Duke AIDS Legal Project (DALP)

healthjusticecliniclogo-color-highresThe Duke AIDS Legal Project (DALP) engages in research-based policy initiatives and advocacy through frequent partnering with North Carolina organizations, such as the North Carolina AIDS Action Network (NCAAN), to help support grassroots organizing and state-wide advocacy. DALP has provided valuable information about the North Carolina marketplace insurance plans to people living with HIV and their advocates, enabling people to make more informed choices when signing up for insurance. In addition to its insurance marketplace efforts, DALP focuses on advocacy for Medicaid expansion, continued AIDS Drug Assistance Programs (ADAP) funding, and policy changes around HIV criminalization laws.

Key Activities

  • Provide policy research to the NC AIDS Action Network (NCAAN) and other community-based stakeholders in NC on the benefits and feasibility of North Carolina’s ADAP program paying Affordable Care Act insurance premiums for ADAP eligible clients. As part of this work, the Duke Health Justice Clinic will analyze the costs, provider networks, and prescription drug formularies of the NC marketplace insurance plans.
  • Collaborate with NCAAN and other community-based advocates in NC to educate the NC ADAP program, the NC Department of Health and Human Services, the NC Governor and the Legislature about the benefits of a broad ADAP insurance completion program.
  • Prepare and submit policy recommendations through Comments on NC’s 3115 Medicaid waiver request to ensure that quality metrics that are important to people living with HIV are included in quality standards for the re-designed program including adequate medication formulary protections, recognition of HIV providers as primary care providers, and access to adequate provider networks.