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)

ADAP cap 250% FPL

Alaska

Alaska AIDS Drug Assistance Program

ADAP cap 300% FPL

Arizona

Arizona AIDS Drug Assistance Program (ADAP)

ADAP cap 400% FPL

Arkansas

Arkansas AIDS Drug Assistance Program

ADAP cap 500% FPL

California

California AIDS Drug Assistance Program (ADAP)

ADAP cap 500% FPL

Colorado

Colorado AIDS Drug Assistance Program (CO-ADAP)

ADAP cap 400% FPL

Connecticut

Connecticut AIDS Drug Assistance Program (CADAP)

ADAP cap 500% FPL

Delaware

Delaware AIDS Drug Assistance Program (DE-ADAP)

ADAP cap 500% FPL

Florida

Florida AIDS Drug Assistance Program

ADAP cap 400% FPL

Georgia

Georgia AIDS Drug Assistance Program

ADAP cap 400% FPL

Hawaii

Hawaii Drug Reimbursement Program (HDRP, Hawaii's ADAP)

ADAP cap 400% FPL

Idaho

Idaho AIDS Drug Assistance Program

ADAP cap 200% FPL

Illinois

Illinois AIDS Drug Assistance Program

ADAP cap 500% FPL

Indiana

Indiana AIDS Drug Assistance Program

ADAP cap 300% FPL

Iowa

Iowa AIDS Drug Assistance Program

ADAP cap 400% FPL

Kansas

Kansas AIDS Drug Assistance Program

ADAP cap 300% FPL

Kentucky

Kentucky AIDS Drug Assistance Program (KADAP)

ADAP cap 300% FPL

Louisiana

Louisiana Drug Assistance Program (LADAP)

ADAP cap 400% FPL

Maine

Maine AIDS Drug Assistance Program

ADAP cap 500% FPL

Maryland

Maryland AIDS Drug Assistance Program (MADAP)

ADAP cap 500% FPL

Massachusetts

HIV Drug Assistance Program (HDAP)

ADAP cap 500% FPL

Michigan

Michigan Drug Assistance Program (MIDAP)

ADAP cap 500% FPL

Minnesota

Minnesota Program HH (ADAP)

ADAP cap 300% FPL

Mississippi

Mississippi AIDS Drug Assistance Program

ADAP cap 400% FPL

Missouri

Missouri AIDS Drug Assistance Program

ADAP cap 300% FPL

Montana

Montana AIDS Drug Assistance Program

ADAP cap 330% FPL

Nebraska

Nebraska AIDS Drug Assistance Program

ADAP cap 300% FPL

Nevada

Nevada AIDS Drug Assistance Program (NV-ADAP)

ADAP cap 400% FPL

New Hampshire

New Hampshire AIDS Drug Assistance Program

ADAP cap 500% FPL

New Jersey

New Jersey AIDS Drug Distribution Program (ADDP)

ADAP cap 500% FPL

New Mexico

New Mexico AIDS Drug Assistance Program

ADAP cap 400% FPL

New York

NY AIDS Drug Assistance Program (ADAP)

ADAP cap 500% FPL

North Carolina

North Carolina AIDS Drug Assistance Program (NC-ADAP)

ADAP cap 300% FPL

North Dakota

North Dakota Ryan White Part B Drug Assistance Program

ADAP cap 300% FPL

Ohio

Ohio HIV Drug Assistance Program (OHDAP)

ADAP cap 500% FPL

Oklahoma

Oklahoma HIV Drug Assistance Program

ADAP cap 300% FPL

Oregon

CAREAssist (Oregon's ADAP)

ADAP cap 550% FPL

Pennsylvania

Pennsylvania Special Pharmaceutical Benefits Program (SPBP)

ADAP cap 500% FPL

Rhode Island

Rhode Island AIDS Drug Assistance Program

ADAP cap 400% FPL

South Carolina

South Carolina AIDS Drug Assistance Program

ADAP cap 550% FPL

South Dakota

South Dakota AIDS Drug Assistance Program

ADAP cap 300% FPL

Tennessee

Tennessee AIDS Drug Assistance Program

ADAP cap 400% FPL

Texas

Texas HIV Medication Program (THMP)

ADAP cap 200% FPL

Utah

Utah Ryan White Part B Drug Assistance Program

ADAP cap 400% FPL

Vermont

Vermont Medication Assistance Program (VMAP)

ADAP cap 500% FPL

Virginia

Virginia AIDS Drug Assistance Program

ADAP cap 400% FPL

Washington

Washington Early Intervention Program (Apple Health for HIV)

ADAP cap 500% FPL

West Virginia

West Virginia AIDS Drug Assistance Program

ADAP cap 500% FPL

Wisconsin

Wisconsin AIDS Drug Assistance Program (WADAP)

ADAP cap 300% FPL

Wyoming

Wyoming AIDS Drug Assistance Program

ADAP cap 300% FPL

District of Columbia

DC AIDS Drug Assistance Program (DC ADAP)

ADAP cap 500% FPL