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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


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


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


HRSA Tightens STI Clinic 340B Rules Amid Industry Lawsuit
HRSA clarifies 340B eligibility for STI clinics while manufacturers challenge Ryan White program participation.

Travis Roppolo
Aug 17, 20255 min read
Mr. Becerra, Bring Back the Mega-Guidance. With Love, 340B
Calls for restoring Obama-era guidance defining 340B patient protections and enforcement mechanisms.

Jen Laws
Jun 20, 20213 min read
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