NASTADNational Alliance of State and Territorial AIDS Directors (Washington, DC)
NASTADNational Association of State and Territorial Apprenticeship Directors
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Still, says Amy Killelea, an attorney and director of Health Systems Integration with NASTAD: "We're hearing from our members that there's been a drop in utilization of HIV and hepatitis treatment and prevention as a result of this rhetoric."
For the latest information on the ADAP crisis, see NASTAD's ADAP Funding Watch, posted online every two months at, or visit the Title Il Community AIDS National Network (TII CANN) website at
NASTAD recommends offering ongoing training consultation to Latinos about HIV prevention and care-planning; creating public information and awareness campaigns that educate Latinos about their rights and available local services; and developing Latino leadership and expertise within government at the local, state, and national levels.
Even after aggressively negotiating with drug companies to save ADAP $65 million with price breaks for next year, advocates with NASTAD, an association of state AIDS directors, calculate that it will take an ADAP increase of $214 million to cover the growing need next year--the amount requested by Senator Charles Schumer in a budget amendment rejected on a largely party-line vote (with one brave exception, Republican Mike DeWine).
However, with the costs of new combination drug therapies ranging between $10,000 and $15,000 per year, states have taken a number of steps to keep their programs functional and reduce costs, such as limiting the number of people who can enroll, restricting access to certain medications, reducing coverage for certain medications, and delaying or suspending coverage of new drugs (NASTAD et al., 1997; Pedersen and Larson, 1997).
For example, the membership of NASTAD (National Alliance of State and Territorial AIDS Directors) expressed concern about a number of issues related to the implementation of community planning in a letter sent to CDC at the end of December 1993.
"The [CDC] guidelines are only as good as they are accepted as standard practice," said Terrance Moore, director of policy and health equity at the National Association of State and Territorial AIDS Directors (NASTAD), which helps guide HIV treatment and prevention policy.
NASTAD, Orthogonal rational functions and quadrature on the real half-line, Journal of Complexity, to appear.
According to the most recent National Alliance of State and Territorial AIDS Directors (NASTAD) Report, the following states have also initiated waiting lists as of 12/5/2002: Alabama (175), Indiana (34), Kentucky (62), Montana (2), North Carolina (60), Oregon (18) and South Dakota (43).
Kaiser Family Foundation (KFF) commissions the National ADAP Monitoring Project and conducts it in partnership with the National Alliance of State and Territorial AIDS Directors (NASTAD) and the AIDS Treatment Data Network (ATDN):
According to a recent report by the National Alliance of State and Territorial AIDS Directors (NASTAD), nearly half of all states have indicated that they might have to place emergency restrictions on their programs this year, such as implementing or expanding waiting lists, capping services, and/or making cuts to the list of available drugs.