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HIV/AIDS Policy


Political Veto: How OMB's Grant Rule Puts EHE at Risk
A proposed OMB rule would let political appointees veto or cancel federal research grants, dismantling the peer-review system and targeting the disparate-impact analysis that maps where HIV concentrates and why. For people living with HIV, that research is the foundation of Ending the HIV Epidemic. The comment period closes July 13.

Travis Roppolo
3 days ago5 min read
Ebola, TB, and the Cost of Walking Away from Global Health
On April 24, 2026, a nurse in Ituri Province in the Democratic Republic of the Congo (DRC) developed a fever. She died three days later. Her samples were tested locally and returned negative, because...

Travis Roppolo
Jun 17 min read
The Last Clean Snapshot: What the CDC's 2024 HIV Data Tells Us About What Comes Next
The Centers for Disease Control and Prevention (CDC) released its National HIV Prevention and Care Objectives: 2026 Update on May 18, 2026, presenting the most recent national picture of the U.S. HIV...

Travis Roppolo
May 255 min read
When the Target Is SSRIs, the Risk Is the Six Protected Classes
On May 4, 2026, Health Secretary Robert F. Kennedy Jr. closed a daylong Make America Healthy Again (MAHA) Institute summit on mental health and overmedicalization by announcing a federal initiative...

Travis Roppolo
May 186 min read
When Oversight Fails: Iowa's $22 Million Contract Pharmacy Scandal and the Structural Fragility of ADAP Financing
On March 6, 2026, the Iowa Department of Health and Human Services filed a nine-page complaint in Polk County District Court alleging that NuCara Specialty Pharmacy failed to remit more than $22...

Travis Roppolo
May 47 min read
The Story of Us: How Celebrity Voices Have Shaped HIV Advocacy for Four Decades
On April 1, Taylor Swift dropped a surprise music video for her song "Elizabeth Taylor," directing streaming royalties to the Elizabeth Taylor AIDS Foundation (ETAF). Two weeks earlier, on March 18,...

Travis Roppolo
Apr 135 min read


A New Single-Tablet Option for HIV's "Forgotten Population" Could Change Lives. Will Policy Let It?
New Phase 3 data show a single-tablet regimen of bictegravir/lenacapavir could finally bring one-pill simplicity to long-term HIV survivors locked into complex regimens by decades of drug resistance. The science is closing the treatment gap. Will our policy systems do the same?

Travis Roppolo
Mar 309 min read


The False Economy of Rationing Life
States are rationing HIV medications through prior auth and formulary cuts to solve ADAP budget crises — a strategy that costs more, drives resistance, and concentrates harm on the most vulnerable.

Travis Roppolo
Mar 235 min read


CROI 2026: The Tools Are Here. The Infrastructure Is Not.
CROI 2026 showcased breakthroughs alongside funding crisis disrupting global and domestic HIV services.

Travis Roppolo
Mar 87 min read


ADAPs Work. Federal Policy Is Defunding Them on Accident.
ADAPs achieve 87% viral suppression but face funding crisis as multiple policies erode 340B rebates.

Travis Roppolo
Mar 16 min read


Third Wave of Medicare Drug Price Negotiation Adds More Potential Peril
Medicare drug negotiation's third wave includes Biktarvy, raising HIV treatment access concerns.

Ranier Simons
Feb 155 min read


Congress Rejects HIV Cuts, But Flat Funding Won't End the Epidemic
FY2026 preserves HIV funding but level funding can't support long-acting therapeutics or growing needs.

Travis Roppolo
Feb 17 min read


Florida's ADAP Cuts Put 16,000 People Living with HIV at Risk
Florida ADAP cuts eligibility from 400% to 130% FPL, threatening 16,000 PLWHA.

Travis Roppolo
Jan 256 min read


The Only Thing That Stays The Same… Welcome to 2026
CANN marks 30th anniversary with expanded partnerships and cross-condition advocacy evolution.

Jen Laws
Jan 44 min read


How Lupus Colorado and CANN Built an Advocacy Powerhouse
Lupus Colorado partnership with CANN demonstrates how disease-specific and multi-condition advocates amplify healthcare policy impact.

Travis Roppolo
Dec 14, 20253 min read
I Didn't Plan for Advocacy or Gratitude, Yet Here They Are
Personal narrative on becoming an HIV advocate and the gratitude found in fighting for healthcare access from lived experience.

Travis Roppolo
Nov 23, 20255 min read
The HIV Care System Is Breaking Before Congress Even Cuts It
HIV care system deterioration from administrative obstruction and funding delays presages catastrophic effects of potential budget cuts.

Travis Roppolo
Nov 16, 20257 min read
Federal Policy Changes Threaten to Overwhelm ADAPs
Federal policy changes including Medicaid work requirements and ADAP eligibility restrictions threaten access to HIV medications.

Travis Roppolo
Nov 9, 20256 min read
Healthcare Infrastructure Crisis Compounds America's STI Epidemic
Deteriorating healthcare infrastructure and provider shortages exacerbate rising rates of sexually transmitted infections.

Travis Roppolo
Oct 5, 20255 min read
September Shutdown Could Cripple Open Enrollment as HIV Patients Face Coverage Crisis
September government shutdown threatens healthcare systems during November open enrollment, risking coverage loss for 22 million Americans.

Travis Roppolo
Sep 21, 20255 min read
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