Ryan White Part B Supplemental - In 2025, the US Census Bureau reported a population of 4.66 million people in Louisiana, of which 63% were Caucasian, 33% African American and 7% of Hispanic descent. Louisiana is a poor state, with the 2023 household median income was $60,023 and 19% of the population living in poverty (2nd highest). The Affordable Care Act and Medicaid expansion, made healthcare accessible to an incredible number of impoverished Louisiana residents. For Medicaid alone, more than 540,000 persons have enrolled into this coverage to date. The Louisiana ADAP service delivery infrastructure is primarily based on that of an insurance procurement model, with the payment of monthly premiums and all eligible related cost shares. This is the most cost effective mechanism by which to assure that program participants will have the most comprehensive access to HIV medications, and provides the greatest degree of client choice is selecting providers and pharmacies that best meet their care needs. Utilizing available numbers, as of February 2025, 5,010 (95%) of individuals receiving ADAP assistance were insured, and as of February 2025, 13,694 individuals were on Medicaid. The 2023 Statewide Needs Assessment Survey of people with HIV showed 87% reported having insurance coverage. Louisiana’s HIV prevalence rate in 2022 was 568 per 100,000 population compared to 466 in the South, and 388 across the United States. The state’s HIV diagnosis rate in 2022 was 22 per 100,000 population, compared to 18 in the South, and 13 across the United States. In 2022, 857 persons were newly diagnosed with HIV in Louisiana, and three parishes in rural areas of the state were in the top five parishes for new diagnoses rates: Assumption Parish (Region 3), Evangeline Parish (Region 4), and Caddo Parish (Region 7). As of December 31, 2023, 22,978 persons with HIV were known to be living in Louisiana. This represents and a 4% increase over two years. While new HIV diagnoses rates have improved in New Orleans and Baton Rouge metro areas, the same improvements have not been observed in rural areas of the state. This is significant because 44.7% (10,273) persons with HIV live in the balance of state consisting of Regions 3-9, the most rural areas of Louisiana. The Louisiana LDH OPH STI/HIV/Hepatitis Program has allocated more than 89% of the proposal request to core services, with the remaining resources allocated to critical non-core service categories such as Food Bank/Home Delivered Meals, Medical Transportation, Housing Assistance, Psychosocial Support, and Rehabilitative Services. Supportive Services funded through Part B provide the necessary assistance to clients to help them become linked to, and maintained in, medical care and on HIV related medications.
