title: Current and (Potential) Future Effects of the Affordable Care Act on HIV Prevention.
abstract: Recent advances in science, program, and policy could better position the nation to achieve its vision of the USA as a place where new HIV infections are rare. Among these developments, passage of the Patient Protection and Affordable Care Act (ACA) in 2010 may prove particularly important, as the health system transformations it has launched offer a supportive foundation for realizing the potential of other advances, both within and beyond the clinical arena. This article summarizes opportunities to expand access to high-impact HIV prevention interventions under the ACA, examines whether available evidence indicates that these opportunities are being realized, and considers potential challenges to further gains for HIV prevention in an era of health reform. This article also highlights the new roles that HIV prevention programs and providers may assume in a health system no longer defined by fragmentation among public health, medical care, and community service providers.
authors.affiliation: Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC), 1600 Clifton Road NE, Atlanta, 30329, GA, USA. bzv3@cdc.gov.
authors.forename: Abigail H
authors.initials: AH
authors.lastname: Viall
authors.affiliation: Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC), 1600 Clifton Road NE, Atlanta, 30329, GA, USA.
authors.forename: Eugene
authors.initials: E
authors.lastname: McCray
authors.affiliation: National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Mermin
authors.affiliation: Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC), 1600 Clifton Road NE, Atlanta, 30329, GA, USA.
authors.forename: Pascale
authors.initials: P
authors.lastname: Wortley
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis* / Q000517:prevention & control*; D018166:Health Care Reform / Q000331:legislation & jurisprudence*; D006297:Health Services Accessibility; D006801:Humans; D007348:Insurance, Health / Q000191:economics*; D058991:Patient Protection and Affordable Care Act / Q000331:legislation & jurisprudence*; D014481:United States
keywords: Affordable Care Act; HIV; HIV prevention; Health care; Health insurance; Prevention; Public health; Review