Sponsors (18)
The bill substantially expands free PrEP access and funds local prevention and outreach to reduce HIV incidence and disparities, but it requires significant federal funding and imposes provider/grantee conditions (reimbursement rules, matching, reporting) that could undermine provider participation or program stability if payments or appropriations are insufficient.
Uninsured and other at‑risk people (including rural populations) gain free access to FDA‑approved HIV prevention drugs (PrEP), recommended lab tests, and related telehealth services through the new program and PrEP Pass.
Community organizations, clinics, and health systems receive dedicated grant funding (awards up to $10M) to establish or expand local PrEP programs, increasing prevention capacity where people receive care.
The bill funds outreach, peer navigation, transportation assistance, and behavioral‑health supports to reduce barriers and improve PrEP uptake among hard‑to‑reach and high‑risk groups.
The program authorizes sizable new federal spending ($400 million per year FY2027–2031), increasing budgetary commitments and fiscal costs borne by taxpayers.
Access for uninsured people depends on future appropriations — if Congress does not fund the program consistently, beneficiaries may face interruptions in free PrEP services and tests.
Requirements that providers agree not to bill uninsured patients and reimbursement rules (including tying lab payments to Medicare Part B methodology) risk setting payments too low or mismatched to actual costs, potentially discouraging provider participation and reducing service availability.
Based on analysis of 3 sections of legislative text.
Creates federal grant and reimbursement programs (with a PrEP Pass) to provide free PrEP and related services to uninsured and underserved populations; authorizes $400M/year for FY2027–2031.
Official title: To direct the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, to establish a grant program related to pre-exposure prophylaxis, and for other purposes.
Introduced February 4, 2026 by Bonnie Watson Coleman · Last progress February 4, 2026
Creates two federal programs to expand access to HIV pre-exposure prophylaxis (PrEP). The Department of Health and Human Services must stand up a CDC-administered grant program to fund community, clinic, and tribal PrEP programs and a HRSA-administered reimbursement program that issues a “PrEP Pass” so uninsured people can get PrEP and related services at no cost. The bill authorizes $400 million per year for FY2027–2031 for grants, requires the programs to be established within one year, sets allowable uses of funds (medication, tests, visits, outreach, navigation, transportation, mental health, etc.), includes reporting and preference rules for high-need communities, and requires payment rules and a no-billing guarantee for reimbursed services to uninsured patients.