Persons Reported to be living with HIV infection and with AIDS reported

Year Adults/Adolescents Children Under 13 Years old Total Cumulative Totals
  HIV AIDS HIV AIDS HIV AIDS Adults / Adolescents Children Under 13 Years old Total
2000 Confidential 9761 Confidential 107 Confidential 9,868 9,761 107 9,868
2001

Confidential

10,617

Confidential 100 Confidential 10,717 10,617 100 10,717
2002 Confidential 13,629 Confidential 89 Confidential 13,718 13,629 89 13,718
                   

 

 

HIV Infection Cases  from areas with confidential HIV infection reporting

Year   Cumulative Totals
    Adults / Adolescents Children Under 13 Years old Total
2000 Confidential Confidential Confidential Confidential
2001 Confidential Confidential Confidential Confidential
2002 Confidential Confidential Confidential Confidential
         

 

Adult/Adolescent HIV infection and AIDS cases reported in the United States

Year Males Females
  HIV AIDS HIV AIDS
2000 Confidential 1,334 Confidential 416
2001 Confidential 1,047 Confidential 279
         


 

New Pediatric AIDS cases reported

Year
2000 11
2001 3
   


 

AIDS cases and annual rates per 100,000 population by Metropolitan area reported through June 2001

 

 1999

2000

2001

Cumulative Totals

City No No. No. Adults / Adolescents Children under 13 Years old Total

Chicago

1,353 1,520 1,053 22,464 241 22,703

 


Cumulative AIDS Cases

Cumulative Number of AIDS Cases, Reported through 2002 28,426
Cumulative Number of Adult/Adolescent AIDS Cases, Reported through 2002 28,149
Cumulative Number of AIDS Cases in Children <13, Reported through 2002 277

Distribution of Cumulative Adult/Adolescent AIDS Cases by Gender, Reported through June 2002

  IL USA
Men 22,928 680,909
Women 4,081 146,298
Total 27,009 827,208

 

New AIDS Cases

New AIDS Cases, Reported through 2002 927
New Adult/Adolescent AIDS Cases, Reported in 2001 868
New AIDS Cases in Children <13, Reported through December 2001 2

Distribution of New Adult/Adolescent AIDS Cases by Gender, Reported in 2001

  IL USA
Men 1,047 31,901
Women 279 11,082
Total 1320 42,983

 

Persons Living with AIDS

Estimated Number of Persons Living with AIDS at the End of 2002 2,108
Estimated Number of Adults/Adolescents Living with AIDS at the End of 2002 1,320
Estimated Number of Children Living with AIDS at the End of 2002 3
HIV Infection Cases Reported in 2002 Confidential

 

 

 
Total Deaths Reported through 2000, due to AIDS = 15,536
HIV Reporting Requirements ?   Yes, Code Based.
 
HIV Testing Options?  Anonymous and Confidential testing
Definitions:
Anonymous test: Individual does NOT use their name, and a name is not associated with test result. Anonymous tests are offered at anonymous testing centers, available in many, but not all, states.
Confidential test: Individual DOES use their name. If test is positive, individual's name will be known to their health care provider and, potentially, to other health care professionals and, in some cases, your state's Department of Health.
 
HIV Testing for Mothers and Newborns
Voluntary or Mandatory Testing?
 
Voluntary HIV testing; no specific law. State follows CDC guidelines; No specific law or language on testing for mothers and newborns.
Voluntary HIV Testing: All states and the District of Columbia have certified to the CDC that they have measures in place to implement the CDC's 1995 recommendations on HIV counseling and testing of pregnant women.  The CDC's 1995 recommendations state that HIV testing of pregnant women and infants should be voluntary and providers must obtain informed consent for testing as required by their state laws.  Voluntary testing is noted if the state follows the CDC guidelines but does not have specific guidelines for testing of mothers and newborns.
 
Status of State Medicaid Expansion Efforts for People with HIV
Approved 1115 Waiver, TWWIIA demonstration?
Yes, Has operational TWWIIA demonstration for people with HIV/AIDS. Has also submitted an 1115 Waiver proposal but the program is not yet operational; DC needs to meet waiver terms and conditions for budget neutrality.
Definitions:
1115 Waivers: Section 1115 of the Social Security Act authorizes the executive branch of the Federal government to waive the statutory and regulatory provisions of the Medicaid program. States have used "1115 waivers" to make changes in eligibility, benefits, and other areas of their Medicaid programs. The Centers for Medicare and Medicaid Services (CMS--formerly known as the Health Care Financing Administration) and several states have been analyzing the implications of expanding Medicaid eligibility to people with HIV prior to disability through the use of Section 1115 waivers of the Social Security Act. To use 1115 waivers, states face several challenges, particularly the need to demonstrate "budget neutrality" to the Medicaid program - that the costs of an expansion over a designated period of time (usually 5 years) would not exceed the costs to Medicaid in the absence of the expansion.
Ticket to Work/Work Incentives Improvement Act of 1999: TWWIIA expanded State options under Medicaid by creating new Medicaid buy-in options for working individuals with disabilities and extended Medicare cover-age for working individuals with disabilities. The Act also authorized state demonstration programs to provide Medicaid to workers with potentially severe disabilities, including HIV/AIDS, who are not yet disabled but whose health conditions could be expected to cause disability.
Notes: Most people with HIV who qualify for Medicaid do so by meeting the program’s income and disability standards once their illness has already progressed. Many low income people with HIV may be faced with of having their eligibility postponed until they become disabled, even though there are therapies available that may prevent disability and national treatment guidelines recommend access to early treatment. 1115 Waivers and TWWIIA demonstrations are two ways in which states have sought to address this limitation.

 

Sterile Syringe Exchange Programs?  Yes, No state statute exists, but the Chicago City Attorney has interpreted an exception in a state syringe prescription law for “research” uses as permitting the formation of needle exchange programs.

Notes:
U.S. totals include data from the United States (50 states and the District of Columbia), and from U.S. dependencies, possessions, and independent nations in free association with the United States.
Definitions: Programs in operation: includes both state-sanctioned syringe exchange programs and non-sanctioned programs. Because their operation may not necessarily be authorized, it is difficult to account for an exact number of syringe exchange programs operation across the country; therefore, the list may not be comprehensive.
 
STD/HIV/AIDS Education Requirement?  Yes, Must stress abstinence and cover contraception
 
Minors' Right to Consent to HIV/STD Services?  Yes. Minor must be at least 12 years of age. State explicitly classifies HIV/AIDS as an STD or infectious disease, for which minors may consent to testing and treatment. Physician may notify parents.
 

 

Total Ryan White Funding, FY2000   $51,240,964 FY2002  $64,274,543

 

CDC HIV Prevention Funding for States
 FY2001
$4,199,153

FY2003   $4,254,055

 

Total Federal and State Funding for ADAP, FY2001  $25,738,158

Definitions: ADAPs: AIDS Drug Assistance Programs (ADAPs), authorized under Title II of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, provide HIV-related prescription drugs to underinsured and uninsured individuals living with HIV/AIDS. Each state or territory administers its own ADAP.


 

AIDS Drug Assistance Programs (ADAPs)
Source Kaiser Family Foundation

Total ADAP Clients Served, June 2002  
  IL
#
US
#
   2,818 80,035

 
ADAP Clients Served by Sex, June 2002  
  IL
#
IL
%
US
#
US
%
  Male 2,336 83 62,034 78
  Female 482 17 16,702 21
  Total 2,818 100 79,531 100

 
ADAP Clients Served by Race/Ethnicity, June 2002  
  IL
#
IL
%
US
#
US
%
  White 1,012 36 29,426 37
  Black 1,093 39 26,245 33
  Hispanic 600 21 19,883 25
  Asian/Pacific Islander 31 1 795 1
  American Indian/Alaskan Native 82 3 795 1
  Other 0 0 795 1
  Total 2,818 100 79,531 100

 
ADAP Clients Served by Age, June 2002  
  IL
#
IL
%
US
#
US
%
  <13 years old 3 0 795 1
  13-19 years old 6 0 0 1 0 1
  20-44 years old 1,744 62 50,105 63
  >44 years old 1,065 38 27,836 35
  Total 2,821 100 79,531 100

 
ADAP Clients Served by Income, June 2002  
  IL
#
IL
%
US
#
US
%
  <100% FPL 1,257 45 38,175 48
  101-200% FPL 969 34 26,245 33
  201-300% FPL 369 13 8,748 11
  301-400% FPL 180 6 3,181 4
  >400% FPL 51 2 1,591 2
  Total 2,818 100 79,531 100

 
Insurance Coverage of ADAP Clients, June 2002  
  IL
#
IL
%
US
#
US
%
  Medicaid 0 0 0 10
  Medicare 504 18 0 6
  Private 206 7 0 13

  
National ADAP Budget, Total Federal and State Sources, FY 2002  
  IL
$
US
$
   29,160,217 878,610,754

 
National ADAP Budget by Source, FY 2002  
  IL
$
IL
%
US
$
US
%
  ADAP Earmark 20,490,945 70 619,830,000 71
  Title II Base 895,214 3 28,886,192 3
  State 7,100,000 24 160,385,979 18
  Title I 0 0 19,736,619 2
  Other Federal 674,058 2 30,941,439 4
  ADAP Supplemental Grants 0 0 19,170,000 2
  Total 29,160,217 100 878,610,754 100

 
Total ADAP Drug Expenditures, June 2002  
  IL
$
US
$
   2,169,365 70,705,142

 
ADAP Drug Expenditures by Drug Class, June 2002  
  IL
$
IL
%
US
$
US
%
  Nucleoside Reverse Transcriptase Inhibitors 1,150,840 53 31,486,146 49
  non-Nucleoside Reverse Transcriptase Inhibitors 322,372 15 7,940,575 12
  Protease Inhibitors 606,436 28 16,433,502 25
  Opportunistic Infections/Other 89,717 4 9,015,329 14
  Total 2,169,365 100 64,875,793 100

 
Total ADAP Prescriptions Filled, June 2002  
  IL
#
US
#
   8,682 257,279

 
ADAP Prescriptions Filled by Drug Class, June 2002  
  IL
#
IL
%
US
#
US
%
  Nucleoside Reverse Transcriptase Inhibitors 4,319 50 83,166 36
  non-Nucleoside Reverse Transcriptase Inhibitors 1,335 15 23,933 10
  Protease Inhibitors 1,651 19 33,813 15
  Opportunistic Infections/Other 1,377 16 87,746 38
  Total 8,682 100 228,771 100

 
Federal ADAP Funds Used for Insurance Purchasing/Maintenance, FY 2002  
  IL
$
US
$
   NA 18,486,544

 
ADAP Formularies, Number of Medications by Drug Class, 2002  
  IL
#
US
#
  Nucleoside Reverse Transcriptase Inhibitors 8 NA
  Protease Inhibitors Covered 6 NA
  Non-nucleosides Covered 3 NA
  OI Prophylaxis Covered 14 NA
  Other Medications Covered 36 NA
  Total 67 NA


 

ADAP Emergency Cost Containment Measures, February 2003  
  IL
 
US
 
  Has ADAP Emergency Cost Containment Measures in Place No 16 Yes
  Notes