Louisiana ADAP Crisis LA ADAP Crisis Cost of
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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 � 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
Projected FY 2010 ADAP Expenditures Total Current ADAP Resources $19, 682, 500 Allocated for ADAP Administration Allocated for ADAP Funding Co-Payments Projected Need for ADAP Medications $348, 202 $1, 040, 000 $30, 000 Projected Need for Calendar Year 2010 $31, 388, 202 Difference $11, 705, 702 Louisiana Office of Public Health
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
LA ADAP Crisis: Cost Containment Measures 1. 2. 3. 4. 5. 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
LA ADAP Crisis: Cost Containment Measure Over $2 M 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
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
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
Contact Information Claude Martin Chief Executive Officer 337. 233. 2437 x 125 337. 704. 0644 claude@acadianacares. org HIV/AIDS Program Office Dr. De. Ann Gruber Director (504) 568 -7474 deann. gruber@la. gov Acadiana CARES
