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PrEP Access and Coverage Act of 2023

USA118th CongressS-2188| Senate 
| Updated: 6/22/2023
Tina Smith

Tina Smith

Democratic Senator

Minnesota

Cosponsors (1)
Catherine Cortez Masto (Democratic)

Health, Education, Labor, and Pensions Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
PrEP Access and Coverage Act of 2023 This bill requires private health insurance plans to cover prescription drugs that prevent HIV, including related screenings, diagnostic procedures, administrative fees, and clinical follow-ups, without any cost-sharing obligation for the plan holder. Further, insurance plans must not impose any preauthorization requirement for this coverage. These coverage requirements also apply to public health insurance programs, including Medicare, Medicaid, and the Children's Health Insurance Program. Additionally, the bill prohibits denying, limiting, or qualifying coverage or increasing premiums for disability insurance, long-term care insurance, or life insurance policies based on an individual taking medication for HIV prevention. The bill further requires the Department of Health and Human Services (HHS) to award grants to states, or directly to eligible local organizations, to provide uninsured individuals and underinsured individuals access to prescription drugs and related services that prevent HIV. The Centers for Disease Control and Prevention also must develop a public awareness campaign that focuses efforts in communities with a high need for HIV prevention treatment. HHS, the Department of Labor, and the Department of Treasury must enforce and report on private insurers' compliance with the bill's requirements.
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Timeline

Bill from Previous Congress

S 116-1926
PrEP Access and Coverage Act

Bill from Previous Congress

S 117-3295
PrEP Access and Coverage Act
Jun 22, 2023
Introduced in Senate
Jun 22, 2023
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Dec 17, 2024

Latest Companion Bill Action

HR 118-4392
Referred to the Subcommittee on Health.
  • Bill from Previous Congress

    S 116-1926
    PrEP Access and Coverage Act


  • Bill from Previous Congress

    S 117-3295
    PrEP Access and Coverage Act


  • June 22, 2023
    Introduced in Senate


  • June 22, 2023
    Read twice and referred to the Committee on Health, Education, Labor, and Pensions.


  • December 17, 2024

    Latest Companion Bill Action

    HR 118-4392
    Referred to the Subcommittee on Health.

Health

Related Bills

  • HR 118-4392: PrEP Access and Coverage Act of 2023
Child healthCivil actions and liabilityCongressional oversightDisability and health-based discriminationGovernment employee pay, benefits, personnel managementHealth care costs and insuranceHealth care coverage and accessHealth programs administration and fundingHealth promotion and preventive careHIV/AIDSIndian social and development programsInfectious and parasitic diseasesLife, casualty, property insuranceMedicaidMedical tests and diagnostic methodsMedicarePoverty and welfare assistancePrescription drugsRight of privacyState and local government operationsVeterans' medical care

PrEP Access and Coverage Act of 2023

USA118th CongressS-2188| Senate 
| Updated: 6/22/2023
PrEP Access and Coverage Act of 2023 This bill requires private health insurance plans to cover prescription drugs that prevent HIV, including related screenings, diagnostic procedures, administrative fees, and clinical follow-ups, without any cost-sharing obligation for the plan holder. Further, insurance plans must not impose any preauthorization requirement for this coverage. These coverage requirements also apply to public health insurance programs, including Medicare, Medicaid, and the Children's Health Insurance Program. Additionally, the bill prohibits denying, limiting, or qualifying coverage or increasing premiums for disability insurance, long-term care insurance, or life insurance policies based on an individual taking medication for HIV prevention. The bill further requires the Department of Health and Human Services (HHS) to award grants to states, or directly to eligible local organizations, to provide uninsured individuals and underinsured individuals access to prescription drugs and related services that prevent HIV. The Centers for Disease Control and Prevention also must develop a public awareness campaign that focuses efforts in communities with a high need for HIV prevention treatment. HHS, the Department of Labor, and the Department of Treasury must enforce and report on private insurers' compliance with the bill's requirements.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline

Bill from Previous Congress

S 116-1926
PrEP Access and Coverage Act

Bill from Previous Congress

S 117-3295
PrEP Access and Coverage Act
Jun 22, 2023
Introduced in Senate
Jun 22, 2023
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Dec 17, 2024

Latest Companion Bill Action

HR 118-4392
Referred to the Subcommittee on Health.
  • Bill from Previous Congress

    S 116-1926
    PrEP Access and Coverage Act


  • Bill from Previous Congress

    S 117-3295
    PrEP Access and Coverage Act


  • June 22, 2023
    Introduced in Senate


  • June 22, 2023
    Read twice and referred to the Committee on Health, Education, Labor, and Pensions.


  • December 17, 2024

    Latest Companion Bill Action

    HR 118-4392
    Referred to the Subcommittee on Health.
Tina Smith

Tina Smith

Democratic Senator

Minnesota

Cosponsors (1)
Catherine Cortez Masto (Democratic)

Health, Education, Labor, and Pensions Committee

Health

Related Bills

  • HR 118-4392: PrEP Access and Coverage Act of 2023
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Child healthCivil actions and liabilityCongressional oversightDisability and health-based discriminationGovernment employee pay, benefits, personnel managementHealth care costs and insuranceHealth care coverage and accessHealth programs administration and fundingHealth promotion and preventive careHIV/AIDSIndian social and development programsInfectious and parasitic diseasesLife, casualty, property insuranceMedicaidMedical tests and diagnostic methodsMedicarePoverty and welfare assistancePrescription drugsRight of privacyState and local government operationsVeterans' medical care