An Act to address barriers to HIV prevention medication

This bill (H 4951) requires Massachusetts health insurance plans and state employee health coverage to fully cover HIV prevention medications (like PrEP) without cost-sharing (no copays, deductibles) or prior approval delays. It applies to state employees, retirees, and all health insurance policies (individual and group) covering hospital/surgical expenses. Key provisions mandate that insurers cannot deny coverage based on the type of healthcare provider prescribing the medication or where it's prescribed (e.g., clinic vs. hospital), as long as the provider is licensed. The law also ensures coverage includes necessary monitoring services like lab tests and counseling, as defined by federal health agencies.