Highlights of the 2020 ADAP Report

TargetHIV

Over 300,000 individuals receive help with their HIV medications and health insurance costs under HRSA's AIDS Drug Assistance Program (ADAP), part of the Ryan White HIV/AIDS Program (RWHAP). 

Data on who gets ADAP, and for what services, are summarized in the RWHAP ADAP Annual Client-Level Data Report, 2020 (August 2022), which gathers data from each of the ADAP programs run by states and territories. The report, based on the ADAP Data Report (ADR) that started in 2013, compares data trends from 2016-2020. In many respects, client and service characteristics have not changed much over this time period, except for the total number of persons on ADAP. In 2020, ADAPs served 300,785 individuals or 35,000 more than in 2016.

Learn more about ADAPs in HRSA's RWHAP Part B: ADAP Program Fact Sheet, September 2021.

Following are highlights from the ADAP Report.

Demographics

The demographics of ADAP clients have not changed much from 2016-2020. In 2020, over three-fourths (78.1%) were male while a nearly equal proportion were from racial/ethnic minority populations (39.5%: Black/African American, 27.6%: Hispanic/Latino, and less than 2% each: Asian, American Indian/Alaska Native, Native Hawaiian/Pacific Islander, and people of multiple races).

Technical support for ADAPs on the ADR is provided by the HRSA-funded Data Integration, Systems and Quality (DISQ) Team.

Socioeconomics

In 2020, well over one-third of ADAP clients were uninsured (37.4%), with uninsured rates highest among Hispanics/Latinos (48.2%) and Blacks/African Americans (42.8%); transgender females (59.5%); and those with other gender identities (59.5%). 

Likewise, racial/ethnic minority ADAP clients are more likely to have incomes below 100% of the federal poverty level: Hispanics/Latinos (55.7%); Blacks/ African Americans (53.8%); and American Indians/Alaska Natives (50.0%). Similar percentages are reported for female ADAP clients (56.5%) and transgender female clients (, 68.1%). 

What ADAP Covers

ADAP pays for medications (medication assistance) and health insurance costs (i.e., premiums co-pays, deductibles). 

Nearly half (47.5%) of ADAP clients get coverage in the form of what is called "full-pay medication support" for HIV drugs and those for the prevention and treatment of opportunistic infections. 

About one out of five (19.5%) receive help to pay for medications in the form of coverage of co-pays and deductibles. This includes Medicare Part D coinsurance, co-payment, or donut hole coverage. Only 5.2% receive premium assistance only. 

Another one-fourth (27.8%) receive multiple forms of ADAP help. 

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