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Healthcare Access & Affordability


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
6 days ago5 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 Recipe for Change: From Surviving Appointments to Changing Policy
For a long time, I thought advocacy meant surviving the next appointment. I thought it meant learning how to explain my pain better, how to prepare for another referral visit, how to justify why I...

Chelsea BreeAnn Hardesty
Apr 275 min read


Building Stronger Communities, Together: Reflections from Our Patient Affordability Roundtable
Editor's Note: This article was originally published on April 10, 2026, by Lupus Colorado and is republished here with permission. The Patient Affordability Roundtable discussed in this piece was...

Kristy Kibler
Apr 203 min read


When Public Health Becomes Profit over Patients
Public health programs like 340B are designed with a clear and urgent purpose: to improve community health, expand access to care, and protect the most vulnerable among us. Whether it’s ensuring...

Kalvin Pugh
Apr 63 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


The Quiet Pay Cut: Rising Health Insurance Costs Are Eroding Worker Compensation
Rising employer premiums averaging 9.5% erode wages, forcing workers to delay care.

Travis Roppolo
Mar 157 min read


Warren and Hawley Want to Break Up Big Medicine
Break Up Big Medicine Act would force structural separation of insurers, PBMs, and pharmacies.

Travis Roppolo
Feb 228 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


HIV/HCV Co-Infection Watch Q1: January 2026
Q1 2026 Watch: HCV/HIV co-infection treatment access under evolving federal and state policies.

Ranier Simons
Jan 2830 min read


Equipping Patients with Tools to Reclaim the Promise of 340B
340B program drifted from patient benefit; federal reform needed for transparency and accountability.

Kalvin Pugh
Jan 184 min read


ACA Subsidies in Limbo: What the Senate Framework Means for Patients
Enhanced ACA subsidies expired Jan 1; Senate framework proposes two-year extension with restrictions.

Travis Roppolo
Jan 116 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


Policy Failures, Not Fate: Inside 2025's Health-Care Unraveling
2025 healthcare crises result from policy choices as ACA subsidies expire, HIV care deteriorates, and state pricing experiments proliferate.

Travis Roppolo
Dec 7, 20259 min read


340B - Are Patients at the Table or on the Menu? Reflections on the HELP Committee Hearing on 340B
Senate HELP Committee hearing reveals how 340B drug program expansion reflects hospital business strategy rather than patient benefit.

Kalvin Pugh
Nov 2, 20254 min read


HIV/HCV Co-Infection Watch Q4: October 2025
Q4 2025 Watch monitoring HCV treatment access and federal initiatives including Cure Hepatitis C Act.

Ranier Simons
Oct 29, 202530 min read


Clade I Mpox Emerges as Public Health Capacity Collapses
Clade I mpox emergence reveals structural collapse in U.S. disease surveillance and public health response infrastructure.

Travis Roppolo
Oct 26, 20256 min read


The Debt We Owe - How Miss Major Griffin-Gracy Showed Us What Solidarity Means
Miss Major Griffin-Gracy's legacy demonstrates solidarity's power in building healthcare justice and community leadership.

Travis Roppolo
Oct 19, 20256 min read


Collateral Damage - How Shutdown Politics Abandons Survivors at the Margins
Government shutdown disrupts grant payments to community health centers and crisis service providers, threatening vulnerable population access.

Travis Roppolo
Oct 12, 20256 min read
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