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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 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


HIV/HCV Co-Infection Watch Q2: April 2026
The HIV/HCV Co-Infection Watch is a project of the Community Access National Network (CANN) designed to research, monitor, and report on HIV and Hepatitis C (HCV) co-infection in the United States....

Ranier Simons
Apr 3030 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


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


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


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


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


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


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


Medicaid loses billions as 340B program expansion collides with state budgets
340B program expansion drains billions from state Medicaid budgets while failing to deliver promised drug cost savings.

Travis Roppolo
Jul 20, 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


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


Massive Medicaid Cuts Could Threaten Healthcare Access for Millions
Proposed Medicaid cuts and work requirements threaten coverage for millions including people living with HIV.

Travis Roppolo
Feb 2, 20255 min read


HIV/HCV Co-Infection Watch Q1: January 2025
Q1 2025 Watch: comprehensive update on HIV/HCV co-infection treatment access across federal and state programs.

Travis Roppolo
Jan 27, 202525 min read


Bipartisan Hepatitis C Elimination Plan Presents Critical Lame Duck Opportunity
Bipartisan HCV elimination legislation analysis and critical legislative window.

Travis Roppolo
Nov 17, 20246 min read


HIV/HCV Co-Infection Watch Q4: October 2024
Q4 2024 Watch: HCV treatment access assessment with guidance for disaster-displaced individuals.

Ranier Simons
Oct 27, 202424 min read


The Great Disenrollment - Examining Medicaid's Post-Pandemic Shift
Medicaid disenrollment during pandemic unwinding and impacts on vulnerable populations.

Travis Roppolo
Sep 29, 20248 min read
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