Idaho is comprised of 44 counties and has a land area of 83,557 square miles with agriculture, forestry, manufacturing, and tourism being the primary industries. Nineteen of Idaho’s 44 counties are considered “frontier,” with averages of less than six persons per square mile. Over the past five years, Idaho’s population has increased 6.41 percent from 1,499,465 in 2007 to 1,595,728 in 2012. The physical barriers of terrain and distance have consolidated Idaho’s population into seven natural regions. A public Health District (HD) exists within each of these regions. Each HD is comprised of satellite clinic sites. As of December 31, 2018, 1,707 persons ever reported in Idaho (regardless of whether they were diagnosed in Idaho or moved from another state) are presumed to be still living with HIV/AIDS (PLWH) . The majority of infected individuals are white, 25-44 years of age, with MSM being the primary exposure category. The majority of PLWH live in the largest population centers of the state, HDs 3 and 4. The lesser population centers are in the northern and southeastern parts of the state and also account for larger concentrations of PLWH/A. Idaho is home to two Ryan White Part C (RWPC) Clinics. The Wellness Center is located in the State’s capital Boise, while the second clinic, Pocatello Family Medicine Clinic, formerly a Wellness Center Satellite, is now a directly-funded RWPC clinic in the southeastern region of Idaho. HIV+ persons, in the ten northern counties of Idaho, must travel to Spokane, WA, for HIV-specific services and the majority of their primary care. Statewide, Ryan White Part B (RWPB) programs exist in two public HDs and three community-based organizations, and two RWPC clinics. RWPB programs offer payment for HIV diagnostic and monitoring labs, medical case management, emergency financial assistance, transportation, referral for health care services and access to ADAP services. RWPC clinics provide HIV specialty care and
primary care, referral, and some mental and oral health care services. Idaho ADAP is centrally housed in the Idaho Department of Health and Welfare, HIV, STD, and Hepatitis Section. Idaho ADAP has yet to be approved to wrap around any type of private or public health insurance other than Medicare Part D. Idaho is anticipating developing policy relating to the Idaho Health Insurance Exchange, Your Health Idaho, during the coming fiscal year.