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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


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 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
The Coming HIV Care Crisis
Impending HIV care crisis results from Medicaid work requirements, federal funding cuts, and healthcare system fragmentation.

Travis Roppolo
Jul 13, 20256 min read
Mapping Injustice - Redlining's Legacy in HIV Treatment Delays
Historical redlining policies correlate with current geographic disparities in HIV treatment access and care quality.

Travis Roppolo
May 4, 20256 min read
Leaked HHS Budget - Critical HIV Services Face Deep Cuts
HHS budget proposal would eliminate critical HIV prevention funding and reduce Ryan White HIV/AIDS program resources.

Travis Roppolo
Apr 27, 20257 min read
HIV Long-Acting Injectables Face Policy Hurdles After CROI 2025
Long-acting injectable HIV treatments demonstrate clinical promise but face coverage and implementation barriers.

Travis Roppolo
Mar 16, 20256 min read
Why Mental Health is Central to Ending the HIV Epidemic
Critical role of mental health services in HIV treatment and epidemic control.

Travis Roppolo
Sep 15, 20248 min read
Innovation as a Change Agent for Patients Leaving Incarceration
Innovative approaches to improve HIV care transitions for people exiting incarceration.

Travis Roppolo
Aug 11, 20246 min read
Equitable Access to Long-Acting HIV Treatment
ADAP coverage gaps for long-acting injectable HIV treatments and equity implications.

Travis Roppolo
Jun 2, 20248 min read
Improving HIV Care After Incarceration
Barriers to HIV care for formerly incarcerated people and continuity strategies.

Travis Roppolo
May 12, 20247 min read
Integrating HIV Treatment with Gender-Affirming Care
Integrated care models combining HIV treatment and gender-affirming healthcare.

Travis Roppolo
Mar 17, 20246 min read
Are Cancer Risks Higher for People Living with HIV/AIDS
Research on elevated cancer risks in PLWHA and importance of early detection.

Riley Johnson
Mar 3, 20243 min read
Navigating the Intersection of HIV and Reproductive Cancers
PLWHA face elevated cancer risks; screening, HPV vaccination, and coordinated care are critical.

Travis Roppolo
Nov 19, 20236 min read
Unveiling Disparities: OIG Report on HIV Care in Medicaid
OIG report: 27% of Medicaid HIV enrollees lack evidence of critical services; state disparities exposed.

Travis Roppolo
Oct 1, 20234 min read
Australia is on Track to End HIV…by Focusing on Treatment
Australian study: 1% viral load suppression increase correlates with 6% decrease in HIV diagnoses.

Jen Laws
Apr 23, 20233 min read
Advancing Access Through Place Based Care
Place-based sexual health care in community venues advances HIV/HCV prevention and testing outreach.

Jen Laws
Dec 4, 20223 min read
Assessing Cultural Competency
Provider language shows negative bias toward Black patients at 2.5x rate, undermining care engagement.

Jen Laws
Sep 18, 20223 min read
European Commission Approves Once Every 6 Month Supplemental HIV-Treatment
European Commission approves lenacapavir, a novel six-month injectable for treatment-resistant HIV.

Jen Laws
Aug 28, 20223 min read
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