Increased HIV Transmissions With Reduced Insurance Coverage for HIV Preexposure Prophylaxis: Potential Consequences of Braidwood Management v. Becerra

A David Paltiel; Ali R Ahmed; Elena Y Jin; Meredithe McNamara; Kenneth A Freedberg; Anne M Neilan; Gregg S Gonsalves

doi:10.1093/ofid/ofad139

Increased HIV Transmissions With Reduced Insurance Coverage for HIV Preexposure Prophylaxis: Potential Consequences of Braidwood Management v. Becerra

Open Forum Infect Dis. 2023 Mar 16;10(3):ofad139. doi: 10.1093/ofid/ofad139. eCollection 2023 Mar.

Authors

A David Paltiel¹, Ali R Ahmed², Elena Y Jin², Meredithe McNamara³, Kenneth A Freedberg², Anne M Neilan², Gregg S Gonsalves¹

Affiliations

¹ Public Health Modeling Unit, Yale School of Public Health, New Haven, Connecticut, USA.
² Medical Practice Evaluation Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
³ Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA.

Abstract

A US federal court recently ruled against requiring health insurers to cover human immunodeficiency virus (HIV) preexposure prophylaxis (PrEP) under the Affordable Care Act. For every 10% decrease in PrEP coverage resulting from this ruling among US men who have sex with men, we estimate an additional 1140 HIV infections in the following year in that population.

Keywords: Affordable Care Act; HIV; HIV prevention; health policy; preexposure prophylaxis.

Abstract

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