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Louisiana ADAP Crisis

Louisiana ADAP Crisis. LA ADAP Crisis. Cost of providing meds through LA ADAP increased by 33% Number of clients increased by 15% At current rate of growth: Projection of $31.4 M is needed to maintain program through 2011

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Louisiana ADAP Crisis

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  1. Louisiana ADAP Crisis

  2. LA ADAP Crisis Cost of providing meds through LA ADAP increased by 33% Number of clients increased by 15% At current rate of growth: Projection of $31.4 M is needed to maintain program through 2011 • Health Resources & Services Admin (HRSA) awarded LA $17.7 M to serve 3,900 clients from Apr 2010 – Mar 2011 • $17.7 M + $2 M (in pharmaceutical rebates) leaves LA with $11.7 M shortfall

  3. Projected FY 2010 ADAP Expenditures Total Current ADAP Resources $19,682,500 Allocated for ADAP Administration $348,202 Allocated for ADAP Funding Co-Payments $1,040,000 Projected Need for ADAP Medications $30,000,000 Projected Need for Calendar Year 2010 $31,388,202 Difference $11,705,702 Louisiana Office of Public Health

  4. LA ADAP Crisis Potential shortfall of $11.7 million for FY 2010 Significant increases in client utilization costs without a corresponding increase in resources Over 3,500 Low income Louisianans living w/HIV were served by ADAP in 2009 • Over 3,500 will be impacted when cost containment measures are implemented

  5. LA ADAP Crisis: Cost Containment Measures Reduction and/or Elimination of some RW Part B Services Capped New Enrollment Application for FY 2010 RW Part B Supplemental Funding Aggressive Efforts to Recoup Pharmaceutical Rebates Request to the Ryan White Part A (NO) and TGA (BR) grantees for ADAP contribution

  6. LA ADAP Crisis: Cost Containment Measure Over $2M Restriction on funding in other service areas: • Discontinuation of diagnostic laboratory - $492,000 • Discontinuation of Primary Medical Services - $1,230,000 (CARES gives FACES $$ to UMC) • Discontinuation of local drug assistance, legal services, peer group support, and home health services - $774,450

  7. LA ADAP Crisis: Cost Containment Measure Cap new enrollment to LA ADAP June 1, 2010 From 2007-09 new enrollments increased 67% If new enrollments continued at same rate, a savings of $4,653,700 will result from cap

  8. LA ADAP Crisis: Cost Containment Measure Request to New Orleans and Baton Rouge for contribution 67% of LA ADAP clients receive services in NO or BTR; account for 63% of all LA ADAP expenditures in ’09 As a result, smaller regions suffer • No FACES caseload, no medication budget, no food pantry, significantly reduced other services

  9. Contact Information Acadiana CARES Claude Martin Chief Executive Officer 337.233.2437 x125 337.704.0644 claude@acadianacares.org HIV/AIDS Program Office Dr. DeAnn Gruber Director (504) 568-7474 deann.gruber@la.gov

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