Methodology & Acknowledgements

Methodology

Since 1996, the National RWHAP Part B ADAP Monitoring Project has surveyed all jurisdictions receiving federal ADAP earmark funding through the RWHAP. In FY2024, 57 jurisdictions received ADAP earmark funding and were surveyed; 49 provided data. No fiscal or programmatic data were received from Mississippi, West Virginia, the U.S. Virgin Islands, or the Pacific Island Jurisdictions. Limited programmatic data were received from South Dakota. After the survey is distributed, NASTAD conducts extensive follow-up to ensure completion by as many ADAPs as possible.

This release of the Annual Report updates prior findings with data from fiscal year 2024 and calendar year 2024. All data reflect the status of ADAPs as reported by survey respondents. It is important to note that some program information may have changed between data collection and the Annual Report’s release. Due to differences in data collection and availability across ADAPs, some cannot respond to all survey questions. Where trend data are presented, only states that provided data in the years being compared are included. 

Data exceptions specific to a particular jurisdiction are provided in the notes section on relevant charts and tables.

Acknowledgements

NASTAD thanks state and territorial ADAP coordinators and their staff for their time and effort in completing the National RWHAP Part B ADAP Monitoring Survey. The National RWHAP Part B ADAP Monitoring Project is one component of NASTAD’s Public Health Systems portfolio, which provides ongoing training and technical assistance to all state and territorial RWHAP Part B programs and ADAPs. The Project also serves as a resource center, providing timely information on the status of ADAPs to national coalitions and organizations, policy makers, industry members, and state and federal government agencies. NASTAD received support for the National RWHAP Part B ADAP Monitoring Project in 2025 from Gilead Sciences and ViiV Healthcare; the Project is also supported by annual NASTAD membership dues. NASTAD also receives funding to provide technical assistance to ADAPs through a Training and Technical Assistance Cooperative Agreement with the Health Resources and Services Administration (HRSA). 

Tim Horn is the primary author of this report, with Dhara Dangar, MPH, providing data management and table/chart support.

Dr. Stephen Lee, Executive Director

Sarah Braunstein, PhD, MPH, New York City, NY, Chair