Florida Department of Health cuts to HIV, AIDS program enacted as thousands risk losing access
Health officials blamed rising health care costs and lack of federal funding. (Elisa Schu/picture alliance via Getty Images)
(NEW YORK) — An emergency rule from the Florida Department of Health went into effect on Sunday that could restrict tens of thousands of people from accessing HIV medication.
The state issued cuts to the AIDS Drug Assistance Program (ADAP), a federal-state partnership that provides free FDA-approved HIV medication for low-income, uninsured or underinsured people.
Under the emergency rule, eligibility for ADAP was lowered to include those at or below 130% of the federal poverty level, which equals about $20,345 per year for a one-person household, according to the Department of Health and Human Services.
Previous eligibility was at or below 400% of the poverty level, which equals about $62,600 per year for a one-person household, according to HHS.
Additionally, the emergency rule limits insurance coverage of Biktarvy, a once-daily pill to treat HIV and used by about 60% of those enrolled in ADAP.
HIV advocates estimate that as many as 16,000 of the 30,000 Floridians enrolled in ADAP could be at risk of restricted access.
“These cuts will impact communities throughout the state, will threaten the lives of people with HIV and will lead to spikes in new HIV diagnoses and a rise in health care costs as people with HIV develop serious infections requiring hospitalization,” said Dr. Anna K. Person, chair of the HIV Medicine Association, a community of health care professionals that works toward advancing the response of the HIV epidemic, in a statement.
“HIV treatment disruptions of this magnitude will result in a public health disaster. Florida must follow due process and work with health care professionals, people with HIV and the state legislature to address any funding challenges,” the statement continued.
The new emergency rule is only in effect for 90 days and cannot be renewed unless a rule is proposed to implement the changes through formal administrative rulemaking.
Health officials have cited the “rising health care insurance premiums nationwide” and lack of federal funding as reason for the cuts. Officials said the adjustments will prevent a shortfall of more than $120 million for the state.
The Florida Department of Health did not immediately return ABC News’ request for comment.
Demonstrators participate in a rally and march during an “ICE Out” day of protest on January 23, 2026 in Minneapolis, Minnesota. Community leaders, faith leaders and labor unions have urged Minnesotans to participate in what they are calling a “day of action” as hundreds of local businesses are expected to close during a statewide general strike held in protest against immigration enforcement operations in the region. (Stephen Maturen/Getty Images)
(NEW YORK) — Over the last several days, many Americans have seen upsetting, and often violent, images and videos of protests in Minneapolis amid a flood of ICE agents entering the city for a federal immigration enforcement operation.
Research has shown that images of extreme violence can impact mental health, increasing symptoms of anxiety and depression.
Among the videos and images that circulated widely in recent weeks have been the fatal shootings of two U.S. citizens involving federal agents just 17 days apart: Renee Good and Alex Pretti.
Psychologists and psychiatrists told ABC News that witnessing a death can add an extra level of distress for some people and lead to long-lasting consequences.
Symptoms of anxiety and depression Studies have shown the symptoms of depression and anxiety can increase when exposed to negative news.
One 2011 study from the University of Sussex in Brighton, U.K., found that people had worsened mood and anxiety symptoms after just 14 minutes of negative news consumption.
Another 2022 study from Rutgers University, focused on COVID-19 news, found that greater daily exposure to news about the virus was linked to higher same-day and next-day worry about the pandemic as well as feelings of hopelessness and general worry.
Dr. Pierluigi Mancini, a psychologist and interim president and CEO of the nonprofit Mental Health America, told ABC News that witnessing any kind of violence whether through news, on social media or in person can lead to psychological effects
“So, people will experience fear, they’ll experience hypervigilance, they’ll experience emotional exhaustion, and they will have effects on their mental health,” he said.
Mancini added that witnessing violent events can activate the body’s “fight-or-flight response” which can include symptoms such as rapid heart rate, shallow breathing, nausea, irritability and difficulty concentrating, especially when the events happen in one’s own community.
“So, the individuals that are on site where they are witnessing these effects in their neighborhoods get affected at a much higher level, but even those millions more that end up watching it on social media or traditional news sites also have those experiences,” he said.
Witnessing deaths may be especially traumatic Research has shown that mental health impacts are even more profound when someone’s unexpected death is witnessed and shared.
A May 2021 article looked at emotional and mental health impacts after the death of George Floyd, an unarmed Black man who was killed in Minneapolis in 2020 after a white police officer knelt on his neck.
The team analyzed Gallup poll data and found that in the week following Floyd’s death, more than one-third of respondents reported feelings of anger and sadness.
Researchers found a 1.5-fold increase in feelings of anger and a 1.3-fold increase in feelings of sadness compared to poll data for the four weeks preceding Floyd’s death. Increases were seen despite already elevated levels of anger and sadness due to the COVID-19 pandemic.
Johannes Eichstaedt, co-author of the study and an assistant professor in psychology at Stanford University, told ABC News he sees some similarities between the death of Floyd and the deaths of Good and Pretti, all of which occurred in Minneapolis.
He said there is scientific literature about linked fate, or the sensation someone has that a horrible event could have happened to them or someone they know.
“There is a very real fear response in the human body with lots of physiological consequences that are very real and when something like this happens and it’s recorded like this and then it traumatizes more or less everybody who watches this,” Eichstaedt said. “The problem is not that these things are getting captured in a video. The problem is that these things happen.”
Dr. Anthony Feinstein, a professor of psychiatry at the University of Toronto, told ABC News that witnessing a death can be distressing to anyone, but that it is important to determine when the stress becomes pathological.
“I think any individual with a moral compass would be distressed by seeing someone die like this on television,” he said. “It’s a very distressing thing to witness. And to feel momentary dismay and stress and sadness or anxiety in response to it strikes me as a normal human response to an abnormal event. Where it becomes problematic is when that stress and that distress doesn’t go away, when it lingers.”
Experts said witnessing deaths on the news, such as what occurred in Minneapolis, can elevate the level of potential mental health impacts, especially among those who are most vulnerable.
“It is extremely traumatic to see someone die,” Mancini said. “Once that sinks in that you witnessed someone lose their life, especially in a violent situation. It’s always traumatic even if you’re next to a loved one who’s passing and you’re expecting it, but when it’s unexpected and when it is violent, it is extremely difficult to watch and to process.”
Mancini said some people may be desensitized to violence, but others can be severely impacted. Witnessing violence can violate a person’s feeling of safety and stability, he said.
“In Minnesota, many people are experiencing that escalating stress,” he said. “They’re experiencing that fear, that violence and uncertainty in their communities. So, it’s gonna make you question everything that you were taught when you were growing up.”
How to protect mental health For those who are experiencing mental health impacts, experts say there are steps people can take to protect their mental health.
Rather than avoiding the news altogether, Mancini said people can purposely limit the time they spend watching news coverage.
He added that watching the news is important to remain informed, but that it is just as important to have intentional engagement.
“So, for example, it is as simple as maybe … I will watch the news two times a day, and when I’m watching this news, I’m going to set a timer,” he said. “I’m gonna limit the time that I’m to be watching this news. That is the healthy thing to do.”
To limit mental health impacts, people can also take action by getting involved with a group focused on the issues they are most passionate about or joining an affinity group, which are supportive communities of people who share a common identity, experts said.
Feinstein said having psychosocial supports can help people maintain mental well-being and allow them to be more vulnerable as well.
“Peer support is important and there is literature out there that peer support is comforting and it’s protective and it’s helpful when it comes to managing situations like this,” Feinstein said. “Obviously you want to keep your responses within the letter of the law … but being part of a support group is helpful.”
Feinstein added that, in stressful times, it’s important for people to devote sufficient time to things that are healthy and meaningful in their lives, whether it be friendships, hobbies or interests.
“And, by the way, don’t feel guilty by doing it,” he said. “That’s really important. People feel, ‘Well, I’ve got a good life, and I feel guilty that I can go to the cinema and theater with other people.’ No, it’s really important that you hold on to those good positive things, because that’s how you maintain your mental well-being.”
The Center for Disease Control (CDC) headquarters in Atlanta, Georgia, US, on Friday, Dec. 5, 2025. Megan Varner/Bloomberg via Getty Images
(ATLANTA) — Flu activity continues to remain elevated across the U.S., according to newly released data from the Centers for Disease Control and Prevention.
The CDC estimates there have been at least 18 million illnesses, 230,000 hospitalizations and 9,300 deaths from flu so far this season.
This is a developing story. Please check back for updates.
Boxes and vials of the Measles, Mumps, Rubella Virus Vaccine at a vaccine clinic put on by Lubbock Public Health Department on March 1, 2025 in Lubbock, Texas. Jan Sonnenmair/Getty Images
(NEW YORK) — As measles continues to spread across the U.S., with outbreaks popping up around the country, public health experts have been stressing the importance of getting vaccinated to stop the spread of disease.
This has involved local doctors and health department workers going into outbreak areas to offer the measles, mumps, and rubella (MMR) vaccine.
The MMR vaccine is typically a two-dose series given first at 12-15 months old and again at 4-6 years of age. An extra dose can be given as early 6 months old in high-risk circumstances, including during a measles outbreak.
Health experts working in and near measles outbreaks told ABC News that vaccine acceptance has been mixed among these communities, with some people begging to get their kids vaccinated early, while others still refuse an immunization.
“[Measles] can spread so quickly amongst that unvaccinated population,” Dr. Christopher Lombardozzi, chief medical officer at Spartanburg Regional Healthcare System, told ABC News. “And if the number of people who remain unvaccinated stays large, then we could have a real problem, not just this year, but in years to come.”
Vaccine hesitancy in outbreak areas
The upstate region of South Carolina is experiencing a surge in measles cases amid the ongoing outbreak.
The South Carolina Department of Public Health (DPH) reported 223 new cases over the last week, bringing the total number of cases in the outbreak to 434 since October, with over 400 people currently in quarantine due to exposure. Spartanburg County, which borders North Carolina, is currently the epicenter of the outbreak.
A spokesperson for Spartanburg Regional Healthcare System told ABC News that, as of Jan. 9, there have been 77 confirmed measles cases across the system since the outbreak began.
Lombardozzi said the health care system has seen some increased vaccine uptake, but not as much as they hoped for.
“We certainly have had some more uptake of vaccine in the last six months or so, since the outbreak started here in South Carolina, and I’m happy for that,” Lombardozzi said. “I would love to see a higher uptake. There is still quite a bit of vaccine hesitancy around here, and I think it’s unwarranted.”
Lombardozzi added that addressing vaccine hesitancy takes time and support.
“We try to support people, meet them where they are, and hopefully they will change their mind if they’ve been vaccine hesitant for a while,” he said.
Lombardozzi worries that without increasing immunizations, the negative effects could ripple for years.
In a press conference on Wednesday, Dr. Linda Bell, state epidemiologist and health program branch director for the South Carolina DPH, said the lack of vaccine acceptance amid the growing outbreak has been “disappointing.”
Bell said vaccines could have helped prevent a majority of cases, adding, “We have an opportunity to prevent further cases, if people can adopt these available tools and help us stop this outbreak sooner rather than later.”
As of Tuesday, another ongoing outbreak in Utah surpassed 200 measles cases since it began in June of last year. The southwest region of Utah has reported 147 of those cases, which equates to a rate of 25.8 cases per 100,000 people in that region.
David Heaton, public information officer at the Southwest Utah Department of Public Health, told ABC News that cases in southwest Utah and further north have been linked to the same measles virus that spread in Texas and New Mexico last year.
Heaton worries that measles will soon be declared endemic again, ending the decades-long elimination status in the U.S.
“That’s kind of a discouraging threshold that we’re getting closer to. I think [the loss of elimination status] could be recovered, but it could take a couple of years at least,” Heaton said.
In the Southwest region, vaccine acceptance has been highest among people who were on the fence or those who accidentally missed vaccines, but those with strong beliefs against vaccines have been “fairly immovable,” Heaton added.
“We’re just seeing the attitude of, ‘I choose not to get vaccinated. I don’t agree with vaccinations, and I’m not going to do it. I don’t feel the risk is high enough to get the vaccine,'” he said.
Some success in vaccine uptake
But there have been examples of success. Last year, during a large outbreak from February to September, the New Mexico Department of Health (NMDOH) reported that MMR doses administered were nearly 50% higher than the year prior by October.
The largest gains were due to adult vaccination that increased by about 230% in October 2025 compared to October 2024. Children receiving the MMR shot only increased by about 10% compared to that time the previous year.
Andrea Romero, immunization program section manager at NMDOH, told ABC News communication was key during the outbreak. Romero said most of the adults who got vaccinated did so because they were unsure of their vaccination status and felt a strong sense of duty to get the shot, not just to protect themselves but to protect their community.
“When they know that they’re making a difference, it matters,” Romero said. “Every time I take that opportunity [to say], ‘Thank you for being a great community and your response, caring about yourself, your family, your neighbor,’ but it means a lot because it’s their efforts. It was their response that made the difference.”
NMDOH data shared with ABC News shows that 384 children with a vaccine exemption on file received at least one MMR shot between Jan. 13, 2025 and Jan. 13, 2026. This suggests parents of these children changed their minds about the vaccine around the time of New Mexico’s measles outbreak, according to health department officials.
During that same timeframe, at least one MMR dose was the only immunization on record for 189 children in the state, the data shows.
Fears of further measles spread
Doctors near outbreak regions are also experiencing the effects of fears and questions about measles and vaccination from their community.
Dr. Deborah Greenhouse, a spokesperson for the American Academy of Pediatrics and pediatrician in South Carolina, told ABC News that her community hasn’t had a measles case yet, but parents and healthcare providers are increasingly concerned.
“As we all know, and as my patients know, measles virus does not respect county borders, so, as the numbers continue to rise, the likelihood that we start seeing cases here in the midlands of South Carolina increases dramatically,” Greenhouse said.
On Tuesday, health officials announced there was a measles exposure on Jan. 2 in the midlands region at the South Carolina State Museum in Columbia.
“If more families decline the vaccines, our vaccination rates drop and we become an open target, essentially a sitting duck for an outbreak, much like the Spartanburg area,” Greenhouse said.
In her experience, building a foundation of trust has been essential for vaccine acceptance.
“They know me, they trust me,” Greenhouse said. “They know that as a pediatrician, I have no interest here other than protecting the best interests of their children and their family.”
She went on, “Families that I’ve known for years, who I have a very strong relationship with, are coming in and asking for every vaccine that they can get, and asking to get the measles, mumps, rubella vaccine early, because they’re very concerned about their children being exposed to measles and not being protected.”
Greenhouse said trying to build trust among families has been particularly challenging amid changing guidance from federal health agencies and widespread misinformation.
“Unfortunately, some of the awful sources right now are people that you used to think you could trust and, as a new parent, I totally understand why it would be incredibly difficult to be able to figure out right now,” Greenhouse said.
Despite changing guidance and misinformation, doctors say the science hasn’t changed, and vaccines remain safe and effective.
“Amongst the medical community, you’re not going to get much disagreement that the vaccines are safe and that they’re effective,” Lombardozzi said. “The message is, go get your kids their shots if it’s time to get their shots. We certainly encourage folks to go talk to your pediatrician, go talk to your doctor.”
Jade A. Cobern, MD, MPH, is a practicing physician, board-certified in pediatrics and general preventive medicine, and is a medical fellow of the ABC News Medical Unit.
