H.R.7189

PrEP Access Act

Introduced·1/21/26

PrEP Access Act amends Medicare to cover certain HIV prevention services provided by pharmacists.

The PrEP Access Act amends title XVIII of the Social Security Act to provide coverage for certain HIV prevention services furnished by pharmacists under the Medicare program. This includes coverage for services related to pre-exposure prophylaxis, post-exposure prophylaxis, and other evidence-based interventions for the prevention of human immunodeficiency virus. The bill also prohibits balance billing for pharmacist services and sets payment rates at 80 percent of the lesser of the actual charge or 85 percent of the Medicare payment rate.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Current
Energy And Commerce Committee
Next
Committee decision

Sponsors

Democratic CaucusRepublican Caucus

History

Jan 21

House

Introduced in House

Jan 21

House

Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.