Friday, May 9, 2025
5/9/2025
ADAP Shortfall Relief - Nebraska is a landlocked state, west of the Mississippi River in the central mainland. It is one of the states in the Great Plains region with a population of 1,961,504. According to the Census.gov 2021 estimates, of the near 2 million Nebraskans, 87.7% are White, 5.3% are Black or African American, 12.0% are Hispanic or Latinx, 2.8% are Asian, 1.6% are American Indian or Alaska Native, 0.1% are Native Hawaiian and Other Pacific Islander, and 2.4% identified as Two or More Races. Male Nebraskans represented 50.3% of the population, whereas female Nebraskans represented 49.7%. Additionally, 20.8% are under 15 years old, 79.2% are 15 years and over, 58.6% are 30 years and over, 14.7% are 65 years and over, and 2.2% are 85 years and over. Finally, 10.8% (n~211,842) Nebraskans are living in poverty and more than 8% (n~162,805) of Nebraskans are currently without health insurance and under the age of 65 years. The current Nebraska epidemiological data show that males accounted for 83.2% of the new HIV diagnoses from 2016 to 2021. As of December 31, 2021, 78.5% of all Nebraskans living with HIV/AIDS were male. Age: Among new HIV infections, the most common age group diagnosed were those aged 25 to 34 years. Over half over those living with HIV/AIDS at the end of 2021 were between the ages of 45 and 64. Race/Ethnicity: Non-Hispanic Black/African Americans and Hispanic/Latinx were over-represented among persons with HIV/AIDS when their population sizes in Nebraska are taken into account. Newly diagnosed non-Hispanic Black/African Americans had an HIV diagnosis rate more than eight times higher than White, non-Hispanics. Hispanic/Latinx had an HIV diagnosis rate nearly three times higher than White, non-Hispanics. Among those living with HIV/AIDS, minority populations are also disproportionately impacted. Exposure Category: Men who have sex with men (MSM) is the reported mode of exposure to HIV for 59.3% of males newly diagnosed with HIV infection. Among newly diagnosed females, No Identified Risk (NIR) is the most common reported exposure category. Among those living with HIV/AIDS, male to male sexual contact is the most common exposure category among males, and heterosexual contact among females. As of 8/31/2022, Nebraska Ryan White HIV/AIDS Part B Program (NE RWHAPB) AIDS Drug Assistance Program (ADAP) has an average of 800 consumers enrolled in ADAP services per month - 460 utilizing just medication services and 340 utilizing medication and ADAP HIP for medical and dental insurance premium assistance. During FY 2021, there was an average service utilization of 421 consumers whereas FY 2022 has a current service utilization of 442 consumers, which is a 4.8% increase. NE RWHAPB recently implemented an over-the-counter (OTC) formulary to expand care and treatment options. Overall, NE RWHAPB expects higher than normal enrollment for the significant future, as HIV Prevention continues to expand its testing efforts and as more previously diagnosed consumers reengage with care due to the continued COVID-19 pandemic and economic instability. Additionally, NE RWHAPB has transitioned to a medication rebate-only model, which is far less consistent income compared to other funding sources, so expansion of federal funding will allow NE RWHAPB to fulfill the goals of the ADAP. Over the last fiscal year, the number of consumers utilizing the NE RWHAPB ADAP assistance has drastically increased. NE RWHAPB will utilize the ADAP ERF funding to continue and enhance access to comprehensive, high-quality HIV care and treatment services via elimination of a potential waiting list, allow consumers to utilize the newly developed and implemented OTC formulary, provide coverage for long-acting injectable antiretroviral medications, and expand coverage assistance for ADAP Health Insurance Premium assistance. The overall projects will allow NE RWHAPB to continue and enhance access to a comprehensive continuum of high-quality HIV care and treatment services.
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).