States Move to Restrict Access to HIV Medications and Care: What to Know

**Access to HIV Medications Under Threat** As the cost of healthcare continues to rise, many states are struggling to maintain access to essential medications for individuals living with HIV.

**Access to HIV Medications Under Threat**

As the cost of healthcare continues to rise, many states are struggling to maintain access to essential medications for individuals living with HIV. A recent report highlights the impact of federal funding constraints on state AIDS Drug Assistance Programs (ADAPs), which provide critical support to those in need.

State-Level Cuts and Considerations

At least 18 states have implemented cost-containment measures, including lowering income eligibility thresholds, restricting medication coverage, and tightening enrollment rules. For example:

• Florida has reduced ADAP eligibility from 400% to 130% of the federal poverty level, affecting over 12,000 clients.
• Pennsylvania has lowered its eligibility threshold from 500% to 350% of the federal poverty level, impacting approximately 1,600 clients.
• Kansas has dropped premium-assistance eligibility from 400% to 250%, while Delaware and Rhode Island have reduced their eligibility caps.

Federal Funding Pressures and Constrained Budgets

The report notes that flat federal funding for the Ryan White HIV/AIDS Program is a key driver behind state-level cost-containment measures. Despite rising enrollment and medication costs, federal appropriations have not kept pace, leaving states to shoulder more of the financial burden.

A sustained investment in HIV prevention, treatment, and support services is essential to maintaining access to treatment and ultimately ending the HIV epidemic in the United States. As Carl Baloney, President and CEO of AIDS United, noted: "Each HIV infection prevented saves an individual's life, prevents transmission, keeps communities safe, and saves money over time by avoiding more expensive care later."

Learn more about our clinic's commitment to providing access to essential medications and services for individuals living with HIV. Contact us to discuss your options and find support.

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