Kenyon Farrow is the managing director of advocacy and organizing at Prep4All. “Right now, one major catastrophe we’re headed toward is that [Gilead’s policy change] will mean clinics in states that didn’t expand Medicaid will lose huge sums of revenue, which will make it more difficult for uninsured folks in those states to access PrEP,” he says. “This means largely Black and Brown folks in states [including] Texas, Florida and Georgia, which have huge populations and lots of LGBTQ folks” — approximately 1.3 million people between all three states identity as LGBTQ, per Gallup’s state-level estimates from 2012 — “will be thrown off PrEP in just two months.”