Purogiramu inobatsira vose vari pasi-nepakati pekuwana mari
Kunyange zvazvo kuwanikwa kwehutano hwakakwira kune vanhu vanorarama neHIV kubvira pakagadzwa kweAne Affordable Care Act (ACA) muna 2014, mutengo wemishonga yeHIV inoramba iri dambudziko guru. Kunyange kune vamwe vanogona kuwana inshuwarisi yega yega, mutengo wanyanya kuvharidzirwa, pamwe nevamwe vatsigiri vehurumende vanoita antiretroviral zvinodhaka kubva kune zvisingakwanisi "zvechiremera" uye "zvisingaiti" zvinodhaka zvinodhaka kusvika kune zvakadhura "zvigadzirwa" zvinodhaka zvinodhaka zvinorayira kubhadhara mari 30% kana kupfuura.
Iyi miitiro yekushungurudza kwakashata yakakanganisa vashandi vashoma-uye vari pakati, avo vazhinji vanomanikidzwa kubhadhara mishonga yavo kunze kwehomwe. Kuti uve nehutano hutatu hwemishonga yemishonga, izvi zvinogona kuwedzera kusvika zvakadarika $ 1 000 pamwedzi , mutengo uyo vakawanda vanofunga kuti hauna kugadziriswa.
Dambudziko reAIDS Drug Assistance Program (ADAP) chirongwa chehurumende chekutanga chakasimbiswa muna 1987 kupa mishonga inoponesa HIV kune vekuAmerica vane mari shoma. Kubvira panguva iyoyo kuwanda kwepurogiramu kwawedzera zvakanyanya, nedzimwe nyika dzinokwanisa kupa rubatsiro kunechiremba anoshanyira, kuongororwa kwebazi, kushandiswa kweinishuwarenzi, uye kunyange utachiona hwekudzivirira kune avo vari pangozi yehutachiona.
Kubvumirwa kunowanzoita mari, kubva kumhuri inowanikwa gore negore iri pasi pe200% yeHurumende yeUrombo (FPL) (FPL) kune avo vanowana mari inopfuura 500 muzana. Mari yekuverenga haina kubva kwauri kana kumhuri yako yega yega yegore asi nekuda kwekugadziriswa kwegore rose mari yakawanda (kunyanya yeAdjusted Gross Income inowanikwa mumutsara 37 wemutengo wekutora mutero 1040 pamwe nemamwe mashomanana).
Izvi zvinoreva kuti, mumatanho gumi nemasere apo muganhu wekusvika wakagadzirirwa pa500 muzana, vakaroora vakaroorana vane Modified Annual Gross mari ye $ 80,000 vacharamba vachikwanisa kupiwa ADAP rubatsiro.
ADAP Kubvumirwa neHurumende
Izvozvo hazvirevi kuti mapurogiramu ose eADAP akasikwa akaenzana. Kunyange zvazvo ADAP yakabhadharwa nehurumende yehurumende, hurumende imwe neimwe inotarisira purogiramu yake, inogadzirisa iyo inosanganisira mitemo, uye inojekesa iyo maitirwo ayo ichaita uye haazopi.
Mune dzimwe nyika, iyo inoshandura kuronga mishonga yemishonga yemishonga; Mune vamwe, masangano anogona kusanganisira nguva dzose vanachiremba vanoshanyira, kutarisira nyaya, kana (sekuNew York State) urongwa hwekuchengetwa kwemusha.
Kunyange zvazvo mitemo ichisiyana kubva kune imwe nyika kuenda kune imwe nyika, kukodzera kunowanzovakirwa pazvinhu zvitatu:
- Zvinyorwa zvekugara mukati mehurumende iyoyo. Kune vasiri vemuUnited States, zvinyorwa zvekugara zvekugara zvinodiwa. Panguva iyi, kune dzimwe nyika, kufanana neNew Mexico neMassachusetts, vasina kunyorwa vanobva kune dzimwe nyika vanofanirwawo mabasa eAdap.
- Uchapupu hwekuwana mari. Izvi zvinowanzobva pauri kana kumhuri yako yakashandurwa gore roga roga (MAGI) asi rinogonawo kusanganisira dhora rekugadziriswa kwezvinhu zvedu (sezvinoitwa neDelaware, Georgia, neNew York).
- Mvumo yehutano hwako hweHIV nechiremba anokwanisa. Mune dzimwe nyika, kufanana neA Arkansas, CD4 count uye utachiona hwehutachiona hunogona kushandiswa kukodzera kukodzera.
Sezvo ADAP inofungidzirwa se "kushandiswa kwekupedzisira" kuripa, iwe unogona kudiwa kuti uwane inshuwarisi yehutano kunyange kana ADAP masangano akashandurwa. Kana zvakadaro, iwe unoda kupa uchapupu hwehushuwarisi kuitira kuti ugadzirise chido, kana chiri chekushandisa zvinodhaka, kubhadhara mari yekubhadhara, kana (mune dzimwe nyika) rubatsiro rwekubhadhara kana kubhadharwa kwepayamu.
Kune avo vasingakwanisi kuwana ADAP kubvumirwa, mapiro ekubhadhara mari uye kubhadhara mari (PAP) inopiwa nemakambani mazhinji ezvinodhaka zveHIV kuti vawane mishonga yekusununguka kana yakaderera kune avo vasingakwanisi kutenga.
| State | Mutongi weProgram | Inowanikwa Zvikwereti | Zvimwe Zveruzivo uye Mafungiro |
| Alabama | Alabama ADAP | Pasi pe 250% yeFPL | Muzviitiko zvakawanda, vatengi vakanyoreswa muhupfumi hwehupfumi kana hurumende havakwanisi. Kusiyanisa kunogona kushanda pane imwe nyaya-ne-case. |
| Alaska | Interior AIDS Association uye Alaska AIDS Assistance Association | Pasina 400% yeFPL yeAlaska | Inofanira kunge iri mutevedzeri wemushandi weAlaska AIDS Assistance Association (Four A's) kana kuti Interior AIDS Association (IAA). |
| Arizona | Arizona ADAP | Pasi pasi pe400% yeFPL | |
| Arkansas | Arkansas ADAP | Pasi pe200% yeFPL | Pakupedzisira murwere asina kubatwa anofanira kuva neCD4 asingaverengeki 500 kana hutachiona hunopfuura 55,000 (kuongorora kwePCR) kana utachiona hunopfuura 30,000 (bDNA test). Current or varwere vepakutanga vakaporerwa vanobvumirwa kana uchapupu hwehutachiona hweHIV hunopiwa. |
| California | California ADAP | Pasi pe500% yeFPL | |
| Colorado | Colorado ADAP | Pasi pasi pe400% yeFPL | Vanhu vane FPL vari pakati pe400% ne500% vachiri kukodzera kubhadhara mishonga yemishonga. Vanhu vane inshuwarisi yega yega, COBRA, kana mushandi-based inshuwarisi inoda kushandisa neColorado ADAP's Health Insurance Assistance Program (HIAP). |
| Connecticut | Connecticut ADAP (CADAP) | Pasi pasi pe400% yeFPL | |
| Delaware | Delaware ADAP | Gamuchira zvishoma kudarika $ 50,000 pagore uye uine zviduku zve $ 10 000 muzvinhu. | |
| District of Columbia | District of Columbia ADAP | Pasingapfuuri 500% yeFPL neyemvura inoshandiswa pasi pe $ 25,000 | |
| Florida | Florida ADAP | Pasi pasi pe400% yeFPL | |
| Jojiya | Georgia ADAP | Pasi pema 300% eFPL nemari yemari zvisingasviki $ 4,500 ($ 5,500 kana vakaroora) | |
| Hawaii | Hawaii ADAP | Pasina 400% yeFPL yeHawaii | |
| Illinois | Illinois ADAP | Pasi pema 300% yeFPL kune vatsva vatsva uye pasi pe500% yeFPL yevashandi vakanyoresa pamberi peJuly 1, 2011 | Vanhu vane mari inenge iri pasi pe300% yeFPL vanokurudzirwa kunyoresa muItange Pre-Iripo Zvirongwa Zvepurogiramu (IPEX), chirongwa chehutano hwehutano hwehutano. |
| Indiana | Indiana ADAP | Pasi pane 300% yeFPL | |
| Iowa | Iowa ADAP | Pasina 200% yeFPL, ine kubhadhara basa re $ 500 | Inowanika kune vanhu vasina kukodzera kuhutano hwehutano inshuwarheni. Zvisinei, rubatsiro rwehushuwarenzi runowanikwa kune vanhu vane mari yepasi pe4 400 FPL. |
| Kansas | Kansas ADAP | Pasi pane 300% yeFPL | |
| Kentucky | Kentucky ADAP (KADAP) | Pasi pe500% yeFPL | |
| Louisiana | Louisiana Health Access Program (LA HAP) | Pasi pane 300% yeFPL | Mukugadzirisa mari yemhuri, nhengo dzeimba yako ndeupi munhu anogara newe iwe unobatana neropa, nemutemo wepamutemo, kana kuburikidza nekugamuchirwa kwepamutemo. |
| Maine | Maine ADAP | Pasi pe500% yeFPL | |
| Maryland | Harare ADAP (MADAP) | Pasi pe500% yeFPL | |
| Massachusetts | Massachusetts Mushonga weHIV Mushonga Purogiramu (HDAP) | Pasi pe500% yeFPL | Iko hakuna chirevo chezera revanhu vanoshandisa HDAP. Iwe haufaniri kuva mugari weUnited States kuti unyore ku ADAP. |
| Michigan | Michigan Drug Assistance Program (MIDAP) | Pasingapfuuri 450% yeFPL | Mune zvimwe zviitiko, unofanira kunge wakanyorera rubatsiro rwevanhu vose (Medicaid kana chirongwa cheVaduku Rwekupa Ropafadzo) uye unogona kuratidza kuti iwe wakambove (a) wakaramba, (b) akaiswa panzvimbo yakamirira, kana (c) akaiswa pane chengetedza-pasi pasi mumazuva makumi mapfumbamwe akapfuura. |
| Minnesota | Minnesota ADAP | Pasi pasi pe400% yeFPL | |
| Missouri | Missouri HIV / AIDS Case Management Programme | Gross revenue at or under 300% of the FPL | |
| Mississippi | Mississippi ADAP | Pasi pane 300% yeFPL | |
| Montana | Montana ADAP | Pasina 431% yeFPL | |
| Nebraska | Nebraska ADAP (NE ADAP) | Pasi pe200% yeFPL | |
| Nevada | Nevada ADAP | Inosvika 400% yeFPL neyemvura yakashata zvisingasviki $ 10 000 | Izvo zvinhu zvinosanganisa hazvibatanidzi musha unotorwa uye imwe motokari (kana motokari mbiri kana yakaroorwa). |
| New Hampshire | NH CARE Program | Pasi pasi pe400% yeFPL | Iwe unogona kunge wakakodzerwa neAdap kubva pane zvekurapa mari. Taura neCARE call centre kuti ubvunze pamusoro pezviitiko zvakakosha zvemamiriro ezvinhu. |
| New Jersey | AIDS Drug Distribution Program (ADDP) | Pasi pe500% yeFPL | |
| New Mexico | New Mexico ADAP | Pasi pasi pe400% yeFPL | Iwe haufaniri kunge uri munyori wekuAmerica muvakidzani kana wekuenda kune imwe nyika kuti uwane kodzero dzebasa re ADAP. |
| New York | New York State ADAP | Pasingapfuuri 435% yeFPL uye pasi pe $ 25,000 muzvinhu zvemari pamhuri | US citizenship haitariswi. Utachiona hweHIV pre-exposure prophylaxis (PrEP) hunowanikawo kuvanhu vasina HIV vane pangozi yehutachiona. Misha yekuchengetwa kwekumba inowanikwawo kuburikidza nemunhu anogamuchirwa, kusvikira panguva yeupenyu inobhadhara $ 30,000. |
| North Carolina | North Carolina ADAP | Pasi pane 300% yeFPL | Vanhu vane Medicare vane mari inenge vasingapfuuri 150% yeFPL vanodiwa kuti vashandire mari yeAll-Income Subsidy (LIS) neSocial Security Administration. |
| North Dakota | North Dakota ADAP | Pasi pasi pe400% yeFPL | |
| O hio | Ohio Kurapa Utachiona hweHIV hweHIV (OHDAP) | Pasi pane 300% yeFPL | Vanokumbira vanofanirwa kupa misha yemhuri (kusanganisira iyo kubva kune wawakaroorana naye nevanovimba) paunenge uchishanda. |
| Oklahoma | Oklahoma Vhidhiyo Mishonga Purogiramu yeHIV | Pasi pe 200% yeFPL kune avo vasina inshuwarisi | Kubatsirana nemishandirapuru yemishandisi, kubhadharwa uye kubhadhara kune avo vanowana mari inopfuura 400% yeFPL. |
| Oregon | CAREAsistist | Pasi pe500% yeFPL | |
| Pennsylvania | Special Pharmaceutical Benefits Program (SPBP) | 500% yeFPL | |
| Pota Riko | Puerto Rico ADAP | Pasina 200% yeFPL yePuerto Rico | |
| Rhode Island | Rhode Island ADAP | Pasi pasi pe400% yeFPL | |
| S outh Carolina | South Carolina ADAP | Kubva pasi pe300% yeFPL kusvika pasi pe550% yeFPL, zvichienderana nehurongwa | Kuronga Kuparadzira Purogiramu (DDP) inopa zvinodhaka kuburikidza nemumwe mutumire-anorayira uye inowanikwa kune vanhu vane mari inosvika 300% yeFPL. Medicaid B Rubatsiro Purogiramu (MAP) inopawo zvinodhaka kuburikidza nemutumire-anorayira uye inowanikwa kune vanhu vane mari yepasi pe550% yeFPL. Kubatsirwa nemishandiro emishuwarenzi, copays, uye zvigadziriswa zvinopiwa kuburikidza neUnited Assistance Program (IAP) uye zvinowanikwa kune vanhu vane mari yepasi pe550% yeFPL. |
| South Dakota | South Dakota ADAP | Pasi pane 300% yeFPL | |
| Tennessee | Tennessee ADAP | Pasi pasi pe400% yeFPL nemari yeimba inodarika $ 8,000 | |
| Texas | Texas Vhidhiyo Mishonga yeHIV (THMP) | Pasi pe200% yeFPL | |
| Vermont | Vermont Medication Assistance Program (VMAP) | Pasi pe500% yeFPL | |
| Virginia | Virginia ADAP | Pasi pasi pe400% yeFPL | |
| Washington | Kutanga Kupindira Purogiramu (EIP) | Pasi pasi pe400% yeFPL | |
| West Virginia | West Virginia ADAP | Pasi pasi pe400% yeFPL | |
| Wisconsin | Wisconsin HIV / AIDS Mushonga Wekushandisa Mishonga | Pasi pane 300% yeFPL | |
| Wyoming | Wyoming HIV Treatment Program | Inofanirwa nehurumende yekugara (ona ikozvino mari inokodzera mitemo ) |