Bill · H.R. 7189· House(119-HR-7189)
PrEP Access Act
- Introduced
- 1/21/2026
- Last activity
- 1/21/2026 — 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.
- Sponsored by
- Mark Pocan
- Cosponsors
- - 21 - 0
- Introduced
- In Committee
What this bill would do
The PrEP Access Act seeks to amend the Social Security Act to allow Medicare Part B to cover certain HIV prevention services provided by pharmacists. These services include evaluation, management, screening, consultation, counseling, medication administration, and clinical diagnostic laboratory tests related to pre-exposure or post-exposure prophylaxis. The bill specifies that these services must be legally authorized under State law. It also establishes a specific payment structure for these services. Additionally, the act includes a prohibition on balance billing for pharmacists providing these services. These changes are set to take effect for services furnished on or after January 1, 2027.
Yes· 3 of 5
Would people over 65 be better off under this?+7
The bill provides new Medicare benefits that directly benefit seniors through improved HIV prevention access.
Would retired people be better off under this?+7
The bill expands Medicare coverage, which directly benefits retirees seeking HIV prevention services.
Does this make health care easier to get in general?+7
The bill enhances access to HIV prevention through coverage for pharmacist-provided services like screening and counseling.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
-
Expanded Access to HIV Prevention: Under Section 2(a)(2), Medicare beneficiaries may access services such as evaluation, management, screening, consultation, and counseling related to pre-exposure prophylaxis, post-exposure prophylaxis, or other evidence-based interventions. This is positive because it allows pharmacists to provide these services if legally authorized by State law.
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Coverage for Medication and Testing: Section 2(a)(2)(2) covers medication administration for HIV prevention interventions and related clinical diagnostic laboratory tests. This provides comprehensive support for prevention through a pharmacist.
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Protection Against Extra Costs: Section 2(c) amends the Social Security Act to include a prohibition on balance billing for pharmacists. This means certain patients would be protected from unexpected additional charges for these specific services.
Potential Negative Impacts for People
- Implementation Delay: According to Section 2(e), the changes and coverage provided by this bill do not apply to items and services furnished until on or after January 1, 2027. This means the benefits described are not immediate.
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 Retirees+7Good For Seniors+7
- Healthcare
- Improves Healthcare Access+7Increases Medicare Funding+5
- Economy And Finance
- Improves Consumer Protection+5
- 8/31/2026
- 1 Cosponsor added.
- 8/3/2026
- 4 Cosponsors added.
- 4/9/2026
- 3 Cosponsors added.
- 2/4/2026
- 2 Cosponsors added.
- 1/21/2026
- 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.
- 11 Cosponsors added.
- Introduced in House
Joyce BeattyDemocrat · Ohio
Nikki BudzinskiDemocrat · Illinois
Becca BalintDemocrat · Vermont
Emanuel CleaverDemocrat · Missouri
Steve CohenDemocrat · Tennessee
J. CorreaDemocrat · California
Madeleine DeanDemocrat · Pennsylvania
Laura FriedmanDemocrat · California
Josh GottheimerDemocrat · New Jersey
Sylvia GarciaDemocrat · Texas
Robert GarciaDemocrat · California
Adelita GrijalvaDemocrat · Arizona
Pablo HernándezDemocrat · Puerto Rico
Henry JohnsonDemocrat · Georgia
Jonathan JacksonDemocrat · Illinois
Eleanor NortonDemocrat · District of Columbia
Chellie PingreeDemocrat · Maine
Deborah RossDemocrat · North Carolina
Delia RamirezDemocrat · Illinois
Ritchie TorresDemocrat · New York
Bonnie Watson ColemanDemocrat · New Jersey