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Bill > S1926


US S1926

US S1926
PrEP Access and Coverage Act


summary

Introduced
06/20/2019
In Committee
06/20/2019
Crossed Over
Passed
Dead
12/31/2020

Introduced Session

116th Congress

Bill Summary

A bill to increase access to pre-exposure prophylaxis to reduce the transmission of HIV. This bill requires private health insurance plans to cover prescription drugs that prevent the acquisition of HIV, and any related screenings, diagnostic procedures, or 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, among others, 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 a person taking medication for HIV prevention. The bill further requires the Department of Health and Human Services to award grants to states, or directly to eligible local organizations, to provide uninsured 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.

AI Summary

This bill aims to increase access to pre-exposure prophylaxis (PrEP) to reduce the transmission of HIV. The key provisions of this bill are: 1. It requires private health insurance plans to cover prescription drugs for HIV prevention, as well as related screenings, diagnostic procedures, and clinical follow-ups, without any cost-sharing for the plan holder. It also prohibits insurance plans from imposing any preauthorization requirements for this coverage. 2. The bill extends similar coverage requirements to public health insurance programs like Medicare, Medicaid, and the Children's Health Insurance Program (CHIP), and prohibits cost-sharing for these services. 3. It prohibits denying, limiting, or qualifying coverage or increasing premiums for disability insurance, long-term care insurance, or life insurance policies based solely on a person taking medication for HIV prevention. 4. The bill directs the Department of Health and Human Services to establish a grant program to provide uninsured individuals access to PrEP and related services, and requires the Centers for Disease Control and Prevention to develop a public awareness campaign to increase PrEP utilization in high-need communities. 5. The bill also includes provisions to ensure patient confidentiality when accessing PrEP-related services under a family health plan. Overall, the goal of this bill is to remove financial and administrative barriers to accessing PrEP, in order to help prevent the spread of HIV in the United States.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (on 06/20/2019)

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