Bill > SB935

This bill, known as the PrEP for Pennsylvania Act, requires health insurance policies in Pennsylvania to provide coverage for Pre-Exposure Prophylaxis (PrEP), which is a medication approved by the FDA to prevent HIV transmission. The bill defines "health insurance policy" broadly to include various types of individual and group health insurance plans, while specifically excluding certain limited benefit insurance types. Under the new law, any health insurance policy delivered, issued, renewed, or modified in Pennsylvania must cover PrEP medication expenses. The bill also includes two important consumer protections: insurance providers cannot move PrEP medications to a specialty tier solely to increase costs, and they cannot require mandatory counseling from an infectious disease specialist or immunologist unless medically necessary. The definitions section clarifies that PrEP is a preventative medication taken to stop HIV transmission, and the law will go into effect 60 days after its passage. By mandating coverage, the bill aims to make this important HIV prevention medication more accessible and affordable for Pennsylvania residents.