No-Cost Coverage for HIV Prevention Services (PrEP and PEP)
This act aims to provide no-cost access to PrEP and PEP medications and related HIV prevention services for individuals covered by private insurance, Medicare, Medicaid, CHIP, and the Federal Employees Health Benefits program. This means citizens will not have to bear the costs for these crucial services, facilitating HIV prevention and improving public health.
Key points
Private Insurance: No cost-sharing for PrEP/PEP drugs, lab tests, counseling, and monitoring related to HIV prevention. Prohibition on preauthorization requirements unless a therapeutically equivalent drug is covered without preauthorization.
Medicare (Parts B and D): Full coverage for HIV prevention services (drugs, tests, counseling, monitoring) with no coinsurance or deductibles. HIV prevention drugs under Part D also have no cost-sharing or deductibles.
Medicaid and CHIP: Inclusion of HIV prevention services in covered benefits with no cost-sharing for beneficiaries.
Federal Employees Health Benefits Program: No cost-sharing for PrEP/PEP drugs, lab tests, counseling, and monitoring related to HIV prevention.
Introduced
Citizen Poll