Florida AIDS Drug Assistance Program
May 29, 2026
Florida State Legislature Adopts FY2026-27 Budget Protecting Decades Old AIDS Drug Assistance Program
Today the Florida State Legislature adopted its FY2026-27 Budget that protects the decades old AIDS Drug Assistance Program.
ADAP Eligibility is protected at 400% FPL
$75 million is appropriated from the Grants and Donations Trust in FY2025-26 and authorizing the carry over of those funds into FY 2026-27.
ADAP Formulary is fully restored upon the signature of the Florida Governor, therefore the formulary can be restored prior to the upcoming fiscal year beginning on July 1
OPPAGA, the Florida State Legislature’s research arm will provide greater accountability/transparency and a full evaluation and review of Florida’s ADAP where the Florida Dept of Health “shall” assist in that review: https://oppaga.fl.gov/
ADAP will continue to assist with prescription co-payments, but it will not provide premium assistance.
Leaves potential opportunity to possibly restore Premium Assistance in the next fiscal year as the prohibition on premium assistance in the short-gap measure was removed.
April 16, 2026
CURRENT SITUATION: While the Florida Legislature approved approximately $31 million in House-directed bridge funding through HB 697 to stabilize Florida’s AIDS Drug Assistance Program (ADAP) through June 30, it represents only a temporary and incomplete restoration.
Local community-based organizations are picking up insurance premium payments for some clients—roughly doubling what they were previously doing—which requires taking money away from other Ryan White Part B services, making it a “zero-sum” game for many Floridians living with HIV. Even though some individuals are able to maintain insurance coverage as a result, these workarounds are depleting other available HIV treatment services.
The legislation restored stop-gap eligibility to 400% of the federal poverty level (FPL) but did not reinstate insurance premium assistance and shifted the program toward direct medication distribution, leaving gaps in access to certain regimens.
For reference, the FPL for a household of one in the U.S.is:$15,060 per year
- 130% FPL: ~$19,578
- 400% FPL: ~$60,240
With the funding set to expire at the end of the fiscal year and a broader structural deficit still unresolved, upcoming legislative action will be critical, particularly as concerns remain about additional formulary restrictions if longer-term solutions are not reached.
OF SPECIAL NOTE: The state did not renew multiple contracts with the AIDS Healthcare Foundation (AHF), cutting off $3.5 million in state funding for services including HIV testing, treatment, housing, and care navigation. This removes established providers from the system and leaves people relying on those services without clear pathways to care. AHF has stated that it believes contracts were not renewed in retaliation for legal challenges and public advocacy against the ADAP cuts.
FLORIDA RESOURCES:
- TAI Fact Sheet: Options for Florida ADAP Enrollees when ADAP Premium Assistance Stops
- NASTAD: Florida Policies Related to Deductible and Copayment Support
- MISTR Florida ADAP Support: A program from MISTR which provides up to $250 monthly toward individuals’ monthly insurance premiums.
- Florida House of Representative Final Bill Analysis: An analysis of a stopgap appropriation to the Florida ADAP that provides $30.9 million in additional funds through June 30, 2026
- Covering Florida Special Enrollment Period Webpage: A resource from Covering Florida which provides information regarding the special enrollment period, which lasts through April 30, 2026.
