PrEP Access and Coverage Act of 2026
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To President
- Became Law
Overview
This bill, the PrEP Access and Coverage Act of 2026, aims to increase access to pre-exposure prophylaxis (PrEP) to prevent the spread of HIV. It mandates that private insurance plans, Medicare, Medicaid, the Department of Veterans Affairs, and the Department of Defense cover PrEP drugs, related services, and administrative fees without requiring prior authorization, except for specific drugs. The bill also establishes a grant program to support PrEP and PEP programs in states and territories and includes provisions to educate healthcare providers and the public about PrEP and PEP. Finally, it prohibits denial of coverage or premium increases based on PrEP use.
Key provisions
- Requires private insurance plans to cover PrEP drugs, administrative fees, and related services without prior authorization.
- Mandates coverage of PrEP and PEP under Medicare, Medicaid, the Department of Veterans Affairs, and the Department of Defense.
- Establishes a grant program to support PrEP and PEP programs in states, territories, and tribal communities.
- Prohibits insurance companies from denying coverage or increasing premiums based on an individual’s use of PrEP.
- Includes provisions for public education campaigns on PrEP and PEP.
- Requires healthcare providers to be educated on PrEP and PEP.
- Clarifies definitions related to PrEP and PEP for reporting and compliance purposes.
- Establishes a process for monitoring compliance with coverage requirements and reporting findings to Congress.
Who is affected
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Sponsors
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