Florida's Free HIV Drugs Rollback Sparks Health Crisis

The Florida Department of Health (FDOH) is a pivotal state agency dedicated to protecting and promoting the health and well-being of Florida’s diverse population. Established in 1996 through the consolidation of various health services, the FDOH operates under the Florida Department of Health and Human Services framework, serving as the primary public health authority for the state. Its mission centers on preventing disease, injury, and disability while promoting healthy lifestyles and equitable access to healthcare. The FDOH’s broad portfolio includes managing public health programs, overseeing vital statistics, conducting disease surveillance, and responding to health emergencies. It plays a critical role in immunization efforts, maternal and child health, environmental health, and chronic disease prevention, leveraging data-driven approaches to improve population health outcomes. Notably, the department has been instrumental in Florida’s response to the COVID-19 pandemic, facilitating testing, vaccination campaigns, and public health guidance, showcasing its agility and commitment to community safety. Historically, the Florida Department of Health has earned recognition for innovative public health initiatives. For example, its integration of technology in disease tracking and health informatics has enhanced real-time data sharing and decision-making. The department’s adoption of digital platforms for health education and telehealth services underscores its forward-thinking approach amid evolving healthcare landscapes. Currently, the FDOH functions through a network of county health departments, bridging state policies with local implementation. It collaborates extensively with federal agencies, healthcare providers, and community organizations to address health disparities and foster resilience in vulnerable populations. Its ongoing focus on leveraging technology, data analytics, and community engagement positions the Florida Department of Health as a vital leader in public health innovation, making it a key player in shaping Florida’s healthcare future in an increasingly digital world.

The **AIDS Healthcare Foundation (AHF)** is a Los Angeles-based global nonprofit that stands as the world's largest provider of HIV/AIDS medical care[2][4]. Founded in 1987 as a network of hospices, AHF has transformed into a comprehensive healthcare organization serving more than 2.5 million patients across 16 U.S. states, Washington D.C., Puerto Rico, and 49 countries[3]. ## Mission and Approach AHF's core mission is to **provide cutting-edge medicine and advocacy, regardless of ability to pay**[1]. The organization operates approximately 400 clinics, 69 outpatient healthcare centers, 62 pharmacies, and 22 Out of the Closet thrift stores, employing over 5,000 people[3]. This extensive network reflects AHF's holistic approach to healthcare, addressing social determinants of health through affordable housing, food pantries, and specialty services[2]. ## Key Achievements AHF pioneered innovative HIV treatment delivery models and became the largest provider of Pre-exposure Prophylaxis (PrEP) in the United States[3]. In 2001, it opened Ithembalabantu, the first international HIV/AIDS clinic in South Africa, marking the beginning of its global expansion[3]. The organization has launched a mass testing initiative targeting the 25 million people worldwide unaware of their HIV status, advocating for efficient testing methods to replace time-consuming alternatives[5]. ## Innovative Business Model AHF's sustainability stems from integrated business lines including AHF Pharmacies, Out of the Closet thrift stores, and managed care services[5]. Remarkably, 96 cents of every dollar generated by pharmacy operations returns to patient care[6]. This model enables AH