Most health insurance plans would cover HIV prevention drugs and services at no cost.
This bill, called the "PrEP and PEP are Prevention Act," would make sure that most health insurance plans cover HIV prevention services, like PrEP and PEP drugs, at no cost. This means people with private insurance, Medicare, Medicaid, CHIP, and federal employee health plans would not pay deductibles, co-pays, or other fees for these services. It would also limit when plans can require preauthorization for these drugs.
Today, coverage for HIV prevention services like PrEP and PEP, along with related care, can vary by insurance plan and program. This often involves deductibles, coinsurance, other cost-sharing, and preauthorization. If this bill becomes law, most private insurance plans, Medicare, Medicaid, CHIP, and federal employee health plans would be required to cover these FDA-approved HIV prevention drugs and associated services at no cost. This would eliminate deductibles, co-pays, and most preauthorization rules.
HR 5127 · 119th Congress · September 4, 2025 · AI Summary by gemini-2.5-flash · 10/10
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2 filings mentioned this bill
Amounts reflect total quarterly lobbying spend reported to the Senate, not bill-specific spending. Source: Senate LDA filings.