[1] In 2010, some states, citing budgetary reasons began cutbacks to the ADAP Formulary or instituted waiting lists for medication.
As of November 2023, the majority of U.S. states (n=27) have income eligibility limits set at 500% of the Federal Poverty Level (FPL).
Territory of Puerto Rico have the strictest income requirements that restrict eligibility to patients making no more than 200% of the FPL).
[5] [6] Throughout most of the 2000s, state Ryan White HIV/AIDS Program (RWHAP) Part B programs — ADAPs — were forced to place financially eligible Persons Living with HIV/AIDS (PLWHA) on waiting lists to receive financial assistance to afford medications to treat HIV.
Other states closed registration to new applicants or instituted state-level eligibility guidelines beyond those required by HRSA.
These treatment delays likely contributed to the 2006 deaths of at least three PLWHA who were on South Carolina's ADAP waiting list, the announcement of which led to nationwide calls for the appropriation of emergency funds and increased overall appropriations to end waiting lists.