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
Note: 53 Part B programs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, and Republic of Palau did not respond. Percentages may not total 100% due to rounding.
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
Note: 53 ADAPs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, and Republic of Palau did not respond.
Table 1
Total RWHAP Part B Budget and ADAP Budget, FY2018
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% |
Note: 53 Part B programs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, and Republic of Palau did not respond. The total FY2017 budget includes federal, state, and drug rebates. Cost recovery funds, with the exception of drug rebates, are not included in the total budget.
Table 2
Total RWHAP Part B Budget, Including ADAP, by State and by Source, FY2018
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 |
Scroll or click the table to use your arrow keys
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 |
1Part B supplemental awards were provided to 27 states that met federal eligibility criteria, applied for funding, and were able to meet the mandated matching requirement or receive a waiver.
2Part B ADAP supplemental awards were provided to 9 states that met federal eligibility criteria, applied for funding, and were able to meet the mandated matching requirement or receive a waiver.
Note: 53 Part B programs reported data.American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, and Republic of Palau did not respond. The total FY2018 budget includes federal, state, and drug rebates. A dash (--) indicates the Part B program did not report data.
Table 3
Total RWHAP Part B and ADAP Budget, FY2017 and FY2018
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% |
1Comparison Totals are based on only those states that reported data for both time periods.
Note: 53 Part B programs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, and Republic of Palau did not respond. The total FY2018 budget includes federal, state, and drug rebates. Cost recovery funds, with the exception of drug rebates, are not included in the total budget.
Table 4
Major FY2018 RWHAP Part B Budget Categories Compared with FY2017
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% |
1Part B ADAP Supplemental awards were provided to states that met federal eligibility criteria, applied for funding, and were able to meet the mandated matching requirement or receive a waiver.
Note: 53 Part B programs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, and Republic of Palau did not respond. This table does not include the "Other State or Federal" category ($161,028,328), which is reported in the total budget in Tables 1 and 2. A dash (--) indicates the Part B program did not report data.
Table 5
ADAP Cost Recovery and Other Cost-Saving Mechanisms (Excluding Drug Rebates), Calendar Year 2017
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 |
Note: 51 ADAPs reported data. American Samoa, Connecticut, Federated States of Micronesia, Florida, Guam, Marshall Islands, Northern Mariana Islands, and Republic of Palau did not respond. A dash (--) indicates the ADAP did not report data. A zero ($0) indicates the ADAP responded zero ($0) to the question.
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
Client enrollment: the number of clients enrolled by Part B program or ADAP in 2017
Client utilization: the number of clients served by Part B program or ADAP in 2017
Client retention: the number of clients who were successfully recertified twice in a 12-month period of time by Part B program or ADAP
Part B client health outcome: the number of clients served by Part B program or ADAP who reported a suppressed viral load in 2017
Note: 51 Part B programs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, Oklahoma, Pennsylvania, and Republic of Palau did not respond. 53 ADAPs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, and Republic of Palau did not respond.
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
Note: 51 Part B programs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, Oklahoma, Pennsylvania, and Republic of Palau did not respond. Data reflect clients enrolled in Part B programs over the past 12 months or the most recent 12 months for which data are available. Data reflect clients enrolled in Part B programs over the past 12 months or the most recent 12 months for which data are available. Percentages may not total 100% due to rounding.
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
Note: 53 ADAPs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, and Republic of Palau did not respond. Data reflect clients enrolled in ADAPs over the past 12 months or the most recent 12 months for which data are available. Percentages may not total 100% due to rounding.
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.
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
Note: 51 Part B programs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, Oklahoma, Pennsylvania and Republic of Palau did not respond.
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Chart 7
ADAP Clients Served and Top Ten States, by Clients Served, Calendar Year 2017
Note: 53 ADAPs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, and Republic of Palau did not respond.
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Chart 8
ADAP Clients Served, by Program Type, Calendar Year 2017
Note: 53 ADAPs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, and Republic of Palau did not respond. Percentages may not total 100% due to rounding.
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Chart 9
RWHAP Part B Viral Load Suppression Rate, by Clients Served, Calendar Year 2017
Note: 51 Part B programs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, Oklahoma, Pennsylvania, and Republic of Palau did not respond.
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Chart 10
ADAP Viral Load Suppression Rate, by Clients Served, Calendar Year 2017
Note: 53 ADAPs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, and Republic of Palau did not respond.
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Chart 11
RWHAP Part B Clients Served, by Demographic, Calendar Year 2017
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Chart 12
ADAP Clients Served, by Demographic, Calendar Year 2017
Table 6
Total RWHAP Part B and ADAP Clients Enrolled and Served, Calendar Year 2017
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 |
1For the purposes of this report, ADAP clients are considered to be enrolled in either the full-pay medication program or the insurance program. Full-pay medication program clients are defined as those individuals who receive medications paid in full by ADAP with no coordination of insurance or benefits. Insurance program clients are defined as those who have additional coverage (i.e., insurance, Medicare) that ADAP is assisting through paying premiums, deductibles, or co-payments/co-insurance.
2Individuals who had an insurance (i.e., Medicare Part D, Medicaid, private insurance) payment (premium, co-payment/co-insurance, and/or deductible) paid on their behalf using ADAP funds, either fully or in part.
3This includes clients who enrolled in an insurance plan mid-year and those who were enrolled in an insurance plan that did not cover one or more medically necessary medications such that the ADAP’s full-pay prescription program did instead.
Note: 50 Part B programs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, Oklahoma, Pennsylvania, Republic of Palau, and Rhode Island did not respond. 53 ADAPs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, and Republic of Palau did not respond. A dash (--) indicates the Part B program or ADAP did not report data.
Table 7
RWHAP Part B and ADAP Clients by Viral Load 1, Enrolled During 12-Month Period, Calendar Year 2017
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% |
1Reported using the most recent viral load recorded for each client as of December 31, 2017 among those served by the Part B program in calendar year 2017 (including those clients on ARVs and those clients not on ARVs). If a client did not receive a viral load during calendar year 2017, reported based on the last viral load recorded for that individual prior to December 31, 2017.
2Individuals who had an insurance (i.e., Medicare Part D, Medicaid, private insurance) payment (premium, co-payment/co-insurance, and/or deductible) paid on their behalf using ADAP funds, either fully or in part.
3This includes clients who enrolled in an insurance plan mid-year and those who were enrolled in an insurance plan that did not cover one or more medically necessary medications such that the ADAP’s full-pay prescription program did instead.
Note: 51 Part B programs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, Oklahoma, Pennsylvania, and Republic of Palau did not respond. Data reflect clients enrolled in Part B programs over the past 12 months or the most recent 12 months for which data are available. A dash (--) indicates the Part B program did not report data. A zero (0%) indicates the Part B program responded zero (0%) to the question.
Note: 53 ADAPs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, and Republic of Palau did not respond. A dash (--) indicates the ADAP did not report data. Data reflect clients enrolled in ADAPs over the past 12 months or the most recent 12 months for which data are available. A dash (--) indicates the ADAP did not report data. A zero (0%) indicates the ADAP responded zero (0%) to the question. In some cases, an ADAP was able to report data though was unable to distinguish between clients served by the full-pay medications program only, the ADAP-funded insurance program only, and the full-pay medications and ADAP-funded insurance programs.
Note: Many ADAPs were unable to report Viral Load separately for: clients served by a full-pay prescription program only; clients served by an ADAP-funded insurance program only; and clients served by a fully-pay prescription program and ADAP-funded insurance program. As such, the percentage of clients that fall into each Viral Load category are reported under "All Clients Served" for each state for which this is the case.
Table 8
RWHAP Part B and ADAP Clients Served, by Race, Calendar Year 2017
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% |
Scroll or click the table to use your arrow keys
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% |
Note: 51 Part B programs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, Oklahoma, Pennsylvania, and Republic of Palau did not respond. A dash (--) indicates the Part B program did not report data. A zero (0%) indicates the Part B program responded zero (0%) to the question.
Note: 53 ADAPs reported data. American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, and Republic of Palau did not respond. A dash (--) indicates the ADAP did not report data. A zero (0%) indicates the ADAP responded zero (0%) to the question.
Table 9
RWHAP Part B and ADAP Clients Served, by Ethnicity, Calendar Year 2017
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% |