HIV+Hep in the News

HHS Removes Organ Transplant Limitations For Patients With HIV

“Because of years of research and scientific advancements, we now have the tools to prevent and treat HIV and keep people living healthy and long lives,” Carl Schmid, executive director of HIV+Hepatitis Policy Institute, said in a Tuesday statement on World AIDS Day, which is Dec. 1. “Now is not the time to retreat on our commitment to protecting the health of our nation. President Trump initiated the Ending the HIV Epidemic initiative in his first term, which was sustained by President Biden and his administration. Now we look forward to that same commitment from President Trump as he and his new administration seek to make our country healthier, bolster prevention, and address chronic diseases.”

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RI is close to eliminating new HIV infections. Why an insurer’s decision could change that

Earlier this month, Philip Chan and Amy Nunn co-signed a letter sent by the HIV+Hepatitis Policy Institute to Rhode Island’s Health Insurance Commissioner Cory King. The letter calls Harvard Pilgrim’s decision to curtail coverage of HIV medications “discriminatory.” It argues that Harvard Pilgrim’s proposed plans do no meet regulatory standards–both state and federal–by failing to provide essential health benefits. The letter also urges the Office of the Health Insurance Commissioner to bring Harvard Pilgrim “in line with HIV treatment guidelines.”

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Harvard Pilgrim, Medica face HIV discrimination complaints

The HIV + Hepatitis Policy Institute filed five discrimination complaints to state insurance commissioners against Medica and Harvard Pilgrim. The organization claims the insurers try to ensure enrollment remains low among people with HIV, and that the insurers place HIV brand-name and generic drugs on the highest cost formulary tier. It is also alleged the plans do not cover drugs recommended by national guidelines, and the insurers don’t meet health benefits benchmarks.

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Advocates to HHS: Address copay accumulators before new administration enters

The HIV + Hepatitis Policy Institute is urging HHS to require insurers count copay assistance towards patients’ out-of-pocket maximums before President-elect Donald Trump takes office in January, after CMS in its October Notice of Benefit and Payment Parameters (NBPP) proposed rule for 2026 did not address copay accumulators but promised to in future rulemaking.

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