Legis Daily

PrEP Access Act

USA119th CongressHR-7189| House 
| Updated: 1/21/2026
Mark Pocan

Mark Pocan

Democratic Representative

Wisconsin

Cosponsors (13)
Becca Balint (Democratic)Sylvia R. Garcia (Democratic)Ritchie Torres (Democratic)Robert Garcia (Democratic)Joyce Beatty (Democratic)Madeleine Dean (Democratic)Steve Cohen (Democratic)Delia C. Ramirez (Democratic)Henry C. "Hank" Johnson (Democratic)Eleanor Holmes Norton (Democratic)Bonnie Watson Coleman (Democratic)Deborah K. Ross (Democratic)Josh Gottheimer (Democratic)

Ways and Means Committee, Energy and Commerce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This legislative proposal aims to significantly expand access to HIV prevention services under Medicare Part B by including services furnished by pharmacists. It amends the Social Security Act to define "pharmacist-provided HIV prevention services" as those legally authorized by state law and related to the prevention of human immunodeficiency virus. These covered services encompass evaluation, management, screening, consultation, and counseling related to pre-exposure prophylaxis (PrEP), post-exposure prophylaxis (PEP), and other evidence-based interventions. This also includes medication administration and associated clinical diagnostic laboratory tests necessary for these prevention strategies. The bill establishes that Medicare will reimburse 80 percent of the lesser of the actual charge or 85 percent of the physician fee schedule amount for these services. Importantly, it prohibits pharmacists from balance billing beneficiaries for these covered HIV prevention services, ensuring predictable costs. These provisions are slated to take effect for services provided on or after January 1, 2027.
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Timeline
Jan 21, 2026
Introduced in House
Jan 21, 2026
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  • January 21, 2026
    Introduced in House


  • January 21, 2026
    Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Health

PrEP Access Act

USA119th CongressHR-7189| House 
| Updated: 1/21/2026
This legislative proposal aims to significantly expand access to HIV prevention services under Medicare Part B by including services furnished by pharmacists. It amends the Social Security Act to define "pharmacist-provided HIV prevention services" as those legally authorized by state law and related to the prevention of human immunodeficiency virus. These covered services encompass evaluation, management, screening, consultation, and counseling related to pre-exposure prophylaxis (PrEP), post-exposure prophylaxis (PEP), and other evidence-based interventions. This also includes medication administration and associated clinical diagnostic laboratory tests necessary for these prevention strategies. The bill establishes that Medicare will reimburse 80 percent of the lesser of the actual charge or 85 percent of the physician fee schedule amount for these services. Importantly, it prohibits pharmacists from balance billing beneficiaries for these covered HIV prevention services, ensuring predictable costs. These provisions are slated to take effect for services provided on or after January 1, 2027.
View Full Text

Suggested Questions

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

Timeline
Jan 21, 2026
Introduced in House
Jan 21, 2026
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  • January 21, 2026
    Introduced in House


  • January 21, 2026
    Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Mark Pocan

Mark Pocan

Democratic Representative

Wisconsin

Cosponsors (13)
Becca Balint (Democratic)Sylvia R. Garcia (Democratic)Ritchie Torres (Democratic)Robert Garcia (Democratic)Joyce Beatty (Democratic)Madeleine Dean (Democratic)Steve Cohen (Democratic)Delia C. Ramirez (Democratic)Henry C. "Hank" Johnson (Democratic)Eleanor Holmes Norton (Democratic)Bonnie Watson Coleman (Democratic)Deborah K. Ross (Democratic)Josh Gottheimer (Democratic)

Ways and Means Committee, Energy and Commerce Committee

Health

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted