An Act to address barriers to HIV prevention medication
HD 1913 requires health insurance plans covering HIV prevention medication (pre-exposure prophylaxis, or PrEP) to provide full coverage without out-of-pocket costs. It applies to Commonwealth employee health insurance, state health plans, and accident/sickness insurance policies. The bill eliminates cost-sharing (like copays or deductibles), removes prior authorization requirements, and prohibits denying coverage based on the prescriber's type or location. It ensures access to PrEP drugs and required monitoring services (like lab tests or counseling) as defined by federal health agencies. This directly affects individuals seeking HIV prevention medication through these specific insurance programs.
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