0%
Marshall Islands -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Maryland 4,786 77% 18% 1% 0.1% 0.2% 2% 1% 1% 6,223 72% 20% 1% 0.1% 0.3% 0.5% 3% 2%
Massachusetts 4,804 39% 46% 1% 0.1% 0.4% 3% 0% 10% 5,797 30% 54% 2% 0.3% 0.2% 2% 0% 12%
Michigan 3,401 41% 51% 2% 0.2% 1% 4% 0.4% 1% 3,107 44% 45% 2% 0.1% 0.3% 2% 7% 0%
Minnesota 2,866 43% 47% 2% 0.1% 3% 4% 0.1% 1% 1,733 34% 62% 3% 0.1% 0.2% 1% 0% 0%
Mississippi 2,435 78% 20% 0.2% 0% 0.04% 1% 0% 0.2% 2,508 79% 21% 0% 0% 0% 0.2% 0% 0%
Missouri 7,650 50% 48% 1% 0.2% 1% 0% 0% 0% 4,201 51% 48% 1% 0.2% 1% 0% 0% 0%
Montana 354 2% 90% 1% 1% 6% 0% 0% 0% 313 1% 94% 1% 1% 4% 0% 0% 0%
Nebraska 597 14% 26% 8% 0.3% 2% 0.3% 0% 50% 858 31% 65% 3% 0% 2% 0% 0% 0%
Nevada 3,378 27% 65% 3% 1% 1% 2% 0% 1% 2,170 23% 71% 4% 1% 1% 0% 0% 0.3%
New Hampshire 509 18% 74% 1% 0.2% 0.4% 6% 0.2% 0% 509 18% 74% 1% 0.2% 0.4% 6% 0.2% 0%
New Jersey 6,633 53% 36% 1% 0.2% 0.1% 3% 0% 7% 6,247 54% 37% 2% 0.2% 0.1% 3% 0% 4%
New Mexico 1,286 5% 80% 1% 0.2% 7% 7% 0% 0.2% 402 4% 87% 1% 0.2% 1% 7% 0% 0%
New York 16,493 34% 28% 1% 0.2% 1% 1% 35% 0.1% 22,167 36% 23% 2% 0.2% 0.3% 0% 33% 5%
North Carolina 10,417 64% 30% 1% 0.1% 1% 1% 0.2% 3% 9,137 64% 30% 0.01% 0% 1% 2% 0% 3%
North Dakota 302 44% 45% 1% 0% 4% 6% 0% 0% 230 48% 41% 2% 0% 2% 7% 0% 0%
Northern Mariana Islands -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Ohio 6,660 44% 53% 1% 0.1% 0.3% 2% 0% 0% 3,973 40% 57% 1% 0.1% 0.3% 2% 0% 0%
Oklahoma -- -- -- -- -- -- -- -- -- 2,010 23% 64% 1% 0.1% 5% 6% 0% 0%
Oregon 1,283 4% 86% 1% 1% 2% 6% 0% 0% 2,990 7% 76% 2% 1% 1% 4% 5% 4%
Pennsylvania -- -- -- -- -- -- -- -- -- 7,370 47% 45% 1% 0.2% 0.3% 0% 6% 1%
Puerto Rico 6,756 14% 83% 0.1% 0% 0% 3% 0% 0.3% 8,100 10% 89% 0.04% 0% 0.01% 0% 0% 0%
Republic of Palau -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Rhode Island 518 15% 32% 1% 0.4% 0.2% 1% 1% 49% 622 59% 26% 1% 0% 0% 0% 14% 0.3%
South Carolina 9,413 73% 25% 0.3% 0.04% 0.2% 1% 0% 0.2% 5,735 70% 28% 0.4% 0.03% 0.2% 1% 0.1% 0.02%
South Dakota 372 26% 46% 0% 0% 17% 11% 0.3% 0% 315 26% 48% 0% 0% 14% 11% 0.3% 0%
Tennessee 8,599 58% 41% 1% 0.1% 0.4% 0% 0% 0% 7,830 56% 42% 1% 0.1% 0.4% 0% 0.4% 0%
Texas 23,360 38% 23% 1% 0.1% 0.3% 0.4% 37% 0.05% 19,498 37% 46% 1% 0.1% 0.3% 0% 0% 16%
Utah 1,171 11% 84% 4% 1% 2% 0% 0% 0.3% 786 10% 84% 4% 1% 2% 0% 0% 0.3%
Vermont 483 11% 86% 2% 0.2% 1% 0% 0% 0% 419 5% 88% 1% 0% 0.5% 1% 5% 0%
Virgin Islands (U.S.) 161 86% 13% 1% 0% 0% 0% 0% 0% 152 86% 14% 1% 0% 0% 0% 0% 0%
Virginia 5,542 58% 38% 2% 0.1% 0.2% 1% 0% 0.4% 7,010 59% 32% 1% 0.01% 0.1% 7% 0% 0.1%
Washington 5,716 20% 52% 3% 1% 2% 3% 0% 18% 3,569 18% 72% 4% 1% 1% 3% 0% 1%
West Virginia 1,159 25% 73% 0.4% 0% 0.4% 1% 0% 0% 552 17% 81% 1% 0% 1% 0% 0% 0%
Wisconsin 4,950 43% 51% 2% 0.2% 2% 1% 0% 1% 1,646 33% 63% 2% 0.2% 1% 0% 0% 0%
Wyoming 187 11% 80% 0.5% 0% 6% 2% 0% 14% 187 11% 80% 0.5% 0% 6% 2% 0% 14%
Total 245,245 43% 43% 1% 0.3% 1% 1% 6% 4% 238,320 40% 49% 2% 0.2% 1% 1% 4% 4%

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State/Territory Calendar Year 2017 Part B Clients Served Black / African American White Asian Native Hawaiian / Pacific Islander American Indian / Alaskan Native Multi-Racial Other Unknown Calendar Year 2017 ADAP Clients Served Black/African American White Asian Native Hawaiian / Pacific Islander American Indian / Alaskan Native Multi-Racial Other Unknown
Alabama 7,310 0% 0% 0% 0% 0% 0% 0% 100% 3,495 66% 27% 0.1% 0% 0% 8% 0% 0.03%
Alaska 283 19% 51% 3% 1% 25% 0% 0% 0% 86 23% 70% 5% 0% 2% 0% 0% 0%
American Samoa -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Arizona 2,719 10% 74% 1% 0.04% 6% 8% 0% 2% 2,522 12% 80% 2% 0.04% 1% 5% 0% 0%
Arkansas 2,263 46% 49% 0.5% 0.5% 1% 3% 0.1% 0% 1,202 43% 51% 0.4% 0.5% 0.5% 4% 0% 0%
California 14,370 18% 72% 3% 1% 2% 1% 3% 1% 29,486 12% 73% 4% 0.4% 0.4% 1% 0% 10%
Colorado 2,172 21% 73% 2% 0.4% 2% 0% 0% 1% 4,932 20% 71% 2% 0.4% 4% 2% 0% 0%
Connecticut 2,313 45% 50% 0.5% 0.1% 0.3% 3% 0.3% 0% 1,599 31% 53% 1% 0.2% 0.4% 0% 0% 15%
Delaware 1,496 64% 35% 0.1% 0.1% 0.1% 1% 0% 0% 1,300 64% 34% 0.2% 0.1% 0.2% 1% 0% 0%
District of Columbia 1,403 86% 10% 0.2% 0.1% 0.2% 1% 0.5% 3% 1,008 68% 31% 1% 0.1% 0.1% 0% 0.5% 0%
Federated States of Micronesia -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Florida 30,289 48% 50% 1% 0.1% 0.1% 1% 0.02% 1% 22,627 43% 54% 1% 0.1% 0.1% 0.4% 0% 1%
Georgia 10,981 72% 24% 1% 0.1% 0.2% 0.4% 3% 0.2% 10,755 74% 22% 1% 0.5% 0.2% 0.05% 0% 3%
Guam -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Hawaii 981 6% 40% 18% 19% 3% 13% 0% 0% 305 4% 49% 21% 14% 4% 9% 0% 0%
Idaho 480 8% 86% 1% 0.2% 1% 4% 0% 0.2% 338 9% 82% 1% 0% 1% 5% 0% 1%
Illinois 10,806 46% 48% 2% 0.1% 1% 1% 2% 0.1% 8,338 42% 51% 2% 0.1% 1% 1% 2% 0.1%
Indiana 1,160 38% 30% 3% 0% 0.3% 10% 19% 0% 1,967 38% 39% 4% 0% 0.3% 5% 14% 0%
Iowa 1,840 26% 68% 3% 0.1% 0.4% 2% 0% 0.2% 620 21% 73% 3% 0.2% 0.3% 2% 0% 1%
Kansas 1,055 27% 70% 2% 0% 2% 0% 0.3% 0% 1,179 27% 69% 2% 0% 1% 0% 0.3% 0%
Kentucky 4,127 38% 59% 1% 0.1% 1% 0% 0% 0% 3,464 36% 62% 1% 0.1% 1% 0% 0% 0%
Louisiana 6,016 64% 32% 0.3% 0.2% 0.4% 1% 0% 2% 4,089 61% 35% 0.5% 0.2% 0.3% 0.2% 0% 3%
Maine 940 21% 74% 0.3% 0% 1% 4% 0% 0% 642 25% 71% 0.5% 0% 1% 3% 0% 0%
Marshall Islands -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Maryland 4,786 77% 18% 1% 0.1% 0.2% 2% 1% 1% 6,223 72% 20% 1% 0.1% 0.3% 0.5% 3% 2%
Massachusetts 4,804 39% 46% 1% 0.1% 0.4% 3% 0% 10% 5,797 30% 54% 2% 0.3% 0.2% 2% 0% 12%
Michigan 3,401 41% 51% 2% 0.2% 1% 4% 0.4% 1% 3,107 44% 45% 2% 0.1% 0.3% 2% 7% 0%
Minnesota 2,866 43% 47% 2% 0.1% 3% 4% 0.1% 1% 1,733 34% 62% 3% 0.1% 0.2% 1% 0% 0%
Mississippi 2,435 78% 20% 0.2% 0% 0.04% 1% 0% 0.2% 2,508 79% 21% 0% 0% 0% 0.2% 0% 0%
Missouri 7,650 50% 48% 1% 0.2% 1% 0% 0% 0% 4,201 51% 48% 1% 0.2% 1% 0% 0% 0%
Montana 354 2% 90% 1% 1% 6% 0% 0% 0% 313 1% 94% 1% 1% 4% 0% 0% 0%
Nebraska 597 14% 26% 8% 0.3% 2% 0.3% 0% 50% 858 31% 65% 3% 0% 2% 0% 0% 0%
Nevada 3,378 27% 65% 3% 1% 1% 2% 0% 1% 2,170 23% 71% 4% 1% 1% 0% 0% 0.3%
New Hampshire 509 18% 74% 1% 0.2% 0.4% 6% 0.2% 0% 509 18% 74% 1% 0.2% 0.4% 6% 0.2% 0%
New Jersey 6,633 53% 36% 1% 0.2% 0.1% 3% 0% 7% 6,247 54% 37% 2% 0.2% 0.1% 3% 0% 4%
New Mexico 1,286 5% 80% 1% 0.2% 7% 7% 0% 0.2% 402 4% 87% 1% 0.2% 1% 7% 0% 0%
New York 16,493 34% 28% 1% 0.2% 1% 1% 35% 0.1% 22,167 36% 23% 2% 0.2% 0.3% 0% 33% 5%
North Carolina 10,417 64% 30% 1% 0.1% 1% 1% 0.2% 3% 9,137 64% 30% 0.01% 0% 1% 2% 0% 3%
North Dakota 302 44% 45% 1% 0% 4% 6% 0% 0% 230 48% 41% 2% 0% 2% 7% 0% 0%
Northern Mariana Islands -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Ohio 6,660 44% 53% 1% 0.1% 0.3% 2% 0% 0% 3,973 40% 57% 1% 0.1% 0.3% 2% 0% 0%
Oklahoma -- -- -- -- -- -- -- -- -- 2,010 23% 64% 1% 0.1% 5% 6% 0% 0%
Oregon 1,283 4% 86% 1% 1% 2% 6% 0% 0% 2,990 7% 76% 2% 1% 1% 4% 5% 4%
Pennsylvania -- -- -- -- -- -- -- -- -- 7,370 47% 45% 1% 0.2% 0.3% 0% 6% 1%
Puerto Rico 6,756 14% 83% 0.1% 0% 0% 3% 0% 0.3% 8,100 10% 89% 0.04% 0% 0.01% 0% 0% 0%
Republic of Palau -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Rhode Island 518 15% 32% 1% 0.4% 0.2% 1% 1% 49% 622 59% 26% 1% 0% 0% 0% 14% 0.3%
South Carolina 9,413 73% 25% 0.3% 0.04% 0.2% 1% 0% 0.2% 5,735 70% 28% 0.4% 0.03% 0.2% 1% 0.1% 0.02%
South Dakota 372 26% 46% 0% 0% 17% 11% 0.3% 0% 315 26% 48% 0% 0% 14% 11% 0.3% 0%
Tennessee 8,599 58% 41% 1% 0.1% 0.4% 0% 0% 0% 7,830 56% 42% 1% 0.1% 0.4% 0% 0.4% 0%
Texas 23,360 38% 23% 1% 0.1% 0.3% 0.4% 37% 0.05% 19,498 37% 46% 1% 0.1% 0.3% 0% 0% 16%
Utah 1,171 11% 84% 4% 1% 2% 0% 0% 0.3% 786 10% 84% 4% 1% 2% 0% 0% 0.3%
Vermont 483 11% 86% 2% 0.2% 1% 0% 0% 0% 419 5% 88% 1% 0% 0.5% 1% 5% 0%
Virgin Islands (U.S.) 161 86% 13% 1% 0% 0% 0% 0% 0% 152 86% 14% 1% 0% 0% 0% 0% 0%
Virginia 5,542 58% 38% 2% 0.1% 0.2% 1% 0% 0.4% 7,010 59% 32% 1% 0.01% 0.1% 7% 0% 0.1%
Washington 5,716 20% 52% 3% 1% 2% 3% 0% 18% 3,569 18% 72% 4% 1% 1% 3% 0% 1%
West Virginia 1,159 25% 73% 0.4% 0% 0.4% 1% 0% 0% 552 17% 81% 1% 0% 1% 0% 0% 0%
Wisconsin 4,950 43% 51% 2% 0.2% 2% 1% 0% 1% 1,646 33% 63% 2% 0.2% 1% 0% 0% 0%
Wyoming 187 11% 80% 0.5% 0% 6% 2% 0% 14% 187 11% 80% 0.5% 0% 6% 2% 0% 14%
Total 245,245 43% 43% 1% 0.3% 1% 1% 6% 4% 238,320 40% 49% 2% 0.2% 1% 1% 4% 4%

Table 9

Download Table
State/Territory Calendar Year 2017 Part B Clients Served Hispanic Non-Hispanic Unknown Calendar Year 2017 ADAP Clients Served Hispanic Non-Hispanic Unknown
Alabama 7,310 3% 97% 0.04% 3,495 5% 95% 0%
Alaska 283 14% 86% 0% 86 29% 71% 0%
American Samoa -- -- -- -- -- -- -- --
Arizona 2,719 30% 70% 0% 2,522 40% 60% 0%
Arkansas 2,263 7% 93% 0% 1,202 9% 91% 0%
California 14,370 41% 58% 2% 29,486 46% 54% 0.03%
Colorado 2,172 26% 74% 0.3% 4,932 30% 70% 0.2%
Connecticut 2,313 36% 64% 0% 1,599 23% 63% 14%
Delaware 1,496 7% 93% 0% 1,300 6% 94% 0%
District of Columbia 1,403 9% 91% 0% 1,008 27% 73% 0%
Federated States of Micronesia -- -- -- -- -- -- -- --
Florida 30,289 24% 76% 0.01% 22,627 31% 69% 0.004%
Georgia 10,981 6% 94% 0.2% 10,755 9% 91% 0.04%
Guam -- -- -- -- -- -- -- --
Hawaii 981 15% 85% 0.4% 305 13% 87% 0%
Idaho 480 17% 83% 0.2% 338 19% 81% 0%
Illinois 10,806 23% 77% 0.1% 8,338 27% 73% 0.01%
Indiana 1,160 19% 81% 0% 1,967 14% 86% 0%
Iowa 1,840 9% 91% 0% 620 15% 85% 0%
Kansas 1,055 13% 87% 0% 1,179 18% 82% 0%
Kentucky 4,127 6% 94% 0% 3,464 6% 94% 0%
Louisiana 6,016 6% 94% 0.02% 4,089 8% 92% 0.02%
Maine 940 4% 96% 0% 642 4% 96% 0%
Marshall Islands -- -- -- -- -- -- -- --
Maryland 4,786 6% 94% 0.04% 6,223 10% 90% 0%
Massachusetts 4,804 28% 72% 0% 5,797 29% 66% 5%
Michigan 3,401 8% 92% 0.03% 3,107 7% 93% 0%
Minnesota 2,866 10% 90% 0% 1,733 12% 88% 0%
Mississippi 2,435 2% 98% 0% 2,508 2% 98% 0%
Missouri 7,650 7% 93% 0% 4,201 7% 93% 0%
Montana 354 5% 95% 0% 313 5% 95% 0%
Nebraska 597 19% 31% 50% 858 20% 80% 0%
Nevada 3,378 29% 71% 0% 2,170 34% 65% 1%
New Hampshire 509 15% 85% 0% 509 15% 85% 0%
New Jersey 6,633 20% 80% 0% 6,247 35% 65% 0%
New Mexico 1,286 50% 50% 0.2% 402 60% 40% 0%
New York 16,493 36% 64% 0.1% 22,167 33% 62% 5%
North Carolina 10,417 8% 92% 0.01% 9,137 11% 89% 0%
North Dakota 302 8% 92% 0% 230 5% 95% 0%
Northern Mariana Islands -- -- -- -- -- -- -- --
Ohio 6,660 6% 94% 0% 3,973 6% 94% 0%
Oklahoma -- -- -- -- 2,010 11% 89% 0%
Oregon 1,283 15% 85% 0.1% 2,990 18% 74% 8%
Pennsylvania -- -- -- -- 7,370 14% 84% 1%
Puerto Rico 6,756 99% 1% 0% 8,100 99% 1% 0%
Republic of Palau -- -- -- -- -- -- -- --
Rhode Island 518 14% 36% 49% 622 27% 72% 0.3%
South Carolina 9,413 4% 96% 0% 5,735 5% 95% 0%
South Dakota 372 7% 79% 14% 315 8% 77% 15%
Tennessee 8,599 5% 95% 0.1% 7,830 5% 95% 0.04%
Texas 23,360 38% 62% 0.05% 19,498 46% 40% 14%
Utah 1,171 26% 74% 0% 786 30% 70% 0%
Vermont 483 4% 96% 0% 419 5% 94% 1%
Virgin Islands (U.S.) 161 29% 71% 0% 152 27% 73% 0%
Virginia 5,542 11% 89% 0.3% 7,010 12% 87% 2%
Washington 5,716 17% 52% 30% 3,569 20% 80% 0.03%
West Virginia 1,159 3% 97% 0% 552 2% 98% 0%
Wisconsin 4,950 13% 86% 1% 1,646 17% 83% 0%
Wyoming 187 14% 99% 0% 187 14% 99% 0%
Total 245,245 21% 77% 1% 238,320 28% 70% 2%
State/Territory Calendar Year 2017 Part B Clients Served Hispanic Non-Hispanic Unknown Calendar Year 2017 ADAP Clients Served Hispanic Non-Hispanic Unknown
Alabama 7,310 3% 97% 0.04% 3,495 5% 95% 0%
Alaska 283 14% 86% 0% 86 29% 71% 0%
American Samoa -- -- -- -- -- -- -- --
Arizona 2,719 30% 70% 0% 2,522 40% 60% 0%
Arkansas 2,263 7% 93% 0% 1,202 9% 91% 0%
California 14,370 41% 58% 2% 29,486 46% 54% 0.03%
Colorado 2,172 26% 74% 0.3% 4,932 30% 70% 0.2%
Connecticut 2,313 36% 64% 0% 1,599 23% 63% 14%
Delaware 1,496 7% 93% 0% 1,300 6% 94% 0%
District of Columbia 1,403 9% 91% 0% 1,008 27% 73% 0%
Federated States of Micronesia -- -- -- -- -- -- -- --
Florida 30,289 24% 76% 0.01% 22,627 31% 69% 0.004%
Georgia 10,981 6% 94% 0.2% 10,755 9% 91% 0.04%
Guam -- -- -- -- -- -- -- --
Hawaii 981 15% 85% 0.4% 305 13% 87% 0%
Idaho 480 17% 83% 0.2% 338 19% 81% 0%
Illinois 10,806 23% 77% 0.1% 8,338 27% 73% 0.01%
Indiana 1,160 19% 81% 0% 1,967 14% 86% 0%
Iowa 1,840 9% 91% 0% 620 15% 85% 0%
Kansas 1,055 13% 87% 0% 1,179 18% 82% 0%
Kentucky 4,127 6% 94% 0% 3,464 6% 94% 0%
Louisiana 6,016 6% 94% 0.02% 4,089 8% 92% 0.02%
Maine 940 4% 96% 0% 642 4% 96% 0%
Marshall Islands -- -- -- -- -- -- -- --
Maryland 4,786 6% 94% 0.04% 6,223 10% 90% 0%