Saturday, May 10, 2025
5/10/2025
ADAP Shortfall Relief - According to the U.S. Census Bureau, Utah’s estimated population in 2022 was 3,380,800. The racial and ethnic composition of Utah was estimated to be 76.7% White, non-Hispanic; 15.1% Hispanic; 2.8% Asian; 1.2% Pacific Islander, non-Hispanic; 1.5% Native American or Alaskan Native, non-Hispanic; and 1.6% Black/African American. The proportion of males to females in 2022 was estimated to be almost even at 50.8% and 49.2%, respectively. In 2023, there were 154 new HIV infections reported throughout Utah this is significantly higher than the expected diagnosis count of 129 new diagnoses. So far in 2024, there have been 108 confirmed diagnoses this is 25-30% higher than what is typical this time in the year and a 11% increase over last year. Of new HIV infections, 89% are male, and 46% are of Hispanic origin with the highest rate among men 25 to 34 years of age. Of the 2,904 people known to be living with HIV in Utah (PLHIV) as of December 31, 2021, 85% are male and 15% are female. Among males, 68% reported that they were men who have sex with men (MSM), followed by those who were MSM and participated in injection drug use (IDU) at 15% and IDU-only at 3.4%. Compared to the Utah population, PLHIV are more likely to belong to a racial or ethnic minority population. Roughly 75% of the state’s population is located along the Wasatch Front, a four county, 80-mile stretch along the Wasatch Mountains. The remainder of the state’s geography is considered rural. In Utah, HIV/AIDS cases have been disproportionately concentrated in urban areas with 57% of new HIV infections being investigated by the Salt Lake County Health Department in 2021; 80% were investigated by local health departments along the Wasatch front which includes Salt Lake County. In regards to HIV/AIDS services, there are few clinics and limited supportive services in rural Utah and many PLHIV must travel to Salt Lake County to access HIV care. PLHIV living along the Wasatch Front are able to access primary medical care through the Infectious Disease Clinic (IDC) at the University of Utah Hospital and other HIV providers, while those living in rural areas can access care at community and private clinics. Non-Medical Case management services for Part B clients are provided through the Utah Department of Health and Human services while Medical Case Management Services are provided by IDC and a new partnership with Intermountain Health a healthcare provider located throughout the state. Approximately 40%, a nearly 5% increase from 2019, of all PLHIV in Utah receive assistance through the Ryan White Part B Program such as AIDS Drug Assistance Program (ADAP); Health Insurance; Core Medical Services; Supportive Services; and, Case Management. The Utah ADAP supports approximately 1132 clients, 68% through health insurance assistance with more than half of insured clients enrolled Medicaid and 32% through ADAP. Since August 2023 Utah’s ADAP program has seen a 76% increase in ADAP enrollment. ADAP enrollment and expenditures are expected to continue to increase due to policy changes, increased cases in Utah and regular program and cost increases. The Utah Part B Program does not receive state funding and is dependent on federal funds to sustain Part B services. Since 2009, Utah has depended on Emergency Relief Funds (ERF) to avoid a wait list due to the increasing need for Part B services. The Program is applying for the FY2025 ADAP ERF Awards for States and is requesting $1,900,000.00. The planned use of ADAP ERF funds, if received, is the purchase of HIV-related medications and health insurance assistance services to prevent an ADAP waiting list.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).