S-3295 : Still Just a Bill

PrEP Access and Coverage Act

This bill requires private health insurance plans to cover prescription drugs that prevent HIV, including related screenings, diagnostic procedures, administrative fees, and 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 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 an individual 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 and underinsured 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.

Action Timeline

Action DateTypeTextSource
2021-12-01IntroReferralRead twice and referred to the Committee on Health, Education, Labor, and Pensions.Senate
2021-12-01IntroReferralIntroduced in SenateLibrary of Congress

Policy Area :

Health
See Subjects
  • Child health
  • Civil actions and liability
  • Congressional oversight
  • Disability and health-based discrimination
  • Government employee pay, benefits, personnel management
  • HIV/AIDS
  • Health care costs and insurance
  • Health care coverage and access
  • Health programs administration and funding
  • Health promotion and preventive care
  • Indian social and development programs
  • Infectious and parasitic diseases
  • Life, casualty, property insurance
  • Medicaid
  • Medical tests and diagnostic methods
  • Medicare
  • Poverty and welfare assistance
  • Prescription drugs
  • Right of privacy
  • State and local government operations
  • Veterans' medical care

Related Bills

See Related Bills