Bill · H.R. 5127· House(119-HR-5127)
PrEP and PEP are Prevention Act
- Introduced
- 9/4/2025
- Last activity
- 9/4/2025 — Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Oversight and Government Reform, 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.
- Sponsored by
- Maxine Waters
- Cosponsors
- - 35 - 0
- Introduced
- In Committee
What this bill would do
The "PrEP and PEP are Prevention Act" requires no-cost coverage for certain HIV prevention services. This includes FDA-approved drugs for pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP). The bill mandates these services be covered without cost-sharing across private insurance, Medicare, Medicaid, CHIP, and the Federal Employees Health Benefits Program. Coverage extends beyond medication to include administrative fees, diagnostic procedures, counseling, and clinical monitoring.
Yes· 3 of 35
Would households on low incomes be better off under this?+10
Completely removes financial barriers for PrEP and PEP through Medicaid, CHIP, and other programs.
Would LGBTQ people be better off under this?+10
Directly benefits a high-risk population by ensuring no-cost access to critical HIV prevention.
Does this lower the price of prescription medicines?+10
Eliminates all out-of-pocket costs for FDA-approved PrEP and PEP medications across multiple insurance types.
The opposite· 3 of 6
Does this leave more decisions to the states?-4
Reduces state autonomy by requiring specific coverage for HIV prevention services.
Would business owners be better off under this?-2
Employer-sponsored plans may face higher costs to cover these mandates.
Does this lower what people pay for private health insurance?-2
Mandating no-cost coverage for specific services may lead private insurers to raise premiums to offset costs.
Who it would affect, and how
Potential Positive Impacts for People
-
Expanded Free Access to Prevention: People can access FDA-approved HIV prevention drugs (PrEP and PEP), diagnostic tests, counseling, and monitoring without paying out-of-pocket costs. This is mandated for private insurance (Section 2(a)(1)), Medicare (Section 2(b)), Medicaid (Section 2(c)(1)), CHIP (Section 2(c)(2)), and Federal Employees Health Benefits (Section 2(d)(1)).
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Removal of Financial Barriers in Medicare: The bill eliminates coinsurance (Section 2(b)(1)(B)), deductibles (Section 2(b)(1)(C)), and cost-sharing for Part D drugs (Section 2(b)(2)(A)) specifically for HIV prevention services.
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Reduced Administrative Hurdles: For those with private insurance, the bill generally prohibits preauthorization requirements for these prevention services (Section 2(a)(2)).
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Comprehensive Support: Benefits are not limited to drugs but include related services like HIV risk assessment, medication adherence counseling, and clinical follow-up recommended by Public Health Service guidelines (Section 2(a)(1), 2(b)(1)(ii), 2(c)(1)(ll), and 2(d)(1)).
Potential Negative Impacts for People
- Limited Drug Choices: Under private insurance, a plan may still require preauthorization for a specific drug if they provide a "therapeutically equivalent" drug without preauthorization (Section 2(a)(2)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For L G B T Q Community+10Good For Low Income Households+10Good For African Americans+8Good For Hispanic Americans+8Good For Native Americans+8Good For Students+8Good For Young Adults+8Good For Middle Class Households+7Good For Retirees+7Good For Seniors+7Good For Asian Americans+6Good For Billionaires+6Good For High Income Households+6Good For High Net Worth Individuals+6Good For Men+6Good For Middle Aged+6Good For People With Disabilities+6Good For Rural Residents+6Good For Ultra High Net Worth Individuals+6Good For Union Workers+6Good For Urban Residents+6Good For White Americans+6Good For Women+6Good For Children+5Good For Immigrants+5Good For Business Owners-2
- Healthcare
- Reduces Prescription Drug Costs+10Improves Healthcare Access+9Increases Medicaid Funding+6Increases Medicare Funding+6Increases Affordable Care Act Support+5Reduces Private Insurance Premiums-2
- Social Issues And Justice
- Improves L G B T Q Rights+8Improves Racial Equity+7Improves Poverty Reduction+4
- Economy And Finance
- Improves Consumer Protection+5Improves Fiscal Responsibility-2Reduces Government Spending-2Reduces National Debt-2
- Governance And Ideology
- Increases Federal Power+4Increase States Rights-4
- 6/30/2026
- 1 Cosponsor added.
- 2/2/2026
- 1 Cosponsor added.
- 12/3/2025
- 1 Cosponsor added.
- 10/28/2025
- 1 Cosponsor added.
- 9/9/2025
- 5 Cosponsors added.
- 9/4/2025
- Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Oversight and Government Reform, 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.
- 26 Cosponsors added.
- Introduced in House
Joyce BeattyDemocrat · Ohio
Nanette BarragánDemocrat · California
Emanuel CleaverDemocrat · Missouri
Yvette ClarkeDemocrat · New York
Steve CohenDemocrat · Tennessee
André CarsonDemocrat · Indiana
Shomari FiguresDemocrat · Alabama
Sylvia GarciaDemocrat · Texas
Robert GarciaDemocrat · California
Henry JohnsonDemocrat · Georgia
Jonathan JacksonDemocrat · Illinois
Julie JohnsonDemocrat · Texas
Robin KellyDemocrat · Illinois
Raja KrishnamoorthiDemocrat · Illinois
George LatimerDemocrat · New York
Gwen MooreDemocrat · Wisconsin
Kevin MullinDemocrat · California
LaMonica McIverDemocrat · New Jersey
Jerrold NadlerDemocrat · New York
Eleanor NortonDemocrat · District of Columbia
Mark PocanDemocrat · Wisconsin
Mike QuigleyDemocrat · Illinois
Deborah RossDemocrat · North Carolina
Delia RamirezDemocrat · Illinois
Emily RandallDemocrat · Washington
Terri SewellDemocrat · Alabama
Lateefah SimonDemocrat · California
Bennie ThompsonDemocrat · Mississippi
Dina TitusDemocrat · Nevada
Rashida TlaibDemocrat · Michigan
Shri ThanedarDemocrat · Michigan
Nydia VelázquezDemocrat · New York
Nikema WilliamsDemocrat · Georgia
Frederica WilsonDemocrat · Florida
Bonnie Watson ColemanDemocrat · New Jersey