The Affordable Care Act, The Supreme Court, and HIV: What Are the Implications?

This brief explores key provisions of the Affordable Care Act (ACA) for people with HIV, and the opportunities and challenges for using the law to improve HIV care, particularly in light of the Supreme Court’s 2012 ruling on the law. Medicaid is the largest payer of HIV care in the United States, but the Court’s ruling limits the ability to enforce the ACA’s planned Medicaid expansion and has generated uncertainty over whether all states will decide to expand their programs. While questions remain about the ultimate impact of this decision, the law is expected to provide important new pathways to coverage for people with HIV when full implementation begins in 2014.

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