PrEP Access and Coverage Act of 2026

This bill would require private health insurance, federal employee health plans, Medicaid, CHIP, Medicare, VA care, and TRICARE to cover FDA-approved drugs that prevent HIV (PrEP), along with related lab tests, fees, and follow-up care, without cost-sharing, starting in 2027. It would bar private plans from requiring preauthorization for these services unless an equivalent drug is covered without it. It would make it unlawful for life, disability, or long-term care insurers to deny coverage or raise premiums because a person takes HIV prevention medication. It would also create public and provider education campaigns, a grant program for PrEP and PEP programs, confidentiality protections for family plan members, and a right to sue over violations.

Full text and official record on Congress.gov

Sponsors

• Tina Smith Democrat sponsor
• 40 cosponsors