response to comment

Health Resources and Services Administration

HIV/AIDS Bureau

Response to Comment on the ADAP ICR:

The program contacted the author of the comment on January 7^th, 2008, in preparing the response to the email comment on the ADAP, and the response provided below was communicated to the author. This communication was done to ensure that the comment had been understood and that the response would be clear.

The drug pricing data that Grantees must report has been simplified in the electronic system for the ADAP Quarterly Report.   The drug pricing question provides a list of all antiretroviral medications as well as Hepatitis B and Hepatitis C treatment medications.  Grantees are required to check the boxes corresponding to the medications purchased and/or dispensed during the reporting quarter.  For each medication purchased during the reporting quarter, Grantees must provide the total price paid the medication before rebates. Dispensing fees and other administrative costs should not be included. For each medication dispensed during the quarter, Grantees report the number of clients who received this medication at least once during the reporting quarter. 

With regard to funded-specific data, all antiretroviral medications as well as Hepatitis B and Hepatitis C treatment medications purchased and/or dispensed using ADAP funds should be reported.  ADAP funds include monies from the ADAP earmark, ADAP Supplemental Drug Treatment Grant Award, and State Match for ADAP Supplemental Drug Treatment Award (AQR – Question 14) as well as contributions from Part A EMAs/TGAs, contributions from Part B Base funding, State contributions (other than Ryan White funds and State-required match for supplement), carry-over of Ryan White funds from previous year, manufacturer rebates, all insurance reimbursements, including Medicaid (AQR – Question 10).  

With regard to the comment on the format for collecting information on race and ethnicity, the Reports Clearance Officer provided the author of the comment with information on the requirements for Federal agencies for the collection of data on race and ethnicity. The author recognized this requirement and simply wanted to mention that race/ethnicity has the potential for missing/incomplete data.