While some states supplement federal Ryan White ADAP monies with state general revenue funds, twelve states do not provide any non-federal financing of their programs and therefore rely solely on federal funding to provide ADAP services. All eleven maintain active waiting lists for clients to enter the program. The number of individuals on these waiting lists is reported to be at least over 2,500. Five states reported using monthly or yearly per capita expenditure caps. Six states reported capped or restricted access to protease inhibitors or other antiretrovirals and two states continue to not provide any protease inhibitors due to budget constraints.
Some states contribute supplementary funding.
States set the income and medical eligibility, determine which drugs will be covered and how they will be purchased and distributed. The Kaiser Family Foundation , based in Menlo Park, California, is an independent national health care philanthropy that is not associated with Kaiser Permanente or Kaiser Industries. Full report available in PDF format.