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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
7 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


The Policy Stack: How SAMHSA, the White House, and Louisiana Are Rewriting Drug and Homelessness Response
On April 24, 2026, the Substance Abuse and Mental Health Services Administration (SAMHSA) issued a Dear Colleague letter that withdraws federal funding eligibility from fentanyl test strips, sterile...

Travis Roppolo
May 119 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


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


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


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


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


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


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


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


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


The Plan to Kill the World's Most Successful AIDS Program
Proposed PEPFAR defunding would eliminate the world's most successful global HIV program and damage international health capacity.

Travis Roppolo
Aug 3, 20255 min read


HIV/HCV Co-Infection Watch Q3: July 2025
Q3 2025 Watch: critical analysis including Cure Hepatitis C Act proposing subscription treatment models.

Travis Roppolo
Jul 29, 202532 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


RFK Jr's Budget Testimony Reveals Concerning Vision for America's Healthcare Safety Net
RFK Jr's budget testimony reveals plans to restructure HHS agencies and shift funding away from infectious disease prevention.

Travis Roppolo
May 25, 20255 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/HCV Co-Infection Watch Q2: April 2025
Q2 2025 Watch monitoring HCV and HIV treatment access through ADAPs, Medicaid, and federal assistance.

Travis Roppolo
Apr 23, 202528 min read
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