Increased HIV Transmissions with Reduced Insurance Coverage for HIV Preexposure Prophylaxis: Potential Consequences of Braidwood Management v. Becerra, Paltiel, et al., Open Forum Infectious Disease, Oxford University Press (March 16, 2023)

This report estimates the consequences of a Braidwood ruling on September 7, 2022 that struck down the ACA requirement that health insurers provide free PrEP coverage. The data analysis found that for every 10% decrease in PrEP coverage there would be an additional 1,140 HIV infections per year among men who have sex with men in the United States. The report finds that this increase in infections will likely impact Black and Latinx men who have sex with men and sex workers, groups that are already burdened with barriers to HIV prevention and care. And the authors conclude that the decision will undermine efforts to end the HIV epidemic in the U.S.