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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
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
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
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
PDAB Chicanery - How Drug Affordability Boards Are Undermining Public Engagement
State Prescription Drug Affordability Boards limit public input while basing pricing decisions on flawed methodologies.
Travis Roppolo
Mar 30, 20256 min read
States Push PDABs Despite Warning Signs
State-level PDAB implementation advancing despite patient advocacy concerns.
Ranier Simons
Jan 28, 20245 min read
Prescription Drug Advisory Boards: Who is Impacted and How to get Involved
PDAB state implementation variations and how patients can engage in the process.
Ranier Simons
Sep 17, 20235 min read
When Anti-Equality Means Anti-HIV
Iowa's elimination of HIV/AIDS education threatens youth prevention and LGBTQ health outcomes.
Riley Johnson
Jun 25, 20234 min read
An Expression of Support for Basic Human Decency
CANN and ADAP issue Florida travel advisory due to discriminatory LGBTQ legislation.
Jen Laws
May 28, 20235 min read
Tension in Tennessee: HIV Crisis Looms
Tennessee rejects $8.3M in federal HIV prevention funding, threatening surveillance and care programs.
Jen Laws
Jan 29, 20239 min read
State-Level Monkeypox Surveillance Highlights State-Level Disparities
State-level MPV surveillance: Black Americans overrepresented in Southern states amid reporting gaps.
Marcus J. Hopkins
Nov 6, 20227 min read
HCV 'Netflix' Model Reveals Price Isn't the Biggest Problem
Louisiana and Washington HCV subscription models save millions but fail elimination goals; cost alone isn't the barrier.
Jen Laws
Oct 23, 20224 min read
Despite All Evidence in Support of Harm Reduction, Stigma Drives Public Attitudes
Stigma drives opposition to harm reduction programs like safe consumption sites despite strong evidence.
Jen Laws
Aug 21, 20224 min read
Of Pride and Prejudice: Biden Administration Combats State Discriminatory Actions
Federal executive actions protect LGBTQ people as states restrict gender-affirming care and trans rights.
Jen Laws
Jun 26, 20223 min read
Treatment Restrictions Hampering Hep C Harm Reduction Efforts
Medicaid sobriety restrictions on HCV treatment contradict harm reduction and elimination goals.
Jen Laws
Mar 27, 20223 min read
Painting Roses in the Desert: Despite Medicaid Expansion, Gaps Remain in Arizona
Arizona's restrictive Medicaid formulary limits single-tablet HIV regimens and HCV agents post-expansion.
Jen Laws
Mar 7, 20213 min read
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