2010-2014

In preparation for full Affordable Care Act implementation, California has instituted two healthcare initiatives that provide comprehensive coverage for previously uninsured or underinsured individuals. For many people living with HIV, this has required transition either from the HIV-specific coverage of the Ryan White program to the more comprehensive coverage provided by the county-run Low-Income Health […]

Historically, California supplemented federal funding of HIV prevention and testing so that Californians with HIV could become aware of their infection and obtain lifesaving treatment. However, budget deficits in 2009 led the state to eliminate its supplemental funding for HIV prevention. We analyzed the impact of California’s HIV resource allocation change between state fiscal years […]

Many uninsured people living with HIV/AIDS (PLWHA) will obtain managed health insurance coverage when the Affordable Care Act (ACA) is implemented in January 2014. Since 2011, California has transitioned PLWHA to Medicaid managed care (MMC) and to the Low Income Health Program (LIHP). To draw lessons for the ACA implementation from the transitions into MMC […]

Over 5,500 Californians living with HIV/AIDS access medical care and drug treatment at little or no cost through the Ryan White Program. They will be newly-eligible for coverage offered through California’s health insurance exchange, Covered California, beginning January 2014. Individuals who choose a private plan offered through the exchange will need to consider a number […]

In response to a newly released report on the pilot program that evaluated condoms distribution in one of the four Solano State Prison facilities, California Assembly Member Rob Bonta recently proposed AB999, which would require the California Department of Corrections and Rehabilitation (CDCR) to develop a five-year plan to make condoms available in all California […]

Among the most glaring health disparities in California is the disproportionate prevalence of HIV among individuals in the correctional system. These individuals are also disproportionately African-American and Latino and many experience repeated arrests and releases over their lifetimes. Interventions carried out during incarceration or post-release have the potential to impact not only the HIV positive […]

Faced with a projected $9 billion state budget deficit in Fiscal Year 2012-13, Governor Brown proposed significant changes in funding for California’s AIDS Drug Assistance Program (ADAP) in his January budget, including steep cost-sharing fees which will impact half of the program’s 42,000 low-income beneficiaries. The new fees would for the first time require ADAP […]

In order to develop a surveillance system for California that best serves public health needs and assures the state of obtaining its “fair share” of Ryan White funding, this policy brief recommends: 1) expanding outreach efforts; 2)erasing the distinct on between and HIV and AIDS status to redeploy resources used in reclassification; 3) assuring that […]

California Gov. Brown proposed Medicaid co-payments that would impose significant financial barriers on the receipt of medical care by persons living with HIV (PLWH), who require substantial amounts of Medi-Cal care annually. This analysis quantifies those costs based on actual medical utilization experience of PLWH in California in prior years. PLWH average 10.3 outpatient visits […]

UCSF investigators are evaluating the effectiveness of Patient- Centered Medical Home (PCMH) demonstration projects, which were recently funded through a initiative from the California HIV/AIDS Research Program (CHRP). This work is part of the APRC’s commitment to studying the effectiveness of innovative models of care recommended by the CHRP-sponsored Visioning Change Initiative. The new PCMHs […]