Current and (Potential) Future Effects of the Affordable Care Act on HIV Prevention

  title={Current and (Potential) Future Effects of the Affordable Care Act on HIV Prevention},
  author={Abigail H Viall and Eugene McCray and Jonathan Mermin and Pascale M. Wortley},
  journal={Current HIV/AIDS Reports},
Recent advances in science, program, and policy could better position the nation to achieve its vision of the USA as a place where new HIV infections are rare. Among these developments, passage of the Patient Protection and Affordable Care Act (ACA) in 2010 may prove particularly important, as the health system transformations it has launched offer a supportive foundation for realizing the potential of other advances, both within and beyond the clinical arena. This article summarizes… 
The Impact of ACA and Medicaid Expansion on Progress Toward UNAIDS 90-90-90 Goals
While the ACA is associated with some progress toward 90-90-90 goals, more years of data after policy implementation are needed for robust analysis and to minimize bias from unmeasured confounders.
HIV Serostatus Disclosure and Engagement in Medical Care Among Predominantly Low Income but Insured African American Adults with HIV
Participants who disclosed their HIV status were subsequently more likely to engage in HIV medical care than persons who did not disclose their status, an effect that was confirmed in multiple logistic regression.
Presidential Elections and HIV-Related National Policies and Programs
This editorial highlights important HIV-related goals to which people living with HIV must recommit ourselves, and underscores several key points about evidence-based advocacy that are important to revisit at any time (but most especially when there is a change in Administration).
Aspects of Point-of-Care Diagnostics for Personalized Health Wellness
Advances in technologies, such as smartphone-based operation, paper-based sensing assays, and lab-on-a-chip (LOC) which made POC more sensitive, informative, and suitable for major infectious disease diagnosis, are the main focus here.
Assessment of recent HIV testing among older adults in the United States
Providing economically disadvantaged older adults’ eligibility for public insurance that will likely improve access to HIV testing services and increase HIV testing rates is likely to be improved.


A framework for public health action: the health impact pyramid.
  • T. Frieden
  • Medicine
    American journal of public health
  • 2010
A 5-tier pyramid best describes the impact of different types of public health interventions and provides a framework to improve health and implements interventions at each of the levels to achieve the maximum possible sustained public health benefit.
Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings.
  • B. Branson, H. Handsfield, Jill Clark
  • Medicine, Political Science
    MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports
  • 2006
The objectives of these recommendations are to increase HIV screening of patients, including pregnant women, in health-care settings; foster earlier detection of HIV infection; identify and counsel persons with unrecognized HIV infection and link them to clinical and prevention services; and further reduce perinatal transmission of HIV in the United States.
Guidelines for the Use of Antiretroviral Agents in HIV-Infected Adults and Adolescents, January 28, 2000
Abstract These Guidelines were developed by the Panel* on Clinical Practices for Treatment of HIV Infection convened by the Department of Health and Human Services (DHHS) and the Henry J. Kaiser
Ryan White HIV/AIDS Program Assistance and HIV Treatment Outcomes.
Uninsured and underinsured HIV-infected persons receiving RWHAP assistance were more likely to be prescribed ART and virally suppressed than those with other types of healthcare coverage.
Human immunodeficiency virus transmission at each step of the care continuum in the United States.
IMPORTANCE Human immunodeficiency virus (HIV) transmission risk is primarily dependent on behavior (sexual and injection drug use) and HIV viral load. National goals emphasize maximizing coverage
Screening for HIV: U.S. Preventive Services Task Force Recommendation Statement
  • V. Moyer
  • Medicine
    Annals of Internal Medicine
  • 2013
The USPSTF recommends that clinicians screen adolescents and adults aged 15 to 65 years for HIV infection, and all pregnant women for HIV, including those who present in labor who are untested and whose HIV status is unknown.
Relationship of Income and Health Care Coverage to Receipt of Recommended Clinical Preventive Services by Adults — United States, 2011–2012
  • J. Fox, F. Shaw
  • Medicine, Political Science
    MMWR. Morbidity and mortality weekly report
  • 2014
Having health insurance or a higher income was associated with higher rates of receiving these preventive services, affirming findings of previous studies.
Public health detailing of primary care providers: New York City's experience, 2003-2010.
Early Retention in HIV Care and Viral Load Suppression: Implications for a Test and Treat Approach to HIV Prevention
Higher rates of early retention in HIV care are associated with achieving VL suppression and lower cumulative VL burden, germane for a test and treat approach to HIV prevention.