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States Move to Limit Access to H.I.V. Treatment

Florida's emergency rule cuts ADAP income eligibility from 400% to 130% of poverty level, risking access for 16,000 people and limiting coverage of the key HIV drug Biktarvy.

  • On Sunday, the Florida Department of Health issued an emergency rule lowering ADAP eligibility to 130% of the federal poverty level and restricting Biktarvy coverage.
  • Officials said the cuts were driven by a projected $120 million shortfall, rising insurance premiums, and flat federal funding amid a 30 percent enrollment surge in ADAPs.
  • HIV advocates estimate 16,000 of the 30,000 Floridians enrolled in ADAP face restricted access, warning cuts could increase infections, hospitalizations, and medication rationing.
  • The emergency rule is limited to 90 days and cannot be renewed; Centers for Medicare & Medicaid Services opened a special enrollment period on Friday, while a foundation filed an injunction to halt ADAP restrictions.
  • Across the U.S., nearly 20 states are imposing restrictions while 19 states have taken cost-cutting measures, and five other states are considering changes next month, straining ADAPs that support roughly 25 percent of 1.2 million people living with H.I.V.
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They warn that about 16,000 of some 30,000 people affected by HIV may face difficulties in receiving the necessary treatments.

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WBAL broke the news in Baltimore, United States on Sunday, March 1, 2026.
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