For roughly ten weeks in early 2026, tens of thousands of Floridians living with HIV were told they no longer qualified for the state program that had been paying for their medication. Then, before summer, the same program was restored — and by the end of the fiscal year, it had been strengthened.
This page tells that story plainly. If you are living with HIV in Florida and you were dropped from ADAP, cut back to a smaller formulary, or lost premium assistance, this page explains where things actually stand as of mid-2026 — and what your next steps are.
Bottom line
As of mid-2026, Florida ADAP eligibility is back at 400% of the federal poverty level.1 If you were told in January or February that you no longer qualified, that decision may no longer apply. It is worth reapplying — call the Florida ADAP Help Desk at 1-844-381-2327.
One thing was not restored: insurance premium assistance. Florida ADAP no longer pays private insurance premiums or the premiums under the former ADAP Premium Plus Insurance Program. If you had premium help through ADAP, you'll need to seek coverage through the marketplace, Medicaid (if eligible), or manufacturer patient-assistance programs.2
A short timeline
What the January cuts actually did
The January 2026 changes affected three overlapping groups of Floridians:
- People between 130% and 400% of the federal poverty level. Under the cutback, roughly 32,000 Florida ADAP enrollees were at risk of losing eligibility. The bill analysis for CS/HB 697 lists 30,408 total ADAP enrollees in 2025, of whom 16,627 received medications through the direct-dispense component and 9,174 had received insurance through ADAP Premium Plus.1
- People whose regimen included Biktarvy through direct dispense. Biktarvy — a widely used once-daily single-tablet ARV — was removed from the ADAP formulary for uninsured direct-dispense clients. (It remained on the ADAP Self-Insured Formulary for people whose coverage was through ADAP's insurance-assistance path.)1
- People with premium assistance. The elimination of the ADAP Premium Plus Insurance Program disrupted coverage for the 9,174 clients who had been receiving insurance through that pathway.1
Where things stand in mid-2026
The picture is meaningfully better than it was in February, but not identical to what it was in 2025.
- Eligibility: restored to 400% of the federal poverty level.1
- Formulary: the March restoration held ADAP to the March 1, 2026 formulary — meaning Biktarvy stayed off the direct-dispense formulary through the short-gap period. The FY2026-27 budget adopted in May directs a full formulary restoration upon signature; if you are being told a specific medication is off-formulary, ask the ADAP Help Desk for the current formulary date.2
- Premium assistance: Florida ADAP still assists with co-payments, but it does not provide insurance premium assistance. That prohibition was removed from the short-gap statute, which leaves room for a future legislature to restore premium help — but as of publication, it has not been restored.2
- Same-day access: Florida ADAP's SAME DAY program provides immediate access to certain medications and vaccines through a SAME DAY ID card. The SAME DAY program does not cover HIV antiretroviral drugs — for ARVs, work with your Ryan White clinic and the ADAP Help Desk on standard enrollment.4
If you were dropped: how to re-enroll
If you were told in January or February that you no longer qualified, or if a family income change put you back above the old 130% cap, the practical steps are short.
Florida ADAP Help Desk
Call and say you were dropped, or that you'd like to re-enroll under the restored 400% FPL threshold. They can tell you what documents you actually need.
1-844-381-2327 Florida ADAP · Prime Therapeutics direct dispense: 1-833-604-0925Florida ADAP enrollment generally requires proof of HIV-positive status, proof of Florida residence, an insurance screening, and income documentation at or below 400% FPL. Enrollment uses the Patient Care Core Eligibility Form, a prescription for at least one antiretroviral, and insurance documentation.5
Federal policy on your side. HRSA's Policy Clarification Notice 21-02 directs Ryan White programs to use available data before asking clients for more paperwork, to consider self-attestations of "no change," and not to disenroll clients until eligibility is formally confirmed. Ask about this if you feel a re-enrollment is being made harder than it should be.6
If you can't get through by phone
Two backup paths:
- Contact a Ryan White Part B provider or Ryan White-funded clinic in your county. The Florida Department of Health's Linkage to Care program can connect you.7
- Use HRSA's national locator at findhivcare.hrsa.gov and call a Ryan White provider directly. Every Ryan White clinic has staff whose job is to help you navigate ADAP.8
The FY2026-27 budget and what to watch
The FY2026-27 General Appropriations Act, adopted May 29, 2026, is the durable version of the March fix.
- Eligibility protected at 400% FPL.2
- Approximately $75 million appropriated from the Grants and Donations Trust in FY2025-26 with authority to carry forward into FY2026-27.2
- Full formulary restoration upon signature — meaning the medications removed in January are being brought back.2
- OPPAGA evaluation. The Office of Program Policy Analysis and Government Accountability — the Florida Legislature's research arm — is directed to conduct a full evaluation of Florida ADAP, with DOH required to assist. That evaluation will shape what happens in the next budget cycle.2
- Premium assistance: still not restored; watch this in the 2027 session.2
National advocacy context. The Florida ADAP restoration was won by a coalition led by Florida people living with HIV and supported by national organizations including AIDS United, HealthHIV, and — through litigation — the AIDS Healthcare Foundation. The "Save HIV Funding" campaign is the ongoing shorthand for the multi-org effort to protect HIV programs at both the state and federal level.9
References & Sources
Every fact on this page is anchored to a primary or authoritative source. Where the primary source is a state document, it is cited first.
- Florida Legislature — CS/HB 697, Final Bill Analysis (2026 session). Florida House staff analysis of the bill restoring ADAP eligibility to 400% FPL with a $30,901,993 nonrecurring appropriation from the DOH Grants and Donations Trust Fund. Governor approval March 24, 2026 as Chapter 2026-4, Laws of Florida. ↩
- HealthHIV — Florida AIDS Drug Assistance Program advocacy summary. Authoritative advocacy summary tracking Florida ADAP through the January 2026 cuts, the March CS/HB 697 restoration, and the May 29, 2026 FY2026-27 budget action, including the $75 million appropriation, formulary restoration language, and OPPAGA review directive. Notes that insurance premium assistance was not restored. ↩
- Florida Legislature — CS/HB 697 Final Bill Analysis (background section). Documents the January 2026 DOH changes: eligibility cut to 130% FPL, elimination of the ADAP Premium Plus Insurance Program, discontinuation of premium assistance for major medical coverage, removal of Biktarvy from the direct-dispense formulary, and Descovy prior authorization. ↩
- Florida Legislature — CS/HB 697 Final Bill Analysis (rulemaking section). References DOH emergency rulemaking published February 11, 2026 and emergency rules 64DER26-1, -2, and -3. ↩
- Florida Legislature — CS/HB 697 Final Bill Analysis (litigation section). Describes the AIDS Healthcare Foundation challenge filed February 26, 2026 and the Second Judicial Circuit's denial of the emergency injunction on March 23, 2026. Corroborated by AIDS United's March 24, 2026 statement. ↩
- Florida Legislature — CS/HB 697 bill page (2026). Official bill page for CS/HB 697, showing final passage, effective dates, and Chapter number (2026-4). ↩
- HealthHIV — Florida ADAP (FY2026-27 update, May 29, 2026). Documents the FY2026-27 General Appropriations Act's protection of 400% FPL eligibility, the approximately $75 million appropriation, formulary restoration upon signature, and OPPAGA review requirement. ↩
- Florida Legislature — CS/HB 697 Final Bill Analysis (enrollee counts). Reports 30,408 total ADAP enrollees in 2025, 16,627 in the direct-dispense medication-only component, and 9,174 receiving insurance through ADAP Premium Plus. DOH also referenced roughly 32,000 Florida ADAP enrollees at risk. ↩
- Florida Legislature — CS/HB 697 Final Bill Analysis (formulary section). Describes the removal of Biktarvy from the ADAP direct-dispense formulary for uninsured clients while retaining it on the ADAP Self-Insured Formulary. ↩
- Florida Legislature — CS/HB 697 Final Bill Analysis (premium assistance section). Documents the elimination of the ADAP Premium Plus Insurance Program and its 9,174 affected clients. ↩
- Florida Legislature — CS/HB 697 Final Bill Analysis (restoration section). Confirms the restoration of the 400% FPL eligibility threshold in the enrolled bill. ↩
- HealthHIV — Florida ADAP (formulary update). Notes the March 1, 2026 formulary constraint under CS/HB 697 and the FY2026-27 budget's full formulary restoration provision. ↩
- HealthHIV — Florida ADAP (premium assistance status). Documents that ADAP continues to assist with prescription co-payments but does not provide insurance premium assistance, while noting the prohibition on premium assistance was removed from the short-gap measure. ↩
- Florida Department of Health — ADAP SAME DAY Program. State page describing the SAME DAY program, including its explicit exclusion of HIV antiretroviral and hepatitis drugs. ↩
- Florida Department of Health — ADAP Enrollment. State page listing eligibility requirements, required documents, and the Patient Care Core Eligibility Form. ↩
- HRSA — Policy Clarification Notice 21-02 (Determining Eligibility). Federal Ryan White policy on data-first eligibility, self-attestation, and rapid access to services including antiretrovirals. ↩
- Florida Department of Health — HIV Linkage to Care. State program overview, including linkage-to-care coordinators and 13 peer navigator programs. ↩
- HRSA — Find Ryan White HIV/AIDS Program Medical Care. HRSA's national locator for Ryan White-funded HIV medical providers. ↩
- AIDS United — statement on the Florida ADAP emergency funding bill (March 24, 2026). Advocacy statement documenting the coalition role in the ADAP restoration, including confirmation that premium assistance was not restored in the short-gap measure. ↩