ADAP in Texas — AIDS Drug Assistance Program eligibility and enrollment
The number
Texas HIV Medication Program (THMP) supports 22,600 people living with HIV in Texas, with an income cap at 200% of the federal poverty line.
Ryan White Part B
Texas Department of State Health Services, TB/HIV/STD Section
State ADAP
Texas HIV Medication Program (THMP)
Income cap 200% FPL
State PrEP-DAP
Texas PrEP Assistance Program
Texas HIV Medication Program (THMP) eligibility + enrollment
Texas HIV Medication Program (THMP) serves 22,600 people, with an income eligibility cap at 200% of the federal poverty line. In Texas that means your gross annual income can be up to $30,502 for a household of one (at 2025 HHS poverty guidelines) and you still qualify. ADAP is the 'payer of last resort' for HIV medications: it covers people with no insurance, fills the gap for people on Medicare Part D, and pays co-pays for people on commercial insurance.
What ADAP covers: all FDA-approved antiretroviral medications on the state formulary (every ADAP covers the WHO-recommended first-line regimens), plus many opportunistic-infection prophylaxis drugs, lab work in states where the ADAP pays for labs directly, and in some states hepatitis B and C treatment. Texas HIV Medication Program (THMP)'s formulary is published on the state health department website and is updated at least annually.
How to enroll: 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 (a lab report or physician letter), proof of Texas residency, proof of income (pay stubs, tax return, benefit letter), and documentation of insurance status. Decisions typically return within two weeks; medications are dispensed through participating pharmacies at no cost once you're enrolled. Recertification is annual.
The state HIV info line is 1-800-299-2437; the case-management team can match you to the nearest Ryan White clinic for same-week intake. Long-time Black residents name Legacy Community Health and Thomas Street Health Center (Harris Health System) as the local institutions that show up consistently — both are listed below.
Legacy Community Health. Legacy Community Health in Houston is the largest FQHC in Texas and the Ryan White Part A backbone for the Houston EMA, serving about 6,500 people living with HIV across 12 clinics; Legacy's Southwest Clinic on Long Point Road is the state's highest-volume Black-women-focused HIV primary-care program.
Thomas Street Health Center (Harris Health System). Thomas Street Health Center in Houston is one of the largest publicly funded HIV clinics in the U.S., serving more than 6,000 people living with HIV — over 80% Black or Latino — and co-sponsoring the University of Texas Health Center for AIDS Research.
For Black families in Texas
The South carries the heaviest HIV burden in the country: Black Southern residents make up roughly 14% of the U.S. population but account for more than half of new Black HIV diagnoses nationally. Of the 105,000 people living with HIV in Texas, a disproportionate share are Black residents — 34% of the new diagnoses each year, same proportion or higher of the cumulative prevalence. ADAP is what keeps many of those residents virally suppressed, because the alternative — paying retail for daily antiretrovirals — would run roughly $30,000-$40,000 a year. If your income has you worried about whether you qualify, call the state HIV line first. Ryan White case managers know the eligibility rules better than most insurance navigators and will pull you through the application rather than bouncing you to paperwork.
Named HIV testing + PrEP sites in Texas
Legacy Community Health — Southwest Clinic
Houston, TX • 1-832-548-5000
Legacy Community Health — Montrose
Houston, TX • 1-832-548-5000
Thomas Street Health Center
Houston, TX • 1-713-873-4000
Montrose Center — Houston
Houston, TX • 1-713-529-0037
The Afiya Center — Dallas
Dallas, TX • 1-214-421-2200
Prism Health North Texas — Oak Lawn
Dallas, TX • 1-972-925-9440
Parkland Health — Amelia Court Infectious Diseases Clinic
Dallas, TX • 1-214-590-8000
Resource Center — Dallas
Dallas, TX • 1-214-540-4455
Kind Clinic — San Antonio
San Antonio, TX • 1-833-937-5463
Kind Clinic — Austin South
Austin, TX • 1-833-937-5463
Where to get help in Texas
- Texas HIV info line: 1-800-299-2437 — staff can find the nearest free testing site, schedule PrEP, or help enroll you in ADAP.
- Texas Department of State Health Services, TB/HIV/STD Section landing page: https://www.dshs.texas.gov/hiv-std-program.
- Federally Qualified Health Centers in Texas: every FQHC offers sliding-scale HIV testing and has certified application counselors on staff. See our FQHC directory for the state at /clinics/tx/.
- State health data for Texas: for state-level HIV mortality, maternal health, and life-expectancy context by race, see /health/texas/.
- Texas Medicaid: Medicaid is the largest single payer of HIV care in most states. See /medicaid/texas/ for eligibility + enrollment.
- NASTAD ADAP Monitoring Project: nastad.org/adap-monitoring-project — the current national ADAP eligibility + formulary reference.
References & primary sources
- Texas Department of State Health Services, TB/HIV/STD Section: https://www.dshs.texas.gov/hiv-std-program.
- CDC HIV Surveillance Report 2022: cdc.gov/hiv/library/reports/hiv-surveillance.html. Source for state-level new diagnoses and race-stratified counts.
- HRSA HIV/AIDS Bureau, Ryan White HIV/AIDS Program grantee list: ryanwhite.hrsa.gov/grants/part-b.
- NASTAD ADAP Monitoring Project 2024 Annual Report: nastad.org/adap-monitoring-project. Source for ADAP income cap + enrollment + PrEP-DAP data.
- AIDSVu state profile: aidsvu.org/state/texas/.
- Kaiser Family Foundation, The Ryan White HIV/AIDS Program fact sheet: kff.org/global-health-policy/fact-sheet/the-ryan-white-hivaids-program.
Data refreshed: