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October 8, 2025Health Affairs

Impact Of Medicaid Expansion On HIV Pre-Exposure Prophylaxis Coverage, 2012–23

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Authors

ESElizabeth M. StoneNSNicholas J. SeewaldJRJoseph G. Rosen

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Overview

Analysis shows increased prEP-to-need ratios due to medicaid expansion, indicating health disparities persist.

Key Points

  • Medicaid expansion significantly increased prEP-to-need ratios across racial and ethnic groups.
  • The study found a 4.44 prEP prescriptions per new HIV diagnosis, highlighting access issues.
  • Although overall prEP coverage did not significantly correlate with medicaid expansion, access improved over time.
  • Disparities in prEP access based on race and ethnicity may continue to widen despite medicaid expansion efforts.

Cite This Study

Stone et al. (2025) studied this question.

synapsesocial.com/papers/68e6679587ecc93a24d174a3https://doi.org/10.1377/hlthaff.2025.00211
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Changes in health care coverage and sexually transmitted infection testing following expansion of health care coverage options among people with diagnosed HIV – Medical Monitoring Project, Virginia, 2015–20222026
  2. 2Preventive Service Use Among Medicaid Expansion Adults, 2014-20192026
  3. 3Excess HIV Infections and Costs Associated With Reductions in HIV Prevention Services in the US2025 · 7 citations
  4. 4Association between enrollment in Medicaid expansion and healthcare utilization and outcomes in people with HIV in Nebraska, U.S.A.2025
  5. 5Impact of HIV preexposure prophylaxis prescriptions on HIV diagnoses in New York City2024 · 1 citations