Bill · H.R. 7853· House(119-HR-7853)
PrEP Access and Coverage Act of 2026
- Introduced
- 3/5/2026
- Last activity
- 3/5/2026 — Referred to the Committee on Energy and Commerce, and in addition to the Committees on Oversight and Government Reform, Ways and Means, Veterans' Affairs, Armed Services, Natural Resources, Financial Services, and Education and Workforce, 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 Takano
- Cosponsors
- - 182 - 0
- Introduced
- In Committee
What this bill would do
The bill, known as the PrEP Access and Coverage Act of 2026, aims to increase access to pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) to reduce HIV transmission. It mandates that private health insurance, federal employee plans, Medicaid, CHIP, Medicare, Veterans Affairs healthcare, and TRICARE cover FDA-approved HIV prevention drugs and related services without cost-sharing or preauthorization in most cases. The legislation also prohibits life, disability, and long-term care insurance companies from denying coverage, raising premiums, or discriminating against individuals taking HIV prevention medication. Furthermore, it establishes public and provider education campaigns, grants for community health programs, patient confidentiality protections, and enforcement mechanisms to monitor compliance.
Yes· 3 of 45
Would households on low incomes be better off under this?+10
Provides zero-cost access via Medicaid, CHIP, and federal grants for the uninsured.
Would LGBTQ people be better off under this?+10
Focuses specifically on reducing HIV disparities and stigma for the LGBTQ community.
Does this lower the price of prescription medicines?+10
Eliminates out-of-pocket costs for FDA-approved HIV prevention drugs across multiple insurance types.
The opposite· 3 of 7
Does this reduce what the federal government spends?-5
Authorizes new appropriations for public education campaigns and grant programs.
Would business owners be better off under this?-3
Increases costs for employers providing group health insurance due to mandated coverage.
Does this leave more decisions to the states?-3
Reduces state flexibility in Medicaid/CHIP coverage for HIV prevention.
Who it would affect, and how
Potential Positive Impacts for People
-
Section 3 requires private health plans, grandfathered plans, and federal programs like Medicaid, Medicare, and the Federal Employees Health Benefits Program to cover FDA-approved HIV prevention drugs, diagnostic tests, administrative fees, and clinical follow-up without cost-sharing, making preventative care much more affordable and accessible for individuals.
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Section 3(a)(3) prohibits group health plans and health insurance issuers from imposing preauthorization requirements for HIV prevention services, though plans may require preauthorization for a specific drug if a therapeutically equivalent option is covered without preauthorization, helping patients get their medication without unnecessary bureaucratic delays.
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Section 3(f) eliminates medication copayments and hospital care and medical service copayments for HIV prevention drugs, laboratory procedures, and clinical follow-up for veterans through the Department of Veterans Affairs, directly reducing out-of-pocket healthcare costs for veterans.
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Section 4 makes it unlawful for life, disability, and long-term care insurance companies to decline coverage, limit policies, require medication use as a condition, or increase premium rates solely because an individual is taking medication to prevent the acquisition of HIV, protecting users from insurance discrimination.
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Section 6 directs the Secretary of Health and Human Services to amend HIPAA regulations to ensure that individuals can access HIV prevention benefits under a family plan without other enrolled family members or the primary subscriber being informed, protecting patient privacy.
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Section 7 establishes a grant program for States, territories, Indian Tribes, and directly eligible entities like community health centers to support PrEP and PEP programs, outreach, and adherence services for uninsured and underinsured individuals, helping expand care in high-need communities.
Potential Positive Impacts for People
- Section 10(b)(2) requires group health plans and health insurance issuers to submit annual data to the federal government demonstrating compliance with coverage requirements and detailing the number of claims received for HIV prevention services, which imposes administrative reporting burdens on insurers.
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+9Good For Hispanic Americans+9Good For Native Americans+9Good For Veterans+9Good For Young Adults+9Good For Asian Americans+8Good For Men+8Good For Middle Aged+8Good For Middle Class Households+8Good For Retirees+8Good For Seniors+8Good For Students+8Good For Children+7Good For People With Disabilities+7Good For Rural Residents+7Good For Union Workers+7Good For Urban Residents+7Good For White Americans+7Good For Women+7Good For Billionaires+6Good For High Income Households+6Good For High Net Worth Individuals+6Good For Immigrants+6Good For Ultra High Net Worth Individuals+6Good For Business Owners-3
- Healthcare
- Reduces Prescription Drug Costs+10Improves Healthcare Access+9Improves Veterans Healthcare+9Increases Medicaid Funding+8Increases Medicare Funding+8Increases Affordable Care Act Support+6Improves Pandemic Preparedness+5Reduces Private Insurance Premiums-2
- Social Issues And Justice
- Improves L G B T Q Rights+9Improves Racial Equity+8Improves Disability Rights+7Improves Poverty Reduction+5
- Governance And Ideology
- Improves Privacy Rights+8Improves Due Process+6Increases Federal Power+5Improves Government Transparency+4Increase States Rights-3
- National Security And Foreign Policy
- Improves Veterans Benefits+9Reduces Military Spending-1
- Education And Technology
- Improves Data Privacy+6
- Environment Energy And Infrastructure
- Improves Rural Development+4
- Economy And Finance
- Improves Consumer Protection+7Reduces Government Spending-5Improves Fiscal Responsibility-2Reduces National Debt-2
- 10/9/2026
- 4 Cosponsors added.
- 10/6/2026
- 1 Cosponsor added.
- 10/5/2026
- 4 Cosponsors added.
- 10/1/2026
- 9 Cosponsors added.
- 9/24/2026
- 7 Cosponsors added.
- 9/21/2026
- 9 Cosponsors added.
- 9/16/2026
- 4 Cosponsors added.
- 9/15/2026
- 6 Cosponsors added.
- 9/14/2026
- 6 Cosponsors added.
- 9/10/2026
- 8 Cosponsors added.
- 9/3/2026
- 2 Cosponsors added.
- 9/2/2026
- 6 Cosponsors added.
- 9/1/2026
- 2 Cosponsors added.
- 8/31/2026
- 9 Cosponsors added.
- 8/27/2026
- 43 Cosponsors added.
- 8/17/2026
- 2 Cosponsors added.
- 8/13/2026
- 10 Cosponsors added.
- 8/3/2026
- 16 Cosponsors added.
- 7/30/2026
- 2 Cosponsors added.
- 7/20/2026
- 1 Cosponsor added.
- 6/29/2026
- 1 Cosponsor added.
- 5/14/2026
- 5 Cosponsors added.
- 4/27/2026
- 1 Cosponsor added.
- 4/22/2026
- 3 Cosponsors added.
- 4/20/2026
- 18 Cosponsors added.
- 4/13/2026
- 1 Cosponsor added.
- 3/5/2026
- Referred to the Committee on Energy and Commerce, and in addition to the Committees on Oversight and Government Reform, Ways and Means, Veterans' Affairs, Armed Services, Natural Resources, Financial Services, and Education and Workforce, 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.
- 2 Cosponsors added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
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