Barnaamijku wuxuu caawiyaa dadka qaata lacagta hoose iyo kuwa dhexe
Inkastoo helitaanka daryeelka caafimaadku uu kordhay dadka qaba HIV-ga tan iyo markii la ansixiyay xeerka Daryeelka Lacagta La-Beddelayo (ACA) 2014-ka, qiimaha daawooyinka HIV-ga ayaa ah caqabad weyn. Qaar ka mid ah caymiska gaarka ah, xitaa qiimaha ayaa sii xumaanaya, iyada oo qaar ka mid ah ceymisyada ay u isticmaalaan daawooyinka antiretrovoviral ee ka soo jeeda daroogooyinka 'generic' iyo 'non-generic' ee daroogooyinka 'khaas ah' qiimaha daawada "specialty" 30% ama ka badan.
Dhaqanka Tani waxay saameyn ku yeelaneysaa dadka dakhligoodu hooseeyo iyo kuwa dhexdhexaadka ah, iyada oo dad badan oo lagu qasbay in ay bixiyaan daroogada ay ka bixiyaan jeebka. Marka la eego nidaamka sedexda ah ee daroogada ah, tani waxay ku dari kartaa si aad u fiican oo ah $ 1,000 bishii , qiimaha badanaaba wuxuu tixgelin karaa lama-huraan la'aan.
Barnaamijka Kaalmada Daroogada ee AIDS-ka (ADAP) waa barnaamij federaali ah oo markii ugu horreysey lagu sameeyey 1987 si loo siiyo daawooyinka naf-badbaadinta ee loogu talagalay dadka dakhligoodu hooseeyo. Laga soo bilaabo wakhtiga baaxadda barnaamijka ayaa si ballaaran u ballaariyay, iyada oo dawladaha qaar ay awoodaan in ay kabtaan booqashooyinka takhtarka, imtixaanka shaybaadhka, caymiska lacagaha, iyo xitaa daaweynta ka hortagga kuwa khatarta caabuqa.
Xaq u yeelashada ayaa caadi ahaan dakhliga ku salaysan, oo ka soo jeeda qoysaska dakhligooda sanadlaha ah ka yar 200 boqolkiiba Heerka Dhibaatada Federaalka (FPL) ee kuwa dakhligoodu ka yaryahay 500 boqolkiiba. Xisaabinta dakhliga waxay ku saleysan tahay adiga ama dakhliga guud ee qoyska ee sanadka laakiin dakhliga guud ee isbeddelka ee sanadlaha ah (sida aasaasiga ah Dakhliga Guud ee Lagu Sameeyey ee laga helo khadka 37 ee canshuur celintaada 1040 iyo tiro yar oo lagu daray).
Tani waxay ka dhigan tahay, in 11ka gobol ee xaddiga dakhliga la dhigey boqolkiiba 500, lammaanaha is qaba ee leh dakhliga isbeddelka sanadlaha ah ee $ 80,000 ayaa weli xaq u leh kaalmada ADAP.
U qalmida ADAP ee Gobolka
Taasi maaha in la sheego in dhammaan barnaamijyada ADAP la abuuray siman. Iyadoo ADAP ay maalgeliso dawlada federaalka, gobol kastaa maamusho barnaamijkeeda, waxay dejinaysaa shuruudaha ka mid noqoshada gaarka ah, iyo tusaalooyinka adeegyadeeda oo aysan bixin doonin.
Gobolada qaar, ayaa u turjumaya caawimaadda tooska ah ee daawada loo qoro; Kuwa kale, adeegyadu waxay ku jiri karaan booqashooyinka dhakhtar joogta ah, maaraynta kayska, ama (sida ku jirta New York State) siinta daryeelka guriga ku saleysan.
Inkastoo ay sharciyadu ka duwan yihiin gobolka ilaa gobolka, xaq u yeelashadu waxay ku salaysan tahay saddex arrimood:
- Caddaynta deganaanshaha gobolkaas. Dadka aan muwaadiniinta ahayn, ayaa loo baahan yahay diiwaangelin joogta ah. Dhanka kale, gobolada kale, sida New Mexico iyo Massachusetts, muhaajiriinta aan sharciga haysan waxay sidoo kale u qalmaan adeegyada ADAP.
- Caddaynta dakhliga. Tani waxay caadi ahaan ku saleysan tahay adiga ama qoyskaaga daqliga guud ee sanadlaha ah (MAGI), laakiin sidoo kale waxaa ku jiri kara xadidaad qiimaha dollar ee hantida shakhsiyeed (sida dalalka sida Delaware, Georgia, iyo New York).
- Xaqiijinta xaaladdaada HIV ee dhakhtarka uqalma. Gobolada qaarkood, sida Arkansas, tirinta CD4 iyo baaritaanada fayraska viral ayaa loo isticmaali karaa si ay xaq ugu yeeshaan u-qalmitaanka.
Maaddaama ADAP loo tixgeliyo "macaamiisha ugu dambeysa", weli waxaa laga yaabaa in lagaa rabo inaad hesho caymiska caafimaadka xitaa haddii adeegyada ADAP la bixiyo. Xaaladdan oo kale, waxaad u baahan doontaa inaad bixiso caddayn caymis si aad u sameyso baahi, ha ahaato mid ku xiran daroogada, daaweynta wada-qaybsiga, ama (qaar ka mid ah dawladaha) gargaarka lacag-bixinta ama lacagta caymiska.
Kuwa aan awoodin in ay qaataan oggolaansho ADAP, barnaamijyada gargaarka wada- qaybinta iyo bixinta lacagta (PAP) waxaa bixiya shirkadaha dawooyinka ee ugu badan ee HIV si ay u siiyaan daawooyin bilaash ah ama qiimo jaban kuwa aan awoodin.
| Gobolka | Maamulaha Barnaamijka | Aqoonta Dakhliga | Macluumaad Dheeraad ah iyo Tixgelin |
| Alabama | Alabama ADAP | In ka yar 250% ee FPL | Xaaladaha intooda badan, macaamiisha ku qoran caymiska caafimaadka gaarka loo leeyahay ama kuwa dadweynaha uma qalmaan. Ka-reebitaan ayaa laga yaabaa in lagu dabaqo kiis-kiis. |
| Alaska | Ururka AIDS-ka iyo Ururka Caawinta Cudurka AIDS ee Alaskan | In ka yar 400% FPL ee Alaska | Waa inuu noqdaa macmiil firfircoon oo ka mid ah ururka Alaskan AIDS Assistance Association (Afar A-da) ama Ururka AIDS-ka (IAA). |
| Arizona | Arizona ADAP | In ka yar 400% ee FPL | |
| Arkansas | Arkansas ADAP | In ka yar 200% ee FPL | Bukaanka hore ee aan la daaweynin waa inuu lahaadaa CD4 oo ka badan 500 500 AMA viral loading 55,000 (tijaabada PCR) AMA viral loading over 30,000 (test bDNA). Ama hadda bukaanka hore loo daaweeyay waxay xaq u leeyihiin haddii caddaynta daaweynta HIV-ga la bixiyo. |
| California | California ADAP | In ka yar 500% ee FPL | |
| Colorado | Colorado ADAP | In ka yar 400% ee FPL | Dadka haysta FPL inta u dhaxaysa 400% iyo 500% ayaa weli xaq u leh kaalmada daawada dhakhtar qoray. Dadka caymiska gaarka ah, COBRA, ama ceymiska ku salaysan loo shaqeeyaha waxay u baahan yihiin inay codsadaan iyada oo loo marayo Barnaamijka Caawinaada Caymiska Caafimaadka ee Ohio (HIAP). |
| Connecticut | Connecticut ADAP (CADAP) | In ka yar 400% ee FPL | |
| Delaware | Delaware ADAP | Ku kasbasho ka yar $ 50,000 halkii sano iyo wax ka yar $ 10,000 hantida. | |
| Degmada Columbia | Degmada Columbia ADAP | In ka yar 500% ee FPL iyo hantida dareeraha ah ee ka yar $ 25,000 | |
| Florida | ADAP Florida | In ka yar 400% ee FPL | |
| Georgia | Georgia ADAP | In ka yar 300% ee FPL iyo hantida lacageedka ka yar $ 4,500 ($ 5,500 haddii ay isqabaan) | |
| Hawaii | Hawaii ADAP | In ka yar 400% ee FPL ee Hawaii | |
| Illinois | Illinois ADAP | In ka yar 300% FPL loogu talagalay codsadayaasha cusub iyo in ka yar 500% ee FPL ee codsadayaasha firfircoon ee diiwaangashan ka hor 1-da July, 2011 | Dadka dakhligoodu ka yar yahay 300% ee FPL waxaa lagu dhiirigelinayaa in ay isqortaan Qorshaha Xaaladaha Ka Horeeya Illinois (IPEX), qorshe caymis caafimaad oo gobolku leeyahay. |
| Indiana | Indiana ADAP | In ka yar 300% FPL | |
| Iowa | Iowa ADAP | In ka yar 200% FPL, oo leh $ 500 shaqo ka jarid | Waxaa heli kara oo keliya dadka aan u qalmin caymiska caafimaadka. Si kastaba ha ahaatee, gargaarka caymiska waxaa heli kara dadka dakhligoodu ka yaryahay 400% ee FPL. |
| Kansas | Kansas ADAP | In ka yar 300% ee FPL | |
| Kentucky | Kentucky ADAP (KADAP) | In ka yar 500% ee FPL | |
| Louisiana | Barnaamijka Helitaanka Caafimaadka ee Louisiana (LA HAP) | In ka yar 300% ee FPL | Markaad go'aamiso dakhliga reerka, xubnaha qoyskaaga waa qof kasta oo adiga kula nool kuwaas oo xiriir la leh dhiigga, guurka sharciga ah, ama sharci korsasho. |
| Maine | Maine ADAP | In ka yar 500% ee FPL | |
| Maryland | Maryland ADAP (MADAP) | In ka yar 500% ee FPL | |
| Massachusetts | Massachusetts Barnaamijka Kaalmada Daroogada HIV (HDAP) | In ka yar 500% ee FPL | Ma jiro xayiraad da'da dadka loo codsado HDAP. Uma baahnid inaad tahay muwaadin Maraykan ah si aad u qorto ADAP. |
| Michigan | Barnaamijka Kaalmada Daroogada ee Michigan (MIDAP) | In ka yar 450% FPL | Xaaladaha qaarkood, waa inaad codsatay gargaar guud (Medicaid ama Barnaamijka Ka-dhaafitaanka Dadka Waaweyn) oo aad muujin kartid in aad ahayd (a) diidey, (b) ku meeleeyay xaalad taagan, ama (c) 90 maalmood gudahood ayaa lagu dabaqayaa. |
| Minnesota | Minnesota ADAP | In ka yar 400% ee FPL | |
| Missouri | Barnaamijka Maareynta Kiisaska HIV / AIDS ee Missouri | Dakhliga guud ee ka hooseeya ama ka hooseeya 300% ee FPL | |
| Mississippi | Mississippi ADAP | In ka yar 300% ee FPL | |
| Montana | Montana ADAP | In ka yar 431% ee FPL | |
| Nebraska | Nebraska ADAP (NE ADAP) | In ka yar 200% ee FPL | |
| Nevada | Nevada ADAP | In ka yar 400% ee FPL iyo hantida dareeraha ah ee ka yar $ 10,000 | Hantida liidata kuma jiraan guriga milkiilaha leh iyo hal baabuur (ama laba baabuur haddii la qabo). |
| New Hampshire | Barnaamijka NH CARE Program | In ka yar 400% ee FPL | Weli waad u qalmi kartaa ADAP oo ku saleysan kharashyada caafimaadka. La xiriir Xarunta Wicitaanka CARE si aad u weydiiso shahaadooyinka xaaladaha gaarka ah. |
| New Jersey | Barnaamijka Qaybinta Mukhaadaraadka ee AIDS-ka (ADDP) | In ka yar 500% ee FPL | |
| New Mexico | New Mexico ADAP | In ka yar 400% ee FPL | Uma baahnid inaad noqoto muwaadin Maraykan ah ama soogalooti aqoonsi ah si aad ugu qalanto adeegyada ADAP. |
| New York | New York State ADAP | In ka yar 435% ee FPL iyo in ka yar $ 25,000 oo ah hantida dareeraha ah ee qoyskiiba | Jinsiyadda Mareykanka looma baahna. Baaritaanka HIV-ga ee horay loo soo sheegay (PrEP) ayaa sidoo kale loo heli karaa dadka qaba HIV-ga khatarta cudurka. Adeegyada daryeelka guriga ayaa sidoo kale laga heli karaa iyada oo loo marayo bixiye la ansixiyey, illaa nolol nololeed dhan $ 30,000. |
| North Carolina | North Carolina ADAP | In ka yar 300% ee FPL | Dadka ku jira Medicare oo dakhligoodu ka yaryahay 150% ee FPL ayaa looga baahan yahay inay codsadaan Lacagta Lacagta yar (LIS) ee Maamulka Lambarka Bulshada. |
| Waqooyiga Dakota | Woqooyiga Dakota ADAP | In ka yar 400% ee FPL | |
| O hio | Barnaamijka Gargaarka Daroogada Ohio ee Ohio (OHDAP) | In ka yar 300% ee FPL | Codsadayaasha waxaa looga baahan yahay inay bixiyaan dakhliga guriga (oo ay ku jiraan kuwa xaaska iyo kuwa ku tiirsan) goorta la sameynayo codsiga. |
| Oklahoma | Barnaamijka Kaalmada Daroogada ee Oklahoma Barnaamijka HIV | In ka yar 200% FPL kuwa aan lahayn caymis | Kaalmada caymiska caymiska, khidmadaha iyo jar-jaryada ay heli karaan dadka dakhligoodu ka yaryahay 400% ee FPL. |
| Oregon | CAREAssist | In ka yar 500% ee FPL | |
| Pennsylvania | Barnaamijka Faa'iidooyinka Dawooyinka Gaarka ah (SPBP) | 500% ee FPL | |
| Puerto Rico | Puerto Rico ADAP | In ka badan 200% ee FPL ee Puerto Rico | |
| Rhode Island | Rhode Island ADAP | In ka yar 400% ee FPL | |
| S outh Carolina | South Carolina ADAP | Laga bilaabo in ka yar 300% ee FPL illaa 550% ee FPL, waxay kuxirantahay barnaamijka | Barnaamijka tooska ah ee Dispensing (DDP) wuxuu bixiyaa daroogo iyada oo loo marayo bixiyaha boosta iyo wuxuu heli karaa dadka dakhligoodu ka hooseeyo 300% ee FPL. Barnaamijka Gargaarka Caafimaadka ee Medicaid (MAP) ayaa sidoo kale bixiya daroogo iyada oo loo marayo bixiyaha boosta iyo wuxuu heli karaa dadka dakhligoodu ka hooseeyo 550% ee FPL. Kaalmada caymiska caymiska, lacag-bixinta, iyo jar-jaryada waxaa lagu bixiyaa Barnaamijka Caawimaadka Caymiska (IAP) waxaana heli kara dadka dakhligoodu ka hooseeyo 550% ee FPL. |
| Koonfurta Dakota | Koonfurta Dakota ADAP | In ka yar 300% ee FPL | |
| Tennessee | Tennessee ADAP | In ka yar 400% oo ah FPL iyo hanti qoys oo ka yar $ 8,000 | |
| Texas | Barnaamijka daaweynta HIV ee Texas (THMP) | In ka yar 200% ee FPL | |
| Vermont | Barnaamijka Kaalmada Daaweynta Vermont (VMAP) | In ka yar 500% ee FPL | |
| Virginia | Virginia ADAP | In ka yar 400% ee FPL | |
| Washington | Barnaamijka Faragelinta Hore (EIP) | In ka yar 400% ee FPL | |
| West Virginia | West Virginia ADAP | In ka yar 400% ee FPL | |
| Wisconsin | Barnaamijka Kaalmada Daroogada ee HIV / AIDS ee Wisconsin | In ka yar 300% ee FPL | |
| Wyoming | Barnaamijka Daaweynta HIV ee Wyoming | Kala duwanaanshaha degaanka ee degaanka (fiiri tilmaamaha xaq u lahaanshaha dakhliga ee hadda jira ) |