Policy Solutions to Coverage Churn: Ryan White, Medicaid, Medicare, and Care & Prevention Continuity
Join HealthHIV on Friday, February 27, 2026 at 12:00pm Eastern for a webinar that will focus on how providers, navigators, and advocates respond in real-time when coverage instability disrupts HIV care across Medicaid, Medicare, Marketplace plans, and employer-sponsored insurance. Using Florida’s current ADAP changes as a real-time example, the webinar will connect immediate mitigation steps to broader coverage churn across Florida and other jurisdictions or states.
Panelists will center on practical decision points and policy implications, highlighting how treatment instability driven by short-term cost strategies ultimately shifts costs downstream and undermines long-term HIV prevention and care continuity.
Learning Objectives
- Recognize early warning signs and understand how coverage disruptions affect treatment continuity and prevention access across Medicaid redeterminations and eligibility reviews, ACA (Patient Protection & Affordable Care Act) Marketplace changes, employer-sponsored plans, and ADAP (AIDS Drug Assistance Program) transitions.
- Take immediate, practical steps to stabilize care by improving transparency from ADAP and payers to clients about coverage transitions, including what is changing, when it takes effect, and how to avoid care disruption.
- Engage effectively in state and local decision-making, knowing where ADAP, Medicaid, and related coverage decisions are made and how advocates, providers, and navigators can influence outcomes before disruptions.
Faculty
- Leisha McKinley-Beach is a nationally-recognized public health strategist whose work centers on community power to close gaps in HIV prevention and care. She is a founding member of PrEP In Black America; founder of the Black Public Health Academy; founder of the Atlanta Black Women Leaders on PrEP; and co-creator of Florida’s Sistas Organizing to Survive (SOS) initiative. Leisha also served as an original member of ViiV Healthcare’s Black Women’s Working Group, shaping approaches that elevate Black women’s leadership and lived experiences as well as the creation of Risk to Reasons initiative.
- Shawn Tinsley is a long-term HIV survivor, living and thriving with 36 years of experience. She boldly uses her story and advocacy to empower others and bring hope to communities most impacted by HIV. She is the CEO/Founder of The Fresh Connection Group PLLC and Executive Director of HIV POSSIBLE. She is also the Newly Elected Incoming 2026-2028 Chair of the Broward County HIV Health Services Planning Council. A graduate of the Wake Forest University School of Divinity Compass Program, Shawn serves as a Gilead HIV & Faith Ambassador. She is also a proud graduate of the HIV Leadership Academy through Gilead Sciences and the Florida Department of Health, as well as a certified HIV Peer Navigator and State-Certified HIV Tester.
- Tammy Cuyler is a nationally-respected HIV program leader and public health professional with over 20 years of experience serving communities impacted by HIV. She is the founder of Empower HIV Health, LLC, a consulting firm dedicated to strengthening HIV programs, improving service delivery systems, and advancing equitable access to care across the United States. Throughout her career, Tammy has held leadership roles spanning HIV administrator, patient care supervision, program operations, and statewide HIV systems management. Her work focuses on bridging policy, practice, and community needs. She is especially passionate about building capacity within Ryan White and Prevention programs and supporting providers through periods of policy and funding change.
- Shakeera Wynne, LCSW, DSW Candidate, has spent her career working in HIV service settings, where she has supported individuals navigating medical care, coverage changes, and system transitions. Her experience in Ryan White–funded programs and medical case management informs her interest in how policy decisions show up in everyday clinical practice. She is committed to strengthening communication, continuity, and trust during periods of coverage instability.
- Tim Horn is the director of medication access and pricing for NASTAD, a U.S. public health advocacy nonprofit focused on HIV and hepatitis. He has been a leading HIV advocate, journalist, researcher, and policy expert since the early 1990s.
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