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Treatment Access


A Referral Is Not a Strategy for Aging With HIV
More than half of people living with HIV in the U.S. are now 50 or older—a public health success that demands more than good referral networks. Building HIV-inclusive aging organizations means developing real capacity before someone ever needs to be sent somewhere else.

David “Jax” Kelly, JD, MPH, MBA
7 days ago4 min read


A Functional Cure for Hepatitis B Is Within Reach. Whether It Reaches Patients Is Not Yet Decided.
For the first time, a finite course of therapy has produced a functional cure for chronic hepatitis B in large-scale phase 3 trials, but the communities carrying the heaviest burden of this disease are also the least likely to be screened, diagnosed, or insured. Whether this milestone translates into population-level progress is a policy question, not a scientific one.

Travis Roppolo
Jun 225 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 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


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


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
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