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 3,252 2,693 27 13 3,279 2,706 5,945 40 5,985
2001

3,476

2,928

25 16 3,501 2,944 6,404 41 6,445
2002 3,930 3,410 44 19 3,974 3,429 7,340 63 7,403
                   

 

HIV Infection Cases  from areas with confidential HIV infection reporting

Year   Cumulative Totals
    Adults / Adolescents Children Under 13 Years old Total
2000 319 3,447 38 3,485
2001 394 3,688 39 3,727
2002 477 3,930 44 3,974
         


 

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

Year Males Females
  HIV AIDS HIV AIDS
2000 231 321 84 67
2001 291 289 97 81
         

 

Pediatric AIDS cases reported

Year
2000 1
2001 8

 

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

 

 1999

2000

2001

Cumulative Totals

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

Gary

43 59 54 783 6 789
Fort Wayne 17 24 22 334 3 337
Indianapolis 183 161 175 3,046 20 3,066

 

Cumulative AIDS Cases

Cumulative Number of AIDS Cases, Reported through 2002 7,003
Cumulative Number of Adult/Adolescent AIDS Cases, Reported through 2002 6,950
Cumulative Number of AIDS Cases in Children <13, Reported through 2002 53

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

  IN USA
Men 5,983 680,909
Women 747 146,298
Total 6,730 827,208

 

New AIDS Cases

New AIDS Cases, Reported through 2002 491
New Adult/Adolescent AIDS Cases, Reported in 2001 370
New AIDS Cases in Children <13, Reported through December 2001 8

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

  IN USA
Men 289 31,901
Women 81 11,082
Total 370 42,983

 

Persons Living with AIDS

Estimated Number of Persons Living with AIDS at the End of 2002 3,429
Estimated Number of Adults/Adolescents Living with AIDS at the End of 2002 3,410
Estimated Number of Children Living with AIDS at the End of 2002 19
HIV Infection Cases Reported in 2002 477

 

Total Deaths Reported through 2000, due to AIDS = 3,613
HIV Reporting Requirements ?   Yes, Name 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?
 
Providers required to offer HIV test. Routine testing. Providers are required by law to offer HIV testing to pregnant women. Law authorizes providers to test newborns for HIV if the mother has not been tested and the provider believes testing is medically necessary.
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?
NO

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

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.
 
Minors' Right to Consent to HIV/STD Services?  Yes
 

 

Total Ryan White Funding, FY2000   $8,421,167 FY2002  $10,721,722

 

CDC HIV Prevention Funding for States
 FY2001 
$2,604,903

FY2003   $2,663,260

 

Total Federal and State Funding for ADAP, FY2001  $6,833,565

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  
  IN
#
US
#
   180 80,035

 
ADAP Clients Served by Sex, June 2002  
  IN
#
IN
%
US
#
US
%
  Male 151 84 62,034 78
  Female 29 16 16,702 21
  Total 180 100 79,531 100

 
ADAP Clients Served by Race/Ethnicity, June 2002  
  IN
#
IN
%
US
#
US
%
  White 106 59 29,426 37
  Black 54 30 26,245 33
  Hispanic 13 7 19,883 25
  Asian/Pacific Islander 1 0 795 1
  American Indian/Alaskan Native 0 0 795 1
  Other 6 4 795 1
  Total 180 100 79,531 100

 
ADAP Clients Served by Age, June 2002  
  IN
#
IN
%
US
#
US
%
  <13 years old 1 1 795 1
  13-19 years old 1 1 0 1 0 1
  20-44 years old 146 81 50,105 63
  >44 years old 32 18 27,836 35
  Total 180 100 79,531 100

 
ADAP Clients Served by Income, June 2002  
  IN
#
IN
%
US
#
US
%
  <100% FPL 36 20 38,175 48
  101-200% FPL 29 16 26,245 33
  201-300% FPL 13 7 8,748 11
  301-400% FPL 0 0 3,181 4
  >400% FPL 0 0 1,591 2
  Total 180 100 79,531 100

 
Insurance Coverage of ADAP Clients, June 2002  
  IN
#
IN
%
US
#
US
%
  Medicaid 0 0 0 10
  Medicare 3 2 0 6
  Private 0 0 0 13

  
National ADAP Budget, Total Federal and State Sources, FY 2002  
  IN
$
US
$
   7,141,500 878,610,754

 
National ADAP Budget by Source, FY 2002  
  IN
$
IN
%
US
$
US
%
  ADAP Earmark 5,213,910 73 619,830,000 71
  Title II Base 1,927,590 27 28,886,192 3
  State 0 0 160,385,979 18
  Title I 0 0 19,736,619 2
  Other Federal 0 0 30,941,439 4
  ADAP Supplemental Grants 0 0 19,170,000 2
  Total 7,141,500 100 878,610,754 100

 
Total ADAP Drug Expenditures, June 2002  
  IN
$
US
$
   127,616 70,705,142

 
ADAP Drug Expenditures by Drug Class, June 2002  
  IN
$
IN
%
US
$
US
%
  Nucleoside Reverse Transcriptase Inhibitors 67,420 53 31,486,146 49
  non-Nucleoside Reverse Transcriptase Inhibitors 20,591 16 7,940,575 12
  Protease Inhibitors 23,079 18 16,433,502 25
  Opportunistic Infections/Other 16,526 13 9,015,329 14
  Total 127,616 100 64,875,793 100

 
Total ADAP Prescriptions Filled, June 2002  
  IN
#
US
#
   474 257,279

 
ADAP Prescriptions Filled by Drug Class, June 2002  
  IN
#
IN
%
US
#
US
%
  Nucleoside Reverse Transcriptase Inhibitors 182 38 83,166 36
  non-Nucleoside Reverse Transcriptase Inhibitors 65 14 23,933 10
  Protease Inhibitors 58 12 33,813 15
  Opportunistic Infections/Other 169 36 87,746 38
  Total 474 100 228,771 100

 
Federal ADAP Funds Used for Insurance Purchasing/Maintenance, FY 2002  
  IN
$
US
$
   4,421,910 18,486,544

 
ADAP Formularies, Number of Medications by Drug Class, 2002  
  IN
#
US
#
  Nucleoside Reverse Transcriptase Inhibitors 9 NA
  Protease Inhibitors Covered 6 NA
  Non-nucleosides Covered 3 NA
  OI Prophylaxis Covered 9 NA
  Other Medications Covered 40 NA
  Total 67 NA

 
ADAP Emergency Cost Containment Measures, February 2003  
  IN
 
US
 
  Has ADAP Emergency Cost Containment Measures in Place Yes 16 Yes
  Notes Capped enrollment.