April 29, 2005
Dear President Bush and Members of Congress:
The undersigned organizations are writing to urge your support for an
increase of $303 million for the AIDS Drug Assistance Program (ADAP) for Fiscal
Year 2006.
ADAP, funded under Title II of the Ryan White CARE Act, provides access to
treatment for low-income people living with HIV/AIDS who are uninsured or lack
adequate prescription drug coverage. It is the final safety net for Americans
who have no other means of accessing HIV medications and a lifeline for
approximately 100,000 clients every month.
For some time, however, many state ADAPs have been facing financial
difficulties and are unable to meet the needs of those who depend on the
program. And while we appreciate the President's ADAP Initiative that is
providing medications to people on ADAP waiting lists in ten states, the
treatment access crisis remains. According to the National Alliance of State and
Territorial AIDS Directors (NASTAD), as of February 9, 2005, twenty states have
implemented restrictions to treatment access, including waiting lists in nine
states. Eight states are anticipating new or additional restrictions in the next
few months.
Meanwhile, the number of people depending on ADAP continues to grow. The
Administration has strongly encouraged that all Americans learn their HIV
status, and by implementing policies such as the approval and dissemination of
the rapid HIV test, the numbers of people being tested are growing. As the ADAP
Monitoring Report produced by NASTAD and the Kaiser Family Foundation
illustrates, many of these new HIV cases are people who are disproportionately
uninsured and low-income and need safety net programs such as ADAP to access
treatment that will keep them healthy and productive.
Congress recently approved a $38.7 million increase for ADAP in the FY 2005
appropriations bill (after rescission). While this increase is appreciated, it
falls well short of the $217 million increase identified by treatment experts as
needed to help alleviate the current ADAP crisis. Therefore, we urge your
leadership in providing adequate funding for this lifesaving program, including
an emergency supplemental appropriation of at least $150 million to help address
immediate need.
In addition, we recognize that access to primary care and support services
are a vital component to comprehensive care, and we urge you to also support the
highest funding possible for the entire Ryan White CARE Act in the next
appropriations process. Flat-funding for other programs in the CARE Act is not
acceptable.
Thank you for considering this request.
Sincerely,
Alabama:
AIDS Action Coalition, Huntsville
AIDS
Alabama , Birmingham
Birmingham AIDS Outreach,
Birmingham
East Alabama AIDS Outreach
of EAMC, Auburn
Health Services
Center, Inc., Anniston
Jefferson
County
AIDS in Minorities,
Inc., Birmingham
MAO, Montgomery
Mobile AIDS
Support Services, Mobile
University of
Alabama
Center for AIDS
Research, Birmingham
West Alabama
AIDS Outreach, Inc., Tuscaloosa
�
Alaska:
Alaskan AIDS
Assistance Association, Anchorage
HIV/AIDS
Services for African Americans in Alaska,
Anchorage
�
Arizona:
Arizona AIDS Policy
Alliance,
Tucson
BorderLand AIDS
Services Tearm, Huachuca
City
�
Arkansas:
Health
Mentoring Services, Dover
�
California:
AIDS Education
Global Information System (AEGIS), San Juan Capistrano
AIDS/HIV/HepC
Nightline, San Francisco Suicide Prevention
AIDS Legal Referral Panel, San
Francisco
AIDS Project
Los
Angeles,
Los Angeles
AIDS ReSearch
Alliance, West
Hollywood
AIDS
Service
Foundation
Orange
County,
Irvine
Asian Pacific
Islander Community AIDS Project, San Diego
Asian & Pacific
Islander
Wellness
Center,
San
Francisco
Bienestar Human
Services, Inc., Los
Angeles
California Nurses
Association, Sacramento
Casa De Las
Amigas, Pasadena
CorrectHELP-The
Corrections HIV Education and Law Project, West
Hollywood
East Bay AIDS Center,
Berkeley
Face To
Face/Sonoma
County
AIDS
Network,
Santa
Rosa
Gay
and Lesbian Medical Association, San
Francisco
Hands United Together,
Panorama City
Harm
Reduction Services, Sacramento
Health
Education and Training
Center,
San
Jose
Home Health
Care Management,Inc.,
Chico
MAAP, Inc.,
Sacramento
Native American
AIDS Project, San
Francisco
The Perinatal
Council, Oakland
Positive
Resources of Santa Clara
County , San Jose
Project Angel
Food, Los
Angeles
Project Inform,
San
Francisco
ProLatino of
San Jose, Inc., San
Jose
Redwood AIDS Information Network and
Services (RAINS), Redway
Richmond/Ermet
AIDS Foundation, San
Francisco
San
Francisco AIDS
Foundation, San
Francisco
San
Francisco Community
Clinic Consortium, San
Francisco
San
Mateo
County
AIDS Program,
San
Mateo
Santa Clara
County Public Health Department, Epidemiology and Data Management Unit,
San
Jose
Santa
Clara
HIV Planning
Council
Sunburst
Projects, Sacramento
Colorado:
Boulder
County
AIDS Project,
Boulder
Northern Colorado AIDS Project,
Fort
Collins
San
Luis
Valley
HIV/AIDS Coalition, South
Fork
�
Connecticut:
AIDS Project
Greater Danbury,
Danbury
Alliance for Living,
New London
�
District of
Columbia:
AIDS Action
AIDS
Alliance
for Children, Youth &
Families
The AIDS Institute
African
American Health Alliance
American
Academy
of HIV Medicine
(AAHIVM)
American Association of People With
Disabilities
Communities Advocating Emergency AIDS Relief
(CAEAR) Coalition
Housing Works
Human Rights Campaign
Legal
Action
Center
National
Alliance
of State and Territorial
AIDS Directors
National Education Association Health
Information Network
Parents, Families, and Friends of Lesbians
and Gays (PFLAG)
Racial and Ethnic Health Disparities
Coalition
Sexuality
Information and Education Council of the
United
States
(SIECUS)
Southern AIDS Coalition
TII CANN-Title II Community AIDS National
Network
Treatment Access Expansion Project
(TAEP)
�
Florida:
Center for
Positive Connections, N. Miami
DYNS Services
Inc., Bradenton
Friends-Together,
Inc., Lakeland
Legal Aid
Society of Palm Beach County, Inc., West Palm Beach
Macsata-Kornegay
Group, Inc., Miami
Straight From
The Heart, Lakeland
The River Fund, Sebastian
�
Georgia:
AID
Atlanta,
Atlanta
AID Gwinnett, Inc., Lawrenceville
AIDS Survival
Project, Atlanta
Cobb/Douglas
Public Health, Marietta
Georgia ADAP
Task Force, Atlanta
Georgia Rural Urban
Summit,
Decatur
Living Room,
Inc., Atlanta
Positive
Impact, Inc., Atlanta
Southwest Georgia Resource Center, Inc.,
Sylvester
T.E.A.M. Survival Project, Inc,
Clarkston
�
Hawaii:
DaCoconutWireless.com
HIV/AIDS Awareness, Honolulu
�
Illinois:
ADODI Chicago, Chicago
AIDS Drug
Assistance Protocol Fund, Chicago
AIDS Foundation
of Chicago, Chicago
AIDS Legal
Council of Chicago, Chicago
AIDS
Project
Quad
Cities,
Rock
Island
Bethany Place,
Belleville
Better
Existence with HIV (BEHIV), Chicago
Chicago House and
Social Service Agency, Chicago
Chicago Recovery
Alliance,
Chicago
The Citizens
AIDS Project- CAVDA, Mt.
Prospect
Heartland
Alliance,
Chicago
Howard
Area
Community Center,
Chicago
Howard
Brown
Health
Center,
Chicago
Jelani Unified Men�s Project,
Chicago
Open
Door Clinic, Elgin
Pediatric AIDS
Chicago
Prevention Initiative,
Chicago
Recovery 2000, Inc., Chicago
Resources
Unlimited Foundation, Oak
Park
SSHARC/South
Suburban Clinics of Cook
County,
Ford
Heights
Students for
Global Public Health, Physicians for Human Rights,
University of
Chicago,
Chicago
Test Positive
Aware Network, Chicago
Trinity United
Church of
Christ
HIV/AIDS
Support Ministry, Chicago
Vital Bridges, Chicago
�
Indiana:
The
Bethlehem House,
Indianapolis
Indiana Justice Fund,
Indianapolis
�
Iowa:
AIDS Project of
Central Iowa,
Des
Moines
Mid-Iowa
Community Action, representing the Central Iowa HIV Consortium,
Marshalltown
Wilson
Resource
Center,
Arnolds
Park
�
Kansas:
Douglas
County
AIDS
Project,
Lawrence
Topeka AIDS Project,
Topeka
�
Kentucky:
Heartland
CARES, Inc., Paducah
Kentucky
HIV/AIDS Advocacy &Action; Group, Paducah
Northern
Kentucky District Health Department, Ft.
Mitchell
The AIDS
Project, Louisville
�
Louisiana:
Aspirations
Wholistic Tutorial Services, Baton Rouge
Episcopal
Health Action, New
Orleans
HIV/AIDS
Alliance for Region
Two, Inc. (HAART), Baton
Rouge
�
Massachusetts:
AIDS Action
Committee of Boston,
Boston
AIDS Support
Group of Cape Cod,
Provincetown
JSI Research
& Training Institute, Boston
North
Shore AIDS Health
Project, Gloucester
Search For A
Cure, Cambridge
Tapestry
Health, Florence
Treatment
Information Network/Boston Buyer�s Club, Boston
�
Maryland:
AIDS Action
Baltimore, Baltimore
Baltimore
Prevention
Coalition, Baltimore
National
Association for�Victims of�Transfusion-Acquired AIDS,
Bethesda
National Association of People With AIDS,
Silver Springs
�
Maine:
Dayspring AIDS
Support Services, Augusta
Eastern Maine AIDS Network,
Bangor
Maine Community AIDS
Partnership, Augusta
Northern Maine Ryan White Title III Consumer Board, Lubec
�
Michigan:
Community AIDS
Resource and Education Services of Southwest
Michigan,
Kalamazoo
Horizons
Project of Childrens
Hospital of
Michigan,
Detroit
Kendra S.
Kleber & Associates PLLC, Ferndale
Michigan Positive
Action Coalition (MI-POZ), Detroit
Midwest AIDS
Prevention Project (MAPP), Ferndale
Positively
Alive PWA Support, Flint
University of
Michigan HIV/AIDS
Treatment Program, Ann Arbor
Wellness
HIV/AIDS Services Inc., Flint
�
Minnesota:
Community
Fitness Today, Inc., Minneapolis
�
Mississippi:
Ethics and
Accountability in Healthcare, Biloxi
�
Missouri:
AIDS Foundation
of St.
Louis
,
St.
Louis
City of
St.
Louis, Department of
Health, St.
Louis
Community
Alternatives, St. Louis
Saint
Louis Effort For
AIDS, St. Louis
�
Nebraska:
Community
Action Coalition on HIV/AIDS, Nebraska AIDS Project,
Lincoln
Nebraska
Red Ribbon
Community, Lincoln
�
Nevada:
Nevada AIDS
Foundation, Reno
Northern Nevada HOPES,
Reno
Ryan White
Title 1 Eligible Metropolitan Area Planning Council,
Las
Vegas
�
New
Hampshire:
AIDS Services
for the Monadnock Region, Keene
Southern New Hampshire HIV/AIDS Task
Force, Nashua
�
New
Jersey:
African
American Office of Gay Concerns, Newark
AIDS Coalition
of Southern New Jersey, Bellmawr
Dooley House,
Inc., Camden
Francis House,
Camden
Gay Activists
Alliance
in
Morris
County
(GAAMC),
Convent Station
Gender Rights Advocacy Association of NJ,
Red Bank
Hemophilia
Association of New
Jersey,
East
Brunswick
Hope House,
Dover
Horizon
Health
Center,
Jersey
City
Hyacinth AIDS
Foundation, New
Brunswick
Jersey
City Episcopal
Community Development Corporation, Jersey
City
JSAS
Healthcare, Inc., Asbury
Park
Mercer
County HIV
Consortium, W. Trenton
Name Project
Foundation, Central New Jersey Chapter,
New
Brunswick
New Horizon
Treatment Services, Trenton
New
Jersey Association on
Correction, New
Brunswick
New
Jersey Association on
HIV Over Fifty, Newark
New
Jersey Lesbian and
Gay Coalition, North Brunswick
New
Jersey Stonewall
Democrats, Scotch Plains
New
Jersey Women and AIDS
Network, New
Brunswick
North Jersey Community
Research Initiative, Newark
PACO/GRIP,
Jersey
City
Ryan
White
Clinic-Somerset
Medical
Center,
Somerville
Special
Audiences, Inc., Newark
UMDNJ-RWJMS -
The Eric
B.
Chandler
Health
Center,
New
Brunswick
United
Progress, Inc., Trenton
The Visiting
Nurse Association of Central Jersey,
North Brunswick
�
New
Mexico:
AIDS InfoNet, Arroyo Seco
Camino de Vida
Center for HIV Services, Inc., Las Cruces
New
Mexico AIDS Services,
Albuquerque
Planet Poz/New
Mexico POZ Coalition,
Santa
Fe
�
New
York:
AID for AIDS,
New
York
AIDS Community
Research Initiative of American (ACRIA), New
York
AIDS Community
Services of Western New York, Inc., Buffalo
AIDS Council of
Northeastern New York,
Albany
AIDS Treatment
Data Network, New
York
Alliance for Family
Education Care and Treatment (AFFECT), Brooklyn
CitiWide Harm
Reduction, Bronx
Community
Healthcare Network, New
York
Community
HIV/AIDS Mobilization Project (CHAMP), New York
Conscious
Contact of New York, Inc., New York
Exponents,
New
York
Gay Men�s
Health Crisis, New
York
Greystone
Foundation (Maitri
Center),
Yonkers
Harm Reduction
Coalition, New
York
HIV Law
Project, New
York
Housing Works,
New
York
Lambda Legal
Defense and Education Fund, New York
New
York AIDS
Coalition, New
York
New York
City AIDS Housing Network,
New
York
POZ Magazine,
New
York
Southern Tier
AIDS Program, Inc., Johnson City
The Women's
Center, Bronx
Treatment Action Group,
New
York
Visionary Health Concepts,
Gardiner
�
North
Carolina:
Community Service Network, Inc.,
Dunn
Craven CARES,
New
Bern
New
Hanover
Regional
Medical
Center,
Wilmington
North
Carolina Council for
Positive Living, Burlington
Professional
Home Health Services, Winston-Salem
Triad Health
Project, Greensboro
�
Ohio:
AIDS Taskforce
of Greater Cleveland, Cleveland
Columbus
AIDS Taskforce,
Columbus
Ohio AIDS
Coalition, Columbus
Ryan White
Program, University
Hospitals of
Cleveland, Division of
Infectious Diseases, Cleveland
�
Oklahoma:
Community of
Hope United Church of
Christ,
Tulsa
Internal
Medicine Speciality Services, OSU
Center for
Health
Sciences
College of Osteopathic
Medicine, Houston Parke Clinic,
Tulsa
Latino Community
Development Agency,
Oklahoma
OK_POZ
(Oklahoma Persons Living
with HIV/AIDS), Oklahoma City
�
Oregon:
AIDS Action
Project NorthWest (AAPNW), Portland
Cascade AIDS
Project, Portland
HIV Advocacy
Council of Oregon and
SW Washington,
Portland
Partnership
Project, Portland
International
Foundation for Alternative Research in AIDS (IFARA),
Portland
�
Pennsylvania:
ACT UP
Philadelphia,
Philadelphia
ActionAIDS,
Pennsylvania
AIDS Resource
Alliance, Inc., Williamsport
Bridge Over
Troubled Water, Philadelphia
Caring Communities For AIDS,
Bloomsburg
The COLOURS
Organization, Inc., Philadelphia
Family Service
Association of
Bucks
County
,
Langhorne
Pennsylvania Lesbian and
Gay Task Force, Philadelphia
Philadelphia
County for Prison
Health Care, Philadelphia
Philadelphia Crystal Meth
Task Force, Philadelphia
Philadelphia
Health Management Corporation, Philadelphia
Positive Opportunities, Inc.
Project TEACH,
Philadelphia
Project Teach
Alumni, Philadelphia
�
Puerto
Rico:
Ryder
Memorial
Hospital , Humacao
Program Ryan White Title 3,
Arroyo
�
Rhode
Island:
AACTG Community
Advisory Board, Miriam
Hospital,
Providence
AIDS Project
Rhode
Island,
Providence
Grace Church in
Providence,
Providence
Immunology
Center,
Miriam
Hospital,
Brown
University,
Providence
Progreso
Latino, Central
Falls
�
South
Carolina:
Lowcountry AIDS
Services, Charleston
South
Carolina�Women's
Advocacy Council, Columbia
�
Tennessee:
First
Response
Wellness
Center,
Nashville
Tennessee AIDS
Support Services, Inc., Knoxville
�
Texas:
The Advocacy
Project of Texas,
Houston
AIDS Services
of Austin, Austin
AIDS Services
of Dallas, Dallas
Center for AIDS, Houston
God In Full
Force, Dallas
International
AIDS Empowerment, El
Paso
Positive
Outlook Group @ The Diversity
Center of
San Antonio , San Antonio
Positive Voices Coalition
Program for Wellness Restoration,
Houston
Texas AIDS Advocacy
Coalition, Lubbock
OUT YOUTH,
Austin
�
Utah:
Harm Reduction
Project, Salt
Lake City
InSync Interpreters, Draper
Northern Utah
Coalition, Inc., Ogden
Salt
Lake
Community Action
Program, Salt
Lake City
�
Virginia:
HIV Medicine
Association, Alexandria
Physician
Assistant AIDS Network (PAAN), Alexandria
Virginia Organizations
Responding to AIDS (VORA), Woodbridge
The Well
Project, Charlottesville
�
Vermont:
AIDS Project of
Southern Vermont,
Brattleboro
Twin States Network
Vermont People With
AIDS Coalition, Montpelier
�
Washington:
AIDS Housing
Association of Tacoma,
Tacoma
Brother-To-Brother, Seattle
Blue
Mountain
Heart to Heart, Walla,
Walla
Care Bearers,
Yakima
Northwest
Family
Center,
Seattle
Lifelong AIDS
Alliance,
Seattle
Pierce
County AIDS
Foundation, Tacoma
PositiveVOICE
Washington
Spokane AIDS Network,
Spokane
United
Communities AIDS Network, Olympia
�
Wisconsin:
AIDS Network of
Madison, Madison
�
West
Virginia:
Caritas House,
Inc., Morgantown
West
Virginia HIV Care
Consortium, Wheeling