HIV Care • ADAP
ADAP — State by State
The national picture
ADAP serves about 270,000 people living with HIV nationally; every state runs its own program with its own income cap ranging from 200% FPL (the federal floor) to 550% FPL (Oregon).
The AIDS Drug Assistance Program (ADAP) is the third leg of the Ryan White HIV/AIDS Program. ADAP is the 'payer of last resort' for HIV medications: it fills the gap for people with no insurance, it pays the premiums and copays for people on commercial insurance or Medicare Part D, and it covers the antiretrovirals every state Medicaid plan doesn't. Nationally, ADAP serves about 270,000 people living with HIV.
Every state runs its own ADAP with its own income cap. The federal Ryan White floor is 200% of the federal poverty line (about $31,300 for a household of one in 2025). Many states set their caps higher — Massachusetts, Connecticut, New Hampshire, New York, Washington, Maryland, Michigan, Ohio, Pennsylvania, Vermont, West Virginia, and New Jersey all cap at 500% FPL, and Oregon caps at 550% FPL, the most generous in the country.
Enrollment: a case manager at a Ryan White Part B or Part C clinic completes the application with you. You'll need proof of HIV diagnosis, state residency, income, and insurance status. Decisions typically return within two weeks, and recertification is annual. Each state's phone number, income cap, and Ryan White Part C anchors are on the state pages below.
For Black communities
ADAP is essential infrastructure for Black communities living with HIV. A disproportionate share of the roughly 270,000 ADAP clients nationally are Black — reflecting both the elevated HIV burden and the higher uninsured rate in many of the high-burden Southern states that have not adopted Medicaid expansion. Without ADAP, a daily antiretroviral regimen runs $30,000-$40,000 a year retail, which is not a viable option for anyone earning between 100% FPL and marketplace-subsidy eligibility without employer coverage.
Ryan White case managers are the people who know the state ADAP rules in detail. They work out of the academic medical centers and community organizations listed on every state page on this site. If you've just tested positive, calling the state HIV line — which routes to a case manager — is the single highest-leverage move for getting enrolled before your first supply runs out.
ADAP in every state
Alabama
Alabama AIDS Drug Assistance Program (ADAP)
Alaska
Alaska AIDS Drug Assistance Program
Arizona
Arizona AIDS Drug Assistance Program (ADAP)
Arkansas
Arkansas AIDS Drug Assistance Program
California
California AIDS Drug Assistance Program (ADAP)
Colorado
Colorado AIDS Drug Assistance Program (CO-ADAP)
Connecticut
Connecticut AIDS Drug Assistance Program (CADAP)
Delaware
Delaware AIDS Drug Assistance Program (DE-ADAP)
Florida
Florida AIDS Drug Assistance Program
Georgia
Georgia AIDS Drug Assistance Program
Hawaii
Hawaii Drug Reimbursement Program (HDRP, Hawaii's ADAP)
Idaho
Idaho AIDS Drug Assistance Program
Illinois
Illinois AIDS Drug Assistance Program
Indiana
Indiana AIDS Drug Assistance Program
Iowa
Iowa AIDS Drug Assistance Program
Kansas
Kansas AIDS Drug Assistance Program
Kentucky
Kentucky AIDS Drug Assistance Program (KADAP)
Louisiana
Louisiana Drug Assistance Program (LADAP)
Maine
Maine AIDS Drug Assistance Program
Maryland
Maryland AIDS Drug Assistance Program (MADAP)
Massachusetts
HIV Drug Assistance Program (HDAP)
Michigan
Michigan Drug Assistance Program (MIDAP)
Minnesota
Minnesota Program HH (ADAP)
Mississippi
Mississippi AIDS Drug Assistance Program
Missouri
Missouri AIDS Drug Assistance Program
Montana
Montana AIDS Drug Assistance Program
Nebraska
Nebraska AIDS Drug Assistance Program
Nevada
Nevada AIDS Drug Assistance Program (NV-ADAP)
New Hampshire
New Hampshire AIDS Drug Assistance Program
New Jersey
New Jersey AIDS Drug Distribution Program (ADDP)
New Mexico
New Mexico AIDS Drug Assistance Program
New York
NY AIDS Drug Assistance Program (ADAP)
North Carolina
North Carolina AIDS Drug Assistance Program (NC-ADAP)
North Dakota
North Dakota Ryan White Part B Drug Assistance Program
Ohio
Ohio HIV Drug Assistance Program (OHDAP)
Oklahoma
Oklahoma HIV Drug Assistance Program
Oregon
CAREAssist (Oregon's ADAP)
Pennsylvania
Pennsylvania Special Pharmaceutical Benefits Program (SPBP)
Rhode Island
Rhode Island AIDS Drug Assistance Program
South Carolina
South Carolina AIDS Drug Assistance Program
South Dakota
South Dakota AIDS Drug Assistance Program
Tennessee
Tennessee AIDS Drug Assistance Program
Texas
Texas HIV Medication Program (THMP)
Utah
Utah Ryan White Part B Drug Assistance Program
Vermont
Vermont Medication Assistance Program (VMAP)
Virginia
Virginia AIDS Drug Assistance Program
Washington
Washington Early Intervention Program (Apple Health for HIV)
West Virginia
West Virginia AIDS Drug Assistance Program
Wisconsin
Wisconsin AIDS Drug Assistance Program (WADAP)
Wyoming
Wyoming AIDS Drug Assistance Program
District of Columbia
DC AIDS Drug Assistance Program (DC ADAP)