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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 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


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


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


Third Wave of Medicare Drug Price Negotiation Adds More Potential Peril
Medicare drug negotiation's third wave includes Biktarvy, raising HIV treatment access concerns.

Ranier Simons
Feb 155 min read


The Great American Recovery Needs More Than a Slogan
Administration expands OUD medication access while defunding SAMHSA and restricting harm reduction.

Travis Roppolo
Feb 86 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


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


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


War-Torn Ukraine Beats U.S. on Integrated Addiction Care
Ukraine's integrated addiction care model outperforms U.S. fragmented approach despite war devastation and resource constraints.

Travis Roppolo
Jul 6, 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


Patients Still at Risk - The State of Copay Accumulator Adjustment Policies in 2025
Copay accumulator programs exclude patient assistance from deductibles, creating barriers to medication adherence and treatment.

Travis Roppolo
Mar 9, 20257 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


DoxyPEP's Impact - New Evidence Shows Promise and Challenges in STI Prevention
DoxyPEP post-exposure prophylaxis demonstrates effectiveness for STI prevention with implementation challenges and equity concerns.

Travis Roppolo
Jan 19, 20255 min read
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