PrEP and PEP are Prevention Act

This bill would require health coverage to pay the full cost of HIV prevention drugs, including PrEP and PEP, along with related lab tests, counseling, and follow-up care. It applies to private health insurance plans, Medicare Parts B and D, Medicaid, the Children's Health Insurance Program (CHIP), and the Federal Employees Health Benefits Program. Patients would pay no deductibles, copays, or coinsurance for these services. Private plans could not require prior approval for these services, except for a particular drug when an equivalent drug is covered without prior approval. The changes would generally start in the first plan or calendar year after the bill becomes law, with possible delays for states that need to pass their own laws.

Full text and official record on Congress.gov

Sponsors

• Maxine Waters Democrat sponsor
• 35 cosponsors