Key Policy Findings

• Geographic Concentration & Growth: Over 75% of older Hispanic PLWH live in six states/territories (NY, CA, FL, TX, PR, NJ), while states with emerging Hispanic populations (GA, AZ, IL) face rising diagnoses.
• Funding Gaps: The Ryan White HIV/AIDS Program, despite being essential for many low-income PLWH, faces flat funding, rising costs, and coverage gaps — jeopardizing sustainability.
• Workforce Shortages: A national shortage of geriatric and behavioral health providers is projected to worsen over the next decade, threatening timely access to care.
• Coverage Inequities: Ten states with large Hispanic populations, including Florida and Texas, have yet to expand Medicaid, leaving thousands without affordable access.

Recommendations

• Secure Multi-Year Federal Funding for the Ending the HIV Epidemic initiative and Ryan White programs.
• Integrate HIV, Primary, Behavioral, and Geriatric Care into patient-centered models.
• Invest in Workforce Development, prioritizing bilingual and culturally competent providers.
• Expand Coverage through Medicaid and affordability reforms, ensuring equity in access.

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