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Board asks state to use ADAP rebate fund to backfill threatened HIV prevention programs
Summary
Supervisors voted to send a five‑signature letter urging the governor and legislature to use the California AIDS Drug Assistance Program (ADAP) rebate fund to preserve HIV prevention programs after federal prevention funding lapsed.
The Los Angeles County Board of Supervisors voted Tuesday to urge state leaders to use funds from the California AIDS Drug Assistance Program (ADAP) rebate account to sustain local HIV prevention services at risk after federal funding was not renewed.
Supervisor Hilda Solis introduced the motion, saying Los Angeles County has one of the largest HIV epidemics in the United States and that the Department of Public Health’s federal HIV prevention cooperative agreement had not been funded past May 31. Solis told the board the county could face a sharp rise in new infections if prevention funding is halved and said state ADAP rebate funds offer a near‑term option to preserve services.
"Los Angeles County has the largest HIV epidemic in the United States," Supervisor Solis said, and she described the county’s reliance on federal cooperative agreements and community‑based providers to deliver culturally appropriate prevention, testing and linkage services. Supervisor Lindsey Horvath, coauthor of the motion, noted the state Legislature’s budget agreement included $75 million in ADAP rebate funds for programs facing federal cuts and urged continued advocacy.
The motion directs the county CEO and the Department of Public Health to send a five‑signature letter to Governor Gavin Newsom and the Legislature requesting ADAP rebate funding be incorporated into the state budget to sustain HIV prevention programs. It also asks county staff to explore philanthropic partnerships and to identify county budget adjustments that could temporarily preserve essential services.
DPH officials told the board that the county had lost about $19 million in federal prevention funding for the current award cycle, affecting contracts with dozens of community providers and department positions. Supervisors stressed that prevention operations are critical to avoid future infections and to protect populations disproportionately affected by HIV. The motion passed 5–0.
