U.S. to Provide $25 Million to Help Buy AIDS Drugs
Reported July 20, 2010
WASHINGTON — Kathleen Sebelius, the secretary of health and human services, said
Thursday that she would provide $25 million more to help states buy life-saving
medications for people with H.I.V. or AIDS.
Advocates for patients said the money was not nearly enough to eliminate waiting
lists, which have surged to record levels as people have lost health insurance,
along with their jobs, and states have cut their budgets.
Ms. Sebelius said she was “reallocating and transferring $25 million in existing
resources” to provide medicines for people on waiting lists.
Dr. Howard K. Koh, the assistant secretary of health and human services in
charge of the program, said the action “reflects the administration’s commitment
to H.I.V. treatment and care.”
In an interview, Dr. Koh repeatedly refused to say where the money had come
from.
Ms. Sebelius said she was confident that the $25 million would meet the existing
and projected need until the end of the fiscal year on Sept. 30.
As of July 1, about 2,100 people were on waiting lists for the AIDS Drug
Assistance Program in 11 states: Florida, Hawaii, Idaho, Iowa, Kentucky,
Louisiana, Montana, North Carolina, South Carolina, South Dakota and Utah.
Other states have narrowed eligibility, limited enrollment or restricted the
drugs for which they will pay. These measures affect thousands of people.
Carl Schmid, deputy executive director of the AIDS Institute, an advocacy group
for patients, said: “The $25 million will help. It’s a start. But it’s
definitely not enough.”
Ann Lefert, a policy analyst at the National Alliance of State and Territorial
AIDS Directors, said, “We appreciate the action taken by the Obama
administration, but we are not sure it will be sufficient.”
Advocacy groups and state officials had urged the administration to provide $126
million in emergency assistance for the current fiscal year, on top of the $835
million that Congress had already appropriated.
The administration’s action follows expressions of deep concern by members of
Congress from both parties.
Three Republican senators — Richard M. Burr of North Carolina, Tom Coburn of
Oklahoma and Michael B. Enzi of Wyoming — had implored Ms. Sebelius to address
what they described as a public health crisis.
John Hart, a spokesman for Mr. Coburn, said, “The secretary is taking a step in
the right direction, but it’s not enough to serve the more than 2,000 patients
who are on waiting lists.”
Many people with H.I.V. have been able to live long lives, with the use of
antiretroviral treatments. But the drugs cost an average of $12,000 a year a
person, and many people cannot afford them without public assistance.
“Once patients start taking these drugs, they must continue taking them every
day for the rest of their lives,” Mr. Schmid said.
The AIDS Drug Assistance Program serves mainly low-income, uninsured people,
many of whom are members of minority groups.
More than 168,000 people received medications through the program last year.
About 45 percent of them had incomes below the poverty level ($10,830 for an
individual), and all but 2 percent had incomes less than four times the poverty
level ($43,320).
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