States Move to Limit Access to H.I.V. Treatment
Florida’s emergency rule cuts ADAP eligibility to 130% of poverty level, risking access for 16,000 people and aims to prevent a $120 million budget shortfall, officials said.
- On Sunday, the Florida Department of Health issued an emergency rule lowering ADAP eligibility to 130% of the federal poverty level and restricting Biktarvy coverage.
- Officials said the cuts were driven by a projected $120 million shortfall, rising insurance premiums, and flat federal funding amid a 30 percent enrollment surge in ADAPs.
- HIV advocates estimate 16,000 of the 30,000 Floridians enrolled in ADAP face restricted access, warning cuts could increase infections, hospitalizations, and medication rationing.
- The emergency rule is limited to 90 days and cannot be renewed; Centers for Medicare & Medicaid Services opened a special enrollment period on Friday, while a foundation filed an injunction to halt ADAP restrictions.
- Across the U.S., nearly 20 states are imposing restrictions while 19 states have taken cost-cutting measures, and five other states are considering changes next month, straining ADAPs that support roughly 25 percent of 1.2 million people living with H.I.V.
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10 Articles
Florida restricts access to HIV drugs for thousands
The Florida Department of Health imposed an emergency rule on Sunday that could prevent thousands of lower-income or uninsured people from being able to pay for their HIV medication.The rule drastically cut funding and eligibility for the state’s AIDS Drug Assistance Program (ADAP), impacting an estimated 16,000 residents, according to the HIV Medicine Association. The cuts were driven by a
Constrained Budgets Lead States to Restrict HIV Drug Access Through Ryan White
States are facing constrained budgets, putting pressure on HIV programs, including the Ryan White HIV/AIDS Program. This Policy Watch explores how state Ryan White AIDS Drug Assistance Programs (ADAPs) are responding to these budget pressures, including by restricting eligibility and reducing the scope of services offered, actions that could led to negative health outcomes for people with HIV and lead to new HIV infections.
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