The Virginia Medication Assistance Program (VA MAP), formerly known as the AIDS (Acquired Immune Deficiency Syndrome) Drug Assistance Program (ADAP), is a state-administered program authorized under Part B of the federal Ryan White HIV/AIDS Treatment Extension Act of 2009. This critical program provides access to Human Immunodeficiency Virus (HIV) medications for people living with HIV in Virginia who have limited or no health coverage and meet all the program’s eligibility requirements. The VA MAP supplies medications directly and through the support of insurance coverages, including Medicare prescription drug coverage, health insurance through the federal Marketplace, and employer-based insurance. The Ryan White HIV/AIDS Treatment Extension Act of 2009 requires that VA MAP serve as the payer of last resort. The Health Resources and Services Administration (HRSA) provides federal oversight for the Ryan White HIV/AIDS Program Part B (RWHAP B), which includes the VA MAP.

For Ryan White Grant Year 22 (RWGY22) (April 1, 2022-March 31, 2023), 5,293 clients were enrolled in VA MAP. There was no waiting list for VA MAP services during RWGY22 and no clients were disenrolled due to budget constraints or considerations. Any clients who were disenrolled, either (1) enrolled in Medicaid, (2) enrolled in a federal marketplace plan through VA MAP, (3) enrolled in Medicare, (4) obtained employer-based or other private insurance, or (5) moved out of state, died, or were lost to follow up.