A few years ago we had a crazy idea. A project which would document and expose the desires and goals of the common man. It would give a voice and a platform to the dedicated activist, concerned citizen, and the occasional oddball. A voice for every one.

And a street-level call to action.

So we developed a framework. We wrote a manifesto. We created a TV show. We built an advocacy network. And we documented the whole process.

And what a process it was. We spoke with artists, non-profits, and captains of industry. We met a lot of people we liked, some we didn’t like at all, and we accepted all of them.

We made personal sacrifices that only true believers would make. People said it couldn’t be done. But many believed in it so much, that it developed a life of it’s own. The same people would also ask us why we did it, why we’d make such sacrifices. Why we’d risk everything of value in our lives.

So the question now is what does the future hold for this project? We want a cultural revolution. No more, no less. That’s what we’re willing to accept.

But we have a question for you. What do you want? Maybe you want to get involved? Tell us your Manifesto. And stay tuned to recent developments on the blog.

**ADAPs With Waiting Lists (8,100 Individuals in 13 States*, as of May 12, 2011)**

Alabama: 12 individuals
Arkansas: 58 individuals
Florida: 3,825 individuals
Georgia: 1,515 individuals
Idaho: 14 individuals
Louisiana: 682 individuals**
Montana: 26 individuals
North Carolina: 235 individuals
Ohio: 397 individuals
South Carolina: 664 individuals
Utah: 0 individuals***
Virginia: 668 individuals
Wyoming: 4 individuals

ADAPs With Other Cost-Containment Strategies (Instituted Since April 1, 2009, as of April 13, 2011)

Arizona: reduced formulary
Arkansas: reduced formulary, lowered financial eligibility to 200% FPL (disenrolled 99 clients in September 2009)
Colorado: reduced formulary
Florida: reduced formulary, transitioned 5,403 clients to Welvista from 2/15-3/31/11
Georgia: reduced formulary, implemented medical criteria, participating in the Alternative Method Demonstration Project (AMDP)
Idaho: capped enrollment
Illinois: reduced formulary, instituted monthly expenditure cap ($2,000 per client per month)
Kentucky: reduced formulary
Louisiana: discontinued reimbursement of laboratory assays
North Carolina: reduced formulary
North Dakota: capped enrollment, instituted annual expenditure cap, lowered financial eligibility to 300% FPL (grandfathered in current clients above 300% FPL)
Ohio: reduced formulary, lowered financial eligibility to 300% FPL (disenrolled 257 clients in July 2010)
Puerto Rico: reduced formulary
South Carolina: lowered financial eligibility to 300% FPL (grandfathered in current clients above 300% FPL)
Utah: reduced formulary, lowered financial eligibility to 250% FPL (disenrolled 89 clients in FY2010)
Virginia: reduced formulary, transitioned 207 clients onto waiting list and PAPs, only distribute 30-day prescription refills
Washington: instituted client cost sharing, reduced formulary (for uninsured clients only), only paying insurance premium for clients currently on antiretrovirals
Wyoming: reduced formulary, instituted client cost sharing

ADAPs Considering New/Additional Cost-Containment Measures (Before March 31, 2012)

Alabama: reduce formulary
Colorado: institute client cost sharing, establish waiting list
Florida: lower financial eligibility
Hawaii: establish waiting list
Illinois: lower financial eligibility to 300% FPL (grandfather in current enrollees from 301 – 500% FPL), disenroll clients not accessing ADAP for 90 days
Kentucky: reduce formulary
Montana: reduce formulary
Oregon: reduce formulary
Puerto Rico: reduce formulary
South Carolina: disenroll 200 clients based on financial eligibility
Tennessee: establish waiting list (as of July 1, 2011)
Washington: cap enrollment, establish waiting list, reduce formulary
Wyoming: reduce formulary

ADAPs With Current or Anticipated Cost-Containment Measures, Including Waiting Lists, May 2011

* As a result of ADAP emergency funding, Hawaii, Idaho, Iowa, Kentucky, South Dakota and Utah eliminated their waiting lists; Idaho reinstituted a waiting list in February 2011.
** Louisiana has a capped enrollment on their program. This number represents their current unmet need.
*** Utah instituted a waiting list in May 2011. To date, no individuals have been added.
**** March 31, 2012 is the end of ADAP FY2011. ADAP fiscal years begin April 1 and end March 31.