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When Cuts Cost More: Projected Fiscal Impact of Eliminating the AIDS Drug Assistance Program in 30 US States

Forster, R. M.; Schnure, M.; Balasubramanian, R.; Jones, J. L.; Hyle, E. P.; Batey, S.; Althoff, K. N.; Gebo, K.; Dowdy, D.; Shah, M.; Fojo, A. T.; Kasaie, P.

2026-07-28 health economics
10.64898/2026.07.27.26359045 medRxiv
Show abstract

Across 30 US states and the District of Columbia, eliminating the AIDS Drug Assistance Program is projected to save $6.45 billion in direct costs while generating $14.89 billion in downstream HIV care costs attributable to excess incident infections from 2026-2035. Costs are projected to surpass savings within six years.

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