Review of Title II of the Ryan White Comprehensive AIDS Resources Emergency Act at the California Department of Health Services

EXECUTIVE SUMMARY:

The objective of this audit was to determine whether the California Department of Health Services (State agency) (i) met key service-delivery performance goals and complied with program requirements, (ii) followed applicable cost requirements in the expenditure of CARE Act Title II funds and (iii) purchased prescription drugs at the lowest prices available for ADAP.  We found that the State agency (i) met its key service-delivery performance goals and complied with program requirements, (ii) complied with cost requirements in the expenditure of CARE Act Title II funds and (iii) purchased prescription drugs at discounted prices.  Although the State agency purchased prescription drugs at discounted prices, it did not fully use all the rebates received from manufacturers to expand CARE Act Title II program services and activities in a timely manner.  However, the State agency took corrective action and used $66.8 million of rebate funds for ADAP in State fiscal year 2005 and established monitoring procedures to ensure that future rebate funds are identified and used for the program in a timely manner.