The Florida Department of Health has proposed significant changes to the AIDS Drug Assistance Program (ADAP) that limit direct access to HIV drugs to those with incomes up to 130% of the Federal Poverty Level (FPL), up from the current 400%.[1][2][4] For 2026, that means income up to $20,345 for an individual, $27,495 for a two-person household, $34,645 for a three-person household, and $41,795 for a four-person household.[1] The program will eliminate insurance and premium assistance and limit some of the most widely used single-dose HIV regimens.[3][4] The changes will take effect on March 1, 2026, with a two-month transition period.[1][2] ADAP currently serves more than 30,000 enrollees, approximately half of whom have incomes above 139% of the FPL, which will jeopardize access to treatment for more than 16,000 people.[4][5] The changes are intended to prevent a shortfall of more than $120 million due to rising insurance rates.[2]