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ADAP projected needs fall slightly; advocates urge reinvestment of rebate surplus into PrEP, testing and workforce
Summary
The Office of AIDS estimated ADAP budget authority needs of $444M for 2025–26 and $443.7M for 2026–27; advocates told the committee a projected ADAP rebate surplus could be reinvested in PrEP, testing, rapid‑connection to care and disease‑intervention workforce.
Joseph Grama, branch chief of the ADAP branch in the Office of AIDS, told the subcommittee the ADAP budget‑authority need for 2025–26 is estimated at $444,000,000, an 8.8% decrease from the 2025 Budget Act driven by lower medication and premium expenditures and caseload refinements. He projected the 2026–27 need at $443.7 million and…
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