Part B: AIDS Drug Assistance Program (ADAP)

Under the Ryan White HIV/AIDS Program (RWHAP) Part B, ADAP provides FDA-approved medications to low-income people with HIV. These people have limited or no health insurance. Grant recipients can also use ADAP funds to:  

• Buy health insurance for eligible clients
• Provide services that improve access to, adherence to, and monitoring of, drug treatments

Who receives Part B grants?

The chief elected official of a state or territory receives Part B grants. They choose the state departments of health or other state agencies to carry out the grant.

We award Part B grants to:

• 50 states
• District of Columbia
• Commonwealth of Puerto Rico
• Northern Mariana Islands
• American Samoa
• Guam
• U.S. Virgin Islands
• Federated States of Micronesia 
• Republic of the Marshall Islands
• Republic of Palau 

Which clients are eligible?

The state or territory decides who is eligible (PDF - 68 KB) based on:

• Medical eligibility: Must have an HIV diagnosis
• Financial eligibility: Usually set as a percentage of the federal poverty level

Clients must also live in the state or territory.

Grant recipients and subrecipients must confirm clients' eligibility within the eligibility time periods. They must follow their policies and procedures to find out if there are changes in a client’s income or residency status.

How do we decide funding amounts?

• Congress chooses a portion of the Part B appropriation for the ADAP base amount
• We use a formula to decide ADAP grant amounts. The formula is based on the number of people who reported living with HIV/AIDS in the state or territory in the most recent calendar year
• Five percent of the ADAP base amount is set aside for states and territories that:
  • Qualify under the RWHAP statute
  • Apply for more funding due to a severe need for medication
• The ADAP Emergency Relief Funding is a competitive grant for states and territories. Grant recipients must show a need for more resources to prevent, reduce, or get rid of waiting lists, including through cost-containment measures

What rules must ADAPs follow?

Each ADAP decides which medications to include in its formulary (covered list of drugs) and how those medications will be distributed. Each ADAP must:

• Cover at least one drug from each class of HIV antiretroviral medications on their ADAP formulary
• Purchase only FDA-approved medications with RWHAP funds

We also require:

• ADAP eligibility criteria to be applied consistently across the state or territory
• All formulary medications and ADAP-funded services to be equally and consistently available to everyone eligible throughout the state or territory