Increased HIV Transmissions With Reduced Insurance Coverage for HIV Preexposure Prophylaxis: Potential Consequences of Braidwood Management v. Becerra

A US federal court recently ruled against requiring health insurers to cover human immunodeficiency virus (HIV) preexposure prophylaxis (PrEP) under the Affordable Care Act. For every 10% decrease in PrEP coverage resulting from this ruling among US men who have sex with men, we estimate an additional 1140 HIV infections in the following year in that population. A US federal court ruling against requiring insurance coveragefor HIV pre-exposure prophylaxis under the Affordable Care Act may result in over2,000 preventable primary HIV infections among US men who have sex with men in thecoming year.