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Palm Beach County discusses using Ryan White funds after state narrows ADAP eligibility
Summary
County staff told commissioners state ADAP rule changes (effective March 1) cut eligibility to 130% FPL, removed premium assistance and dropped Biktarvy from the formulary; staff proposed a resolution asking the state to reconsider and described a local Ryan White‑funded response to preserve care for roughly 1,700 county residents.
Dr. Casey Messer, program manager for HIV elimination services at Palm Beach County Community Services, told the commission that the Florida Department of Health implemented emergency ADAP (AIDS Drug Assistance Program) rule changes effective March 1 that reduce income eligibility from 400% of the federal poverty level to 130%, eliminate ADAP premium assistance, and remove certain drugs from the state formulary — notably Biktarvy, a once‑daily single‑pill regimen used by an estimated 65 percent of local ADAP clients.
Messer said the changes could affect about 1,700 people in Palm Beach County and…
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