PrEP Access and Coverage Act of 2026
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- 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 reduce the spread of HIV. It mandates that private insurance plans, Medicare, Medicaid, the Veterans Affairs health system, and the Department of Defense must cover PrEP without requiring cost-sharing or preauthorization, except in limited circumstances. The bill also establishes a grant program to support PrEP and PEP programs in states and territories and includes provisions for public education campaigns and data reporting to ensure compliance and track program effectiveness.
Key provisions
- Requires private insurance plans to cover PrEP without cost-sharing or preauthorization.
- Mandates Medicare, Medicaid, and the Veterans Affairs and Department of Defense health systems to cover PrEP without cost-sharing.
- Establishes a grant program to support PrEP and PEP programs in states, territories, and tribal communities.
- Prohibits preauthorization requirements for PrEP coverage, except for specific drugs.
- Includes provisions for public education campaigns on PrEP and PEP.
- Requires health plans to report data on PrEP claims and cost-sharing to the Department of Health and Human Services.
- Clarifies definitions related to PrEP and PEP.
- Establishes a process for states to delay compliance with certain requirements if state legislation is needed.
Who is affected
- Individuals at risk of HIV
Bill text
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Sponsors
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25 on record
Primary sponsor
Cosponsors
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