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. 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.

The VA MAP program provides access to Human Immunodeficiency Virus (HIV) medications for people living with HIV (PWH) 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 and employer-based insurance. Historically, VA MAP purchased coverage through the federal exchange (Marketplace) but used the state-based exchange for coverage that started January 1, 2024.

FINDINGS

For calendar year (CY) 2023 (January 1, 2023 – December 31, 2023), 5,999 clients were enrolled in VA MAP. There was no waiting list for VA MAP services during this time period, and no clients were disenrolled due to budget considerations.