AIDS drug association program (ADAP )provides prescription drugs specifically antiviral drugs (ARV) to people with HIV/AIDS with low income who have limited or no prescription drug coverage. This program originally began in 1987. By 1990 ADAP was incorporated into the Ryan White program. The Ryan White program is Administered by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (DHHS) it is the third largest source of federal funding for HIV care in the U.S. after Medicare and Medicaid. Congress has designated funding for ADAPs specifically through part B of the Ryan White program funds. 3 ADAP also receives funding from other sources. ACAs implementation ADAP and the Ryan white program were assuring their HIV/AIDS clients that they will not experience gaps in coverage or access to treatment anymore. Expanding both the private and public health care coverage for People who live with HIV (PLWH) who are uninsured and underinsured individuals functioning as the payer of last resort for people who have no other source of coverage or who face coverage limits. Although historically ADAPs funding has not been sufficient to cover the needs of HIV/AIDS residents.
task :
consider your self as a budget analyst responsible for HRSA programs including the ryan white program . Your have been asked to consider the implications of implementation the affordable care act ACA on the demand for services under the ryan white program with an emphasis on the AIDS drug association program ADAP.
discuss :
political Pressures facing the administration of RW after implementation of ACA?
Who are the key players among constituenties and on the hill that the adminstration should be concerned about ?
what are the Public health or social implications ?
How does this fit in with the large economic pressure facing the RW administration ?
what would be a good recommendation to president obamas FY16 budget plan funding ADAP to increase funds or reduce them ?

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