{ "legislationId": "119_HR_7853", "lastUpdate": "2026-03-25T12:27:18.514Z", "history": [ { "timestamp": "2026-03-25T12:27:18.514Z", "source_url": "https://www.congress.gov/119/bills/hr7853/BILLS-119hr7853ih.htm", "model": "gemini-flash-lite-latest", "prompt_sent": "\nROLE: Fact Checker.\nZADANIE: Porównaj SOURCE (oryginał) i SUMMARY (streszczenie przygotowane przez inne AI).\n\nTwoim celem jest wykrycie \"ZMYŚLONYCH KONKRETÓW\" (Fabricated Entities) w SUMMARY.\n\nSOURCE:\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 7853 Introduced in House (IH)] 119th CONGRESS 2d Session H. R. 7853 To increase access to pre-exposure prophylaxis to reduce the transmission of HIV. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 5, 2026 Mr. Takano (for himself, Mr. Pocan, and Ms. Balint) introduced the following bill; which was 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 _______________________________________________________________________ A BILL To increase access to pre-exposure prophylaxis to reduce the transmission of HIV. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``PrEP Access and Coverage Act of 2026''. SEC. 2. SENSE OF CONGRESS. It is the sense of Congress that the Department of Labor, the Department of Health and Human Services, and the Department of the Treasury should ensure compliance with the requirements described in this Act. SEC. 3. COVERAGE REQUIREMENTS. (a) Private Insurance.-- (1) In general.--Section 2713(a) of the Public Health Service Act (42 U.S.C. 300gg-13(a)) is amended-- (A) in paragraph (2), by striking ``; and'' and inserting a semicolon; (B) in paragraph (3), by striking the period and inserting a semicolon; (C) in paragraph (4), by striking the period and inserting ``; and''; (D) by striking paragraph (5); (E) by adding at the end the following: ``(5) any prescription drug approved by the Food and Drug Administration used for the prevention of HIV (other than a drug subject to preauthorization requirements consistent with section 2729A-11), administrative fees for such drugs, laboratory and other diagnostic procedures associated with the use of such drugs, and clinical follow-up and monitoring, including any related services recommended in current United States Public Health Service clinical practice guidelines, including policy notes updating those guidelines, without limitation.''; and (F) by adding at the end of the flush text at the end the following: ``For the purposes of this Act, and for the purposes of any other provision of law, the current recommendations of the United States Preventive Service Task Force regarding breast cancer screening, mammography, and prevention shall be considered the most current other than those issued in or around November 2009.''. (2) Grandfathered plans.--Section 1251(a)(4) of the Patient Protection and Affordable Care Act (42 U.S.C. 18011(a)(4)) is amended by adding at the end the following: ``(v) Section 2713(a)(5) (relating to coverage without cost-sharing for prescription drugs for the prevention of HIV).''. (3) Prohibition on preauthorization requirements.-- (A) PHSA.--Part D of title XXVII of the Public Health Service Act (42 U.S.C. 300gg-111 et seq.) is amended by adding at the end the following: ``SEC. 2799A-12. PROHIBITION ON PREAUTHORIZATION REQUIREMENTS WITH RESPECT TO CERTAIN SERVICES. ``A group health plan or a health insurance issuer offering group or individual health insurance coverage shall not impose any preauthorization requirements with respect to coverage of the services described in section 2713(a)(5), except that a plan or issuer may impose preauthorization requirements with respect to coverage of a particular drug approved under section 505(c) of the Federal Food, Drug, and Cosmetic Act or section 351(a) of this Act if such plan or issuer provides coverage without any preauthorization requirements for a drug that is therapeutically equivalent.''. (B) ERISA.-- (i) In general.--Subpart B of part 7 of subtitle B of title I of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1185 et seq.) is amended by adding at the end the following: ``SEC. 727. PROHIBITION ON PREAUTHORIZATION REQUIREMENTS WITH RESPECT TO CERTAIN SERVICES. ``A group health plan or a health insurance issuer offering group health insurance coverage shall not impose any preauthorization requirements with respect to coverage of the services described in section 2713(a)(5) of the Public Health Service Act, except that a plan or issuer may impose preauthorization requirements with respect to coverage of a particular drug approved under section 505(c) of the Federal Food, Drug, and Cosmetic Act or section 351(a) of the Public Health Service Act if such plan or issuer provides coverage without any preauthorization requirements for a drug that is therapeutically equivalent.''. (ii) Clerical amendment.--The table of contents in section 1 of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1001 et seq.) is amended by inserting after the item relating to section 726 the following new item: ``Sec. 727. Prohibition on preauthorization requirements with respect to certain services.''. (C) IRC.-- (i) In general.--Chapter 100 of the Internal Revenue Code of 1986 is amended by adding at the end of subchapter B the following: ``SEC. 9827. PROHIBITION ON PREAUTHORIZATION REQUIREMENTS WITH RESPECT TO CERTAIN SERVICES. ``A group health plan shall not impose any preauthorization requirements with respect to coverage of the services described in section 2713(a)(5) of the Public Health Service Act, except that a plan may impose preauthorization requirements with respect to coverage of a particular drug approved under section 505(c) of the Federal Food, Drug, and Cosmetic Act or section 351(a) of the Public Health Service Act if such plan provides coverage without any preauthorization requirements for a drug that is therapeutically equivalent.''. (ii) Clerical amendment.--The table of sections for subchapter B of chapter 100 of the Internal Revenue Code of 1986 is amended by adding at the end the following new item: ``Sec. 9827. Prohibition on preauthorization requirements with respect to certain services.''. (b) Coverage Under Federal Employees Health Benefits Program.-- Section 8904 of title 5, United States Code, is amended by adding at the end the following: ``(c) Any health benefits plan offered under this chapter shall include benefits for, and may not impose any cost-sharing requirements for any prescription drug approved by the Food and Drug Administration used for the prevention of HIV, administrative fees for such drugs, laboratory and other diagnostic procedures associated with the use of such drugs, and clinical follow-up and monitoring, including any related services recommended in current United States Public Health Service clinical practice guidelines, including policy notes updating those guidelines, without limitation.''. (c) Medicaid.-- (1) In general.--Section 1905 of the Social Security Act (42 U.S.C. 1396d) is amended by-- (A) in subsection (a)(4), by striking the semicolon at the end and inserting ``; and (G) HIV prevention services;''; and (B) by adding at the end the following new subsection: ``(ll) HIV Prevention Services.--For purposes of subsection (a)(4)(G), the term `HIV prevention services' means all prescription drugs used for the prevention of HIV acquisition, administrative fees for such drugs, laboratory and other diagnostic procedures associated with the use of such drugs, and clinical follow-up and monitoring, including any related services recommended in current United States Public Health Service clinical practice guidelines, including policy notes updating those guidelines without limitation.''. (2) No cost-sharing.--Title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) is amended-- (A) in section 1916, by inserting ``HIV prevention services described in section 1905(a)(4)(G),'' after ``section 1905(a)(4)(C),'' each place it appears; and (B) in section 1916A(b)(3)(B), by adding at the end the following new clause: ``(xv) HIV prevention services described in section 1905(a)(4)(G).''. (3) Inclusion in benchmark coverage.--Section 1937(b)(7) of the Social Security Act (42 U.S.C. 1396u-7(b)(7)) is amended-- (A) in the paragraph heading, by inserting ``and hiv prevention services'' after ``supplies''; and (B) by striking ``includes for any individual described in section 1905(a)(4)(C), medical assistance for family planning services and supplies in accordance with such section'' and inserting ``includes medical assistance for HIV prevention services described in section 1905(a)(4)(G), and includes, for any individual described in section 1905(a)(4)(C), medical assistance for family planning services and supplies in accordance with such section''. (d) CHIP.-- (1) In general.--Section 2103 of the Social Security Act (42 U.S.C. 1397cc) is amended-- (A) in subsection (a), in the matter preceding paragraph (1), by striking ``and (8)'' and inserting ``(8), and (13)''; and (B) in subsection (c), by adding at the end the following new paragraph: ``(13) HIV prevention services.--Regardless of the type of coverage elected by a State under subsection (a), the child health assistance provided for a targeted low-income child, and, in the case of a State that elects to provide pregnancy- related assistance pursuant to section 2112, the pregnancy- related assistance provided for a targeted low-income pregnant woman (as such terms are defined for purposes of such section), shall include coverage of HIV prevention services (as defined in section 1905(ll)).''. (2) No cost-sharing.--Section 2103(e)(2) of the Social Security Act (42 U.S.C. 1397cc(e)(2)) is amended-- (A) in the paragraph heading, by inserting ``HIV prevention services,'' after ``treatment,''; and (B) by inserting ``HIV prevention services described in subsection (c)(13),'' before ``or for pregnancy-related assistance''. (3) Effective date.-- (A) In general.--Subject to subparagraph (B), the amendments made by subsection (c) and this subsection shall take effect on January 1, 2027. (B) Delay permitted if state legislation required.--In the case of a State plan approved under title XIX or XXI of the Social Security Act which the Secretary of Health and Human Services determines requires State legislation (other than legislation appropriating funds) in order for the plan to meet the additional requirements imposed by this section, the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of the failure of the plan to meet such additional requirements before the 1st day of the 1st calendar quarter beginning after the close of the 1st regular session of the State legislature that ends after the 1- year period beginning with the date of enactment of this section. For purposes of the preceding sentence, in the case of a State that has a 2-year legislative session, each year of the session is deemed to be a separate regular session of the State legislature. (e) Coverage and Elimination of Cost-Sharing Under Medicare.-- (1) Coverage of hiv prevention services under part b.-- (A) Coverage.-- (i) In general.--Section 1861(s)(2) of the Social Security Act (42 U.S.C. 1395x(s)(2)) is amended-- (I) in subparagraph (JJ), by striking ``and'' at the end; (II) in subparagraph (KK), by inserting ``and'' at the end; and (III) by adding at the end the following new subparagraph: ``(LL) HIV prevention services (as defined in subsection (ooo));''. (ii) Definition.--Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended by adding at the end the following new subsection: ``(ooo) HIV Prevention Services.--The term `HIV prevention services' means-- ``(1) drugs or biologicals approved by the Food and Drug Administration for the prevention of HIV; ``(2) administrative fees for such drugs; ``(3) laboratory and other diagnostic procedures associated with the use of such drugs; and ``(4) clinical follow-up and monitoring, including any related services recommended in current United States Public Health Service clinical practice guidelines, including policy notes updating those guidelines, without limitation.''. (B) Elimination of coinsurance.--Section 1833(a)(1) of the Social Security Act (42 U.S.C. 1395l(a)(1)) is amended-- (i) by striking ``and (HH)'' and inserting ``(HH)''; and (ii) by inserting before the semicolon at the end the following: ``, and (II) with respect to HIV prevention services (as defined in section 1861(ooo)), the amount paid shall be 100 percent of (i) except as provided in clause (ii), the lesser of the actual charge for the service or the amount determined under the fee schedule that applies to such services under this part, and (ii) in the case of such services that are covered OPD services (as defined in subsection (t)(1)(B)), the amount determined under subsection (t)''. (C) Exemption from part b deductible.--The first sentence of section 1833(b) of the Social Security Act (42 U.S.C. 1395l(b)) is amended-- (i) by striking ``, and (13)'' and inserting ``(13)''; and (ii) by striking ``1861(n)..'' and inserting ``1861(n), and (14) such deductible shall not apply with respect to HIV prevention services (as defined in section 1861(ooo)(1)).''. (D) Effective date.--The amendments made by this paragraph shall apply to items and services furnished on or after January 1, 2027. (2) Elimination of cost-sharing for drugs for the prevention of hiv under part d.-- (A) In general.--Section 1860D-2 of the Social Security Act (42 U.S.C. 1395w-102) is amended-- (i) in subsection (b)-- (I) in paragraph (1)(A), by striking ``and (9)'' and inserting ``, (9), and (10)''; (II) in paragraph (2)-- (aa) in subparagraph (A), by striking ``and (9)'' and inserting ``, (9), and (10)''; (bb) in subparagraph (C)(i), in the matter preceding subclause (I), by striking ``and (9)'' and inserting ``(9), and (10)''; and (cc) in subparagraph (D)(i), in the matter preceding subclause (I), by striking ``and (9)'' and inserting ``(9), and (10)''; (III) in paragraph (3)(A), in the matter preceding clause (i), by striking ``and (9)'' and inserting ``(9), and (10)''; (IV) in paragraph (4)(A)(i), by striking ``and (9)'' and inserting ``, (9), and (10)''; and (V) by adding at the end the following new paragraph: ``(10) Elimination of cost-sharing for drugs for the prevention of hiv.--For plan years beginning on or after January 1, 2027, with respect to a covered part D drug that is for the prevention of HIV-- ``(A) the deductible under paragraph (1) shall not apply; and ``(B) there shall be no coinsurance or other cost- sharing under this part with respect to such drug.''; and (ii) in subsection (c), by adding at the end the following new paragraph: ``(7) Treatment of cost-sharing for drugs for the prevention of hiv.--The coverage is provided in accordance with subsection (b)(10).''. (B) Conforming amendments to cost-sharing for low- income individuals.--Section 1860D-14(a) of the Social Security Act (42 U.S.C. 1395w-114(a)) is amended-- (i) in paragraph (1)(D), in each of clauses (ii) and (iii), by striking ``paragraph (6)'' and inserting ``paragraphs (6) and (7)''; (ii) in paragraph (2)-- (I) in subparagraph (B), by striking ``and (9)'' and inserting ``, (9), and (10)''; (II) in subparagraph (D), by striking ``paragraph (6)'' and inserting ``paragraphs (6) and (7)''; and (III) in subparagraph (E), by striking ``paragraph (6)'' and inserting ``paragraphs (6) and (7)''; and (iii) by adding at the end the following new paragraph: ``(7) No application of cost-sharing or deductible for drugs for the prevention of hiv.--For plan years beginning on or after January 1, 2027, with respect to a covered part D drug that is for the prevention of HIV-- ``(A) the deductible under section 1860D-2(b)(1) shall not apply; and ``(B) there shall be no cost-sharing under this section with respect to such drug.''. (f) Coverage of HIV Prevention Treatment by Department of Veterans Affairs.-- (1) Elimination of medication copayments.--Section 1722A(a) of title 38, United States Code, is amended by adding at the end the following new paragraph: ``(5) Paragraph (1) does not apply to a medication for the prevention of HIV.''. (2) Elimination of hospital care and medical services copayments.--Section 1710 of such title is amended-- (A) in subsection (f)-- (i) by redesignating paragraph (5) as paragraph (6); and (ii) by inserting after paragraph (4) the following new paragraph (5): ``(5) A veteran shall not be liable to the United States under this subsection for any amounts for laboratory and other diagnostic procedures associated with the use of any prescription drug approved by the Food and Drug Administration and used for the prevention of HIV, administrative fees for such a drug, or clinical follow-up and monitoring, including any related services recommended in current United States Public Health Service clinical practice guidelines, including policy notes updating those guidelines, without limitation.''; and (B) in subsection (g)(3), by adding at the end the following new subparagraph: ``(C) Any prescription drug approved by the Food and Drug Administration and used for the prevention of HIV, administrative fees for such a drug, laboratory and other diagnostic procedures associated with the use of such a drug, and clinical follow-up and monitoring, including any related services recommended in current United States Public Health Service clinical practice guidelines, including policy notes updating those guidelines, without limitation.''. (3) Inclusion as preventive health service.--Section 1701(9) of such title is amended-- (A) in subparagraph (K), by striking ``; and'' and inserting a semicolon; (B) by redesignating subparagraph (L) as subparagraph (M); and (C) by inserting after subparagraph (K) the following new subparagraph (L): ``(L) any prescription drug approved by the Food and Drug Administration and used for the prevention of HIV, administrative fees for such a drug, laboratory and other diagnostic procedures associated with the use of such a drug, and clinical follow-up and monitoring, including any related services recommended in current United States Public Health Service clinical practice guidelines, including policy notes updating those guidelines, without limitation; and''. (g) Coverage of HIV Prevention Treatment by Department of Defense.-- (1) In general.--Chapter 55 of title 10, United States Code, is amended by inserting after section 1074o the following new section: ``Sec. 1074p. Coverage of HIV prevention treatment ``(a) In General.--The Secretary of Defense shall ensure coverage under the TRICARE program of HIV prevention treatment described in subsection (b) for any beneficiary under section 1074(a) of this title. ``(b) HIV Prevention Treatment Described.--HIV prevention treatment described in this subsection includes any prescription drug approved by the Food and Drug Administration and used for the prevention of HIV, administrative fees for such a drug, laboratory and other diagnostic procedures associated with the use of such a drug, and clinical follow- up and monitoring, including any related services recommended in current United States Public Health Service clinical practice guidelines, including policy notes updating those guidelines, without limitation. ``(c) No Cost-Sharing.--Notwithstanding section 1075, 1075a, or 1074g(a)(6) of this title or any other provision of law, there is no cost-sharing requirement for HIV prevention treatment covered under this section.''. (2) Clerical amendment.--The table of sections at the beginning of such chapter is amended by inserting after the item relating to section 1074o the following new item: ``1074p. Coverage of HIV prevention treatment.''. (h) Indian Health Service Testing, Monitoring, and Prescription Drugs for the Prevention of HIV.--Title II of the Indian Health Care Improvement Act is amended by inserting after section 223 (25 U.S.C. 1621v) the following: ``SEC. 224. TESTING, MONITORING, AND PRESCRIPTION DRUGS FOR THE PREVENTION OF HIV. ``(a) In General.--The Secretary, acting through the Director of HIV/AIDS Prevention and Treatment under section 832, shall provide, without limitation, funding for any prescription drug approved by the Food and Drug Administration for the prevention of human immunodeficiency virus (commonly known as `HIV'), administrative fees for that drug, laboratory and other diagnostic procedures associated with the use of that drug, and clinical follow-up and monitoring, including any related services recommended in current Public Health Service clinical practice guidelines, including policy notes updating those guidelines. ``(b) Authorization of Appropriations.--There are authorized to be appropriated such sums as are necessary to carry out this section.''. (i) Effective Date.--The amendments made by subsections (a), (b), (e), (f), (g), and (h) shall take effect with respect to plan years beginning on or after January 1, 2027. SEC. 4. PROHIBITION ON DENIAL OF COVERAGE OR INCREASE IN PREMIUMS OF LIFE, DISABILITY, OR LONG-TERM CARE INSURANCE FOR INDIVIDUALS TAKING MEDICATION FOR THE PREVENTION OF HIV ACQUISITION. (a) Prohibition.--Notwithstanding any other provision of law, it shall be unlawful to-- (1) decline or limit coverage of an individual under any life insurance policy, disability insurance policy, or long- term care insurance policy, on account of the individual taking medication for the purpose of preventing the acquisition of HIV; (2) preclude an individual from taking medication for the purpose of preventing the acquisition of HIV as a condition of receiving a life insurance policy, disability insurance policy, or long-term care insurance policy; (3) consider whether an individual is taking medication for the purpose of preventing the acquisition of HIV in determining the premium rate for coverage of such individual under a life insurance policy, disability insurance policy, or long-term care insurance policy; or (4) otherwise discriminate in the offering, issuance, cancellation, amount of such coverage, price, or any other condition of a life insurance policy, disability insurance policy, or long-term care insurance policy for an individual, based solely and without any additional actuarial risks upon whether the individual is taking medication for the purpose of preventing the acquisition of HIV. (b) Enforcement.--A State insurance regulator may take such actions to enforce subsection (a) as are specifically authorized under the laws of such State. (c) Definitions.--In this section: (1) Disability insurance policy.--The term ``disability insurance policy'' means a contract under which an entity promises to pay a person a sum of money in the event that an illness or injury resulting in a disability prevents such person from working. (2) Life insurance policy.--The term ``life insurance policy'' means a contract under which an entity promises to pay a designated beneficiary a sum of money upon the death of the insured. (3) Long-term care insurance policy.--The term ``long-term care insurance policy'' means a contract for which the only insurance protection provided under the contract is coverage of qualified long-term care services (as defined in section 7702B(c) of the Internal Revenue Code of 1986). SEC. 5. PUBLIC EDUCATION CAMPAIGN. Part P of title III of the Public Health Service Act (42 U.S.C. 280g et seq.) is amended by adding at the end the following: ``SEC. 399V-8. PRE-EXPOSURE PROPHYLAXIS AND POST-EXPOSURE PROPHYLAXIS EDUCATION CAMPAIGNS. ``(a) Public Education Campaign.-- ``(1) In general.--The Secretary, acting through the Director of the Centers for Disease Control and Prevention, in consultation with the Director of the Office of Infectious Disease and HIV/AIDS Policy, shall establish a public health campaign for the purpose of educating the public on medication for the prevention of HIV acquisition. ``(2) Requirements.--In carrying out this subsection, the Secretary shall ensure cultural competency and efficacy within high-need communities in which PrEP or PEP are underutilized by developing the campaign in collaboration with organizations that are indigenous to communities that are overrepresented in the domestic HIV epidemic, including communities of color and the lesbian, gay, bisexual, transgender, and queer community. The Secretary shall ensure that the campaign is designed to increase awareness of the safety and effectiveness of PrEP and PEP, the recommended clinical practices for providing PrEP- related and PEP-related clinical care, and the local availability of PrEP and PEP providers, and to counter stigma associated with the use of PrEP and PEP. ``(3) Evaluation of program.--The Secretary shall develop measures to evaluate the effectiveness of activities conducted under this subsection that are aimed at reducing disparities in access to PrEP and PEP and supporting the local community. Such measures shall evaluate community outreach activities, language services, workforce cultural competence, and other areas as determined by the Secretary. ``(b) Provider Education Campaign.-- ``(1) In general.--The Secretary, acting through the Director of the Centers for Disease Control and Prevention, the Administrator of the Health Resources and Services Administration, and the Office of Infectious Disease and HIV/ AIDS Policy, shall establish a provider campaign for the purpose of educating prescribers and other associated health professionals on medication for the prevention of HIV acquisition. ``(2) Requirements.--In carrying out this subsection, the Secretary shall increase awareness and readiness among health care providers to offer PrEP or PEP, as appropriate, with a focus on areas of high-need communities in which PrEP or PEP is underutilized by developing an educational campaign with input from health care providers and organizations from communities that are disproportionately affected by the domestic HIV epidemic, including communities of color and the lesbian, gay, bisexual, transgender, and queer community. The Secretary shall ensure that the campaign is designed to increase awareness of the safety and effectiveness of PrEP and PEP, the recommended clinical practices for providing PrEP-related and PEP-related clinical care, cultural competency among PrEP and PEP prescribers, and to counter stigma associated with the use of PrEP and PEP. ``(3) Evaluation of program.--The Secretary shall develop measures to evaluate the effectiveness of activities conducted under this subsection that are aimed at increasing the number of health care professionals offering PrEP and PEP and reducing disparities in access to PrEP and PEP. Such measures shall evaluate availability of PrEP and PEP services, education and outreach activities, language services, workforce cultural competence, and other areas as determined by the Secretary. ``(c) Definitions.--In this section and section 399V-9-- ``(1) the term `PEP' means any drug or combination of drugs approved by the Food and Drug Administration for preventing HIV transmission after a sexual or other exposure associated with a high risk of HIV transmission; and ``(2) the term `PrEP' means any drug approved by the Food and Drug Administration for the purpose of pre-exposure prophylaxis with respect to HIV. ``(d) Authorization of Appropriations.--To carry out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2026 through 2030.''. SEC. 6. PATIENT CONFIDENTIALITY. The Secretary of Health and Human Services shall amend the regulations promulgated under section 264(c) of the Health Insurance Portability and Accountability Act of 1996 (42 U.S.C. 1320d-2 note), as necessary, to ensure that individuals are able to access the benefits described in section 2713(a)(5) under a family plan without any other individual enrolled in such family plan, including a primary subscriber of or policyholder, being informed of such use of such benefits. SEC. 7. PREP AND PEP FUNDING. Part P of title III of the Public Health Service Act (42 U.S.C. 280g et seq.), as amended by section 5, is further amended by adding at the end the following: ``SEC. 399V-9. PRE-EXPOSURE PROPHYLAXIS AND POST-EXPOSURE PROPHYLAXIS FUNDING. ``(a) In General.--Not later than 1 year after the date of enactment of the PrEP Access and Coverage Act of 2026, the Secretary shall establish a program that awards grants to States, territories, Indian Tribes, and directly eligible entities for the establishment and support of pre-exposure prophylaxis (referred to in this section as `PrEP') and post-exposure prophylaxis (referred to in this section as `PEP') programs. ``(b) Applications.--To be eligible to receive a grant under subsection (a), a State, territory, Indian Tribe, or directly eligible entity shall-- ``(1) submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require, including a plan describing how any funds awarded will be used to increase access to PrEP for uninsured and underinsured individuals and reduce disparities in access to PrEP and PEP for uninsured and underinsured individuals and reduce disparities in access to PrEP and PEP; and ``(2) appoint a PrEP and PEP grant administrator to manage the program. ``(c) Directly Eligible Entity.--For purposes of this section, the term `directly eligible entity'-- ``(1) means a nonprofit entity engaged in providing PrEP and PEP information and services; and ``(2) may include-- ``(A) a Federally qualified health center (as defined in section 1861(aa)(4) of the Social Security Act); ``(B) a family planning grantee (other than States) funded under section 1001; ``(C) a rural health clinic (as defined in section 1861(aa)(2) of the Social Security Act); ``(D) a health facility operated by or pursuant to a contract with the Indian Health Service; ``(E) a community-based organization, clinic, hospital, or other health facility that provides services to individuals at risk for or living with HIV; and ``(F) a nonprofit private entity providing comprehensive primary care to populations at risk of HIV, including faith-based and community-based organizations. ``(d) Awards.--In determining whether to award a grant, and the grant amount for each grant awarded, the Secretary shall consider the grant application and the need for PrEP and PEP services in the area, the number of uninsured and underinsured individuals in the area, and how the State, territory, or Indian Tribe coordinates PrEP and PEP activities with the directly funded entity, if the State, territory, or Indian Tribe applies for the funds. ``(e) Use of Funds.-- ``(1) In general.--Any State, territory, Indian Tribe, or directly eligible entity that is awarded funds under subsection (a) shall use such funds for eligible PrEP and PEP expenses. ``(2) Eligible prep expenses.--The Secretary shall publish a list of expenses that qualify as eligible PrEP and PEP expenses for purposes of this section, which shall include-- ``(A) any prescription drug approved by the Food and Drug Administration used for the prevention of HIV, administrative fees for such drugs, laboratory and other diagnostic procedures associated with the use of such drugs, and clinical follow-up and monitoring, including any related services recommended in current United States Public Health Service clinical practice guidelines, including policy notes updating those guidelines, without limitation; ``(B) outreach and public education activities directed toward populations overrepresented in the domestic HIV epidemic that increase awareness about the existence of PrEP and PEP, provide education about access to and health care coverage of PrEP and PEP, PrEP and PEP adherence programs, and counter stigma associated with the use of PrEP and PEP; ``(C) outreach activities directed toward physicians and other providers that provide education about PrEP and PEP; and ``(D) adherence services and counseling, including personnel costs for PrEP navigators to retain patients in care. ``(f) Report to Congress.--The Secretary shall, in each of the first 5 years beginning 1 year after the date of enactment of the PrEP Access and Coverage Act of 2026, submit to Congress, and make public on the website of Department of Health and Human Services, a report on the impact of any grants provided to States, territories, Indian Tribes, and directly eligible entities for the establishment and support of pre-exposure prophylaxis programs under this section. ``(g) Authorization of Appropriations.--To carry out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2026 through 2030.''. SEC. 8. CLARIFICATION. This Act, including the amendments made by this Act, shall apply notwithstanding any other provision of law, including Public Law 103- 141. SEC. 9. PRIVATE RIGHT OF ACTION. Any person aggrieved by a violation of this Act, including the amendments made by this Act, may commence a civil action in an appropriate United States District Court or other court of competent jurisdiction to obtain relief as allowed by law as either an individual or member of a class. If the plaintiff is the prevailing party in such an action, the court shall order the defendant to pay the costs and reasonable attorney fees of the plaintiff. SEC. 10. ENFORCEMENT. (a) In General.--The Secretary of Health and Human Services, in consultation with the Centers for Disease Control and Prevention, shall-- (1) issue guidance regarding the implementation of the coverage requirements established under this Act, including the amendments made by this Act, including with respect to implementation of such coverage requirements; (2) develop and disseminate educational materials, including billing and coding documents based on stakeholder consensus-driven recommendations, as appropriate; (3) provide technical assistance to State insurance commissioners; (4) provide technical assistance to eligible entities regarding responding to consumer complaints and assisting in resolving such complaints; and (5) work with other Federal agencies to assist in enforcement and compliance. (b) Compliance.-- (1) In general.--The Secretary of Health and Human Services, the Secretary of Labor, and the Secretary of the Treasury, in consultation with the Director of the Centers for Disease Control and Prevention, shall monitor compliance by group health plans and health insurance issuers with coverage requirements established under sections 2799A-11 of the Public Health Service Act, 726 of the Employee Retirement Income Security Act of 1974, and 9826 of the Internal Revenue Code of 1986 (as added by section 3(a)) and shall take appropriate enforcement actions under such Acts and such Code. (2) Insurer submissions to the secretary.--Beginning not later than 1 year after the date of enactment of this Act, each group health plan and health insurance issuer offering group or individual health insurance coverage shall submit to the Secretary of Health and Human Services, at such time as such secretary, in coordination with the Secretary of Labor and the Secretary of the Treasury, shall require, but not less frequently than annually for the 10-year period beginning on such date of enactment, data demonstrating compliance with the coverage requirements described in paragraph (1), including aggregate data on the number of claims received by such plans and issuers for HIV prevention services and the cost-sharing for enrollees with respect to such claims. (3) Reports to congress.--Not later than 2 years after the date of enactment of this Act and every 2 years thereafter for the 10-year period beginning on such date of enactment, the Secretary of Health and Human Services, the Secretary of Labor, and the Secretary of the Treasury (collectively referred to in this section as the ``Secretaries'') shall jointly submit to Congress and make publicly available a report to assess the prevalence of noncompliance with the coverage requirements described in paragraph (1). Each such report shall include-- (A) aggregate information about group health plans and health insurance issuers that the Secretaries determine to be out of compliance with such requirements; and (B) steps the Secretaries have taken to address incidences of such noncompliance. (4) Definitions.--In this subsection, the terms ``group health plan'', ``health insurance coverage'', and ``health insurance issuer'' have the meanings given such terms in section 2791 of the Public Health Service Act (42 U.S.C. 300gg- 91). \n\nSUMMARY TO EVALUATE:\nTitle: Free Access to HIV Prevention: PrEP Access and Coverage Act of 2026\nSummary: This act ensures free access to HIV prevention medication (PrEP) by eliminating out-of-pocket costs for most private and public insurance plans. It also protects individuals from insurance discrimination and funds public education to reduce HIV transmission.\nKey Points: Eliminates copays and deductibles for HIV prevention drugs, lab tests, and clinical visits., Prohibits insurance companies from requiring prior authorization for PrEP medications., Prevents life and disability insurers from denying coverage or raising rates based on PrEP use., Ensures patient privacy for those using prevention services under a family insurance plan., Provides grants to support access for uninsured and underinsured individuals.\n\nZASADY OCENY:\n1. Sprawdź wszystkie LICZBY, DATY i KWOTY w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n2. Sprawdź wszystkie NAZWISKA, ORGANIZACJE i MIEJSCA w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n3. Sprawdź wszystkie konkretne DZIAŁANIA PRAWNE . Jeśli tego mechanizmu nie ma w SOURCE -> is_valid: false.\n\nWAŻNE: Abstrakcyjne pojęcia (np. \"transparentność\", \"zaufanie\") są dozwolone jako wnioski.\n\nOUTPUT (JSON):\n{\n \"is_valid\": true/false,\n \"issue\": \"fabricated_entity\" / \"contradiction\" / \"none\"\n}\n\nWYMAGANIA FORMATOWANIA:\n1. Odpowiedz WYŁĄCZNIE surowym obiektem JSON.\n2. NIE używaj bloków kodu Markdown.\n3. NIE dodawaj żadnych wstępów ani wyjaśnień przed ani po JSONie.\n4. JSON musi być poprawny i gotowy do parsowania.\n\n", "ai_response_raw": "{\n \"is_valid\": true,\n \"issue\": \"none\"\n}" }, { "timestamp": "2026-03-25T12:15:40.784Z", "source_url": "https://www.congress.gov/119/bills/hr7853/BILLS-119hr7853ih.htm", "model": "gemini-flash-latest", "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i obiektywnych skutkach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub skutki (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii (np. kategorycznych zakazów i nakazów czy najważniejszych konkretnych alokacji finansowych i terytorialnych).\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 7853 Introduced in House (IH)] 119th CONGRESS 2d Session H. R. 7853 To increase access to pre-exposure prophylaxis to reduce the transmission of HIV. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 5, 2026 Mr. Takano (for himself, Mr. Pocan, and Ms. Balint) introduced the following bill; which was 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 _______________________________________________________________________ A BILL To increase access to pre-exposure prophylaxis to reduce the transmission of HIV. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``PrEP Access and Coverage Act of 2026''. SEC. 2. SENSE OF CONGRESS. It is the sense of Congress that the Department of Labor, the Department of Health and Human Services, and the Department of the Treasury should ensure compliance with the requirements described in this Act. SEC. 3. COVERAGE REQUIREMENTS. (a) Private Insurance.-- (1) In general.--Section 2713(a) of the Public Health Service Act (42 U.S.C. 300gg-13(a)) is amended-- (A) in paragraph (2), by striking ``; and'' and inserting a semicolon; (B) in paragraph (3), by striking the period and inserting a semicolon; (C) in paragraph (4), by striking the period and inserting ``; and''; (D) by striking paragraph (5); (E) by adding at the end the following: ``(5) any prescription drug approved by the Food and Drug Administration used for the prevention of HIV (other than a drug subject to preauthorization requirements consistent with section 2729A-11), administrative fees for such drugs, laboratory and other diagnostic procedures associated with the use of such drugs, and clinical follow-up and monitoring, including any related services recommended in current United States Public Health Service clinical practice guidelines, including policy notes updating those guidelines, without limitation.''; and (F) by adding at the end of the flush text at the end the following: ``For the purposes of this Act, and for the purposes of any other provision of law, the current recommendations of the United States Preventive Service Task Force regarding breast cancer screening, mammography, and prevention shall be considered the most current other than those issued in or around November 2009.''. (2) Grandfathered plans.--Section 1251(a)(4) of the Patient Protection and Affordable Care Act (42 U.S.C. 18011(a)(4)) is amended by adding at the end the following: ``(v) Section 2713(a)(5) (relating to coverage without cost-sharing for prescription drugs for the prevention of HIV).''. (3) Prohibition on preauthorization requirements.-- (A) PHSA.--Part D of title XXVII of the Public Health Service Act (42 U.S.C. 300gg-111 et seq.) is amended by adding at the end the following: ``SEC. 2799A-12. PROHIBITION ON PREAUTHORIZATION REQUIREMENTS WITH RESPECT TO CERTAIN SERVICES. ``A group health plan or a health insurance issuer offering group or individual health insurance coverage shall not impose any preauthorization requirements with respect to coverage of the services described in section 2713(a)(5), except that a plan or issuer may impose preauthorization requirements with respect to coverage of a particular drug approved under section 505(c) of the Federal Food, Drug, and Cosmetic Act or section 351(a) of this Act if such plan or issuer provides coverage without any preauthorization requirements for a drug that is therapeutically equivalent.''. (B) ERISA.-- (i) In general.--Subpart B of part 7 of subtitle B of title I of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1185 et seq.) is amended by adding at the end the following: ``SEC. 727. PROHIBITION ON PREAUTHORIZATION REQUIREMENTS WITH RESPECT TO CERTAIN SERVICES. ``A group health plan or a health insurance issuer offering group health insurance coverage shall not impose any preauthorization requirements with respect to coverage of the services described in section 2713(a)(5) of the Public Health Service Act, except that a plan or issuer may impose preauthorization requirements with respect to coverage of a particular drug approved under section 505(c) of the Federal Food, Drug, and Cosmetic Act or section 351(a) of the Public Health Service Act if such plan or issuer provides coverage without any preauthorization requirements for a drug that is therapeutically equivalent.''. (ii) Clerical amendment.--The table of contents in section 1 of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1001 et seq.) is amended by inserting after the item relating to section 726 the following new item: ``Sec. 727. Prohibition on preauthorization requirements with respect to certain services.''. (C) IRC.-- (i) In general.--Chapter 100 of the Internal Revenue Code of 1986 is amended by adding at the end of subchapter B the following: ``SEC. 9827. PROHIBITION ON PREAUTHORIZATION REQUIREMENTS WITH RESPECT TO CERTAIN SERVICES. ``A group health plan shall not impose any preauthorization requirements with respect to coverage of the services described in section 2713(a)(5) of the Public Health Service Act, except that a plan may impose preauthorization requirements with respect to coverage of a particular drug approved under section 505(c) of the Federal Food, Drug, and Cosmetic Act or section 351(a) of the Public Health Service Act if such plan provides coverage without any preauthorization requirements for a drug that is therapeutically equivalent.''. (ii) Clerical amendment.--The table of sections for subchapter B of chapter 100 of the Internal Revenue Code of 1986 is amended by adding at the end the following new item: ``Sec. 9827. Prohibition on preauthorization requirements with respect to certain services.''. (b) Coverage Under Federal Employees Health Benefits Program.-- Section 8904 of title 5, United States Code, is amended by adding at the end the following: ``(c) Any health benefits plan offered under this chapter shall include benefits for, and may not impose any cost-sharing requirements for any prescription drug approved by the Food and Drug Administration used for the prevention of HIV, administrative fees for such drugs, laboratory and other diagnostic procedures associated with the use of such drugs, and clinical follow-up and monitoring, including any related services recommended in current United States Public Health Service clinical practice guidelines, including policy notes updating those guidelines, without limitation.''. (c) Medicaid.-- (1) In general.--Section 1905 of the Social Security Act (42 U.S.C. 1396d) is amended by-- (A) in subsection (a)(4), by striking the semicolon at the end and inserting ``; and (G) HIV prevention services;''; and (B) by adding at the end the following new subsection: ``(ll) HIV Prevention Services.--For purposes of subsection (a)(4)(G), the term `HIV prevention services' means all prescription drugs used for the prevention of HIV acquisition, administrative fees for such drugs, laboratory and other diagnostic procedures associated with the use of such drugs, and clinical follow-up and monitoring, including any related services recommended in current United States Public Health Service clinical practice guidelines, including policy notes updating those guidelines without limitation.''. (2) No cost-sharing.--Title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) is amended-- (A) in section 1916, by inserting ``HIV prevention services described in section 1905(a)(4)(G),'' after ``section 1905(a)(4)(C),'' each place it appears; and (B) in section 1916A(b)(3)(B), by adding at the end the following new clause: ``(xv) HIV prevention services described in section 1905(a)(4)(G).''. (3) Inclusion in benchmark coverage.--Section 1937(b)(7) of the Social Security Act (42 U.S.C. 1396u-7(b)(7)) is amended-- (A) in the paragraph heading, by inserting ``and hiv prevention services'' after ``supplies''; and (B) by striking ``includes for any individual described in section 1905(a)(4)(C), medical assistance for family planning services and supplies in accordance with such section'' and inserting ``includes medical assistance for HIV prevention services described in section 1905(a)(4)(G), and includes, for any individual described in section 1905(a)(4)(C), medical assistance for family planning services and supplies in accordance with such section''. (d) CHIP.-- (1) In general.--Section 2103 of the Social Security Act (42 U.S.C. 1397cc) is amended-- (A) in subsection (a), in the matter preceding paragraph (1), by striking ``and (8)'' and inserting ``(8), and (13)''; and (B) in subsection (c), by adding at the end the following new paragraph: ``(13) HIV prevention services.--Regardless of the type of coverage elected by a State under subsection (a), the child health assistance provided for a targeted low-income child, and, in the case of a State that elects to provide pregnancy- related assistance pursuant to section 2112, the pregnancy- related assistance provided for a targeted low-income pregnant woman (as such terms are defined for purposes of such section), shall include coverage of HIV prevention services (as defined in section 1905(ll)).''. (2) No cost-sharing.--Section 2103(e)(2) of the Social Security Act (42 U.S.C. 1397cc(e)(2)) is amended-- (A) in the paragraph heading, by inserting ``HIV prevention services,'' after ``treatment,''; and (B) by inserting ``HIV prevention services described in subsection (c)(13),'' before ``or for pregnancy-related assistance''. (3) Effective date.-- (A) In general.--Subject to subparagraph (B), the amendments made by subsection (c) and this subsection shall take effect on January 1, 2027. (B) Delay permitted if state legislation required.--In the case of a State plan approved under title XIX or XXI of the Social Security Act which the Secretary of Health and Human Services determines requires State legislation (other than legislation appropriating funds) in order for the plan to meet the additional requirements imposed by this section, the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of the failure of the plan to meet such additional requirements before the 1st day of the 1st calendar quarter beginning after the close of the 1st regular session of the State legislature that ends after the 1- year period beginning with the date of enactment of this section. For purposes of the preceding sentence, in the case of a State that has a 2-year legislative session, each year of the session is deemed to be a separate regular session of the State legislature. (e) Coverage and Elimination of Cost-Sharing Under Medicare.-- (1) Coverage of hiv prevention services under part b.-- (A) Coverage.-- (i) In general.--Section 1861(s)(2) of the Social Security Act (42 U.S.C. 1395x(s)(2)) is amended-- (I) in subparagraph (JJ), by striking ``and'' at the end; (II) in subparagraph (KK), by inserting ``and'' at the end; and (III) by adding at the end the following new subparagraph: ``(LL) HIV prevention services (as defined in subsection (ooo));''. (ii) Definition.--Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended by adding at the end the following new subsection: ``(ooo) HIV Prevention Services.--The term `HIV prevention services' means-- ``(1) drugs or biologicals approved by the Food and Drug Administration for the prevention of HIV; ``(2) administrative fees for such drugs; ``(3) laboratory and other diagnostic procedures associated with the use of such drugs; and ``(4) clinical follow-up and monitoring, including any related services recommended in current United States Public Health Service clinical practice guidelines, including policy notes updating those guidelines, without limitation.''. (B) Elimination of coinsurance.--Section 1833(a)(1) of the Social Security Act (42 U.S.C. 1395l(a)(1)) is amended-- (i) by striking ``and (HH)'' and inserting ``(HH)''; and (ii) by inserting before the semicolon at the end the following: ``, and (II) with respect to HIV prevention services (as defined in section 1861(ooo)), the amount paid shall be 100 percent of (i) except as provided in clause (ii), the lesser of the actual charge for the service or the amount determined under the fee schedule that applies to such services under this part, and (ii) in the case of such services that are covered OPD services (as defined in subsection (t)(1)(B)), the amount determined under subsection (t)''. (C) Exemption from part b deductible.--The first sentence of section 1833(b) of the Social Security Act (42 U.S.C. 1395l(b)) is amended-- (i) by striking ``, and (13)'' and inserting ``(13)''; and (ii) by striking ``1861(n)..'' and inserting ``1861(n), and (14) such deductible shall not apply with respect to HIV prevention services (as defined in section 1861(ooo)(1)).''. (D) Effective date.--The amendments made by this paragraph shall apply to items and services furnished on or after January 1, 2027. (2) Elimination of cost-sharing for drugs for the prevention of hiv under part d.-- (A) In general.--Section 1860D-2 of the Social Security Act (42 U.S.C. 1395w-102) is amended-- (i) in subsection (b)-- (I) in paragraph (1)(A), by striking ``and (9)'' and inserting ``, (9), and (10)''; (II) in paragraph (2)-- (aa) in subparagraph (A), by striking ``and (9)'' and inserting ``, (9), and (10)''; (bb) in subparagraph (C)(i), in the matter preceding subclause (I), by striking ``and (9)'' and inserting ``(9), and (10)''; and (cc) in subparagraph (D)(i), in the matter preceding subclause (I), by striking ``and (9)'' and inserting ``(9), and (10)''; (III) in paragraph (3)(A), in the matter preceding clause (i), by striking ``and (9)'' and inserting ``(9), and (10)''; (IV) in paragraph (4)(A)(i), by striking ``and (9)'' and inserting ``, (9), and (10)''; and (V) by adding at the end the following new paragraph: ``(10) Elimination of cost-sharing for drugs for the prevention of hiv.--For plan years beginning on or after January 1, 2027, with respect to a covered part D drug that is for the prevention of HIV-- ``(A) the deductible under paragraph (1) shall not apply; and ``(B) there shall be no coinsurance or other cost- sharing under this part with respect to such drug.''; and (ii) in subsection (c), by adding at the end the following new paragraph: ``(7) Treatment of cost-sharing for drugs for the prevention of hiv.--The coverage is provided in accordance with subsection (b)(10).''. (B) Conforming amendments to cost-sharing for low- income individuals.--Section 1860D-14(a) of the Social Security Act (42 U.S.C. 1395w-114(a)) is amended-- (i) in paragraph (1)(D), in each of clauses (ii) and (iii), by striking ``paragraph (6)'' and inserting ``paragraphs (6) and (7)''; (ii) in paragraph (2)-- (I) in subparagraph (B), by striking ``and (9)'' and inserting ``, (9), and (10)''; (II) in subparagraph (D), by striking ``paragraph (6)'' and inserting ``paragraphs (6) and (7)''; and (III) in subparagraph (E), by striking ``paragraph (6)'' and inserting ``paragraphs (6) and (7)''; and (iii) by adding at the end the following new paragraph: ``(7) No application of cost-sharing or deductible for drugs for the prevention of hiv.--For plan years beginning on or after January 1, 2027, with respect to a covered part D drug that is for the prevention of HIV-- ``(A) the deductible under section 1860D-2(b)(1) shall not apply; and ``(B) there shall be no cost-sharing under this section with respect to such drug.''. (f) Coverage of HIV Prevention Treatment by Department of Veterans Affairs.-- (1) Elimination of medication copayments.--Section 1722A(a) of title 38, United States Code, is amended by adding at the end the following new paragraph: ``(5) Paragraph (1) does not apply to a medication for the prevention of HIV.''. (2) Elimination of hospital care and medical services copayments.--Section 1710 of such title is amended-- (A) in subsection (f)-- (i) by redesignating paragraph (5) as paragraph (6); and (ii) by inserting after paragraph (4) the following new paragraph (5): ``(5) A veteran shall not be liable to the United States under this subsection for any amounts for laboratory and other diagnostic procedures associated with the use of any prescription drug approved by the Food and Drug Administration and used for the prevention of HIV, administrative fees for such a drug, or clinical follow-up and monitoring, including any related services recommended in current United States Public Health Service clinical practice guidelines, including policy notes updating those guidelines, without limitation.''; and (B) in subsection (g)(3), by adding at the end the following new subparagraph: ``(C) Any prescription drug approved by the Food and Drug Administration and used for the prevention of HIV, administrative fees for such a drug, laboratory and other diagnostic procedures associated with the use of such a drug, and clinical follow-up and monitoring, including any related services recommended in current United States Public Health Service clinical practice guidelines, including policy notes updating those guidelines, without limitation.''. (3) Inclusion as preventive health service.--Section 1701(9) of such title is amended-- (A) in subparagraph (K), by striking ``; and'' and inserting a semicolon; (B) by redesignating subparagraph (L) as subparagraph (M); and (C) by inserting after subparagraph (K) the following new subparagraph (L): ``(L) any prescription drug approved by the Food and Drug Administration and used for the prevention of HIV, administrative fees for such a drug, laboratory and other diagnostic procedures associated with the use of such a drug, and clinical follow-up and monitoring, including any related services recommended in current United States Public Health Service clinical practice guidelines, including policy notes updating those guidelines, without limitation; and''. (g) Coverage of HIV Prevention Treatment by Department of Defense.-- (1) In general.--Chapter 55 of title 10, United States Code, is amended by inserting after section 1074o the following new section: ``Sec. 1074p. Coverage of HIV prevention treatment ``(a) In General.--The Secretary of Defense shall ensure coverage under the TRICARE program of HIV prevention treatment described in subsection (b) for any beneficiary under section 1074(a) of this title. ``(b) HIV Prevention Treatment Described.--HIV prevention treatment described in this subsection includes any prescription drug approved by the Food and Drug Administration and used for the prevention of HIV, administrative fees for such a drug, laboratory and other diagnostic procedures associated with the use of such a drug, and clinical follow- up and monitoring, including any related services recommended in current United States Public Health Service clinical practice guidelines, including policy notes updating those guidelines, without limitation. ``(c) No Cost-Sharing.--Notwithstanding section 1075, 1075a, or 1074g(a)(6) of this title or any other provision of law, there is no cost-sharing requirement for HIV prevention treatment covered under this section.''. (2) Clerical amendment.--The table of sections at the beginning of such chapter is amended by inserting after the item relating to section 1074o the following new item: ``1074p. Coverage of HIV prevention treatment.''. (h) Indian Health Service Testing, Monitoring, and Prescription Drugs for the Prevention of HIV.--Title II of the Indian Health Care Improvement Act is amended by inserting after section 223 (25 U.S.C. 1621v) the following: ``SEC. 224. TESTING, MONITORING, AND PRESCRIPTION DRUGS FOR THE PREVENTION OF HIV. ``(a) In General.--The Secretary, acting through the Director of HIV/AIDS Prevention and Treatment under section 832, shall provide, without limitation, funding for any prescription drug approved by the Food and Drug Administration for the prevention of human immunodeficiency virus (commonly known as `HIV'), administrative fees for that drug, laboratory and other diagnostic procedures associated with the use of that drug, and clinical follow-up and monitoring, including any related services recommended in current Public Health Service clinical practice guidelines, including policy notes updating those guidelines. ``(b) Authorization of Appropriations.--There are authorized to be appropriated such sums as are necessary to carry out this section.''. (i) Effective Date.--The amendments made by subsections (a), (b), (e), (f), (g), and (h) shall take effect with respect to plan years beginning on or after January 1, 2027. SEC. 4. PROHIBITION ON DENIAL OF COVERAGE OR INCREASE IN PREMIUMS OF LIFE, DISABILITY, OR LONG-TERM CARE INSURANCE FOR INDIVIDUALS TAKING MEDICATION FOR THE PREVENTION OF HIV ACQUISITION. (a) Prohibition.--Notwithstanding any other provision of law, it shall be unlawful to-- (1) decline or limit coverage of an individual under any life insurance policy, disability insurance policy, or long- term care insurance policy, on account of the individual taking medication for the purpose of preventing the acquisition of HIV; (2) preclude an individual from taking medication for the purpose of preventing the acquisition of HIV as a condition of receiving a life insurance policy, disability insurance policy, or long-term care insurance policy; (3) consider whether an individual is taking medication for the purpose of preventing the acquisition of HIV in determining the premium rate for coverage of such individual under a life insurance policy, disability insurance policy, or long-term care insurance policy; or (4) otherwise discriminate in the offering, issuance, cancellation, amount of such coverage, price, or any other condition of a life insurance policy, disability insurance policy, or long-term care insurance policy for an individual, based solely and without any additional actuarial risks upon whether the individual is taking medication for the purpose of preventing the acquisition of HIV. (b) Enforcement.--A State insurance regulator may take such actions to enforce subsection (a) as are specifically authorized under the laws of such State. (c) Definitions.--In this section: (1) Disability insurance policy.--The term ``disability insurance policy'' means a contract under which an entity promises to pay a person a sum of money in the event that an illness or injury resulting in a disability prevents such person from working. (2) Life insurance policy.--The term ``life insurance policy'' means a contract under which an entity promises to pay a designated beneficiary a sum of money upon the death of the insured. (3) Long-term care insurance policy.--The term ``long-term care insurance policy'' means a contract for which the only insurance protection provided under the contract is coverage of qualified long-term care services (as defined in section 7702B(c) of the Internal Revenue Code of 1986). SEC. 5. PUBLIC EDUCATION CAMPAIGN. Part P of title III of the Public Health Service Act (42 U.S.C. 280g et seq.) is amended by adding at the end the following: ``SEC. 399V-8. PRE-EXPOSURE PROPHYLAXIS AND POST-EXPOSURE PROPHYLAXIS EDUCATION CAMPAIGNS. ``(a) Public Education Campaign.-- ``(1) In general.--The Secretary, acting through the Director of the Centers for Disease Control and Prevention, in consultation with the Director of the Office of Infectious Disease and HIV/AIDS Policy, shall establish a public health campaign for the purpose of educating the public on medication for the prevention of HIV acquisition. ``(2) Requirements.--In carrying out this subsection, the Secretary shall ensure cultural competency and efficacy within high-need communities in which PrEP or PEP are underutilized by developing the campaign in collaboration with organizations that are indigenous to communities that are overrepresented in the domestic HIV epidemic, including communities of color and the lesbian, gay, bisexual, transgender, and queer community. The Secretary shall ensure that the campaign is designed to increase awareness of the safety and effectiveness of PrEP and PEP, the recommended clinical practices for providing PrEP- related and PEP-related clinical care, and the local availability of PrEP and PEP providers, and to counter stigma associated with the use of PrEP and PEP. ``(3) Evaluation of program.--The Secretary shall develop measures to evaluate the effectiveness of activities conducted under this subsection that are aimed at reducing disparities in access to PrEP and PEP and supporting the local community. Such measures shall evaluate community outreach activities, language services, workforce cultural competence, and other areas as determined by the Secretary. ``(b) Provider Education Campaign.-- ``(1) In general.--The Secretary, acting through the Director of the Centers for Disease Control and Prevention, the Administrator of the Health Resources and Services Administration, and the Office of Infectious Disease and HIV/ AIDS Policy, shall establish a provider campaign for the purpose of educating prescribers and other associated health professionals on medication for the prevention of HIV acquisition. ``(2) Requirements.--In carrying out this subsection, the Secretary shall increase awareness and readiness among health care providers to offer PrEP or PEP, as appropriate, with a focus on areas of high-need communities in which PrEP or PEP is underutilized by developing an educational campaign with input from health care providers and organizations from communities that are disproportionately affected by the domestic HIV epidemic, including communities of color and the lesbian, gay, bisexual, transgender, and queer community. The Secretary shall ensure that the campaign is designed to increase awareness of the safety and effectiveness of PrEP and PEP, the recommended clinical practices for providing PrEP-related and PEP-related clinical care, cultural competency among PrEP and PEP prescribers, and to counter stigma associated with the use of PrEP and PEP. ``(3) Evaluation of program.--The Secretary shall develop measures to evaluate the effectiveness of activities conducted under this subsection that are aimed at increasing the number of health care professionals offering PrEP and PEP and reducing disparities in access to PrEP and PEP. Such measures shall evaluate availability of PrEP and PEP services, education and outreach activities, language services, workforce cultural competence, and other areas as determined by the Secretary. ``(c) Definitions.--In this section and section 399V-9-- ``(1) the term `PEP' means any drug or combination of drugs approved by the Food and Drug Administration for preventing HIV transmission after a sexual or other exposure associated with a high risk of HIV transmission; and ``(2) the term `PrEP' means any drug approved by the Food and Drug Administration for the purpose of pre-exposure prophylaxis with respect to HIV. ``(d) Authorization of Appropriations.--To carry out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2026 through 2030.''. SEC. 6. PATIENT CONFIDENTIALITY. The Secretary of Health and Human Services shall amend the regulations promulgated under section 264(c) of the Health Insurance Portability and Accountability Act of 1996 (42 U.S.C. 1320d-2 note), as necessary, to ensure that individuals are able to access the benefits described in section 2713(a)(5) under a family plan without any other individual enrolled in such family plan, including a primary subscriber of or policyholder, being informed of such use of such benefits. SEC. 7. PREP AND PEP FUNDING. Part P of title III of the Public Health Service Act (42 U.S.C. 280g et seq.), as amended by section 5, is further amended by adding at the end the following: ``SEC. 399V-9. PRE-EXPOSURE PROPHYLAXIS AND POST-EXPOSURE PROPHYLAXIS FUNDING. ``(a) In General.--Not later than 1 year after the date of enactment of the PrEP Access and Coverage Act of 2026, the Secretary shall establish a program that awards grants to States, territories, Indian Tribes, and directly eligible entities for the establishment and support of pre-exposure prophylaxis (referred to in this section as `PrEP') and post-exposure prophylaxis (referred to in this section as `PEP') programs. ``(b) Applications.--To be eligible to receive a grant under subsection (a), a State, territory, Indian Tribe, or directly eligible entity shall-- ``(1) submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require, including a plan describing how any funds awarded will be used to increase access to PrEP for uninsured and underinsured individuals and reduce disparities in access to PrEP and PEP for uninsured and underinsured individuals and reduce disparities in access to PrEP and PEP; and ``(2) appoint a PrEP and PEP grant administrator to manage the program. ``(c) Directly Eligible Entity.--For purposes of this section, the term `directly eligible entity'-- ``(1) means a nonprofit entity engaged in providing PrEP and PEP information and services; and ``(2) may include-- ``(A) a Federally qualified health center (as defined in section 1861(aa)(4) of the Social Security Act); ``(B) a family planning grantee (other than States) funded under section 1001; ``(C) a rural health clinic (as defined in section 1861(aa)(2) of the Social Security Act); ``(D) a health facility operated by or pursuant to a contract with the Indian Health Service; ``(E) a community-based organization, clinic, hospital, or other health facility that provides services to individuals at risk for or living with HIV; and ``(F) a nonprofit private entity providing comprehensive primary care to populations at risk of HIV, including faith-based and community-based organizations. ``(d) Awards.--In determining whether to award a grant, and the grant amount for each grant awarded, the Secretary shall consider the grant application and the need for PrEP and PEP services in the area, the number of uninsured and underinsured individuals in the area, and how the State, territory, or Indian Tribe coordinates PrEP and PEP activities with the directly funded entity, if the State, territory, or Indian Tribe applies for the funds. ``(e) Use of Funds.-- ``(1) In general.--Any State, territory, Indian Tribe, or directly eligible entity that is awarded funds under subsection (a) shall use such funds for eligible PrEP and PEP expenses. ``(2) Eligible prep expenses.--The Secretary shall publish a list of expenses that qualify as eligible PrEP and PEP expenses for purposes of this section, which shall include-- ``(A) any prescription drug approved by the Food and Drug Administration used for the prevention of HIV, administrative fees for such drugs, laboratory and other diagnostic procedures associated with the use of such drugs, and clinical follow-up and monitoring, including any related services recommended in current United States Public Health Service clinical practice guidelines, including policy notes updating those guidelines, without limitation; ``(B) outreach and public education activities directed toward populations overrepresented in the domestic HIV epidemic that increase awareness about the existence of PrEP and PEP, provide education about access to and health care coverage of PrEP and PEP, PrEP and PEP adherence programs, and counter stigma associated with the use of PrEP and PEP; ``(C) outreach activities directed toward physicians and other providers that provide education about PrEP and PEP; and ``(D) adherence services and counseling, including personnel costs for PrEP navigators to retain patients in care. ``(f) Report to Congress.--The Secretary shall, in each of the first 5 years beginning 1 year after the date of enactment of the PrEP Access and Coverage Act of 2026, submit to Congress, and make public on the website of Department of Health and Human Services, a report on the impact of any grants provided to States, territories, Indian Tribes, and directly eligible entities for the establishment and support of pre-exposure prophylaxis programs under this section. ``(g) Authorization of Appropriations.--To carry out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2026 through 2030.''. SEC. 8. CLARIFICATION. This Act, including the amendments made by this Act, shall apply notwithstanding any other provision of law, including Public Law 103- 141. SEC. 9. PRIVATE RIGHT OF ACTION. Any person aggrieved by a violation of this Act, including the amendments made by this Act, may commence a civil action in an appropriate United States District Court or other court of competent jurisdiction to obtain relief as allowed by law as either an individual or member of a class. If the plaintiff is the prevailing party in such an action, the court shall order the defendant to pay the costs and reasonable attorney fees of the plaintiff. SEC. 10. ENFORCEMENT. (a) In General.--The Secretary of Health and Human Services, in consultation with the Centers for Disease Control and Prevention, shall-- (1) issue guidance regarding the implementation of the coverage requirements established under this Act, including the amendments made by this Act, including with respect to implementation of such coverage requirements; (2) develop and disseminate educational materials, including billing and coding documents based on stakeholder consensus-driven recommendations, as appropriate; (3) provide technical assistance to State insurance commissioners; (4) provide technical assistance to eligible entities regarding responding to consumer complaints and assisting in resolving such complaints; and (5) work with other Federal agencies to assist in enforcement and compliance. (b) Compliance.-- (1) In general.--The Secretary of Health and Human Services, the Secretary of Labor, and the Secretary of the Treasury, in consultation with the Director of the Centers for Disease Control and Prevention, shall monitor compliance by group health plans and health insurance issuers with coverage requirements established under sections 2799A-11 of the Public Health Service Act, 726 of the Employee Retirement Income Security Act of 1974, and 9826 of the Internal Revenue Code of 1986 (as added by section 3(a)) and shall take appropriate enforcement actions under such Acts and such Code. (2) Insurer submissions to the secretary.--Beginning not later than 1 year after the date of enactment of this Act, each group health plan and health insurance issuer offering group or individual health insurance coverage shall submit to the Secretary of Health and Human Services, at such time as such secretary, in coordination with the Secretary of Labor and the Secretary of the Treasury, shall require, but not less frequently than annually for the 10-year period beginning on such date of enactment, data demonstrating compliance with the coverage requirements described in paragraph (1), including aggregate data on the number of claims received by such plans and issuers for HIV prevention services and the cost-sharing for enrollees with respect to such claims. (3) Reports to congress.--Not later than 2 years after the date of enactment of this Act and every 2 years thereafter for the 10-year period beginning on such date of enactment, the Secretary of Health and Human Services, the Secretary of Labor, and the Secretary of the Treasury (collectively referred to in this section as the ``Secretaries'') shall jointly submit to Congress and make publicly available a report to assess the prevalence of noncompliance with the coverage requirements described in paragraph (1). Each such report shall include-- (A) aggregate information about group health plans and health insurance issuers that the Secretaries determine to be out of compliance with such requirements; and (B) steps the Secretaries have taken to address incidences of such noncompliance. (4) Definitions.--In this subsection, the terms ``group health plan'', ``health insurance coverage'', and ``health insurance issuer'' have the meanings given such terms in section 2791 of the Public Health Service Act (42 U.S.C. 300gg- 91). \n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n \"pl_key_points\": [\n \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n \"Drugi krótki punkt po polsku...\"\n ],\n \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n \"eng_key_points\": [\n \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n \"Second short bullet point in English...\"\n ],\n \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n \"de_key_points\": [\n \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n ],\n \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n \"fr_key_points\": [\n \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n \"Deuxième court point en français...\"\n ],\n \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n \"es_key_points\": [\n \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n \"Segundo punto breve en español...\"\n ],\n \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n \"it_key_points\": [\n \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n \"Secondo breve punto in italiano...\"\n ],\n \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n \"nl_key_points\": [\n \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n \"Tweede korte punt in het Nederlands...\"\n ],\n \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n \"pt_key_points\": [\n \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n \"Segundo ponto curto em português...\"\n ],\n \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n", "ai_response_raw": "{\n \"pl_ai_title\": \"Darmowy dostęp do leków zapobiegających HIV: Ustawa PrEP 2026\",\n \"pl_summary\": \"Ustawa zapewnia bezpłatny dostęp do leków zapobiegających zakażeniu HIV (PrEP) dla większości obywateli, eliminując opłaty własne w ubezpieczeniach prywatnych i publicznych. Nowe przepisy zakazują również dyskryminacji przez ubezpieczycieli na życie oraz wprowadzają kampanie edukacyjne zwiększające świadomość o profilaktyce.\",\n \"pl_key_points\": [\n \"Całkowity brak opłat za leki PrEP, badania laboratoryjne i wizyty kontrolne w ramach ubezpieczenia.\",\n \"Zakaz wymagania wcześniejszej zgody ubezpieczyciela na przepisanie profilaktyki HIV.\",\n \"Ubezpieczyciele na życie i niezdolność do pracy nie mogą podnosić składek z powodu przyjmowania leków zapobiegawczych.\",\n \"Gwarancja poufności dla osób korzystających z profilaktyki w ramach planów rodzinnych.\",\n \"Nowe fundusze na programy profilaktyczne dla osób nieubezpieczonych i o niskich dochodach.\"\n ],\n \"eng_ai_title\": \"Free Access to HIV Prevention: PrEP Access and Coverage Act of 2026\",\n \"eng_summary\": \"This act ensures free access to HIV prevention medication (PrEP) by eliminating out-of-pocket costs for most private and public insurance plans. It also protects individuals from insurance discrimination and funds public education to reduce HIV transmission.\",\n \"eng_key_points\": [\n \"Eliminates copays and deductibles for HIV prevention drugs, lab tests, and clinical visits.\",\n \"Prohibits insurance companies from requiring prior authorization for PrEP medications.\",\n \"Prevents life and disability insurers from denying coverage or raising rates based on PrEP use.\",\n \"Ensures patient privacy for those using prevention services under a family insurance plan.\",\n \"Provides grants to support access for uninsured and underinsured individuals.\"\n ],\n \"de_ai_title\": \"Gesetz über den kostenlosen Zugang zur HIV-Prävention 2026\",\n \"de_summary\": \"Dieses Gesetz garantiert den kostenlosen Zugang zu Medikamenten zur HIV-Prävention (PrEP) für die meisten Versicherten durch Abschaffung von Zuzahlungen. Es verbietet zudem Diskriminierung durch Lebensversicherer und fördert Aufklärungskampagnen zur Senkung der Infektionsraten.\",\n \"de_key_points\": [\n \"Keine Zuzahlungen oder Selbstbeteiligungen für PrEP-Medikamente, Labortests und ärztliche Nachsorge.\",\n \"Verbot von Vorabgenehmigungen durch Versicherungen für die Verschreibung von HIV-Prävention.\",\n \"Lebens- und Berufsunfähigkeitsversicherungen dürfen keine höheren Prämien wegen PrEP-Nutzung verlangen.\",\n \"Schutz der Privatsphäre bei der Inanspruchnahme von Leistungen innerhalb von Familienversicherungen.\",\n \"Zusätzliche Mittel für Präventionsprogramme für nicht versicherte Personen.\"\n ],\n \"fr_ai_title\": \"Loi de 2026 sur l'accès gratuit à la prévention du VIH (PrEP)\",\n \"fr_summary\": \"Cette loi garantit l'accès gratuit aux médicaments de prévention du VIH (PrEP) en supprimant les frais à la charge des patients pour la plupart des assurances. Elle interdit également la discrimination par les assureurs vie et finance des campagnes d'éducation publique.\",\n \"fr_key_points\": [\n \"Suppression des franchises et co-paiements pour les médicaments PrEP et les examens associés.\",\n \"Interdiction pour les assureurs d'exiger une autorisation préalable pour les traitements préventifs.\",\n \"Les assureurs vie ne peuvent pas augmenter les tarifs ou refuser une couverture en raison de l'utilisation de la PrEP.\",\n \"Garantie de confidentialité pour les bénéficiaires inscrits sur un contrat d'assurance familial.\",\n \"Financement de programmes d'accès pour les personnes non assurées ou sous-assurées.\"\n ],\n \"es_ai_title\": \"Ley de Acceso Gratuito a la Prevención del VIH (PrEP) de 2026\",\n \"es_summary\": \"Esta ley garantiza el acceso gratuito a los medicamentos para prevenir el VIH (PrEP) al eliminar los costos compartidos en la mayoría de los seguros. También prohíbe la discriminación por parte de las aseguradoras de vida y financia programas de educación pública.\",\n \"es_key_points\": [\n \"Eliminación de copagos y deducibles para medicamentos PrEP, pruebas de laboratorio y consultas.\",\n \"Prohibición de requisitos de autorización previa para acceder a la profilaxis del VIH.\",\n \"Las aseguradoras de vida no pueden subir las primas ni denegar cobertura por usar PrEP.\",\n \"Protección de la privacidad para quienes usan estos servicios bajo un plan familiar.\",\n \"Subvenciones para facilitar el acceso a personas sin seguro médico.\"\n ],\n \"it_ai_title\": \"Legge del 2026 sull'accesso gratuito alla prevenzione dell'HIV (PrEP)\",\n \"it_summary\": \"Questa legge garantisce l'accesso gratuito ai farmaci per la prevenzione dell'HIV (PrEP) eliminando i costi a carico dei cittadini nella maggior parte delle assicurazioni. Vieta inoltre le discriminazioni da parte delle assicurazioni sulla vita e finanzia campagne di sensibilizzazione.\",\n \"it_key_points\": [\n \"Eliminazione di ticket e franchigie per farmaci PrEP, esami di laboratorio e visite mediche.\",\n \"Divieto per le assicurazioni di richiedere autorizzazioni preventive per la profilassi.\",\n \"Le assicurazioni sulla vita non possono aumentare i premi a chi utilizza farmaci preventivi.\",\n \"Tutela della riservatezza per chi usufruisce dei servizi all'interno di una polizza familiare.\",\n \"Fondi per programmi di prevenzione destinati a persone non assicurate.\"\n ],\n \"nl_ai_title\": \"Wet op de Gratis Toegang tot Hiv-preventie (PrEP) 2026\",\n \"nl_summary\": \"Deze wet garandeert gratis toegang tot hiv-preventiemedicatie (PrEP) door eigen bijdragen in de meeste verzekeringen af te schaffen. Het verbiedt ook discriminatie door levensverzekeraars en financiert voorlichtingscampagnes om hiv-overdracht te verminderen.\",\n \"nl_key_points\": [\n \"Geen eigen risico of eigen bijdrage voor PrEP-medicijnen, labtests en medische controles.\",\n \"Verbod op voorafgaande toestemming van de verzekeraar voor hiv-preventie.\",\n \"Levensverzekeraars mogen geen hogere premies vragen vanwege het gebruik van PrEP.\",\n \"Waarborging van privacy voor gebruikers binnen een gezinsverzekering.\",\n \"Subsidies voor toegang tot preventie voor onverzekerden en mensen met lage inkomens.\"\n ],\n \"pt_ai_title\": \"Lei de Acesso Gratuito à Prevenção do VIH (PrEP) de 2026\",\n \"pt_summary\": \"Esta lei garante o acesso gratuito a medicamentos de prevenção do VIH (PrEP), eliminando custos partilhados na maioria dos seguros. Proíbe também a discriminação por seguradoras de vida e financia campanhas de educação pública.\",\n \"pt_key_points\": [\n \"Eliminação de copagamentos e franquias para medicamentos PrEP, exames e consultas.\",\n \"Proibição de exigência de autorização prévia para o acesso à profilaxia do VIH.\",\n \"Seguradoras de vida não podem aumentar prémios ou negar cobertura devido ao uso de PrEP.\",\n \"Garantia de confidencialidade para quem utiliza os serviços num plano familiar.\",\n \"Criação de fundos para apoiar o acesso de pessoas sem seguro ou com cobertura insuficiente.\"\n ],\n \"category\": [\"Health\"]\n}" } ] }