A Democratic bill with 189 Democratic cosponsors · See all 189 cosponsors
Last activity — 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.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- 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
- Scored +10
Would households on low incomes be better off under this?
Provides zero-cost access via Medicaid, CHIP, and federal grants for the uninsured.
- Scored +10
Would LGBTQ people be better off under this?
Focuses specifically on reducing HIV disparities and stigma for the LGBTQ community.
- Scored +10
Does this lower the price of prescription medicines?
Eliminates out-of-pocket costs for FDA-approved HIV prevention drugs across multiple insurance types.
The opposite· 3 of 7
- Scored -5
Does this reduce what the federal government spends?
Authorizes new appropriations for public education campaigns and grant programs.
- Scored -3
Would business owners be better off under this?
Increases costs for employers providing group health insurance due to mandated coverage.
- Scored -3
Does this leave more decisions to the states?
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.
-
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.
-
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.
-
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.
-
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.
-
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. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would LGBTQ people be better off under this? — Focuses specifically on reducing HIV disparities and stigma for the LGBTQ community. Would households on low incomes be better off under this? — Provides zero-cost access via Medicaid, CHIP, and federal grants for the uninsured. Would Black Americans be better off under this? — Targets resources and education specifically to communities of color overrepresented in the HIV epidemic. Would Hispanic Americans be better off under this? — Targets resources and education specifically to communities of color overrepresented in the HIV epidemic. Would Native Americans be better off under this? — Provides specific funding and coverage for HIV prevention via the Indian Health Service. Would veterans be better off under this, taking everything together? — Eliminates copayments and mandates coverage for HIV prevention in VA and TRICARE. Would people in their twenties and thirties be better off under this? — Significantly lowers barriers to PrEP, which is highly utilized by this age group. Would Asian Americans be better off under this? — Increases access and education for high-need minority communities. Would men be better off under this? — Reduces barriers to PrEP, which is heavily used by men who have sex with men. Would people in middle age be better off under this? — Removes financial barriers to HIV prevention across various insurance plans. Would middle-income households be better off under this? — Removes deductibles and cost-sharing for PrEP in private and federal insurance. Would retired people be better off under this? — Eliminates cost-sharing for HIV prevention through Medicare. Would people over 65 be better off under this? — Eliminates cost-sharing for HIV prevention drugs under Medicare Part B and D. Would students be better off under this? — Lower cost of prevention drugs is highly beneficial for students on varying insurance plans. Would children be better off under this? — Expands HIV prevention coverage under CHIP for targeted low-income children. Would people with disabilities be better off under this? — Prevents disability insurance discrimination based on PrEP use. Would people in rural areas be better off under this? — Specifically includes rural health clinics as eligible entities for PrEP/PEP grant funding. Would union members be better off under this? — Improves benefits for those with group health plans through eliminated cost-sharing. Would people in cities be better off under this? — Increases access via grants to nonprofits and community-based organizations often located in urban centers. Would white Americans be better off under this? — Provides expanded coverage and cost-reduction for HIV prevention. Would women be better off under this? — Increases access to HIV prevention and provides coverage for pregnant women under CHIP. Would billionaires be better off under this? — Protects access to life and disability insurance regardless of PrEP use. Would high-income households be better off under this? — Increases coverage and removes insurance discrimination for PrEP users. Would people with substantial wealth be better off under this? — Protects access to life and disability insurance regardless of PrEP use. Would immigrants be better off under this? — Grant funding for uninsured/underinsured individuals likely includes undocumented or immigrant populations. Would the very wealthiest people be better off under this? — Protects access to life and disability insurance regardless of PrEP use. Would business owners be better off under this? — Increases costs for employers providing group health insurance due to mandated coverage.
- Healthcare
- Does this lower the price of prescription medicines? — Eliminates out-of-pocket costs for FDA-approved HIV prevention drugs across multiple insurance types. Does this make health care easier to get in general? — Increases access to PrEP/PEP through grants, removal of preauthorization, and zero cost-sharing. Does this help veterans get medical care? — Eliminates copayments for HIV prevention medications and associated services for veterans. Does this put more money into Medicaid, the health coverage for people on low incomes? — Mandates coverage for HIV prevention services without cost-sharing under Medicaid. Does this put more money into Medicare, the health coverage for people over 65? — Eliminates cost-sharing and deductibles for HIV prevention services under Medicare Part B and D. Does this strengthen the Affordable Care Act? — Expands preventive service mandates for plans under the ACA framework. Does this make the country readier for the next outbreak? — Actively reduces the transmission of HIV, a chronic global health crisis. Does this lower what people pay for private health insurance? — Mandating zero cost-sharing may lead insurers to increase premiums to cover costs.
- Social Issues And Justice
- Does this expand the rights of LGBTQ people? — Specifically targets resources and education to the LGBTQ community to reduce HIV disparities. Does this narrow racial gaps in how people are treated? — Directs education and grants toward communities of color disproportionately affected by HIV. Does this expand the rights of people with disabilities? — Prohibits denial of disability insurance based on the use of HIV prevention medication. Is this likely to lift people out of poverty? — Reduces medical expenses for low-income individuals seeking HIV prevention.
- Governance And Ideology
- Does this protect people from being watched or searched? — Protects users of PrEP from disclosure to family plan policyholders. Does this protect the right to fair treatment by the courts? — Creates a private right of action for individuals to sue for violations of the Act. Does this give the federal government more power? — Imposes new federal mandates on private insurers and state-administered health programs. Does this make what the government does easier for the public to see? — Requires public reports on insurer compliance every two years. Does this leave more decisions to the states? — Reduces state flexibility in Medicaid/CHIP coverage for HIV prevention.
- National Security And Foreign Policy
- Does this increase the pay, pensions or support veterans receive? — Provides free HIV prevention services and eliminates medication copayments for veterans. Does this reduce what is spent on the military? — Increases spending within the TRICARE program for HIV prevention.
- Education And Technology
- Does this give people more control over their personal data? — Ensures patient confidentiality for those on family plans accessing PrEP benefits.
- Environment Energy And Infrastructure
- Does this invest in rural communities? — Provides grants to rural health clinics to increase access to HIV prevention.
- Economy And Finance
- Does this give people more protection from unfair business practices? — Protects individuals from insurance discrimination and eliminates cost-sharing for HIV prevention. Does this reduce what the federal government spends? — Authorizes new appropriations for public education campaigns and grant programs. Does this make the government pay for what it commits to? — Adds new mandated spending without specifying an offset. Does this reduce what the federal government owes? — Increases federal spending through grants and expanded Medicare/Medicaid coverage.
- 10/22/2026
- 2 Cosponsors added.
- 10/15/2026
- 1 Cosponsor added.
- 10/13/2026
- 4 Cosponsors added.
- 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.
Jake AuchinclossDemocrat · Massachusetts
Alma AdamsDemocrat · North Carolina
Pete AguilarDemocrat · California
Gabe AmoDemocrat · Rhode Island
Yassamin AnsariDemocrat · Arizona
Sanford BishopDemocrat · Georgia
Suzanne BonamiciDemocrat · Oregon
Joyce BeattyDemocrat · Ohio
Julia BrownleyDemocrat · California
Ami BeraDemocrat · California
Donald BeyerDemocrat · Virginia
Brendan BoyleDemocrat · Pennsylvania
Nanette BarragánDemocrat · California
Shontel BrownDemocrat · Ohio
Nikki BudzinskiDemocrat · Illinois
Becca BalintDemocrat · Vermont
Wesley BellDemocrat · Missouri
Janelle BynumDemocrat · Oregon
Everton BlairDemocrat · Georgia
James ClyburnDemocrat · South Carolina
Emanuel CleaverDemocrat · Missouri
Yvette ClarkeDemocrat · New York
Steve CohenDemocrat · Tennessee
Joe CourtneyDemocrat · Connecticut
André CarsonDemocrat · Indiana
Judy ChuDemocrat · California
Joaquin CastroDemocrat · Texas
Katherine ClarkDemocrat · Massachusetts
Salud CarbajalDemocrat · California
Sean CastenDemocrat · Illinois
Angie CraigDemocrat · Minnesota
Jason CrowDemocrat · Colorado
Gilbert CisnerosDemocrat · California
Troy CarterDemocrat · Louisiana
Jasmine CrockettDemocrat · Texas
Greg CasarDemocrat · Texas
Herbert ConawayDemocrat · New Jersey
Danny DavisDemocrat · Illinois
Diana DeGetteDemocrat · Colorado
Lloyd DoggettDemocrat · Texas
Christopher DeluzioDemocrat · Pennsylvania
Suzan DelBeneDemocrat · Washington
Mark DeSaulnierDemocrat · California
Debbie DingellDemocrat · Michigan
Sharice DavidsDemocrat · Kansas
Madeleine DeanDemocrat · Pennsylvania
Maxine DexterDemocrat · Oregon
Adriano EspaillatDemocrat · New York
Veronica EscobarDemocrat · Texas
Sarah ElfrethDemocrat · Maryland
Bill FosterDemocrat · Illinois
Lois FrankelDemocrat · Florida
Lizzie FletcherDemocrat · Texas
Maxwell FrostDemocrat · Florida
Valerie FousheeDemocrat · North Carolina
Laura FriedmanDemocrat · California
Al GreenDemocrat · Texas
John GaramendiDemocrat · California
Josh GottheimerDemocrat · New Jersey
Jimmy GomezDemocrat · California
Jesús GarcíaDemocrat · Illinois
Sylvia GarciaDemocrat · Texas
Robert GarciaDemocrat · California
Daniel GoldmanDemocrat · New York
Marie PerezDemocrat · Washington
Laura GillenDemocrat · New York
Maggie GoodlanderDemocrat · New Hampshire
Adelita GrijalvaDemocrat · Arizona
Steny HoyerDemocrat · Maryland
James HimesDemocrat · Connecticut
Steven HorsfordDemocrat · Nevada
Jared HuffmanDemocrat · California
Jahana HayesDemocrat · Connecticut
Josh HarderDemocrat · California
Val HoyleDemocrat · Oregon
Pablo HernándezDemocrat · Puerto Rico
Glenn IveyDemocrat · Maryland
Henry JohnsonDemocrat · Georgia
Pramila JayapalDemocrat · Washington
Sara JacobsDemocrat · California
Jonathan JacksonDemocrat · Illinois
Julie JohnsonDemocrat · Texas
William KeatingDemocrat · Massachusetts
Robin KellyDemocrat · Illinois
Ro KhannaDemocrat · California
Raja KrishnamoorthiDemocrat · Illinois
Sydney Kamlager-DoveDemocrat · California
Timothy KennedyDemocrat · New York
Teresa Leger FernandezDemocrat · New Mexico
Zoe LofgrenDemocrat · California
John LarsonDemocrat · Connecticut
Rick LarsenDemocrat · Washington
Stephen LynchDemocrat · Massachusetts
Ted LieuDemocrat · California
Susie LeeDemocrat · Nevada
Mike LevinDemocrat · California
Greg LandsmanDemocrat · Ohio
George LatimerDemocrat · New York
Sam LiccardoDemocrat · California
James McGovernDemocrat · Massachusetts
Kweisi MfumeDemocrat · Maryland
Betty McCollumDemocrat · Minnesota
Doris MatsuiDemocrat · California
Grace MengDemocrat · New York
Seth MoultonDemocrat · Massachusetts
Joseph MorelleDemocrat · New York
Lucy McBathDemocrat · Georgia
Jared MoskowitzDemocrat · Florida
Morgan McGarveyDemocrat · Kentucky
Seth MagazinerDemocrat · Rhode Island
Kevin MullinDemocrat · California
Robert MenendezDemocrat · New Jersey
Jennifer McClellanDemocrat · Virginia
LaMonica McIverDemocrat · New Jersey
April McClain DelaneyDemocrat · Maryland
Kelly MorrisonDemocrat · Minnesota
Kristen McDonald RivetDemocrat · Michigan
Sarah McBrideDemocrat · Delaware
Dave MinDemocrat · California
Christian MenefeeDemocrat · Texas
Analilia MejiaDemocrat · New Jersey
Jerrold NadlerDemocrat · New York
Richard NealDemocrat · Massachusetts
Eleanor NortonDemocrat · District of Columbia
Donald NorcrossDemocrat · New Jersey
Joe NeguseDemocrat · Colorado
Alexandria Ocasio-CortezDemocrat · New York
Ilhan OmarDemocrat · Minnesota
Chellie PingreeDemocrat · Maine
Mark PocanDemocrat · Wisconsin
Scott PetersDemocrat · California
Jimmy PanettaDemocrat · California
Chris PappasDemocrat · New Hampshire
Ayanna PressleyDemocrat · Massachusetts
Brittany PettersenDemocrat · Colorado
Nellie PouDemocrat · New Jersey
Mike QuigleyDemocrat · Illinois
Deborah RossDemocrat · North Carolina
Patrick RyanDemocrat · New York
Raul RuizDemocrat · California
Jamie RaskinDemocrat · Maryland
Delia RamirezDemocrat · Illinois
Luz RivasDemocrat · California
Emily RandallDemocrat · Washington
Josh RileyDemocrat · New York
Robert ScottDemocrat · Virginia
Brad ShermanDemocrat · California
Adam SmithDemocrat · Washington
Janice SchakowskyDemocrat · Illinois
Linda SánchezDemocrat · California
Marilyn StricklandDemocrat · Washington
Terri SewellDemocrat · Alabama
Bradley SchneiderDemocrat · Illinois
Darren SotoDemocrat · Florida
Thomas SuozziDemocrat · New York
Mary Gay ScanlonDemocrat · Pennsylvania
Greg StantonDemocrat · Arizona
Haley StevensDemocrat · Michigan
Kim SchrierDemocrat · Washington
Melanie StansburyDemocrat · New Mexico
Hillary ScholtenDemocrat · Michigan
Emilia SykesDemocrat · Ohio
Eric SorensenDemocrat · Illinois
Andrea SalinasDemocrat · Oregon
Suhas SubramanyamDemocrat · Virginia
Lateefah SimonDemocrat · California
Bennie ThompsonDemocrat · Mississippi
Mike ThompsonDemocrat · California
Dina TitusDemocrat · Nevada
Paul TonkoDemocrat · New York
Norma TorresDemocrat · California
Rashida TlaibDemocrat · Michigan
Lori TrahanDemocrat · Massachusetts
Ritchie TorresDemocrat · New York
Jill TokudaDemocrat · Hawaii
Shri ThanedarDemocrat · Michigan
Derek TranDemocrat · California
Lauren UnderwoodDemocrat · Illinois
Nydia VelázquezDemocrat · New York
Juan VargasDemocrat · California
Gabe VasquezDemocrat · New Mexico
Eugene VindmanDemocrat · Virginia
Maxine WatersDemocrat · California
Nikema WilliamsDemocrat · Georgia
Debbie Wasserman SchultzDemocrat · Florida
Frederica WilsonDemocrat · Florida
Bonnie Watson ColemanDemocrat · New Jersey
George WhitesidesDemocrat · California
James WalkinshawDemocrat · Virginia