NATIONAL ADAP MONITORING PROJECT - AIDS United

Millions in Dollars
Millions in Dollars
$600
$500
$400
$300
$200
$100
$0
$51.9
Chart 16
The ADAP Earmark, FY 1996–2001
$167.0
$285.5
30
$460.6
$527.6
$571.3
1996 1997 1998 1999 2000 2001
The ADAP Earmark, Rate of Growth in Dollars and Percent, FY 1996–2001
$200
$180
$160
$140
$120
$100
$80
$60
$40
$20
$0
222%
$115.1
$118.5
71%
$175.1
61%
$67.0
15%
$43.7
8%
96–97 97–98 98–99 99–00 00–01
250%
200%
150%
100%
Note: Bars on the ADAP Earmark Rate of Growth graph represent changes between the two years indicated, not aggregate changes since FY 1996.
The ADAP earmark represents money set aside in Title II of the CARE Act specifically to fund ADAPs. The
ADAP earmark—the largest component of the national ADAP budget—grew to $571.3 million in FY 2001,
representing a more than ten-fold increase since FY 1996, when the earmark totaled $51.9 million; most of
the rate of growth occurred between FY 1996 and 1997. The rate of growth in the ADAP earmark has slowed
over time—the earmark increased by 222% between FY 1996 and 1997 compared to a 15% increase between FY
1999 and 2000 and an 8% increase between FY 2000 and 2001.
Twenty-two states indicated they planned to use a total of about $15 million in federal ADAP earmark dollars to fund
insurance maintenance programs (approximately 3% of the total ADAP earmark). Thirteen states noted their plans
to use federal ADAP earmark funds for medical monitoring, adherence and outreach programs, but did not report
total dollars amount.
The ADAP supplemental grants, first implemented in FY 2001, served as one reason for the earmark decline, since
money was set aside from the earmark for supplemental grants. Combining earmark and supplemental funds results
in an increase of $61.4 million or 11% over last year. Over time, the federal ADAP earmark (including FY 2001
supplemental grant funding) has come to represent the core of the national ADAP budget, growing from 27% of the
budget in FY 1996 to 73% in FY 2001.
50%
0%