The Florida Legislature has officially approved a stopgap bill to restore funding for the state’s AIDS Drug Assistance Program (ADAP), heading off a significant public health crisis that began on March 1, 2026.

The House passed the measure on Thursday, March 12, 2026, following the Senate’s approval earlier in the week. The bill is now headed to Governor Ron DeSantis, who is expected to sign it.


Key Provisions of the Stopgap Bill

  • Restored Eligibility: The bill restores the income eligibility threshold back to 400% of the federal poverty level (approximately $62,600 for an individual). This reversal is critical, as a Department of Health (DOH) emergency rule on March 1 had slashed eligibility to just 130% ($20,345), effectively cutting off coverage for an estimated 11,000 to 16,000 Floridians.
  • Funding Amount: It appropriates $30.9 million in nonrecurring funds to bridge the gap through the end of the current fiscal year, June 30, 2026.
  • Formulary Restrictions: While funding is restored, some changes remain. The bill does not restore coverage for Biktarvy, a popular once-a-day pill, for all participants. Other medications may be substituted with generic versions to manage costs.
  • Transparency Requirements: The DOH must now submit monthly accounting reports to the Legislature starting April 1. These reports must detail program finances, enrollment numbers, and projected funding shortfalls.

Why the Cuts Happened

The Department of Health initially cited a $120 million budget shortfall driven by:

  • The expiration of enhanced federal Affordable Care Act (ACA) tax credits.
  • Rising costs of antiretroviral medications and insurance premiums.
  • A significant increase in program enrollment.
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What Happens Next?

The current measure is only a temporary fix through June 30, 2026. Long-term funding for the next fiscal year (2026–2027) is still being negotiated as part of the broader state budget. Advocates and lawmakers are working to ensure the 400% eligibility threshold is maintained in the final annual budget.

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