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ADAP costs rise; Office of AIDS outlines estimate and loan repayment schedule to Legislature
Summary
Office of AIDS staff told the subcommittee that AIDS Drug Assistance Program (ADAP) expenditures are currently projected to outpace revenues for 2025–26, explained recent policy-driven cost increases, and provided planned repayment dates for loans the program made to the state general fund.
The Office of AIDS briefed the Assembly Budget Subcommittee on Health on the AIDS Drug Assistance Program (ADAP) estimate and on recent loans the program made to the state general fund.
Joseph Grama, branch chief of the ADAP Branch in CDPH's Office of AIDS, presented the fiscal estimate and identified both revenue and expenditure drivers. "For 2024–25, the Office of AIDS estimates the ADAP budget authority need will be about $392.5 million, including roughly $277.3 million from the ADAP rebate fund and $115.2 million from the federal trust fund," Grama said. For 2025–26 the office estimated total needs rising to about…
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