119th (2025–2027)
H.R. 7853
The PrEP Access and Coverage Act of 2026 requires health insurance plans—including private insurance, Medicare, Medicaid, CHIP, Veterans Affairs, and military TRICARE—to cover HIV prevention medications (such as PrEP) and related services with no out-of-pocket costs to patients, effective January 1, 2027. The bill also prohibits life, disability, and long-term care insurers from denying coverage or charging higher premiums based on HIV prevention medication use. To increase access and awareness, the legislation establishes public and healthcare provider education campaigns focused on underserved communities, along with a federal grant program that funds states, territories, tribes, and nonprofits to provide PrEP and PEP services for uninsured and underinsured individuals. Enforcement mechanisms require insurers to report annual compliance data and mandate federal agencies monitor adherence to the coverage requirements, ensuring the program meets its public health goals.